Death, coronary revascularization choices, and chronic kidney disease.
Death, coronary revascularization choices, and chronic kidney disease.
复制标题
死亡、冠状动脉血运重建选择和慢性肾脏疾病。
DOI：
10.1097/mca.0000000000000580
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发表时间：
2018
影响因子：
1.8
通讯作者：
Brown,JeremiahR
中科院分区：
文献类型：
--
作者：
Solomon,RichardJ;Brown,JeremiahR
Medical decision-making is a give and take, an assessment of risks versus benefits of any action. Palliative medicine’s growth is a reflection of the application of this approach at the end of one’s life. Other examples include decisions around chemotherapy in the field of oncology and arguably termination of pregnancy for medical reasons. In each of these examples, the decision-making sits at the level of the individual. It takes into account a whole host of variables that embrace the spiritual, psychological, and physical realms of the individual affected by the decision-making.In contrast to these very personal examples, the medical community embraces guidelines based upon ‘evidence’. In some ways, this is the other end of the decisionmaking spectrum. It is an impersonal approach in which the choice among alternative approaches is determined by the average response of average patients in the same situation.
