SPECIAL CONTRIBUTION Lessons from the past: directions for the future
نویسنده
چکیده
New procedures and materials for incontinence and prolapse are proliferating rapidly. Surgical procedures were developed by physicians and carried their names, but over the last 15 years, these procedures are developed by industry and bear the trade names of the companies selling the kits needed to perform them. The Food and Drug Administration (FDA) approves devices, not procedures, and does not require submission of efficacy or adverse-event data to gain this approval by the 510-K process. Evidence-based medicine is lacking in the performance of these procedures that may be considered experimental by an insurance company or malpractice carrier with denial of payment or coverage. Physicians and hospitals are exposing themselves to financial, legal, and ethical risks when performing or allowing such procedures to be performed. Informed consent from the patient cannot be obtained. We must not confuse medical marketing with evidence-based medicine.
منابع مشابه
Clinical reasoning assessment through medical expertise theories: past, present and future directions
Exploration into the concept of "medical expert" dates back to more than 50 years ago, yet yielding three leading theories in the area of clinical reasoning, namely, knowledge structure, hypothetic-deductive, and dual process. Each theory defines “medical expert” in a dissimilar way. Therefore, the methods of assessment through which the experts are identified have been changed during the tim...
متن کاملHistory in a Crisis — Lessons for Covid-19
Writing in the heady days of new antibiotics and immunizations, esteemed microbiologists Macfarlane Burnet and David White predicted in 1972 that “the most likely forecast about the future of infectious diseases is that it will be very dull.” When asked to explain past events, historians are quick to assert the importance of context. If you want to understand how or why something happened, you ...
متن کاملExpanding the Social-Ecological Framework of Bullying among Youth: Lessons Learned from the Past and Directions for the Future [Chapter 1]
متن کامل
Managing Crises in the Healthcare Service Chain: Lessons from the Past and Future Directions
This paper explores the strategic importance of information systems for managing such crises as the H1N1 outbreak and the Haiti earthquake in the healthcare service chain. The paper synthesizes the literature on crisis management and information systems for emergency response and draws some key lessons for healthcare service chains. The paper illustrates these lessons by using data from an empi...
متن کاملThe Challenge of Sustaining Long-term Care in Aging Societies: Lessons From Japan and Spain; Comment on “Financing Long-term Care: Lessons From Japan”
This article compares the provision of long-term care (LTC) in Japan and Spain, two countries with similar demographic structures but which address the provision of LTCs in very different ways. Both countries provide universal LTC. However, Japan has developed a generous benefit package of formal services for dependents to alleviate the care burden on the family, but provides no cash benefits. ...
متن کاملI-20: ART - Children How Are They Doing Lessons from Research
Worldwide there are over 4,000,000 ART conceived individuals. As fertility rates ‘fall’ in some countries use of ART is increasing with rates of 1.8% of live births in the UK, 4.4% in Denmark etc. Although still the single largest threat to future ART born children is being born twin, triplet or more, other research shows that there is good grounds for monitoring of the health of these children...
متن کامل