Barry Ashpole Media Watch #486

Barry Ashpole Media Watch

The latest issue of Media Watch, compiled and annotated by Barry R. Ashpole (Ontario, Canada) can now be downloaded here. More reports can be found at IPCRC.NET

Articles from Asia Pacific Region:

Am I too old for this, Doctor? Using population life expectancy to guide clinical decision-making

Prognostication is important in clinical decision-making, especially as end-of-life approaches. When weighing a proposed intervention against potential harm, sound evidence is not necessarily available. In decades past, preventative management was often missed in older people because trials were conducted largely on younger people, so medication effects were not proven in older people. Now, because of equity concerns, evidence-based guidelines (largely) ignore age. Care of older patients with several comorbidities [1] can present additional challenges, because of the difficulties in reconciling the needs of one condition against others. Should age be used in clinical decision-making?