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Medical Top Ten Medical Innovations

  1. Mar 8, 2008 #1

    mheslep

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    I've read an indirect reference to a Health Affairs article that polled leading internists for the their pick of the top medical innovations:
    • MRI/CT
    • ACE inhibitors
    • Balloon angiography
    • Statins
    • Mammography
    • CABG surgery
    • H2-receptor antagonists
    • SSRIs
    • Cataract extraction and lens implants
    • Hip and knee replacements

    Wanted to post this up here for comments and query: would anyone care to make replacements on the list?
     
  2. jcsd
  3. Mar 8, 2008 #2
    Tourniquets may be a crude device but they save thousands of lives every year, especially in war torn places. Tourniquets should replace hip/knee replacements or cataract extraction/lens implants because tourniquets save lives, not merely improving them.

    Also penicillin should easily replace SSRIs and ACE inhibitors.
     
    Last edited: Mar 8, 2008
  4. Mar 8, 2008 #3

    russ_watters

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    How 'bout soap?
     
  5. Mar 8, 2008 #4

    mheslep

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    Ah, turns out the article is available. The survey was set up by proposing 30 med. innovations and having the internists choose the top ten already listed above.

    1. ___ ACE inhibitors and angiotensin II antagonists
    2. ___ Balloon angioplasty with stents
    3. ___ Bone densitometry
    4. ___ Bone marrow transplant
    5. ___ CABG
    6. ___ Calcium channel blockers
    7. ___ Cataract extraction and lens implant
    8. ___ Fluoroquinolones
    9. ___ Gastrointestinal endoscopy
    10. ___ H. Pylori testing and treatment
    11. ___ Hip and knee replacement
    12. ___ HIV testing and treatment
    13. ___ Inhaled steroids for asthma
    14. ___ IV-conscious sedation
    15. ___ Laparoscopic surgery
    16. ___ Long-acting and parenteral opioids
    17. ___ Mammography
    18. ___ MRI and CT scanning
    19. ___ Nonsedating antihistamines
    20. ___ NSAIDs and Cox-2 inhibitors
    21. ___ Proton pump inhibitors and H2 blockers
    22. ___ PSA testing
    23. ___ SSRIs & recent non-SSRI antidepressants
    24. ___ Recent hypoglycemic agents, e.g. metformin
    25. ___ Cardiac enzymes, e.g. CPK, troponin
    26. ___ Sildenafil
    27. ___ Statins
    28. ___ Tamoxifen
    29. ___ Third-generation cephalosporins
    30. ___ Ultrasonography incl. echocardiography

    Edit: Criterion for the thirty:
     
    Last edited: Mar 8, 2008
  6. Apr 12, 2008 #5
    Penicillin was detected by accident, therefor it is not an innovation.
     
  7. Apr 13, 2008 #6
    ???


    Do you know how many things have been discovered by accident?


    -Plastic
    -Teflon
    -Viagra
    -Cis-platin
    -Vaccination
    -Xrays
    -IR
    -Radioactivity
    -Safety glass
    -Microwave oven
    -Archimedes and density


    to name a few
     
  8. Apr 13, 2008 #7
    Of course i know. Helium was discovered on the sun before it was discovered on earth. Some things where discovered while trying to discover something completely different as well. Discovery by accident is not classified as innovation.
     
    Last edited: Apr 13, 2008
  9. Apr 13, 2008 #8
    Whatever. I am not about to get into a heated argument over semantics. IMO, there is absolutely nothing about the definition of the term "innovation" which requires the final product to be the actual intent of the researcher.
     
  10. Apr 13, 2008 #9
    Ok in that case penicillin should definitely be on the list, considering the impact of it when first put in use. It should for instance absolutely replace CABG surgery.
     
  11. Apr 13, 2008 #10

    Moonbear

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    Um, penicillin has been around a lot longer than the past 25-30 years, which is the time frame specified by that article. It's talking about recent innovations, not innovations of all time (which are no longer very innovative, by definition).
     
  12. Apr 13, 2008 #11

    mheslep

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    There's a difference between 'discovery' and 'innovation'. Much credit to those who to both, but they are not the same thing.
     
  13. Apr 13, 2008 #12

    mheslep

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    A point highlighted in the mention of the top ten innovations nominated by the internists: 8/10 of them were made in the US. Whatever the US problems in health, lack of innovation is not one of them.
     
  14. Apr 13, 2008 #13
    It wasn't specified in the first post in this thread that it had to be innovations of the last 25-30 years. Nope:wink: just as CABG surgery isn't innovative anymore, it only was when it was presented the first time and then put to use. An innovation is only innovative when it innovates its field for the first and thereby the last time.
     
  15. Apr 13, 2008 #14

    Moonbear

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    No, it wasn't specified in the first post, but it was specified in the follow-up post with the full article to give us context to the cited list. And, yes, innovation is probably the wrong word for the time frame specified. Invention might be more appropriate.
     
  16. Apr 13, 2008 #15

    mheslep

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    Correction: the country of origin for the for the innovations was not listed in the original study. I picked that up elsewhere:
    Innovation Driven Health Care

    MRI and CT originated in England.
     
  17. Apr 14, 2008 #16

    Ivan Seeking

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    Wow, I had never heard this.

    http://www.whittington.nhs.uk/default.asp?c=2804&t=1


    One comment: EMI scanners were terrible!!! They were down more than they were up.
     
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