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The Impact of the Affordable Care Act on Insurance Coverage and Stage Among Head and Neck Squamous Cell Carcinoma Patients
J Health Care Poor Underserved. 2022;33(3):1322-1336. doi: 10.1353/hpu.2022.0115.ABSTRACTThe purpose was to examine the change in percent uninsured and if there is change in T-stage, N-stage and overall-stage among nonelderly patients with newly diagnosed head and neck squamous cell carcinoma after the Affordable Care Act (ACA). The National Cancer Database was used for this study. Patients were divided between pre-ACA and post-ACA implementation with stratification between areas of ACA expansion versus non-expansion. A quasi-experimental difference-in-difference study design was undertaken. A total of 15,037 patients met ...
Source: Journal of Health Care for the Poor and Underserved - October 17, 2022 Category: International Medicine & Public Health Authors: Krupal B Patel Sepehr Shabani Tapan Padhya Biwei Cao Xuefeng Wang Kea Turner Anthony C Nichols Stephen Y Kang James W Rocco Matthew Old Source Type: research

Precision Medicine and Public Health (from Precision Medicine and the Reinvention of Human Disease)
Excerpted fromPrecision Medicine and the Reinvention of Human DiseaseDespite having the most advanced healthcare technology on the planet, life expectancy in the United States is not particularly high. Citizens from most of the European countries and the highly industrialized Asian countries enjoy longer life expectancies than the United States. According to the World Health Organization, the United States ranks 31st among nations, trailing behind Greece, Chile, and Costa Rica, and barely edging out Cuba [42]. Similar rankings are reported by the US Central Intelligence Agency [43]. These findings lead us to infer that acc...
Source: Specified Life - February 6, 2018 Category: Information Technology Tags: cancer cancer vaccines precision medicine prevention public health Source Type: blogs

Comparison of two hybrid sentinel node tracers: indocyanine green (ICG)- < sup > 99m < /sup > Tc-nanocolloid vs. ICG- < sup > 99m < /sup > Tc-nanoscan from a nuclear medicine and surgical perspective
CONCLUSIONS: Based on this retrospective analysis, we can conclude that ICG-99mTc-nanoscan has similar capacity for SN identification as ICG-99mTc-nanocolloid and can safely be implemented in SN procedures.PMID:36929210 | DOI:10.1007/s00259-023-06157-9
Source: Molecular Medicine - March 17, 2023 Category: Molecular Biology Authors: Manon T A Vreeburg Samaneh Azargoshasb Danny van Willigen Tom Molenaar Matthias N van Oosterom Tessa Buckle Leon J Slof Martin Klop Baris Karakullukcu Maarten Donswijk Henk G van der Poel Fijs W B van Leeuwen Oscar R Brouwer Daphne D D Rietbergen Source Type: research

Receipt of Psychosocial Care Among Cancer Survivors in the United States Palliative and Supportive Care
Conclusion Many survivors do not report a discussion with providers about the psychosocial effects of cancer, which reflects a missed opportunity to connect survivors to psychosocial services. These data can benchmark the success of efforts to improve access to cancer-related psychosocial care.
Source: Journal of Clinical Oncology - May 29, 2013 Category: Cancer & Oncology Authors: Forsythe, Kent, Weaver, Buchanan, Hawkins, Rodriguez, Ryerson, Rowland Tags: Supportive Care Palliative and Supportive Care Source Type: research

Using Lessons From an Underserved Family Medicine Dermatology Fellowship to Improve Family Medicine Resident Learning in Dermatology (Richard Usatine MD)
The first half of the session will describe the only underserved family medicine dermatology fellowship in the country. The second half will apply ideas from the fellowship training to the training of family medicine residents in dermatology. One of the stated goals of the fellowship is to improve the quality of dermatology training across the board for family physicians. The faculty and fellows in the program have been instrumental in developing new resources and curricula in dermatology. These resources will be shared with the participants. Some of the special skills learned in the fellowship that could be taught to fami...
Source: Family Medicine Digital Resources Library (FMDRL) Recently Uploaded - April 26, 2015 Category: Primary Care Source Type: news

Cancer survivors’ perceived need for supportive care and their attitude towards self-management and eHealth
Conclusions The perceived need for supportive care including healthy lifestyle programs was high, and in general, cancer survivors had a positive attitude towards self-management and eHealth. Need and attitude were associated with sociodemographic and clinical variables and quality of life. Therefore, a tailored approach seems to be warranted to improve and innovate supportive care targeting cancer survivors.
Source: Supportive Care in Cancer - April 30, 2015 Category: Cancer & Oncology Source Type: research

An assessment of the cost-effectiveness, safety of referral and patient satisfaction of a general practice teledermatology service.
CONCLUSIONS: Teledermatology has been shown to be cost-effective, with referrals identified correctly when employed in this general practice setting. Satisfaction with the service was high. PMID: 26217401 [PubMed]
Source: Primary Care - August 1, 2015 Category: Primary Care Authors: Livingstone J, Solomon J Tags: London J Prim Care (Abingdon) Source Type: research

A regional programme to improve skin cancer management.
Abstract BACKGROUND AND CONTEXT: In 2008, public specialist and general practice services in Canterbury were unable to manage demand for skin cancer treatment. Local clinicians decided the solution was to develop a see-and-treat skin excision clinic staffed by plastic surgeons and general practitioners (GPs), and the introduction of subsidised excisions in general practice. This paper describes the collaboration between clinicians, managers and funders and the results and quality management measures of these initiatives. ASSESSMENT OF PROBLEM: There is an increasing incidence of skin cancer. GPs in Canterbury...
Source: Primary Care - December 18, 2015 Category: Primary Care Authors: McGeoch GR, Sycamore MJ, Shand BI, Simcock JW Tags: J Prim Health Care Source Type: research

Examining How Senate Republicans Frame Their Health Care Bill
Discussion Draft of Senate Amendment to H.R. 1628 Help stabilize collapsing insurance markets that have left millions of Americans with no options. Short-Term Stabilization Fund: To help balance premium costs and promote more choice in insurance markets throughout the country, this stabilization fund would help address coverage and access disruption – providing $15 billion per year in 2018 and 2019; $10 billion per year in 2020 and 2021. Jason Chung writes: S. 106(h)(1) specifies that these amounts are intended to “fund arrangements with health insurance issuers to address coverage and access disruption…” Rand P...
Source: The Health Care Blog - June 22, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Jason Chung Senate Bill Source Type: blogs

Health Care Resource Utilization and Associated Costs Among Metastatic Cutaneous Melanoma Patients Treated with Ipilimumab (INTUITION Study)
Conclusion.Health care resource utilization pattern and associated costs among patients treated with ipilimumab varied greatly among countries and between pre‐ and post‐progression periods. There is a high economic burden associated with ipilimumab refractory melanoma.Implications for Practice.Metastatic melanoma patients treated with the anti‐CTLA‐4 inhibitor ipilimumab have a high utilization of various types of health care services, such as inpatient hospital stays or doctor visits. There are differences across countries regarding patterns of health care utilization and economic burden of the disease. Health car...
Source: The Oncologist - August 11, 2017 Category: Cancer & Oncology Authors: Grant A. McArthur, Peter Mohr, Paolo Antonio Ascierto, Ana Arance, Ana Banos Hernaez, Peter Kaskel, Michael Weichenthal, Reshma Shinde, Kendall Stevinson Tags: Melanoma and Cutaneous Malignancies, Health Outcomes and Economics of Cancer Care Source Type: research

“ Use of Alternative Medicine for Cancer and Its Impact on Survival ”
A blog reader, thank you!, told me about a study (same title as my post) that was recently published in the Journal of the National Cancer Institute and that has been picked up by a whole slew of online news sources and blogs, some with ominous titles such as “Alternative medicine kills cancer patients” or “Alternative medicine can kill you.” So what’s all the fuss about? Should we be concerned? Here’s the gist: a team of four Yale researchers carried out an observational case control study, comparing 280 cancer patients who had chosen to use ONLY alternative therapies to 560 patients who had in...
Source: Margaret's Corner - August 30, 2017 Category: Cancer & Oncology Authors: Margaret Tags: Blogroll Use of Alternative Medicine for Cancer and Its Impact on Survival cancer deaths Skyler Johnson Source Type: blogs

Incidence of Non-Melanoma Skin Cancer in the Uninsured.
Abstract Non-melanoma skin cancer (NMSC) is a common reason for outpatient primary care visits. Uninsured patients may be at a higher risk for NMSC due to lack of access to health care and a possible increased risk of sun exposure due to insecure housing. The true incidence of NMSC in this population is unknown. In order to determine the population's incidence of NMSC we performed a retrospective chart review on all patients (n = 656) seen at the Lubbock Impact Free Clinic from July 1, 2014 through July 30, 2015. This highlighted an increased incidence of NMSC in our uninsured population (1.4% [9/656]), particular...
Source: Journal of Health Care for the Poor and Underserved - November 28, 2017 Category: International Medicine & Public Health Authors: Sturgeon A, Pate DA, Patel R, Snodgrass K, Tarbox M, Prabhu F, Watkins P Tags: J Health Care Poor Underserved Source Type: research

A Newly Authenticated Compound from Traditional Chinese Medicine Decoction Induces Melanogenesis in B16-F10 Cells by Increasing Tyrosinase Activity.
Authors: Xin XJ, Zou J, Zou T, Shang H, Sun LY Abstract Vitiligo is a kind of skin dysfunction on melanogenesis. The highly prevalent, chronic, and distinctive complexion changes on patients have imposed enormous psychic and economic burden on both individuals and society. Traditional Chinese Medicine (TCM) is a kind of precious source on chronic disease treatment, including skin dysfunctional diseases. In our previous study, a new compound named apigenin-7-butylene glucoside has been authenticated and purified from a prescription of Chinese traditional medicine formula which has been used clinically in vitiligo tr...
Source: Evidence-based Complementary and Alternative Medicine - December 26, 2018 Category: Complementary Medicine Tags: Evid Based Complement Alternat Med Source Type: research