In so many ways, medicine has become driven by sales rather than what is best for patients. A study from Duke University finds more evidence that doctors and hospitals my not be making the best decisions for patients. The study found that many heart patients who received an implantable cardioverter-defibrillator were not good candidates to receive the device, a new study suggests.
Implantable cardioverter-defibrillators are high-tech device that produces electrical impulses to regulate heartbeats and prevent life-threatening arrhythmias. The study found that over 20% of patients who received ICD implants between 2006 and 2009 did not meet evidence-based criteria for receiving the device
Researchers at Duke University looked at more than 111,000 patients who received ICD implants between and fopund 25,000 did not meet the guidelines. At the same time, The risk of dying in the hospital was significantly higher for patients who received the ICD but did not meet the criteria, and 1 out of 121 patients in this category experienced complications following the implant, the study found.
The study is publisphed in the Journal of the American Medical Association (JAMA).