| Chronic disease in the elderly: a vital rationale for the revival of internal medicine. | |
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MedLine Citation:
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PMID: 19413185 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Bernard Panaszek; Zbigniew Machaj; Ewa Bogacka; Karolina Lindner |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Polskie Archiwum Medycyny Wewn?trznej Volume: 119 ISSN: 0032-3772 ISO Abbreviation: Pol. Arch. Med. Wewn. Publication Date: 2009 Apr |
Date Detail:
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Created Date: 2009-05-05 Completed Date: 2009-07-14 Revised Date: 2010-04-01 |
Medline Journal Info:
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Nlm Unique ID: 0401225 Medline TA: Pol Arch Med Wewn Country: Poland |
Other Details:
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Languages: eng Pagination: 248-54 Citation Subset: IM |
Affiliation:
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Department of Internal Diseases, Geriatrics and Allergology, University of Medicine, Wroc?aw, Poland. panaszek@alergol.am.wroc.pl |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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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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