scholarly journals AGS Position Statement: Making Medical Treatment Decisions for Unbefriended Older Adults

2016 ◽  
Vol 65 (1) ◽  
pp. 14 ◽  
Author(s):  
Timothy W. Farrell ◽  
Eric Widera ◽  
Lisa Rosenberg ◽  
Craig D. Rubin ◽  
Aanand D. Naik ◽  
...  
Keyword(s):  
Older Adults ◽  
Medical Treatment ◽  
Treatment Decisions ◽  
Position Statement

Medical treatment decisions: Individual differences in risk tradeoffs

1998 ◽  
Author(s):  
Andrea L. Washburne ◽  
Sandra L. Schneider ◽  
Teresa Broughton
Keyword(s):  
Individual Differences ◽  
Medical Treatment ◽  
Treatment Decisions ◽  
Risk Tradeoffs

scholarly journals Individualizing Treatment Decisions for Older Adults with Hematologic Malignancies

2013 ◽  
Vol 33 ◽  
pp. 208-219 ◽  
Author(s):  
Heidi D. Klepin ◽  
David Rizzieri ◽  
Antonio Palumbo ◽  
Valeria Magarotto ◽  
Barbara Eichhorst
Keyword(s):  
Older Adults ◽  
Hematologic Malignancies ◽  
Treatment Decisions

scholarly journals Assessment of Discordance Between Surrogate Care Goals and Medical Treatment Provided to Older Adults With Serious Illness

2020 ◽  
Vol 3 (5) ◽  
pp. e205179
Author(s):  
Amber R. Comer ◽  
Susan E. Hickman ◽  
James E. Slaven ◽  
Patrick O. Monahan ◽  
Greg A. Sachs ◽  
...  
Keyword(s):  
Older Adults ◽  
Medical Treatment ◽  
Serious Illness

scholarly journals When more is not better: 10 ‘don’ts’ in endometriosis management. An ETIC* position statement

2019 ◽  
Vol 2019 (3) ◽  
Author(s):  
◽  
L Alio ◽  
S Angioni ◽  
S Arena ◽  
L Bartiromo ◽  
...  
Keyword(s):  
Medical Treatment ◽  
Position Statement ◽  
Term Treatment ◽  
Teaching Hospitals ◽  
Ca 125 ◽  
Surgical Approaches ◽  
Medical Overuse ◽  
Infertile Women ◽  
Long Term Treatment ◽  
Ovarian Endometriomas

Abstract A network of endometriosis experts from 16 Italian academic departments and teaching hospitals distributed all over the country made a critical appraisal of the available evidence and definition of 10 suggestions regarding measures to be de-implemented. Strong suggestions were made only when high-quality evidence was available. The aim was to select 10 low-value medical interventions, characterized by an unfavorable balance between potential benefits, potential harms, and costs, which should be discouraged in women with endometriosis. The following suggestions were agreed by all experts: do not suggest laparoscopy to detect and treat superficial peritoneal endometriosis in infertile women without pelvic pain symptoms; do not recommend controlled ovarian stimulation and IUI in infertile women with endometriosis at any stage; do not remove small ovarian endometriomas (diameter <4 cm) with the sole objective of improving the likelihood of conception in infertile patients scheduled for IVF; do not remove uncomplicated deep endometriotic lesions in asymptomatic women, and also in symptomatic women not seeking conception when medical treatment is effective and well tolerated; do not systematically request second-level diagnostic investigations in women with known or suspected non-subocclusive colorectal endometriosis or with symptoms responding to medical treatment; do not recommend repeated follow-up serum CA-125 (or other currently available biomarkers) measurements in women successfully using medical treatments for uncomplicated endometriosis in the absence of suspicious ovarian cysts; do not leave women undergoing surgery for ovarian endometriomas and not seeking immediate conception without post-operative long-term treatment with estrogen–progestins or progestins; do not perform laparoscopy in adolescent women (<20 years) with moderate–severe dysmenorrhea and clinically suspected early endometriosis without prior attempting to relieve symptoms with estrogen–progestins or progestins; do not prescribe drugs that cannot be used for prolonged periods of time because of safety or cost issues as first-line medical treatment, unless estrogen–progestins or progestins have been proven ineffective, not tolerated, or contraindicated; do not use robotic-assisted laparoscopic surgery for endometriosis outside research settings. Our proposal is to better address medical and surgical approaches to endometriosis de-implementing low-value interventions, with the aim to prevent unnecessary morbidity, limit psychological distress, and reduce the burden of treatment avoiding medical overuse and allowing a more equitable distribution of healthcare resources.

scholarly journals Explanations for side effect aversion in preventive medical treatment decisions.

2009 ◽  
Vol 28 (2) ◽  
pp. 201-209 ◽  
Author(s):  
Erika A. Waters ◽  
Neil D. Weinstein ◽  
Graham A. Colditz ◽  
Karen Emmons
Keyword(s):  
Medical Treatment ◽  
Side Effect ◽  
Treatment Decisions
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