What do doctors and Stent companies have to say for themselves, since they promote expensive and risky procedures without benefit?
«Percutaneous coronary intervention (PCI)» – Stent angioplasty and placement – «continues frequently done For stable patients [non-emergency] Coronary artery disease, despite the clear evidence that it provides a minimum benefit … «The procedure does not prevents heart attacks or death for patients with stable pectoral angina, for example, but almost nine out of ten patients by mistake Believed that would reduce its possibilities of having a heart attack. «At the same time, the cardiologists who sent them for PCI and those who performed the procedure generally did not believe that PCI reduces the risk of my [myocardial infarction or heart attack] In stable angina. «So why were they doing it?
«The focal groups of cardiologists have documented an abyss between knowledge and behavior; While they are aware of the results of clinical trials «, that is, evidence otherwise,» recommend and perform pci because they believe that it helps in some way poorly defined. «» Physicians attended To justify an evidence -based approach («I know that the data shows that there is no benefit, but ‘) by focusing on the ease of PCI and the belief that an open artery was better», even if it really does not affect the results, «while minimizing PCI’s risks.» The procedure only kills 1 in 150, so some blame patients for not listening, but perhaps doctors are those who ignore the evidence.
Or «doctors can have A too poor understanding of the relevant statistics to adequately inform your patients. «Anyway, what we have is» a lack of communication. «So the tools have been developed. For example, an informed sample consent document presents potential benefits and risks, even establishing how many procedures doctors and any pocket cost have performed. As you can see below 1:58 in my video Heart stent angioplasty versus benefitsThere are many blank spaces to be filled in. What are some specific numbers?
As you can see below and 2:20 in me videoThe May Clinic came With some tools Prototype decision making. In terms of benefits, «having a stent placed in my heart will avoid heart attacks or death? However, there seemed to a benefit of temporal relief of chest pain. What about risks?
As shown below and 2:53 in my videoDuring the stent procedure, of one hundred people, two have bleeding or damage to a blood vessel and one will have a more serious complication, such as heart attack, stroke or death. Then, during the first year after the placement of the stent, three will have a hemorrhagic event due to the anticoagulants that must be taken due to foreign material in the heart, but that does not always work, so two people will have that their stent obstructs, which leads to a heart attack.
What does the world number one manufacturer have to say for itself? He recognize That evidence shows that stents do not make people live longer, but the manufacturer believes that living more time is overvalued. If we only cared to live longer, in medicine, «entire disciplines would decrease or even disappear, such as dermatology, ophthalmology, orthopedic surgery and dentistry.» So why go to the dentist? Of course, the difference is that 80 percent of people do not believe that completing a cavity will save your life, as they do by mistake for stents, as shown here and 3:18 in my videoAnd there is not one of the hundred possibilities that it does not leave the dentist’s chair.
Stent companies actively defore the ads that make a moving copy. «Open Your heart and your life. «» When you open In your heart, you open your life. Very open life. » «Freedom starts Here. «Your television ads mention some side effects, but it turns out that they omitted some. More importantly, they are giving the false impression that stents are more than only curious expensive and risky for temporal relief of symptoms. But what is wrong with the relief of symptoms? Even if the benefits are Only symptomatic and it won’t last long, what is the problem if people think the risk exceeds?
What happens if I told him even the relief of symptoms? could I only know an elaborate placebo effect, and you could Get the same relief from false surgery, so there really is no benefit at all. We will see what science says: Next.
