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March 5, 2003

Patient-Centered Cardiac Care for the ElderlyTIME for Reflection

Author Affiliations

Author Affiliation: Department of Cardiology, Duke University Medical Center, Durham, NC.

JAMA. 2003;289(9):1157-1158. doi:10.1001/jama.289.9.1157

The pace of scientific discovery and medical care delivery accelerates with each passing year. Physicians faced with an overwhelming number of publications strive to rapidly extract a study's "bottom line" (ie, how can these findings be distilled into simple heuristics, or rules of thumb, for patient care). While such a reductionist approach is understandable, some areas of medicine defy such simplification. The 1-year results of the Trial of Invasive versus Medical therapy in Elderly patients (TIME) study, published in this issue of THE JOURNAL,1 clearly exemplify this situation.

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