Mandated Queries of the Florida Prescription Drug Monitoring Program: A Three-Month Experience from a Cancer Center-Based Outpatient Palliative Medicine Clinic

This article represents the findings from the queries over the first three months ’ queries and brings further clarity to our initial findings.Methods This quality improvement (QI) project was reviewed and approved by the Orlando Health/UFHealth Cancer Center Joint Oncology Committee for 2018-19. We began recording results of all E-FORSCE queries occurring after the law ’s implementation of July 1, 2018 through September 30, 2018. We informed each patient that the PDMP query had become mandatory in Florida, and we discussed the results of each query with each patient. Each query examined the last 12 months of the patients’ controlled medication prescriptions.We documented patients ’ demographics, including each patient’s age, gender and limited identifying information, such as patient names and identification numbers, which were subsequently de-identified for statistical analyses. We recorded patients’ main diagnosis and pain symptoms, the number of prescribers listed b y the PDMP as well as the dose of the patient’s opioid analgesia, measured in average daily morphine milligram equivalents, as provided by the state database. We also noted pain ratings with and without medications, including opioids and non-opioids, as well as the difference between those ratings . Beginning on September 6, 2018, E-FORSCE began displaying each queried patient’s “NarxCare Overdose Risk Score,” so we began record those scores as part o...
Source: Pallimed: A Hospice and Palliative Medicine Blog - Category: Palliative Care Tags: kollas opioid pain quality improvement statte Source Type: blogs

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Series Type : Expression profiling by RT-PCROrganism : Homo sapiensThis SuperSeries is composed of the SubSeries listed below.
Source: GEO: Gene Expression Omnibus - Category: Genetics & Stem Cells Tags: Expression profiling by RT-PCR Homo sapiens Source Type: research
ConclusionIpatasertib exhibited rapid absorption and was dose-proportional over a broad dose range. Ipatasertib appeared to be a moderate CYP3A inhibitor when administered at 600  mg and could be administered with or without food in clinical studies.Trail registrationNCT01090960 (registered March 23, 2010); NCT02536391 (registered August 31, 2015).
Source: Cancer Chemotherapy and Pharmacology - Category: Cancer & Oncology Source Type: research
ConclusionOur study did not demonstrate a protective role of vitamin E in decreasing the incidence of CIPN in patients receiving taxane-based chemotherapy. However, the recovery from CIPN was much better as compared to the control arm, which may indicate a role for vitamin E in decreasing the duration and severity of CIPN.
Source: Cancer Chemotherapy and Pharmacology - Category: Cancer & Oncology Source Type: research
Dr. Laura Esserman answers the door of her bright yellow Victorian home in San Francisco’s Ashbury neighborhood with a phone at her ear. She’s wrapping up one of several meetings that day with her research team at University of California, San Francisco, where she heads the Carol Franc Buck Breast Care Center. She motions me in and reseats herself at a makeshift home office desk in her living room, sandwiched between a grand piano and set of enormous windows overlooking her front yard’s flower garden. It’s her remote base of operations when she’s not seeing patients or operating at the hospita...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized Source Type: news
Population - attributable fraction varied from 3.9 percent for urinary bladder cancer to 16.9 percent for stomach cancer
Source: The Doctors Lounge - Oncology - Category: Cancer & Oncology Tags: Family Medicine, Gastroenterology, Gynecology, Internal Medicine, Nephrology, Oncology, Pulmonology, Urology, Journal, Source Type: news
In late August, a radiation oncologist in Tampa, Florida, described a distressing first in his career.Medscape Medical News
Source: Medscape Hematology-Oncology Headlines - Category: Cancer & Oncology Tags: Hematology-Oncology News Source Type: news
Patients undergoing gastrointestinal cancer surgery often receive red blood cell (RBC) transfusions. Understanding practice variation is critical to support efforts working towards responsible RBC transfusion use. We aimed to measure the extent and importance of variation in perioperative RBC transfusion use across surgeons and hospitals among gastrointestinal cancer surgery patients.
Source: Journal of the American College of Surgeons - Category: Surgery Authors: Tags: Health Services Research Source Type: research
In Ukraine, there is no established colorectal cancer (CRC) screening program. The healthcare reform provides an opportunity for policymakers to integrate screening recommendations into practice. We aimed to calculate the number of colonoscopies needed for implementation of various well-accepted CRC screening strategies in Ukraine.
Source: Journal of the American College of Surgeons - Category: Surgery Authors: Tags: Health Services Research Source Type: research
While increase of hospital-acquired adverse events (HAAE) after major cancer surgery, there is lack of data correlating them with hospitals markup-ratio (MR). We aim to study the relationship between hospital profit margins and the incidence of HAAE following pancreatic surgery nationally.
Source: Journal of the American College of Surgeons - Category: Surgery Authors: Tags: Health Services Research Source Type: research
Written By Myra ChristopherMy mom was a steel magnolia (i.e., southern and perfectly charming), but she had a steel rod up her back. After her first surgery for stomach cancer at age 53, she refused pain medication because she said that she “could take it.” She was young and strong and committed to “beating cancer.” After nearly two years of chemotherapy, radiation and two more surgeries, the cancer won. Eventually, I watched her beg nurses to give her “a shot” minutes before another was scheduled and be told they were sorry but she would have to wait. I could tell by the expressions on ...
Source: blog.bioethics.net - Category: Medical Ethics Authors: Tags: Health Care chronic pain Opioid addiction Opioid Epidemic Opioid prescriptions syndicated Source Type: blogs
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