Evidence-Based Medical Monitoring: From Principles to Practice

by Editor: Paul P. Glasziou (University of Oxford, Oxford, UK); Editor: Les Irwig (University of Sydney, Sydney, Australia ); Editor: Jeffery K. Aronson (University of Oxford, Oxford, UK)

• ISBN13: 9780470695616
• ISBN10: 0470695617
• Format: eBook
• Copyright: 2008-04-01
• Publisher: BMJ Books

Summary

Monitoring is a major component of management of chronic diseases such as diabetes, cardiovascular disease, arthritis and depression. Yet poor monitoring means healthcare costs are rising.This book discusses how monitoring principles adopted in other spheres such as clinical pharmacology and evidence-based medicine can be applied to chronic disease in the global setting. With contributions from leading experts in evidence-based medicine, it is a ground-breaking text for all involved in delivery of better and more effective management of chronic illnesses.

Table of Contents

Contributors

The Theory of Monitoring

INTRODUCTORY MATERIAL.

An introduction to monitoring therapeutic interventions in clinical practice

A framework for developing and evaluating a monitoring strategy

Developing monitoring tools: integrating the pathophysiology of disease and the mechanisms of action of therapeutic interventions

Biomarkers and surrogate endpoints in monitoring therapeutic interventions

Choosing the best monitoring tests

The Control Phases.

Monitoring the initial response to treatment

Control charts and control limits in long-term monitoring

Developing a monitoring schedule: frequency of measurement

How should we adjust treatment?

The Psychology Of Monitoring.

Monitoring as a learning and motivational tool

Monitoring from the patient's perspective: the social and psychological implications

The Evaluation Of Monitoring Techniques.

Evaluating the effectiveness and costs of monitoring

Good practice in delivering laboratory monitoring

Point-of-care testing in monitoring

Monitoring for the adverse effects of drugs

The Practice of Monitoring.

Monitoring diabetes mellitus across the lifetime of illness

Oral anticoagulation therapy (OAT)

Monitoring cholesterol-modifying interventions

Monitoring levothyroxine replacement in primary hypothyroidism

Monitoring in renal transplantation

Monitoring in pre-eclampsia

Monitoring in intensive care

Monitoring intraocular pressure in glaucoma

Monitoring in osteoarthritis

Index

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