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Comment & Response |

Use of Implantable Cardioverter-Defibrillators Among Medicare Patients—Reply

Sean D. Pokorney, MD, MBA1; Eric D. Peterson, MD, MPH1; Tracy Y. Wang, MD, MHS, MSc1
[+] Author Affiliations
1Division of Cardiology, Duke University Medical Center, Durham, North Carolina
JAMA. 2015;314(17):1874-1875. doi:10.1001/jama.2015.12218.
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In Reply Dr Forman and colleagues make important points that increasing comorbidities in older patients may raise the risk of noncardiovascular death, and goals of care are often ill-defined in older patients with cardiovascular disease. We acknowledge the potential for residual, unmeasured confounding and selection bias in our observational analyses; however, our adjusted findings demonstrated that ICD use was consistently associated with lower mortality even in older individuals.


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November 3, 2015
Daniel E. Forman, MD; Mathew S. Maurer, MD; Michael W. Rich, MD
1Section of Geriatric Cardiology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania
2Columbia University Medical Center, New York, New York
3Washington University School of Medicine, St Louis, Missouri
JAMA. 2015;314(17):1873-1874. doi:10.1001/jama.2015.12212.
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