Postinfarction risk stratification: is preventive war winnable?
Article Abstract:
The focus of preventive treatment and medical intervention should be redirected from the assignment of risk to the provision of benefit. Risk stratification is based on the assumption that doctors can accurately predict unfavorable patient outcomes and, given this information, can then slow disease progress. However, one study found that technological improvements in the diagnostic accuracy of tests actually reduces their prognostic usefulness. Another study found that, contrary to assumption, detection of myocardial ischemia with or without angina symptoms was not useful in identifying patients at risk for recurrent heart attack. The emphasis on risk stratification persists because the current health care system of fee-for-service encourages it. However, a fee-for-benefit strategy that made fees proportional to expected benefit would result in more appropriate health care intervention and even lower health care expenses.
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 1993
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Risk of myocardial infarction in patients with psoriasis
Article Abstract:
A broadly representative population-based cohort is examined to determine the risk of myocardial infarction (MI) in patients with psoriasis. The results have shown that psoriasis might confer an independent risk of MI, but the relative risk was greatest in young patients with severe psoriasis.
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 2006
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Risk factors for early myocardial infarction in South Asians compared with individuals in other countries
Article Abstract:
The association of risk factors for acute myocardial infarction (AMI) in native South Asians are evaluated and compared with individuals from other countries. It is found that the earlier age of AMI in South Asians are explained by higher risk factor levels at younger ages.
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 2007
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