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Prasad, Vinayak K., 1982-
Subjects
Medical care.
Clinical trials.
Therapeutics
Browse Catalog
by author:
Prasad, Vinayak K., 1982-
by title:
Ending medical rever...
by call number:
615.5 P911e
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Prasad, Vinayak K., 1982-
Medical care.
Clinical trials.
Therapeutics
MARC Display
Ending
medical
reversal
:
improving
outcomes
,
saving
lives
/ Vinayak K. Prasad and Adam S. Cifu.
by
Prasad, Vinayak K., 1982-
Johns Hopkins University Press, [2015]
Call #:
615.5 P911e
Subjects
Medical
care.
Clinical trials.
Therapeutics
ISBN:
9781421417721 (hc.)
1421417723 (hc.)
Description:
viii, 264 p. ; 24 cm.
Notes:
"Why medicine adopts ineffective or harmful
medical
practices only to abandon them -- sometimes too late"--Cover.
Bibliography:
Includes bibliographical references and index.
Contents:
What is
medical
reversal
? -- Subjective
outcomes
: why feeling better is often misleading -- Surrogate
outcomes
-- Screening tests -- System failure -- Finding flawed therapies on our own -- The frequency of
medical
reversal
-- The harms of
medical
reversal
: today's patients, tomorrow's patients and the healthcare field -- A primer in evidence based medicine : what is evidence in medicine? -- What really got you better : when evidence gets complicated -- Scientific progress, revolution, and
medical
reversal
-- Sources of flawed data -- Why are we so attracted to flawed therapies? --
Medical
education : a very good place to start -- Academic medicine -- Reforming the system : the burden of proof and nudging our way past
reversal
-- How not to become a victim of
reversal
-- Beyond dogma : when randomized trials are unnecessary.
Summary:
"We expect medicine to progress in an orderly fashion, with good
medical
practices being replaced by better ones. But some tests and therapies are discontinued because they are found to be worse, or at least no better, than what they replaced. Medications like Vioxx and procedures such as vertebroplasty for back pain caused by compression fractures are among the
medical
advances that turned out to be dangerous or useless.
Medical
reversal
happens when doctors start using a medication, procedure, or diagnostic tool without a robust evidence base -- and then stop using it when it is found not to help, or even to harm, patients. Fascinating stories from every corner of medicine exploring why
medical
reversals occur, how they are harmful, and what can be done to avoid them. The difference between
medical
innovations that improve care and those that only appear to be promising. A comprehensive plan to reform
medical
education, research funding and protocols, and the process for approving new drugs that will ensure that more of what gets done in doctors' offices and hospitals is truly effective"--Provided by publisher.
Other authors:
Cifu, Adam S.
Holds:
0
Copy/Holding information
Location
Collection
Call No.
Item type
Status
Bedford Public Library
Adult Nonfiction
615.5 P911e
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