Document Detail


Chronic disease in the elderly: a vital rationale for the revival of internal medicine.
MedLine Citation:
PMID:  19413185     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The phenomenon of population aging has led to a significant rise in the chronic disease rate compared to other human pathologies. Elderly people are usually affected by > or =2 chronic diseases concomitantly, mainly cardiovascular, pulmonary, and central nervous system diseases, metabolic disturbances and cancer. Chronic comorbidities in elderly patients may worsen their clinical status, making both the diagnosis and treatment more difficult. Meanwhile, contemporary medicine is focused on its subspecialties, thus turning away from the tradition of great, academic-based, general internal medicine. Clinical practice is dominated by a specific approach to a single disease rather than a patient with comorbidities. Therefore, an accurate diagnosis, ensuring effective treatment in the case of a complex and ambiguous clinical picture, is based on an attempt to combine multiple expert consultations rather than make a holistic evaluation, so characteristic of traditional internal medicine. For that reason, pathophysiology and clinical picture of a chronic disease in the elderly requires the revival of internal medicine, which is also essential to the development of geriatrics.
Authors:
Bernard Panaszek; Zbigniew Machaj; Ewa Bogacka; Karolina Lindner
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Polskie Archiwum Medycyny Wewn?trznej     Volume:  119     ISSN:  0032-3772     ISO Abbreviation:  Pol. Arch. Med. Wewn.     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-05-05     Completed Date:  2009-07-14     Revised Date:  2010-04-01    
Medline Journal Info:
Nlm Unique ID:  0401225     Medline TA:  Pol Arch Med Wewn     Country:  Poland    
Other Details:
Languages:  eng     Pagination:  248-54     Citation Subset:  IM    
Affiliation:
Department of Internal Diseases, Geriatrics and Allergology, University of Medicine, Wroc?aw, Poland. panaszek@alergol.am.wroc.pl
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MeSH Terms
Descriptor/Qualifier:
Age Distribution
Aged
Aged, 80 and over
Chronic Disease / epidemiology*,  therapy*
Forecasting
Health Services for the Aged / trends*
Humans
Internal Medicine / trends*
Prevalence

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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