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Evidence-based medicine and policy: the case of the implantable cardioverter defibrillator.

Publication ,  Journal Article
Hlatky, MA; Sanders, GD; Owens, DK
Published in: Health Aff (Millwood)
2005

The implantable cardioverter defibrillator (ICD) is a costly new treatment for patients at high risk of sudden cardiac death. Randomized trials of the ICD showed it to be effective in some groups of patients but not in others. While new trials testing the ICD were ongoing to clarify the evidence, policymakers faced immediate decisions about providing insurance coverage for the device. The high cost of ICDs, the large population of patients potentially eligible to receive them, the potential to reduce preventable deaths, and the unsettled state of the medical evidence provided a challenge to evidence-based medicine and to policymakers.

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Published In

Health Aff (Millwood)

DOI

ISSN

0278-2715

Publication Date

2005

Volume

24

Issue

1

Start / End Page

42 / 51

Location

United States

Related Subject Headings

  • United States
  • Insurance Coverage
  • Humans
  • Heart Arrest
  • Health Policy & Services
  • Health Policy
  • Evidence-Based Medicine
  • Defibrillators, Implantable
  • Centers for Medicare and Medicaid Services, U.S.
  • 1402 Applied Economics
 

Citation

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Chicago
ICMJE
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Hlatky, M. A., Sanders, G. D., & Owens, D. K. (2005). Evidence-based medicine and policy: the case of the implantable cardioverter defibrillator. Health Aff (Millwood), 24(1), 42–51. https://doi.org/10.1377/hlthaff.24.1.42
Hlatky, Mark A., Gillian D. Sanders, and Douglas K. Owens. “Evidence-based medicine and policy: the case of the implantable cardioverter defibrillator.Health Aff (Millwood) 24, no. 1 (2005): 42–51. https://doi.org/10.1377/hlthaff.24.1.42.
Hlatky MA, Sanders GD, Owens DK. Evidence-based medicine and policy: the case of the implantable cardioverter defibrillator. Health Aff (Millwood). 2005;24(1):42–51.
Hlatky, Mark A., et al. “Evidence-based medicine and policy: the case of the implantable cardioverter defibrillator.Health Aff (Millwood), vol. 24, no. 1, 2005, pp. 42–51. Pubmed, doi:10.1377/hlthaff.24.1.42.
Hlatky MA, Sanders GD, Owens DK. Evidence-based medicine and policy: the case of the implantable cardioverter defibrillator. Health Aff (Millwood). 2005;24(1):42–51.

Published In

Health Aff (Millwood)

DOI

ISSN

0278-2715

Publication Date

2005

Volume

24

Issue

1

Start / End Page

42 / 51

Location

United States

Related Subject Headings

  • United States
  • Insurance Coverage
  • Humans
  • Heart Arrest
  • Health Policy & Services
  • Health Policy
  • Evidence-Based Medicine
  • Defibrillators, Implantable
  • Centers for Medicare and Medicaid Services, U.S.
  • 1402 Applied Economics