Bertolini Guido
Recenti Prog Med. 2014 Jan;105(1):7-8. doi: 10.1701/1398.15553.
The management of patients with end-stage chronic organ failure is an increasingly important topic, since the extraordinary medical and technological advances have significantly reduced mortality and improved quality of life with prolonged survival of end-stage diseases. What should be the plan of care for these patients? Who should bear the responsibility for care? With what targets? These are crucial questions, to which modern medicine should provide convincing answers. The authors of the document explicitly resisted the temptation to draw up guidelines, showing that it is possible to customize medical intervention on the individual patient, keeping it tightly linked to the available knowledge. This is the most relevant aspect of the document: it goes beyond the classical concept of evidence-based medicine choosing to refer to the most dynamic knowledge-based medicine approach.
终末期慢性器官衰竭患者的管理是一个日益重要的话题，因为非凡的医学和技术进步显著降低了死亡率，并通过延长终末期疾病的生存期提高了生活质量。这些患者的护理计划应该是什么？谁应该承担护理责任？目标是什么？这些都是关键问题，现代医学应该给出令人信服的答案。该文件的作者明确抵制了制定指南的诱惑，表明可以根据个体患者定制医疗干预，并使其与现有知识紧密相连。这是该文件最相关的方面：它超越了循证医学的经典概念，选择采用最具活力的基于知识的医学方法。
