1
40
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Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1097/SPC.0000000000000407" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/SPC.0000000000000407</a>
Pages
14-17
Issue
1
Volume
13
ISSN
1751-4266 1751-4258
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<a href="http://neomed.idm.oclc.org/login?url=http://doi.org/10.1097/SPC.0000000000000407" target="_blank" rel="noreferrer noopener">NEOMED Full-text Holding (if available) - Proxy DOI: 10.1097/SPC.0000000000000407</a>
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Update Year & Number
June2020SubmittedList
NEOMED College
NEOMED College of Medicine
NEOMED Department
Department of Internal Medicine
Affiliated Hospital
Cleveland Clinic Akron General Hospital
Dublin Core
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Title
A name given to the resource
Structural heart disease: One valve does not fit all.
Publisher
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Current opinion in supportive and palliative care
Date
A point or period of time associated with an event in the lifecycle of the resource
2019
2019-03
Subject
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Humans; Prognosis; Age Factors; Risk Factors; Severity of Illness Index; Risk Assessment; Cost-Benefit Analysis; Patient Care Planning; Patient Participation; Decision Making Shared; Frailty/epidemiology; Heart Valve Diseases/surgery; Transcatheter Aortic Valve Replacement/economics/methods/mortality
Creator
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German KS; Kalra A
Description
An account of the resource
PURPOSE OF REVIEW: Highlight the difficulties patients, physicians, and the global economy face in relation to treatment of structural heart diseases. It is easy to be carried away by the excitement of medical advancement; however, it is difficult to demonstrate restraint. Transcatheter aortic valve replacement (TAVR) is a modern marvel that can help many patients when utilized appropriately. This article highlights the work that has been done to facilitate decision-making in this challenging patient population. RECENT FINDINGS: Patient selection is of paramount importance as TAVR remains a costly intervention. Currently, our gold standards for preprocedural patient evaluation are inadequate. Apropos, several objective tools are being developed to help clinicians evaluate frailty. Giving patients a more accurate postprocedure prognosis allows them to make informed decisions on whether this intervention is appropriate for their respective goals. SUMMARY: In order for us to fully embrace shared decision-making and cost-effectiveness, we must continue to work on our prognostic tools and have honest conversations with patients and their families to formulate individualized treatment plans. This becomes even more important when factors like economic impact of intervention are considered. In an era where cost-effective care has garnered more attention than ever before, we must do our best to make sure our interventions are in line with patient goals and offer the maximum amount of benefit, given the current cost of TAVR.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1097/SPC.0000000000000407" target="_blank" rel="noreferrer noopener">10.1097/SPC.0000000000000407</a>
PMID: 30507630
Rights
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© 2019 The Authors. Clinical Cardiology published by Wiley Periodicals, Inc.
Format
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journalArticle
2019
Age Factors
Cleveland Clinic Akron General Hospital
Cost-Benefit Analysis
Current opinion in supportive and palliative care
Decision Making Shared
Department of Internal Medicine
Frailty/epidemiology
German KS
Heart Valve Diseases/surgery
Humans
journalArticle
June2020SubmittedList
Kalra A
NEOMED College of Medicine
Patient Care Planning
Patient Participation
Prognosis
Risk Assessment
Risk Factors
Severity of Illness Index
Transcatheter Aortic Valve Replacement/economics/methods/mortality