Evidence based decision making between PCI and CABG

Diabetes Pci or Cabg: Pros & Cons

Diabetes is challenging for revascularization due to specific disease related high risk clinical and angiographic features. In the early 90’s CABG was the preferred modality of revascularization in diabetics with multivessel disease due to high rate restenosis rates with percutaneous angioplasty alone (POBA) and bare metal stents (BMS). With advent of drug eluting stents (DES) the role of PCI i...

PCI or CABG, That is the Question!

Clinical decision making based on evidence.

2 urgeons make decisions with patients about when to operate and when to recommend nonoperative are on a daily basis. We must decide when to invesigate and which investigations to order. If it is to be urgery, the decision on which operation is the best hould, ideally, be based on prospective, randomized ontrolled studies, free of bias and relevant to the linical decision. However, in many case...

Patient-centered, evidence-based decision making.

Butler • Editorial M physicians are committed to providing evidence-based care that is patient-centered and responsive to the clinical circumstances and values of each individual patient. However, there is increasing pressure from payers and those who attempt to define and measure quality in medical encounters for physicians to uniformly apply clinical guidelines to patients and minimize varian...

Challenging Nature of Evidence-Based Decision Making

Challenging Nature of Evidence-Based Decision Making What is the drug of choice for condition x? is among the most commonly asked questions in primary care. Reflecting the complexity of prescribing decisions, answering this question requires a difficult trade-off between the benefits and harms of multiple drugs for a given condition. The principles of evidence-based medicine suggest that prescr...