Interpreting Health Benefits and Risks: A Practical Guide to by Erik Rifkin, Andrew Lazris PDF

By Erik Rifkin, Andrew Lazris

This well timed advisor to conversation in patient-centered drugs argues for higher readability in explaining future health dangers as opposed to merits of an array of screening checks, approaches, and drug regimens. It reports the growing to be pattern towards sufferers' involvement of their personal care, quite by way of persistent stipulations, and information techniques physicians can use to arrange sufferers (and themselves) for collaborative decision-making in keeping with proficient offerings and transparent, significant wisdom. Chapters follow this lens to a variety of universal interventions as contentious as estrogen substitute treatment and antibiotics, and as greatly prescribed because the day-by-day aspirin and the once a year actual. With this target in brain, the authors additionally introduce an leading edge decision-making instrument that interprets dangers and merits right into a transparent photo layout for fewer probabilities of miscommunication or misunderstanding.

Among the themes covered:

  • Involving the sufferer in choice making.
  • Towards a common selection aid.
  • BRCT: the Benefit/Risk Characterization Theater.
  • Breast melanoma Screening—Mammograms.
  • Prostate melanoma Screening.
  • Colon melanoma screening with colonoscopy.
  • Screening for and treating dementia.
  • Statins, ldl cholesterol, and heart disease.

Physicians in kinfolk and inner drugs will locate Interpreting future health advantages and hazards: a realistic consultant to Facilitate health practitioner- sufferer Communication a invaluable source for speaking with sufferers and new percentages for operating towards their larger health and wellbeing and overall healthiness education.

This e-book considers a number of universal and critical occasions the place defective decision-making makes overtreatment a major probability. transparent, reasonable, referenced, and helpful info is supplied. and a strong intuitive strategy is brought which permits sufferer and healthcare professional to speak as equals as they interact within the examination room. The authors emphasize that a few sufferers who've been totally expert will nonetheless settle for excessive dangers of injury for a small likelihood of keeping off untimely loss of life. yet as this e-book is permitted and its principles and method are prolonged, i think yes that web damage to sufferers may be curtailed. and what's extra, the integrity of the decision-making procedure might be improved.

—Thomas Finucane, MD, Professor of medication, department of Gerontology and Geriatric drugs, The Johns Hopkins collage institution of Medicine

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Additional info for Interpreting Health Benefits and Risks: A Practical Guide to Facilitate Doctor-Patient Communication

Sample text

If that is the case, then there is no good reason to do the test. Finally, it is necessary for any patient who is willing to accept treatment to know how good bisphosphonates are at preventing bone fractures and how frequently they induce side effects. These facts can be best presented through BRCTs. A Patient-Centered Approach Ultimately engaging in a rational risk assessment is satisfying for both doctors and patients and, when done with a BRCT model, does not have to utilize excessive amounts of office time.

A key, if not the key, criterion is to insure that health risks and benefits are presented to patients as absolute risks (as is the case in our BRCTs) and never as relative risks. This is a critically important issue and a brief presentation here is warranted. Absolute risks and benefits reflect the number of people who will get a disease, compared to the total number of people being considered. Absolute benefits and risks are the difference between two groups. In Fig. 1, the BRCT demonstrates that 1 additional individual (represented by one darkened seat) in 1,000 with elevated cholesterol will die from CHD when compared with 1,000 individuals with normal cholesterol (see Chapter 15 on Cholesterol Screening).

2011). Decision aids for people facing health treatment or screening decisions. Cochrane Database of Systematic Reviews, 3, CD001431. pub3. PMID 19588325. 5. O’Connor, A. , Wennberg, J. , Legare, F. et al. (2007). Toward the ‘tipping point’: Decision aids and informed patient choice. Health Aff (Millwood) 26(3), 716–725. 716. PMID 17485749. 6. , Stacey, D. et al. (2006). Developing a quality criteria framework for patient decision aids: Online international Delphi consensus process. British Medical Journal, 333(7565), 417.

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