heathy candidate bias in ICD trials?

I've just been reading this

http://www.bmj.com/content/348/bmj.g2866

regarding a bias towards 'healthy' candidates for ICD implantation . From what I have seen (and guess practice) this rings very true . The conclusion is that this is 'thoughtful clinical decision making  in which doctors use factors such as frailty to allocate expensive therapies to patients who are most likely to benefit'

do you agree?

sadian

Source: Doc2Doc BMJ Cardiology - May 26, 2014 Category: Cardiology Authors: sadian Source Type: forums