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Design and Implementation of Bundled Payment Systems for Cancer Care and Radiation Therapy
From 2003 to 2009, radiation oncology exceeded its sustainable growth rate target by nearly 300% . Between 2010 and 2011, the intensity modulated radiation therapy (IMRT) code exhibited the fourth highest percent increase of all Medicare codes . It is difficult to determine the extent to which this spending growth has produced commensurate clinical benefit, but the current payment system raises concerns about overutilization. Hospitals and clinics are reimbursed for each discrete element of care, and the technological focus of radiation oncology generates an abundance of billable units. Adding a radiation beam, using IMRT,...
Source: International Journal of Radiation Oncology * Biology * Physics - July 8, 2014 Category: Radiology Authors: Benjamin P. Falit, Michael E. Chernew, Constantine A. Mantz Tags: Health Care Payment Reform in the United States: Two Viewpoints Source Type: research
Development of sustainable models for technology evaluation in hospital.
CONCLUSION: The developed models have permitted the construction, using personnel and laboratories within the hospital, of an evaluation system reliable and responsive to the HOSPITAL's temporary needs based on the HS and HTA analyses in the hospital environment. Regarding the applicable case of IORT, this has shown how in-hospital requests have been satisfied in the preset time: although it establishes expected improvements on the social effect and weight of the illness and reveals a high territorial strategic relevance, the introduction of IORT in the hospital presents some criticalities on the impact on the healthcare o...
Source: Technology and Health Care - August 5, 2014 Category: Medical Equipment Authors: Miniati R, Frosini F, Cecconi G, Dori F, Gentili GB Tags: Technol Health Care Source Type: research
Management of early-stage prostate cancer.
Abstract
Prostate cancer is the second most common cancer diagnosed in men, with a median age of diagnosis of 66 years. Early disease is often asymptomatic, and diagnosis is based on abnormal prostate specific antigen (PSA) levels followed by a transrectal ultrasoundguided biopsy, digital rectal exam, or both. Disease staging after diagnosis is used to evaluate prognosis and determine the treatment approach. Biomarkers are useful for prostate cancer screening and as prognostic factors. The most important biomarker is PSA; however, newer prognostic factors may be more specific for prostate cancer. The goal of treat...
Source: The American Journal of Managed Care - December 1, 2014 Category: Health Management Authors: Shore N Tags: Am J Manag Care Source Type: research
Management of biochemically recurrent prostate cancer following local therapy.
Abstract
Localized therapy for prostate cancer is often curative; however, 20% to 30% of patients experience a recurrence. Men with biochemical recurrence (BCR) are typically identified following routine monitoring of prostatespecific antigen after treatment for localized disease. These patients exhibit no signs of prostate cancer. Initial evaluation attempts to determine whether the BCR is due to local recurrence or systemic disease. Depending on the type of initial local therapy, treatment options for local recurrence include salvage radiation therapy or salvage prostatectomy. If systemic recurrence is suspected...
Source: The American Journal of Managed Care - December 1, 2014 Category: Health Management Authors: Kolodziej M Tags: Am J Manag Care Source Type: research
Corrigendum to “Targeted gold nanoparticles enhance sensitization of prostate tumors to megavoltage radiation therapy in vivo” Nanomedicine: Nanotechnology, Biology, and Medicine 11 (2015) 1277–1283
Publication date: Available online 4 March 2016 Source:Nanomedicine: Nanotechnology, Biology and Medicine Author(s): Tatiana Wolfe, Dev Chatterjee, Jihyoun Lee, Jonathan D. Grant, Shanta Bhattarai, Ramesh Tailor, Glenn Goodrich, Patricia Nicolucci, Sunil Krishnan
Source: Nanomedicine: Nanotechnology, Biology and Medicine - March 4, 2016 Category: Nanotechnology Source Type: research
Construction of an anthropopathic abdominal phantom for accuracy validation of deformable image registration.
Abstract
The purpose of this study was to design and fabricate an anthropopathic abdominal phantom for accuracy evaluation of deformable image registration (DIR) algorithms in adaptive radiation therapy. The constructed deformable organs, including the liver, kidney, spleen and stomach, are made of mixture of polyvinyl chloride (PVC) and softener dioctyl terephthalate, while the rigid structures, i.e. vertebrae, are made of white cement. Relation between the PVC-softener blending ratio and organ CT number is studied, and three-dimensional printing technic is employed to create highly anthropopathic organs in terms...
Source: Technology and Health Care - May 5, 2016 Category: Medical Equipment Authors: Liao YL, Chen HB, Zhou LH, Zhen X Tags: Technol Health Care Source Type: research
Interaction of radiation therapy and radiofrequency kyphoplasty in the treatment of myeloma patients.
CONCLUSIONS: RFK is an effective method for treating VCF in myeloma patients independent of treatment order with regard to radiation therapy. However, RT should be conducted after RFK to minimize risks of cement extrusion and additional fractures.
PMID: 28009343 [PubMed - as supplied by publisher]
Source: Technology and Health Care - December 15, 2016 Category: Medical Equipment Authors: Bornemann R, Roessler PP, Jansen TR, Rommelspacher Y, Sander K, Wirtz DC, Pflugmacher R, Frey SP Tags: Technol Health Care Source Type: research
Patterns and Yearly Time Trends in the Use of Radiation Therapy During the Last 30 Days of Life Among Patients With Metastatic Rectal Cancer in the United States From 2004 to 2012.
CONCLUSION: Radiation therapy use for patients with metastatic rectal cancer is beneficial, and efforts to optimize its appropriate use are important. Several factors associated with RT use during the last 30 days of life included disparities in sociodemographic and clinical subgroups. Research is needed to understand the underlying causes of these inequalities and the role of predictive models in clinical decision-making.
PMID: 28494653 [PubMed - as supplied by publisher]
Source: The American Journal of Hospice and Palliative Care - January 1, 2017 Category: Palliative Care Authors: Becerra AZ, Probst CP, Fleming FJ, Xu Z, Aquina CT, Justiniano CF, Boodry CI, Swanger AA, Noyes K, Katz AW, Monson JR, Jusko TA Tags: Am J Hosp Palliat Care Source Type: research
University Of Maryland School Of Medicine Scientist Receives Top Award for His Pioneering Work on Improving Radiation Therapy Outcome
Søren M. Bentzen, PhD, DMSc, a professor in the Department of Epidemiology and Public Health (EPH) at the University of Maryland School of Medicine (UM SOM), has been awarded a gold medal from the American Society for Radiation Oncology (ASTRO). This is the highest honor bestowed upon ASTRO members. It recognizes a distinguished scientist who has made major contributions to the field of radiation oncology.
Source: University of Maryland School of Medicine News Headlines - July 21, 2017 Category: Universities & Medical Training Source Type: news
Patient Reported Outcomes After Radiation Therapy for Bone Metastases as a Function of Age: A Secondary Analysis of the NCIC CTG SC-Twenty-Three Randomized Trial.
CONCLUSIONS: In patients with cancer having bone metastases undergoing palliative radiotherapy, there was no significant difference in general with age in response to radiation and patient-reported outcomes. Palliative radiotherapy should be offered to elderly patients when needed.
PMID: 28950727 [PubMed - as supplied by publisher]
Source: The American Journal of Hospice and Palliative Care - January 1, 2017 Category: Palliative Care Authors: Chow S, Ding K, Wan BA, Brundage M, Meyer RM, Nabid A, Chabot P, Coulombe G, Ahmed S, Kuk J, Dar AR, Mahmud A, Fairchild A, Wilson CF, Wu JSY, Dennis K, DeAngelis C, Wong RKS, Zhu L, Chow E Tags: Am J Hosp Palliat Care Source Type: research
Northwestern Medicine Chicago Proton Center hosts 4th Annual PTCOG-NA Conference in Chicago
(Northwestern Memorial HealthCare) The Northwestern Medicine Chicago Proton Center will host over 200 leading clinicians, physicists and researchers in the growing field of proton therapy at the 4th Annual Particle Therapy Co-Operative Group North-America (PTCOG-NA) Conference, being held Oct. 23-25, 2017 at the Swiss ô tel Chicago. Conference participants will share the latest clinical, scientific and industrial developments in particle beam therapy, an advanced form of radiation therapy using beams of protons to destroy cancer cells and diseased tissue.
Source: EurekAlert! - Medicine and Health - October 19, 2017 Category: International Medicine & Public Health Source Type: news
A dosimetric comparison of double-arc volumetric arc therapy, step-shoot intensity modulated radiotherapy and 3D-CRT for left-sided breast cancer radiotherapy after breast-conserving surgery.
CONCLUSION: For left-sided breast cancer radiotherapy after breast-conserving surgery, the VMAT plans had a better CI than the sIMRT and 3D-CRT plans. The VMAT and the sIMRT plans had better HI than the 3D-CRT plans, but no significant difference was observed between VMAT and sIMRT.
PMID: 29103057 [PubMed - in process]
Source: Technology and Health Care - October 23, 2017 Category: Medical Devices Authors: Mo JC, Huang J, Gu WD, Gao M, Ning ZH, Mu JM, Li QL, Pei HL Tags: Technol Health Care Source Type: research
Australasian recommendations for quality assurance in kilovoltage radiation therapy from the Kilovoltage Dosimetry Working Group of the Australasian College of Physical Scientists and Engineers in Medicine
AbstractThe Australasian College of Physical Scientists and Engineers in Medicine (ACPSEM) Radiation Oncology Specialty Group (ROSG) formed a series of working groups to develop recommendations for guidance of radiation oncology medical physics practice within the Australasian setting. These recommendations provide a standard for safe work practices and quality control. It is the responsibility of the medical physicist to ensure that locally available equipment and procedures are sufficiently sensitive to establish compliance. The recommendations are endorsed by the ROSG, have been subject to independent expert reviews and...
Source: Australasian Physical and Engineering Sciences in Medicine - October 25, 2018 Category: Biomedical Engineering Source Type: research
Radiofrequency Ablation and Radiation Therapy Improve Local Control in Spinal Metastases Compared to Radiofrequency Ablation Alone.
CONCLUSION:: This study demonstrates a benefit in local control with RFA+RT versus RFA alone. Palliation of pain was effective using both regimens. This study was limited by a nearly unequal distribution of primary tumor histologies between groups. Literature regarding combined treatment of RFA and RT for spinal metastases is scarce and prospective protocols are warranted.
PMID: 30541334 [PubMed - as supplied by publisher]
Source: The American Journal of Hospice and Palliative Care - December 13, 2018 Category: Palliative Care Authors: Prezzano KM, Prasad D, Hermann GM, Belal AN, Alberico RA Tags: Am J Hosp Palliat Care Source Type: research
The Death of Cancer: Book Review and Reflections
By CHADI NABHAN MD, MBA, FACP
Some books draw you in based on a catchy title, a provocative book jacket, or familiarity with the author. For me, recollections of medical school primers written by the renowned lymphoma pioneer Vincent DeVita Jr. and my own path as an oncologist immediately attracted me to “The Death of Cancer.” I felt a connection to this book before even reading it and prepped myself for an optimistic message about how the cancer field is moving forward. Did I get what I bargained for?
Co-authored with his daughter, Elizabeth DeVita-Raeburn, DeVita brings us back decades ago to when he had just st...
Source: The Health Care Blog - January 1, 2019 Category: Consumer Health News Authors: matthew holt Tags: Health Care Books Physicians Book Review Chadi Nabhan Chemotherapy Oncology randomized controlled trials The Death of Cancer Vincent DeVita Source Type: blogs
