The Evidence: The Gap Between Guidelines guidelines and Clinical Reality

摘要: The phenomenon of clinical inertia represents a barrier to the efficiency care in most chronic diseases. purpose this chapter is review recent literature, analyzing hundred references, demonstrating breadth and its consequences, particular term loss chance for patient: example, lack treatment intensification diabetes or hypertension cause persistent disequilibrium which can have severe consequences on appearance complications these This analyzes detail data concerning following diseases: (a case “psychological insulin resistance” physicians who avoid prescription insulin), hypertension, hyperlipidemia, cardiovascular risk, heart failure, cardiac valvular diseases, complete arrhythmia due atrial fibrillation, asthma, osteoporosis, gives bibliographical references other