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An integrated survey of best practices for the management of patients with implanted prosthetic devices and an insightful examination of the epidemiological, societal, and policy issues associated with their use. The devices covered range from breast, penile, vascular, and joint prostheses to cochlear, ossicular, and dental implants, and include cerebrospinal fluid shunts, cardiac valves, stents, and pacemakers. For each device, the authors consider its pros and cons, detail the best current strategies to keep implanted patients healthy, and evaluate the latest and most promising new diagnostic tests, Clinical counterpoints from distinguished authorities at major centers in the United States and Europe are offered throughout. Follow-up recommendations are summarized in a standardized format that allows comparative analysis and lays the foundation for controlled clinical trials and the eventual establishment of evidence-based guidelines.
List of contents
Overview.- Assessment of Surveillance Test Performance and Cost.- Costs of Follow-Up After Implantation of Prosthetic Devices.- Factors That Should Shape Clinical Strategies.- A View From the US Food and Drug Administration.- Societal Issues.- Databases for Studying the Epidemiology of Implanted Medical Devices.- Tissue Reaction to Prosthetic Materials.- Prevention of Infection in Prosthetic Devices.- European Counterpoint to Chapter 9.- Computer Modeling.- Breast Prostheses.- US Counterpoint to Chapter 11.- European Counterpoint to Chapter 11.- Prostheses for Hernia Repair.- US Counterpoint to Chapter 12.- European Counterpoint to Chapter 12.- Penile Prostheses.- US Counterpoint to Chapter 13.- European Counterpoint to Chapter 13.- Artificial Urethral Sphincters.- US Counterpoint to Chapter 14.- European Counterpoint to Chapter 14.- Cerebrospinal Fluid Shunts.- US Counterpoint to Chapter 15.- European Counterpoint to Chapter 15.- Cochlear Implants.- US Counterpoint to Chapter 16.- European Counterpoint to Chapter 16.- Ossicular Implants.- US Counterpoint to Chapter 17.- European Counterpoint to Chapter 17.- Vascular Prostheses.- US Counterpoint to Chapter 18.- European Counterpoint to Chapter 18.- Cardiac Valves.- US Counterpoint to Chapter 19.- European Counterpoint to Chapter 19.- Intravascular Filters and Stents.- US Counterpoint to Chapter 20.- European Counterpoint to Chapter 20.- Vascular Access Devices.- US Counterpoint to Chapter 21.- European Counterpoint to Chapter 21.- Osseointegrated Dental Implants.- US Counterpoint to Chapter 22.- European Counterpoint to Chapter 22.- Cardiac Pacemakers.- US Counterpoint to Chapter 23.- European Counterpoint to Chapter 23.- Joint Prostheses and Internal Fixation Devices.- US Counterpoint to Chapter 24.- European Counterpoint to Chapter 24.
Summary
An integrated survey of best practices for the management of patients with implanted prosthetic devices and an insightful examination of the epidemiological, societal, and policy issues associated with their use.
