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Exclusion of the elderly and women from coronary trials: is their quality of care compromised?

Article Abstract:

A research study found that elderly individuals and women may be more likely to be excluded from clinical trials of drugs to treat heart attacks than other individuals. Clinical trials are research studies that test new drugs in human volunteers before Food and Drug Administration (FDA) approval. The incidence of cardiovascular disease is increasing in the US with the growing elderly population. Preventative measures such as exercise and diet are postponing the development of cardiovascular disease until later in life. Drugs and procedures used to treat elderly patients are often tested on younger individuals. The development of cardiovascular disease may be significantly different in the elderly than in younger individuals. A need also exists to test drugs and procedures to treat cardiovascular disease on more women. Women are more likely than men to survive to an older age, and they usually develop cardiovascular disease later in life.

Author: Wenger, Nanette K.
Publisher: American Medical Association
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 1992
Editorial, Research, Management, Cardiovascular diseases, Women, Clinical trials, Old age

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Affordable Prescriptions for the Elderly

Article Abstract:

The federal government can provide a low-cost prescription drug benefit to Medicare beneficiaries by negotiating for steep discounts from the pharmaceutical industry. Congress has appropriated $300 billion over a 10-year period for a prescription drug benefit for Medicare recipients, but the Congressional Budget Office estimates the true cost will exceed $1 trillion.

Author: Bodenheimer, Thomas S.
Publisher: American Medical Association
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 2001
Drugs, Economic aspects, Pharmaceutical industry, Prices and rates, Prescription drug plans, Medicare

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Access to Health Care for the Rural Elderly

Article Abstract:

An analysis of the factors affecting health care services delivery to rural elderly populations is presented. Sixty-one million Americans live in rural areas and about 15% are 65 years or older.

Author: Rosenthal, Thomas C., Fox, Chester
Publisher: American Medical Association
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 2000
Analysis, Aged patients, Elderly patients, Medicine, Rural, Rural medicine

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Subjects list: Services
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