Early Treatment Diseases

M. R. McGuire
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Abstract

Early treatment will significantly change the way medicine is practiced and require medical education to change. The following identifies some ways that medical practice will change: • Prediction, loosely “diagnosis” and treatment of a disease will occur for a patient before there are any obvious symptoms of the disease. • The patient may not wish to have knowledge that he/she will likely get the disease and thus may not agree to prediction or treatment. • Prediction of the disease may only be possible during a given time frame before the disease occurs. • Treatment may also only be possible during a given time frame. Certainly, treatment should occur before, possibly long before, there are obvious symptoms. • Prediction or treatment of the disease has the potential of causing harm, so a false positive prediction could cause harm to the patient without any benefit. • Since the process of prediction of a disease could cause harm, then only selected patients (e.g., with a particular genetic makeup) may be candidates for early treatment of a given disease. • Insurance companies may be reluctant to pay for early treatments as the disease has not yet obviously occurred.
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早期治疗疾病
早期治疗将显著改变医学实践的方式,并要求医学教育做出改变。以下是医疗实践将改变的一些方面:•在出现任何明显的疾病症状之前,对疾病的预测、松散的“诊断”和治疗将发生。•患者可能不希望知道他/她可能会患病,因此可能不同意预测或治疗。•只能在疾病发生前的特定时间范围内对疾病进行预测。•治疗也可能只在给定的时间范围内进行。当然,治疗应该在出现明显症状之前,可能是很久之前就开始。•疾病的预测或治疗有可能造成伤害,因此假阳性预测可能会对患者造成伤害而没有任何益处。•由于疾病的预测过程可能造成伤害,因此只有选定的患者(例如,具有特定基因组成的患者)可能是某一特定疾病早期治疗的候选者。•由于疾病尚未明显发生,保险公司可能不愿支付早期治疗费用。
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