In this Book
- Ending Medical Reversal: Improving Outcomes, Saving Lives
- Book
- 2015
- Published by: Johns Hopkins University Press
summary
Why medicine adopts ineffective or harmful medical practices only to abandon them—sometimes too late.Medications such as Vioxx and procedures such as vertebroplasty for back pain are among the medical "advances" that turned out to be dangerous or useless. What Dr. Vinayak K. Prasad and Dr. Adam S. Cifu call 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.In Ending Medical Reversal, Drs. Prasad and Cifu narrate fascinating stories from every corner of medicine to explore why medical reversals occur, how they are harmful, and what can be done to avoid them. They explore the difference between medical innovations that improve care and those that only appear to be promising. They also outline 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.
Table of Contents
Download Full Book
- Introduction
- pp. 1-8
- Part I. Medical Reversal: Examples, Frequency, and Consequences
- 1. What Is Medical Reversal?
- pp. 11-19
- 3. Surrogate Outcomes
- pp. 30-42
- 4. Screening Tests
- pp. 43-56
- 5. Systes Failure
- pp. 57-68
- 7. The Frequency of Medical Reversal
- pp. 81-87
- Part II: An Interlude on Evidence
- Part III: The Origins of Reversal
- 12. Sources of Flawed Data
- pp. 135-147
- Part IV: Beyond Reversal
- 15. Academic Medicine
- pp. 173-182
- 17. How Not to Become a Victim of Reversal
- pp. 195-204
- Acknowledgments
- pp. 215-216
- References
- pp. 247-256
Additional Information
ISBN
9781421417738
Related ISBN(s)
9781421417721, 9781421429045, 9781421451084
MARC Record
OCLC
966392007
Pages
280
Launched on MUSE
2016-12-18
Language
English
Open Access
No