The Bionic Human

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.