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Consideration for Health Disparities in Value Assessment Frameworks.

BackgroundCost-effectiveness analysis (CEA) compares interventions based on relative value and is an integral part of value assessment. Despite recommendations for economists to consider disparities in CEAs that impact health-care resource allocation decisions, the perception held by stakeholders is that value assessment frameworks are inconsistent in practice.MethodsWe reviewed value assessment reports produced by a United States (US)-based value assessment organization to identify how patients and caregiver input may contribute to how the organization considers health disparities. We purpose

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… ICER notes that economic models “cannot fully capture” the mental and emotional impact of structural discrimination, such as racism, that may greatly affect underserved populations, like those with SCD. 27 To illustrate this issue, the models include a comparison of the life expectancy of patients with …

Remote assessment of cognitive dysfunction in hematologic malignancies using web-based neuropsychological testing.

BackgroundCognitive impairment is a frequent adverse effect of cancer and its therapies. As neuropsychological assessment is not often standard of care for patients with non-CNS disease, efficient, practical assessment tools are required to track cognition across the disease course. We examined cognitive functioning using a web-based cognitive testing battery to determine if it could detect differences between patients with cancer and controls.MethodsWe enrolled 22 patients with multiple myeloma (MM) or non-Hodgkin lymphoma (NHL) and 40 healthy controls (mean age = 56 ± 11 years, 52% male). Pa

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… Research studies analyzing these differences and the potential contributors of unique factors experienced by these groups, such as structural racism, are warranted. …

How do Internal Medicine Residents from Different Backgrounds Make Subspecialty Career Choices? A Qualitative Analysis.

PurposeMedical career decisions are complex. Gender and racial disparities remain among internal medicine (IM) subspecialty fellows, particularly in procedural subspecialties. This qualitative study aims to thematically explore factors that influence IM resident subspecialty career choice, with a focus on factors specific to women and UIM trainees to better understand existing disparities. This is the first study to explore IM residents own stated reasons to subspecialize into various fields.MethodsWe conducted virtual focus groups with 37 IM residents from multiple institutions, organized by

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… In contrast, non-UIM residents did not discuss race or racism in their groups. This may be in part to how the focus groups were structured (i.e., by self-identified UIM status) and is a potential limitation of our study. …

Multiple myeloma incidence and mortality trends in the United States, 1999-2020.

Multiple myeloma (MM) is a plasma cell disorder accounting for approximately 10% of hematologic malignancies. There is limited epidemiological evidence regarding the long-term trends and disparities in MM in the US. We conducted a multiple time point cross-sectional study using MM incidence rate data from the Surveillance, Epidemiology, and End Results (SEER) database and mortality data from the CDC Wide-Ranging Online Data for Epidemiologic Research (CDC WONDER) Underlying Cause of Death database between 1999 and 2020. During this period, MM incidence has steadily increased, while MM mortalit

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… Additionally, structural racism experienced by Black and Hispanic Americans may exacerbate disparities in MM early detection, access to treatment, and outcomes. …

"Они не хотят изучать его": доверие, раса и медицинское обслуживание среди пациентов-диадов с множественной миеломой.

БАКГРЕСС: Медицинское недоверие, лежащее в основе неэтичного исследования, является препятствием для лечения лиц из числа чернокожих/африканцев (АА) раком. Решающее значение имеет понимание доверия, недоверия и опыта в области здравоохранения, особенно в случае множественной миэломы (ММ), которая в непропорционально большой степени ложится тяжелым бременем на чернокожих/алкоголиков с точки зрения заболеваемости и выживания. ЦЕЛЬ ИССЛЕДОВАНИЯ: В этом исследовании качественно изучается опыт чернокожих/аАА и белых диад (больных с ММ и взрослых опекунов), с тем чтобы получить представление об этих

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… Medical mistrust, racism, and delays in preventive health screening among African‐American men. Behav Med. 2019;45(2):102‐117. 22. Alsan M, Wanamaker M. Tuskegee and the health of black men*. Q J Econ. 2018;133(1):407‐455. 23. Lucey BP, Nelson‐Rees WA, Hutchins GM. …

Survival outcomes and healthcare utilization between immigrant patients and Danish-born patients with hematological cancers: a Danish population-based study.

Overall survival (OS) for patients with a hematological cancer may differ between immigrant and Danish-born patients due to disparities in socioeconomic status, health literacy, and language proficiency. This cohort study aimed to investigate survival and hospitalization according to immigrant status while controlling for confounders. Patients with newly diagnosed hematological cancer in 2000-2020 were identified in the Danish nationwide hematological registers and stratified into Danish-born, Western, and non-Western patients. Patients were followed from diagnosis until death, 31st December 2

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… Structural racism and myocardial infarction in the United States. Soc Sci Med. 2014;103:42–50. 36. Blansky D, Fazzari M, Mantzaris I, Rohan T, Hosgood HD. Racial and ethnic differences in diffuse large B-cell lymphoma survival among an underserved, urban population. …

Trends in volumes and survival after hematopoietic cell transplantation in racial/ethnic minorities.

AbstractThere has been an increase in volume as well as an improvement in overall survival (OS) after hematopoietic cell transplantation (HCT) for hematologic disorders. It is unknown if these changes have affected racial/ethnic minorities equally. In this observational study from the Center for International Blood and Marrow Transplant Research of 79 904 autologous (auto) and 65 662 allogeneic (allo) HCTs, we examined the volume and rates of change of autoHCT and alloHCT over time and trends in OS in 4 racial/ethnic groups: non-Hispanic Whites (NHWs), non-Hispanic African Americans (NHAAs), a

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… Structural racism is a mediator of disparities in acute myeloid leukemia outcomes. Blood. 2022;139(14):2212–2226. doi: 10.1182/blood.2021012830. 10. Kirtane K, Lee SJ. Racial and ethnic disparities in hematologic malignancies. Blood. 2017;130(15):1699–1705. doi: 10.1182/blood-2017-04-778225. 11. …

Facing financial barriers to healthcare: patient-informed adaptation of a conceptual framework for adults with a history of cancer.

BackgroundCancer-related financial hardship is associated with negative clinical outcomes, which may be partially explained by cost-related delayed or forgone care in response to financial barriers. We sought to understand patient experiences facing financial barriers to medical care following a cancer diagnosis.MethodsWe conducted virtual, semi-structured interviews in Fall 2022 with 20 adults with a history of cancer who had experienced cancer-related financial hardship in the prior year. We used template analysis within a pragmatic paradigm, combining constructivist and critical realist the

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… Additionally, and related to social positionality, structural inequities – such as racism, discrimination, and social exclusion – create an inequitable distribution of power and resources, which shaped interviewees’ experiences with financial challenges and the ability to overcome them ( Alcaraz et al …

Быстрый обзор мер по улучшению ухода за людьми, страдающими множественным склерозом, диабетической ретинопатией и раком легких.

В Соединенных Штатах пациенты, страдающие хроническими заболеваниями, сталкиваются с различиями в показателях здоровья по всему спектру услуг по уходу. Среди пациентов с множественным склерозом, диабетической ретинопатией и раком легких не хватает доказательств, резюмирующих меры по улучшению ухода и сокращению этих различий. Цель этого оперативного обзора литературы заключалась в том, чтобы определить меры, принимаемые пациентами с такими хроническими заболеваниями в целях улучшения состояния здоровья и сокращения неравенства в плане выявления, диагностики, доступа к лечению и специалистам, с

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… Discussion Although our search yielded a fair number of studies across the clinical conditions, in general, we found limited interventions focused on SDOH-based root causes of disparities, such as the conditions in which people live, compositions of social networks, structural and institutional racism …

Core Competencies for Serious Illness Conversations: An Integrative Systematic Review.

Objective: The Serious Illness Care Program was developed to support goals and values discussions between seriously ill patients and their clinicians. The core competencies, that is, the essential clinical conversation skills that are described as requisite for effective serious illness conversations (SICs) in practice, have not yet been explicated. This integrative systematic review aimed to identify core competencies for SICs in the context of the Serious Illness Care Program. Methods: Articles published between January 2014 and March 2023 were identified in MEDLINE, PsycINFO, CINAHL, and Pu

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… depending on cultural beliefs, 31 , 42 which required respect 31 and culturally appropriate engagement in SIC 42 to build cultural safety. 33 Personal and societal characteristics and circumstances could vary, and clinicians should be mindful of language barriers, 34 , 62 prior negative experiences of racism …

Bridging the gap - Establishing a dental-oncology service in a cancer centre.

Dental disease remains the most common non-communicable disease worldwide. It predisposes patients to significant morbidities following bone modifying agents or radiation therapy to the head and neck. Preventative dental regimes effectively reduce the risk of both medication-related osteonecrosis of the jaw (MRONJ) and osteoradionecrosis (ORN) in these patients. Co-ordination of routine dental care as a component of mainstream oncology treatment optimises long term outcomes for oncology patients. This case series offers insights into patient, institutional and social difficulties that challeng

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… Cross-cultural consultations can be hindered by lack of healthcare staff awareness of resources, societal racism, ethnocentrism, engagement of senior HSE and governmental offices and the financial concerns regarding access to professional interpreting services were shown to hinder service provision [ …

Priority setting in health: development and application of a multi-criteria algorithm for the population of New Zealand's Waikato region.

BackgroundPriority setting in a climate of diverse needs and limited resources is one of the most significant challenges faced by health care policymakers. This paper develops and applies a comprehensive multi-criteria algorithm to help determine the relative importance of health conditions that affect a defined population.MethodsOur algorithm is implemented in the context of the Waikato District Health Board (WDHB) in New Zealand, which serves approximately 10% of the New Zealand population. Strategic priorities of the WDHB are operationalized into five criteria along which the algorithm is s

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… Racism and public policy. New York: Palgrave Macmillan; 2005. pp. 271–294. 50. Shih TH, Fan X. Comparing response rates in e-mail and paper surveys: a meta-analysis. Educ Res Rev. 2009;4(1):26–40. doi: 10.1016/j.edurev.2008.01.003. 51. Cook Colleen, Heath Fred, Thompson Russel L. …

The 4th Global Congress on Sickle Cell Disease Abstract Book 2022

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2022 International Cancer Education Conference Late-Breaking Abstracts

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Несоответствия в рецидивной или рефрактной множественной миеломе: рекомендации межпрофессиональной консенсусной группы.

Во многих исследованиях были зафиксированы расовые, социально-экономические, географические и другие различия для пациентов из Соединенных Штатов (США) с множественной миеломой, связанные с диагностикой и управлением прифронтовыми линиями. В отличие от этого, очень мало известно о различиях в регулировании рецидивов/изъятий множественной миеломы (RRMM), несмотря на множество новых вариантов лечения. В ходе этого обзора мы обсуждаем проявления неравенства в ПРМ и стратегии по смягчению их воздействия. Лекарства от иммуномодулирующих препаратов могут создавать различия по многим осям, например н

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… Underlying drivers of racial disparities in MM are unfortunately manifold: structural racism in healthcare delivery, bias or knowledge gaps among individual providers, mistrust in the healthcare system, and intersecting socioeconomic and geographic disparities [ 1 – 5 ]. …

Interventions to improve cancer survivorship among Indigenous Peoples and communities: a systematic review with a narrative synthesis.

PurposeThe purpose of this systematic review is to synthesize the evidence on the types of interventions that have been utilized by Indigenous Peoples living with cancer, and report on their relevance to Indigenous communities and how they align with holistic wellness.MethodsA systematic review with narrative synthesis was conducted.ResultsThe search yielded 7995 unique records; 27 studies evaluating 20 interventions were included. The majority of studies were conducted in USA, with five in Australia and one in Peru. Study designs were cross-sectional (n=13); qualitative (n=5); mixed methods (

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… However, more pervasive reasons stem from colonial legacies that have created poverty, social exclusion, and systemic racism in mainstream healthcare [ 1 , 2 , 11 – 14 ]. …

Geriatric assessment for the practicing clinician: The why, what, and how.

Older adults with cancer heterogeneously experience health care, treatment, and symptoms. Geriatric assessment (GA) offers a comprehensive evaluation of an older individual's health status and can predict cancer-related outcomes in individuals with solid tumors and those with hematologic malignancies. In the last decade, randomized controlled trials have demonstrated the benefits of GA and GA management (GAM), which uses GA information to provide tailored intervention strategies to address GA impairments (e.g., implementing physical therapy for impaired physical function). Multiple phase 3 cli

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… 142 GA FOR DIVERSE POPULATIONS The older adult population in the United States continues to increase in racial and ethnic diversity, with the number of older Black adults expected to triple and the number of older Latino adults expected to quadruple by 2060. 143 Nevertheless, pervasive structural racism …

Rapid Review of Gender-Affirming Healthcare for Children and Adolescents: Evidence Synthesis (2021-2025) and Recommendations for South Africa.

WHY WE NEED THIS RAPID REVIEW: In South Africa, transgender and gender-diverse (TGD) children and adolescents continue to navigate health sy … E ADDED BURDENS: 1.Poverty, community violence, discrimination, school-based exclusion, xenophobia, racism, homophobia, and limited access to specialised care all intersect to shape the mental health of TGD young people. These realities amplify the need for safe, affirming services, they do not diminish it. MOST MEDICAL SCHEMES DO NOT COVER GAHC: 2.Even …

Материалы ежегодной конференции Канадского общества респираторных терапевтов, май 8-10, 2025.

Мы рады представить ряд выдержек из работы ежегодной Конференции по ТРСК. состоявшемся в Оттаве, Онтарио, в мае 8 в адрес 10, 2025, эта конференция включала в себя темы, подготовленные отдельными лицами, имеющими опыт работы в различных областях практики дыхательной терапии. Как видно из следующих резюме, работа наших коллег 2025 :: акцентировали внимание на текущих исследовательских и практических нововведениях, осуществляемых РТ. Мы приложили все усилия для того, чтобы включить все выдержки, принятые Комитетом по программе до предельного срока публикации; вместе с тем просьба иметь в виду, ч

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… In the end, it’s racism, not race, that impacts how we deliver care. …

40th Annual CAPO Conference-Responding to the Human Experience of Cancer and Caring for the Soul: Building on 40 Years of Global Leadership in Psychosocial Oncology.

On behalf of the Canadian Association of Psychosocial Oncology, we are pleased to present the Abstracts from the 2025 Annual Conference, titled "Responding to the Human Experience of Cancer and Caring for the Soul: Building on 40 years of global leadership in psychosocial oncology". The 40th Annual CAPO Conference was held in Toronto from 23 April 2025 to 25 April 2025. In an era marked by the rapid advancement of biologically focused precision medicine, it is imperative to redirect our attention towards the human experience of illness and the soul of medicine. Biomedicine has conceptualized i