Value: A Balancing Act
There are perhaps few buzzwords bandied around in pharma circles as much in recent years as ‘value’. Companies are actively competing to stress value over volume and highlight their zealous efforts to go well ‘beyond the pill’ and deliver real value for every stakeholder in healthcare, from the patient up.A cynic might suggest that such talk is simply pharma marketing speak but, with ever-tightened purse strings, payers are demanding that pharma delivers on its promises, as they seek to understand how much bang for their buck they can expect when they purchase drugs.“We are over the tipping point,” says Zhen Su, SVP and Chief Medical Officer at EMD Serono. “There is a consensus and alignment that we need to collaborate and be problem solvers. We need to be able to convey the value, because, at the end of the day, we’re all part of the same value chain, from pharma to payers to the patients.“If we don’t work together to be able to clearly communicate and demonstrate the value, we are going to be victims of a blame game within the system, which is neither productive or helps conveys our value to society,” says Su.In many instances, pharma has been very efficient and practical about bringing long-term solutions to society, yet companies are “sometimes still painted as problem makers”, he adds. “This is a wake-up call for these parties to join forces and come together to champion value creation.&r...
Conclusion: There is a slightly increasing trend in the occurrence of esophageal perforations. Contemporary treatment is less invasive with similar results. Patients treated in high-volume hospitals have better prognosis. PMID: 32233883 [PubMed - as supplied by publisher]
Authors: Freitas M, Arieira C, Carvalho PB, Rosa B, Moreira MJ, Cotter J Abstract Background: Capsule endoscopy is a widely recognized method to study the small bowel, including in patients with Crohn's disease (CD). The Lewis score (LS) is a valuable tool in this setting, able to assess inflammatory activity. TOP100, a new software tool of the RAPID Reader®, emerged to assist in the time-consuming capsule reading process, by automatically selecting 100 images that will most likely contain abnormalities.Aim: Evaluate the agreement between TOP100 and classic reading (CR) in determining LS in the setting of CD.Me...
CONCLUSION: Rates of perinatal complications in our series are more reassuring than the ubiquitously quoted rates from small and dated studies. The diagnosis of primary hyperparathyroidism may be easily missed during pregnancy, owing to its non-specific presentation. A high index of suspicion and measurement of ionized calcium levels is encouraged, especially for patients with excessive nausea and vomiting, nephrolithiasis, atypical presentations of hypertensive disorders, or isolated polyhydramnios. Mild degrees of calcium derangement do not preclude adverse perinatal outcomes. Surgery appears to be safe, even in the thir...
Psychologists, psychotherapists, and social workers in the US and Canada have formed a network to offer free psychotherapy sessions to healthcare workers on the frontlines of the COVID-19 pandemic.
Authors: Görtz RS, Atreya R PMID: 32234192 [PubMed - in process]
Publication date: Available online 2 April 2020Source: Canadian Journal of CardiologyAuthor(s): Shijie Zhou, John L. Sapp, Amir Abdel Wahab, Natalia Trayanova
Publication date: Available online 2 April 2020Source: Canadian Journal of CardiologyAuthor(s): Koorosh Semsar-kazerooni, Diana Dima, Julie Valiquette, Joelle Berube-Dufour, Michael Goldfarb
CONCLUSION: Future work should examine a comprehensive set of ACEs to identify which ACE combinations contribute to greater mental health burden, thereby informing the development of specific interventions. PMID: 32240085 [PubMed - as supplied by publisher]
We report about a case of azathioprine related pancreatitis associated with polyarthralgia and panniculitis. Pancreatitis, polyarthritis and panniculitis (PPP) syndrome is an uncommon phenomenon which may accompany a number of pancreatic diseases including acute or chronic pancreatitis or pancreatic malignancy. To the best of our knowledge, this is the first report of Azathioprine related PPP syndrome. PMID: 32233278 [PubMed - in process]
There are perhaps few buzzwords bandied around in pharma circles as much in recent years as ‘value’. Companies are actively competing to stress value over volume and highlight their zealous efforts to go well ‘beyond the pill’ and deliver real value for every stakeholder in healthcare, from the patient up.A cynic might suggest that such talk is simply pharma marketing speak but, with ever-tightened purse strings, payers are demanding that pharma delivers on its promises, as they seek to understand how much bang for their buck they can expect when they purchase drugs.“We are over the tipping po...
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