HOME >> MEDICINE >> NEWS
Preventive treatments in elderly people needs rethinking

Rather than prolonging life, preventive treatments in elderly people may simply change the cause of death the manner of our dying, say doctors in this weeks BMJ.

They call for a more sophisticated way of assessing the benefits and harms of preventive treatment in elderly people.

Preventive health care aims to delay the onset of illness and disease and to prevent untimely and premature deaths, say Dr Dee Mangin and colleagues. But concerns about equity of access to treatments have led to preventive interventions being encouraged regardless of age, and this can be harmful to the patient and expensive for the health service.

In rapidly ageing populations, we urgently need to reappraise the complex and uncomfortable relations between age discrimination, distributive justice, quality, and length of life, they argue.

For example, preventive use of statins shows no overall benefit in elderly people as cardiovascular mortality and morbidity are replaced by cancer.

Is it possible, they ask, that by introducing preventive treatments in the elderly aimed at reducing the risk of a particular cause of death, we are simply changing the cause of death without the patients informed consent"

This is fundamentally unethical, undermining the principle of respect for autonomy.

Financial incentives for doctors that are linked to guidelines and targets may coerce doctors into persuading patients to accept such preventive treatments, they add, but the best interests of elderly people might lie in investing the money in health care that will genuinely relieve suffering, such as cataract operations, joint replacement surgery, and personal care of people with dementia.

They believe that a more sophisticated model is needed to assess preventive treatment in the elderly that takes a wider perspective when balancing potential harms against putative benefits.

We should not carry on extrapolating data f
'"/>

Contact: Emma Dickinson
edickinson@bmj.com
44-020-738-36529
BMJ-British Medical Journal
9-Aug-2007


Page: 1 2

Related medicine news :

1. Preventive health exams may provide opportunities for cancer screening
2. Public health and pandemic flu preparedness to headline Preventive Medicine 2007
3. Preventive Medicine 2007 to feature research and practice findings to improve public health
4. Preventive ovary removal linked to early death in younger women, Mayo Clinic discovers
5. Preventive treatment reduces risk of malaria in infants
6. Preventive Medicine 2006 conference to feature quality improvement and patient safety
7. Preventive Medicine conference to feature disaster, pandemic, and terror preparedness
8. Preventive treatment helps avoid Hepatitis B relapse during chemotherapy
9. New algorithm matches any tumor cells to best possible anti-cancer treatments
10. Novel treatments may help alleviate constipation, IBS in women
11. Developments in tissue engineering offer new sources for stem cell treatments

Post Your Comments:
*Name:
*Comment:
*Email:


(Date:5/14/2019)... , ... May 14, 2019 , ... ... from Vizient, Inc., the largest member-driven health care performance improvement company in the ... on the recommendation of hospital experts from one of Vizient’s member-led councils. ...
(Date:5/14/2019)... ... 14, 2019 , ... A high number of HIV cases among the LGBTQ ... the Houston area and the southern United States. Specifically, the sub-groups at greater ... with men (MSM) and transgender people of color ages 13 to 34. In ...
(Date:5/14/2019)... ... May 14, 2019 , ... Dr. Roger Chan of ... invasive gum disease treatment option for patients. Dr. Chan is among a growing number ... excellent results. , "Gum disease is an insidious disease because there aren't a lot ...
(Date:5/14/2019)... ... May 14, 2019 , ... A coalition of businesses, ... biggest health issues – ‘big data’. At a news conference today, Texas-based ... Stanford University and Southern Methodist University (SMU) announced the U.S. launch of research ...
(Date:5/14/2019)... ... May 14, 2019 , ... ... ViaQuest, Inc. to license and implement LiveCare, OnSeen’s mobile workforce management ... to people at their residences in order to improve their living conditions and ...
Breaking Medicine News(10 mins):
(Date:5/14/2019)... ... May 15, 2019 , ... Four Hot Topics ... **An FDAnews Webinar**, Wednesday, May 29, 2019, 1:30-3:00p.m. EDT, https://www.fdanews.com/fourhottopics , ... agency, Congress and the White House feel their way toward a new approach ...
(Date:5/14/2019)... ... May 14, 2019 , ... Steel Sports will begin introducing ... at Baseball Heaven in an effort to increase player safety. , Starting in ... for the 8U and 9U divisions, impacting over 160 youth players. On May ...
(Date:5/14/2019)... ... , ... Clinical supply management decisions often result in significant ... trial outcomes. Distribution costs can be escalated by unseen global shipments, so it ... President of Strategic Solutions at YPrime and Korinne D’Orsi, Associate Director ...
Breaking Medicine Technology:
Cached News: