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Kampo medicine for palliative care in Japan
Kampo medicines are currently manufactured under strict quality controls. The Ministry of Health, Labour and Welfare of Japan has approved 148 Kampo formulas. There is increasing evidence for the efficacy of Kampo medicines, and some are used clinically for palliative care in Japan. The specific aim of this review is to evaluate the clinical use of Kampo medicines in palliative care in the treatment of cancer. The conclusions are as follows: Juzentaihoto inhibits the progression of liver tumors in a dose-dependent manner and contributes to long-term survival. Hochuekkito has clinical effects on cachexia for genitourinary c...
Source: BioPsychoSocial Medicine - January 22, 2014 Category: Psychiatry & Psychology Authors: Hirokuni OkumiAtsuko Koyama Source Type: research

The Prescription or Proscription of Exercise in Colorectal Cancer Care
Conclusions: Our data are consistent with the clinical observation that a large proportion of CRC survivors may be unable to participate in unsupervised exercise 6 months after curative care. These data underscore the need for continued research to clarify the safety and feasibility of prescribing exercise to CRC survivors.
Source: Medicine and Science in Sports and Exercise - November 14, 2014 Category: Sports Medicine Tags: Clinical Sciences Source Type: research

Is there a role for survivorship care plans in advanced cancer?
Conclusions A cancer care plan developed by the oncologist, similar to an SCP but more focused on current management, may be more useful for survivors with advanced cancer. Exploring this topic in larger groups of more diverse survivors with advanced cancer will help to elucidate the details a written plan of care should contain, and how to promote effective coordination between oncology and primary care providers. Implications for cancer survivors There are many transitions of care along the cancer journey. A written plan of care, similar to an SCP, may be useful for survi...
Source: Supportive Care in Cancer - January 6, 2015 Category: Cancer & Oncology Source Type: research

Unveiling SEER-CAHPS®: A New Data Resource for Quality of Care Research
CONCLUSIONS SEER-CAHPS is a valuable resource for information about Medicare beneficiaries’ experiences of care across different diagnoses and treatment modalities, and enables comparisons by type of insurance.
Source: Journal of General Internal Medicine - January 14, 2015 Category: Internal Medicine Source Type: research

Appointment “no-shows” are an independent predictor of subsequent quality of care and resource utilization outcomes
CONCLUSIONS NSPF is an independent predictor of suboptimal primary care outcomes and acute care utilization. NSPF may play an important role in helping healthcare systems identify high-risk patients.
Source: Journal of General Internal Medicine - March 17, 2015 Category: Internal Medicine Source Type: research

An Economic Evaluation of Colorectal Cancer Screening in Primary Care Practice
Conclusions Two-year cost effectiveness of a stepped approach to colorectal cancer screening promotion based on EHR data is indicated, but longer-term cost effectiveness requires further study.
Source: American Journal of Preventive Medicine - May 23, 2015 Category: Global & Universal Source Type: research

The effect of pre‐existing mental health comorbidities on the stage at diagnosis and timeliness of care of solid tumor malignances in a Veterans Affairs (VA) medical center
Abstract There are limited data on the impact of mental health comorbidities (MHC) on stage at diagnosis and timeliness of cancer care. Axis I MHC affect approximately 30% of Veterans receiving care within the Veterans Affairs (VA) system. The purpose of this study was to compare stage at diagnosis and timeliness of care of solid tumor malignancies among Veterans with and without MHC. We performed a retrospective analysis of 408 charts of Veterans with colorectal, urothelial, and head/neck cancer diagnosed and treated at VA Connecticut Health Care System (VACHS) between 2008 and 2011. We collected demographic data, stage a...
Source: Cancer Medicine - June 1, 2015 Category: Cancer & Oncology Authors: Roxanne J. Wadia, Xiaopan Yao, Yanhong Deng, Jia Li, Steven Maron, Donna Connery, Handan Gunduz‐Bruce, Michal G. Rose Tags: Original Research Source Type: research

Has Recommended Preventive Service Use Increased after Elimination of Cost Sharing as Part of the Affordable Care Act in the United States?
Conclusions These early observations suggest positive benefits from the ACA policy of eliminating cost sharing for some preventive services. Future research is warranted to monitor and evaluate longer term effects of the ACA on access to care and health outcomes.
Source: Preventive Medicine - July 24, 2015 Category: Global & Universal Source Type: research

Has recommended preventive service use increased after elimination of cost-sharing as part of the Affordable Care Act in the United States?
Conclusions These early observations suggest positive benefits from the ACA policy of eliminating cost-sharing for some preventive services. Future research is warranted to monitor and evaluate longer term effects of the ACA on access to care and health outcomes.
Source: Preventive Medicine - July 27, 2015 Category: Global & Universal Source Type: research

In-depth analysis of the critical genes and pathways in colorectal cancer.
Abstract The present study aimed to investigate the molecular targets for colorectal cancer (CRC). Differentially expressed genes (DEGs) were screened between CRC and matched adjacent noncancerous samples. GENETIC_ASSOIATION_DB_DISEASE analysis was performed to identify CRC genes from the identified DEGs using the Database for Annotation, Visualization and Integrated Discovery, followed by Gene Οntology (GO) and Kyoto Encyclopedia of Genes and Genomes analysis for the CRC genes. A protein‑protein interaction (PPI) network was constructed for the CRC genes, followed by determination and analysis of the hub gene...
Source: International Journal of Molecular Medicine - July 30, 2015 Category: Molecular Biology Authors: Liu F, Ji F, Ji Y, Jiang Y, Sun X, Lu Y, Zhang L, Han Y, Liu X Tags: Int J Mol Med Source Type: research

Race/Ethnicity and Primary Language: Health Beliefs about Colorectal Cancer Screening in a Diverse, Low-Income Population.
Abstract Colorectal cancer (CRC) is an important cause of cancer death in adults in the U.S.; screening is effective but underutilized, particularly among minorities. The purpose of this paper was to explore whether health belief model (HBM) constructs pertaining to CRC screening differ by race/ethnicity and primary language. Data were from the baseline surveys of 933 participants (93.5%) in a randomized trial promoting CRC screening in San Francisco. Composite scores for each construct were created from multiple items, dichotomized for analysis, and analyzed using multivariate logistic regression. Most participan...
Source: Journal of Health Care for the Poor and Underserved - September 2, 2015 Category: Global & Universal Authors: Brenner AT, Ko LK, Janz N, Gupta S, Inadomi J Tags: J Health Care Poor Underserved Source Type: research

Paying For Value In Cancer Care
Everyone wants to pay for value (and certainly not just for volume) and the value imperative is nowhere greater than in cancer care. Cancer care cost the US health care system $125 billion in 2010, accounting for 5 percent of total health care spending. Before Sovaldi hit the front pages for offering a breakthrough treatment for Hepatitis C at a cost of $84,000, and Turing Pharmaceuticals pushed Sovaldi out of the headlines for increasing the price of an HIV drug 50 fold, most of the attention to drug pricing was focused on cancer. With average yearly treatment costs exceeding $100,000, cancer drugs in the US cost nearly t...
Source: Health Affairs Blog - October 29, 2015 Category: Health Management Authors: Alan Weil Tags: Costs and Spending Drugs and Medical Technology Long-term Services and Supports Medicare Once in a Weil Payment Policy Quality Bundled Payments Cancer ECRI performance payments Primary Care Source Type: blogs

Utilization of Preventive Health Care in Adults and Children With Eczema
Conclusions Eczema in adults and children is associated with greater utilization of preventive health care and health maintenance, but not cancer screening.
Source: American Journal of Preventive Medicine - November 6, 2015 Category: Global & Universal Source Type: research

Primary Care Attributes Associated with Receipt of Preventive Care Services: A National Study
Conclusion: In a nationally representative sample, greater reported exposure to key primary care attributes, with the exception of enhanced access, was associated with increased preventive care. These findings may inform best practices for maximizing preventive care delivery.
Source: Journal of the American Board of Family Medicine - November 6, 2015 Category: Primary Care Authors: VanGompel, E. C. W., Jerant, A. F., Franks, P. M. Tags: Original Research Source Type: research

Primary Care Physician Panel Size and Quality of Care: A Population-Based Study in Ontario, Canada.
CONCLUSIONS: Increasing panel size was associated with small decreases in cancer screening, continuity, and comprehensiveness, but showed no consistent relationships with chronic disease management or access indicators. We found no panel size threshold above which quality of care suffered. PMID: 26755780 [PubMed - in process]
Source: Annals of Family Medicine - January 1, 2016 Category: Primary Care Authors: Dahrouge S, Hogg W, Younger J, Muggah E, Russell G, Glazier RH Tags: Ann Fam Med Source Type: research