Deutsche medizinische Wochenschrift
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Dtsch. Med. Wochenschr. · Nov 2010
[Improving general practitioners guided dementia care: the pilot project start-modem in Rheinland-Pfalz, Germany].
The study examined the ability of trained General Practitioners (GPs) to carry out guideline based diagnostics and therapy of dementia. The article reports the GP-related findings. ⋯ Despite the broad acceptance of the project a limited guideline-conformity as well as the diagnostic uncertainty suggests that the implemented training is only a first step towards GP guided dementia care. To extend GPs guided dementia care and to improve the quality of GPs dementia diagnostics and therapy sensitization of more GPs for active dementia care as well as supervised practical training will be necessary.
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Dtsch. Med. Wochenschr. · Nov 2010
[Treatment decisions in advanced cancer. An empirical-ethical study on physicians' criteria and the process of decision making].
Physicians' decisions regarding the indication of medical treatment are central to the application or limitation of medical measures in advanced cancer. This qualitative study explores criteria and procedural aspects of treatment decisions with patients with cancer near the end of life from the perspective of oncologists. ⋯ The decisional criteria and procedural aspects of decision making in patients with advanced cancer which have been elicited in this qualitative study inform the current scientific and societal debate on ethically relevant aspects of end-of-life decision making in medicine.
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Dtsch. Med. Wochenschr. · Nov 2010
Comment Letter Comparative Study[On the current debate on lowering LDL cholesterol with ezetimibe].