Overview
Frank E. Johnson
Assessment of Surveillance Test Performance and Cost
Katherine S. Virgo
Cost of Follow-Up After Implantation of Prosthetic Devices
Katherine S. Virgo
Factors That Should Shape Clinical Strategies
Frank E. Johnson
A View From the US Food and Drug Administration
Thomas P. Gross, Celia M. Witten, Casper Uldriks, and William F. Regnault
Societal Issues
John H. Fielder
Databases for Studying the Epidemiology of Implanted Medical Devices
Deborah Shatin, Roselie A. Bright, and Brad Astor
Tissue Reaction to Prosthetic Materials
Nathan Ravi and Hyder Ali Aliyar
Prevention of Infection in Prosthetic Devices
Ramona E. Simionescu and Donald J. Kennedy
European Counterpoint
Soumen Ghosh and Riccardo A. Audisio
Computer Modeling
Ewout W. Steyerberg
Breast Prostheses: Current Recommendations for Care of Patients After Implantation of Breast Prostheses
Forrest S. Roth, David J. Gray, and Christian E. Paletta
US Counterpoint
Thomas H. Tung
European Counterpoint
Catherine M. Darcy and Kevin Hancock
Prostheses for Hernia Repair
R. Ivan Beretvas
US Counterpoint
L. Michael Brunt
European Counterpoint
Avril A. P. Chang and Ara W. Darzi
Penile Prostheses
John J. Mulcahy
US Counterpoint
Steven B. Brandes
European Counterpoint
Christine M. Evans
Artificial Urethral Sphincters
David J. Rea, John P. Lavelle, and Culley C. Carson, III
US Counterpoint
Steven B. Brandes
European Counterpoint
Suzie N. Venn, Constantinos Hajivassiliou, and Tony Mundy
Cerebrospinal Fluid Shunts
Edward Rustamzadeh and Cornelius H. Lam
US Counterpoint
Joshua L. Dowling
European Counterpoint
Spyros Sgouros
Cochlear Implants
Adrien A. Eshraghi, John E. King, Annelle V. Hodges, and Thomas J. Balkany
US Counterpoint
J. Gail Neely
European Counterpoint
Issam Saliba and Bernard Fraysse
Ossicular Implants
Adrien A. Eshraghi, Hessam Elfiki, Steven R. Mobley, and Thomas J. Balkany
US Counterpoint
J. Gail Neely
European Counterpoint
Goetz Geyer
Vascular Prostheses
Karthikeshwar Kasirajan, Brian Matteson, John Marek, and Mark Langsfeld
US Counterpoint
Luis A. Sanchez
European Counterpoint
S. Rao Vallabhaneni and John A. Brennan
Cardiac Valves
M. David Arya and Arthur J. Labovitz
US Counterpoint
Kristine J. Guleserian and Marc R. Moon
European Counterpoint
Alan J. Bryan and Gianni D. Angelini
Intravascular Filters and Stents
Lazar J. Greenfield and Mary C. Proctor
US Counterpoint
David M. Hovsepian
European Counterpoint
A. E. Healey and Derek A. Gould
Vascular Access Devices
Christopher N. Compton and John H. Raaf
US Counterpoint
Eric D. Whitman
European Counterpoint
Matthias Lorenz, Carsten N. Gutt, and Stefan Heinrich
Osseointegrated Dental Implants
Steven E. Eckert and Sreenivas Koka
US Counterpoint
G. E. Ghali and John N. Kent
European Counterpoint
Anthony J. Summerwill and John I. Cawood
Cardiac Pacemakers
Preben Bjerregaard and Amr El-Shafei
US Counterpoint
Marye J. Gleva
European Counterpoint
Derek T. Connelly
Joint Prostheses and Internal Fixation Devices
Thomas J. Otto and Coles E. L'Hommedieu
US Counterpoint
James A. Keeney and John C. Clohisy
European Counterpoint
Michael P. Manning
Index
Although every year 5-10 million Americans have prosthetic devices fitted in their bodies, there are currently few well-accepted standards for their ongoing clinical management. In The Bionic Human: Health Promotion for People With Implanted Prosthetic Devices, a diverse panel of implant experts surveys the state of the art in patient follow-up for the most common prosthetic devices. The devices covered range from breast, penile, vascular, and joint prostheses to cochlear, ossicular, and dental implants, and include cerebrospinal fluid shunts, cardiac valves, stents, and pacemakers. For each device, the authors consider its pros and cons, detail the best current strategies to keep patients with implants healthy, and evaluate the latest and most promising new diagnostic tests. Clinical counterpoints from distinguished authorities at major centers in the United States and Europe are offered throughout. Follow-up recommendations are summarized in a standardized format that allows comparative analysis and lays the foundation for controlled clinical trials and the eventual establishment of evidence-based guidelines. Additional chapters address epidemiological, societal, and policy issues associated with prosthetic use: what should be done to detect and/or prevent problems with implants, to detect such low-frequency events as the development of cancer, and to uncover the disorders to which patients with prostheses might be unusually prone? Finally, what are the costs of follow-up care and how should society allocate resources to care for these patients?
Concise and highly practical, The Bionic Human: Health Promotion for People With Implanted Prosthetic Devices offers busy practitioners an integrated survey of best practices for the management of patients with implanted prosthetic devices and an insightful examination of the epidemiological, societal, and policy issues associated with their use.