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The full report is titled “Personalized Estimates of Benefit From Preventive Care Guidelines. A Proof of Concept.” It is in the 6 August 2013 issue of Annals of Internal Medicine (volume 159, pages 161-168). The authors are G.B. Taksler, M. Keshner, A. Fagerlin, N. Hajizadeh, and R.S. Braithwaite.
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Medical organizations recommend so many tests and procedures to screen for early disease and prevent future disease that it is not always possible to do all the tests and procedures for each person.
To find a better way to deliver preventive services rather than trying to do everything for every patient.
The researchers compared recommendations for different hypothetical patients who were representative of the more common types of people receiving preventive services.
The researchers calculated how much longer each person would live after getting a specific service and then ranked the services according to how much each service increased life expectancy.
The rank order of services was different in people with different personal characteristics, medical conditions, and lifestyle choices.
The results do not recognize that different people are more or less likely to change when tests and procedures lead to recommendations for different lifestyles and medications. These results also do not recognize differences in the quality of extended lives and other important considerations.
It may be possible to incorporate patient-specific priorities for screening and preventive services into routine clinical care.
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