Read e-book online Barker, Burton and Zieve's Principles of Ambulatory Medicine PDF

By N. H. Fiebach, D. E. Kern, P. A. Thomas, R. C. Ziegelstein (eds.)

ISBN-10: 0781762278

ISBN-13: 9780781762274

Updated for its 7th version, Principles of Ambulatory Medicine is the definitive reference for all clinicians taking good care of grownup ambulatory sufferers. It presents in-depth assurance of the evaluation,management, and long term process all scientific difficulties addressed within the outpatient atmosphere. a massive concentration is on preventive care, grounded in first-class patient-physician communique. This version positive factors elevated insurance of preventive care, relatively the impression of genetic checking out as a illness predictor.

For effortless reference, the publication is geared up through physique procedure and every bankruptcy starts off with an summary of key issues. References to randomized managed scientific trials, meta-analyses, and consensus-based strategies are boldfaced.

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Extra info for Barker, Burton and Zieve's Principles of Ambulatory Medicine

Example text

The perspective of the analysis takes into account who benefits from the intervention as well as who pays for it (society, the payer, or the patient). Cost-effectiveness analyses often rely on a number of assumptions, and small variations in one or more of these parameters can have a significant effect on the conclusions; a sensitivity analysis can help determine how sensitive the outcomes are to changes in the parameters. , choice of antihypertensive medicine), the potential benefits should be weighed against the resources used and money spent.

Boston: Little, Brown, 1991. trated in the table, there are important questions to ask of a clinical trial that reports benefits to treated subjects. , reduction of blood pressure)? , colon cancer), reported? In addition to reporting the statistical significance of findings (the probability that the findings are true), did the study discuss or clarify the clinical significance of the findings (whether the benefits were clinically meaningful)? As the size of a study increases, there is an increased likelihood that clinically small or nonmeaningful benefits, which are nonetheless statistically significant, will be demonstrated.

Most information about prognosis comes from prospective cohort studies in which patients with a disease are monitored over time. Cohort studies may include only untreated subjects (natural history of a disease), only treated subjects, or a combination of both treated and untreated subjects (clinical course of a disease). Cohort studies are simple in design, yet they are often costly in time and money. They are susceptible to biases, such as sampling bias, in which the group of patients being monitored is not representative of all patients with that condition.

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Barker, Burton and Zieve's Principles of Ambulatory Medicine by N. H. Fiebach, D. E. Kern, P. A. Thomas, R. C. Ziegelstein (eds.)


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