Articles Tagged With:
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New Data on Strategies to Increase Advance Care Planning
Despite ample evidence that advance care planning can benefit patients, families, and healthcare systems, most older adults have not completed it. Many clinicians and researchers are trying to find effective strategies to increase advance planning rates.
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Infrequent Billing for Advance Care Planning Is Ethical Concern
A recent study’s findings show that patients with billed advance care planning encounters had decreased expenditures at the end of life.
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Ethicists Are Facing Complex Medical-Aid-in-Dying Cases
Clinicians face unique ethical questions with medical-aid-in-dying (MAID) cases, and ethicists soon may be seeing more consults involving this issue.
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Ethical Decision-Making for High-Risk Surgical Patients
High-risk patients present some unique ethical considerations for surgeons. One issue is that surgeons are under increasing pressure to meet quality metrics, but high-risk patients are more likely to have adverse outcomes. That can result in lower metrics — and, possibly, less reimbursement.
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Was the Consult Effective? Ethicists Survey Requestors
If ethics programs really want to know how well they are doing, individuals who participated in consults are ideal sources of information. To obtain this valuable feedback, some ethics programs are using surveys.
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Bioethics Field Is Less Diverse, with Different Views, than the General Public
Bioethics is a growing and influential field, yet little is known about bioethicists themselves. “It is important to understand bioethicists’ backgrounds and views because these may shape policies and practices,” says Leah Pierson, PhD, an MD-PhD student at Harvard Medical School and the Harvard T.H. Chan School of Public Health.
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References Used to Support Ethics Recommendations Depend on the Ethicist
What references are ethics consultants actually using to support their recommendations? And are ethics consultants using the same references?
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Does Ascending Aorta Size Predict Dissection?
A large Australian database study has shown that, because of the much larger number of patients without severe aortic dilatation, almost all fatal dissections occur in individuals with non-severely dilated aortas — the so-called aortic paradox.
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Chlorthalidone vs. Hydrochlorothiazide for Hypertension
A subgroup analysis of those with prior myocardial infarction or ischemic stroke in the Diuretic Comparison Project for the treatment of hypertension has found that this higher-risk group experiences fewer major adverse cardiovascular events while taking chlorthalidone compared to hydrochlorothiazide, but at the expense of more hypokalemia.
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CVD Risk from Ketogenic Diets
A recent analysis of the UK Biobank data found that subjects on a low-carbohydrate, high-fat diet had higher levels of low-density lipoprotein cholesterol and apolipoprotein B, and an increase in incident major adverse cardiovascular events over a 12-year follow-up than subjects on a standard diet.