Perioperative medicine: NHLBI working group deliberations and recommendations
| Autor: | Dennis T. Mangano |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
medicine.medical_specialty
Health economics Perioperative medicine business.industry Disease medicine.disease Risk Assessment Perioperative Care United States Public interest Postoperative Complications Anesthesiology and Pain Medicine National Institutes of Health (U.S.) Older patients Anesthesiology Practice Guidelines as Topic Health care medicine Humans Medical emergency Intraoperative Complications Cardiology and Cardiovascular Medicine Adverse effect business Health Education |
| Zdroj: | Journal of Cardiothoracic and Vascular Anesthesia. 18:1-6 |
| ISSN: | 1053-0770 |
| DOI: | 10.1053/j.jvca.2003.10.002 |
| Popis: | R S URGICAL TREATMENT OF disease has a substantial and largely unrecognized impact on health care. Approximately 00,000 patients undergo surgery daily in the United States lone, costing $450 billion annually. Although effective, surical therapy is not without risk, with serious adverse events ccurring in more than 1 million patients per year. Furtherore, given the growing dominance of Medicare-eligible paients over the next 2 decades, the number of patients referred or surgery will increase by one fourth, the associated cost by wice that, and the cost of in-hospital and long-term complicaions by double that again. Another piece of this difficult roblem is the evolving societal expectation that older patients hould be entitled to curative surgical therapy, which may nable better quality of life. Therefore, unless seriously and omprehensively addressed now, the present surgical burden ill quickly evolve into a surgical crisis before even rudimenary paradigms for solution have been suggested—let alone ested, validated, and implemented. Recognizing such, the National Heart, Blood and Lung Intitute (NHLBI) initiated an 18-month effort to address this ormidable problem, convening a Working Group of 45 recogized experts representing diverse disciplines: medicine (genral, internal), surgery (general, vascular, cardiac), critical care medical, surgical), subspecialties (cardiology, pulmonary, nehrology, anesthesiology), government (NHLBI, Food and rug Administration), health economics, care providers, and pecialties societies (Appendix). The aims of the Working roup (Table 1) were first, to reassess the significance of the urgical burden problem, then to delineate questions critical to ts solution, and finally to formulate a comprehensive, multiisciplinary approach to solution. The results are presented here n an effort to call global attention to this issue, thereby eliciting overnment, corporate, institutional, and public interest in its olution. c |
| Databáze: | OpenAIRE |
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