Treat medical
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Advances and Approaches in Medical Treatment
Evolution of Medical Treatment Concepts
The landscape of medical treatment has evolved significantly from the days when the role of a physician was intertwined with that of a priest, focusing on both healing and spiritual guidance. Modern medical treatment now emphasizes a more scientific approach, integrating advances in pathology, chemistry, and bacteriology. This shift has led to a more holistic approach to therapy, addressing not only the biological aspects of disease but also the psychological and social dimensions of patient care1.
Treat-to-Target Strategies in Systemic Lupus Erythematosus
The treat-to-target (T2T) approach, which has been successful in managing diseases like rheumatoid arthritis, is now being applied to systemic lupus erythematosus (SLE). This strategy involves setting specific therapeutic goals, such as achieving remission, preventing damage, and improving quality of life. An international task force has developed recommendations based on systematic literature reviews, emphasizing the importance of targeting remission and improving patient outcomes2.
Managing Medically Unexplained Symptoms in Primary Care
Patients with medically unexplained symptoms (MUS) often experience high levels of psychosocial distress and medical disability. Effective treatment in primary care settings remains a challenge. A multidimensional treatment plan that integrates collaborative care, cognitive-behavioral therapy, and a strong provider-patient relationship has been proposed. This approach aims to improve patient outcomes by addressing both the psychological and physical aspects of MUS3.
The Role of Decision Support Systems in Antibiotic Treatment
The use of computerized decision support systems, such as TREAT, has shown promise in improving the appropriateness of empirical antibiotic treatments. Studies have demonstrated that TREAT can increase the rate of appropriate antibiotic use, reduce the use of broad-spectrum antibiotics, and lower associated costs. These systems help guide physicians in making more informed decisions, ultimately improving patient care and reducing antibiotic resistance7 9.
Balancing Treatment Goals: Short-Term vs. Long-Term
Medical treatment can be viewed through three dimensions: Biological, Personal, and Environmental. Short-term treatment goals often focus on stabilizing acute conditions and relieving symptoms, while long-term goals aim to improve understanding of the disease, enhance interpersonal relationships, and help patients return to functional societal roles. This comprehensive approach ensures that treatment addresses not only the immediate medical needs but also the overall well-being of the patient5.
Complementary and Alternative Medicine: Patient Perspectives
Patients use complementary and alternative medicine (CAM) in various ways, including as personal luxuries, alternative treatments, or complementary therapies alongside conventional medicine. Understanding these perspectives is crucial for healthcare providers to engage in meaningful dialogue with patients and tailor treatment plans that align with their beliefs and expectations10.
Conclusion
The field of medical treatment continues to evolve, integrating scientific advancements with holistic approaches to patient care. From treat-to-target strategies in chronic diseases to the use of decision support systems in antibiotic management, these advancements aim to improve patient outcomes and quality of life. Understanding the diverse ways patients perceive and use treatments, including CAM, further enhances the ability of healthcare providers to deliver personalized and effective care.
Sources and full results
Most relevant research papers on this topic
TREATMENT—REVIEW OF A MEDICAL CONCEPT
Physicians can be proud of their ability to comfort and help patients, while focusing on cure and disease prevention.
Treat-to-target in systemic lupus erythematosus: recommendations from an international task force
Treating-to-target in systemic lupus erythematosus patients can improve care and guide healthcare providers and administrators, with 11 recommendations focused on remission, preventing damage, and improving quality of life.
Systematic Review
Highly CitedTreating patients with medically unexplained symptoms in primary care
A comprehensive treatment plan designed for primary care personnel can effectively treat medically unexplained symptoms in chronic, high-utilizing patients.
Literature ReviewHighly Cited"To treat or not to treat".
To treat or not to treat is a complex question, with various factors influencing treatment decisions in various diseases.
Adjusting the Number Needed to Treat
The "adjusted" number needed to treat allows for the inclusion of multiple harms and benefits, as well as adjustments for utilities and timings of patient outcomes, providing a richer description of medical outcomes.
Improving empirical antibiotic treatment using TREAT, a computerized decision support system: cluster randomized trial.
TREAT improved the rate of appropriate empirical antibiotic treatment while reducing antibiotic costs and the use of broad-spectrum antibiotics in patients with microbiologically documented infections.
RCT
Large Human TrialHighly CitedEvaluation of the decision support system for antimicrobial treatment, TREAT, in an acute medical ward of a university hospital.
TREAT can potentially improve ecological costs of antimicrobial therapy for patients in acute medical wards, but provided lower coverage than local guidelines.
Observational StudyTreat or treatment: a qualitative study analyzing patients' use of complementary and alternative medicine.
Patients use complementary and alternative medicine (CAM) in various ways, including as personal luxuries and healthcare technologies, incongruent with existing expert-led taxonomies.
Observational StudyHighly Cited