Part 1: Treatment in harm and prevention Flashcards
Treatment Selection Criteria
Efficacy Outcome measures Indications/contraindications Side Effects/Complications Interaction
Efficacy
The ability of an intervention to produce the desired beneficial effect
Primary outcome measures
endpoints that are intended to be directly impacted by the intervention
Secondary outcome measures
additional end points that are evaluated but that are not the specific focus of the intervention
Indication
when a given treatment should be used
Contraindication
When a given treatment should not be used
Side Effects
unintended symptoms from treatment, prevention, diagnostic, or screening procedures
Interactions
the state or process of two or more things acting on each other
What do we look for in studies of harm?
- Increase in absolute risk
- The number needed to harm
- Odds ratio
- Explanations of the balance between benefit and harm in the study population
Primary Prevention
Aims to reduce the incidence of disease by personal communal efforts
Secondary Prevention
Aims to reduce the prevalence of disease by shortening its duration
Tertiary Prevention
Consists of measures aimed at softening the impact of long term disease and disability
Quaternary Prevention
Consists of actions that identify patients at risk of over diagnosis or overmedication and that protects them from excessive medical intervention