Medical decision-making competence

This week’s Lancet contains a study by Raymont et al investigating the prevalence of mental incapacity in medical inpatients and associated risk factors (see also this item in Shrinkette’s blog ). In order to judge medical decision-making competence, the authors used two tools: the MacArthur competence assessment tool for treatment (MacCAT-T), and clinical vignettes (based …

Endovascular repair of abdominal aortic aneurysms

An article in the October 14, 2004 New England Journal of Medicine reports on the results of the Dutch Randomized Endovascular Aneurysm Management (DREAM) trial, which compares endovascular abdominal aortic aneurysm repair with open surgical repair. 345 patients with AAA of at least 5 cm in diameter and who were eligible for both endovascular and …