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The Economic Value of Hybrid Single-photon Emission Computed Tomography With Computed Tomography Imaging in Pulmonary Embolism Diagnosis.

ObjectiveThe objective was to quantify the potential economic value of single-photon emission computed tomography (SPECT) with computed tomography (CT; SPECT/CT) versus CT pulmonary angiography (CTPA), ventilation-perfusion (V/Q) planar scintigraphy, and V/Q SPECT imaging modalities for diagnosing suspected pulmonary embolism (PE) patients in an emergency setting.MethodsAn Excel-based simulation model was developed to compare SPECT/CT versus the alternate scanning technologies from a payer's perspective. Clinical endpoints (diagnosis, treatment, complications, and mortality) and their correspo

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… A recent survey of physicians ordering CTPA scans for diagnosing PE found that defensive behavior (e.g., fear of missing PE, threat of malpractice litigation) was a factor in nearly three of five scans. … Defensive medicine among high‐risk specialist physicians in a volatile malpractice environment. JAMA 2005;293:2609–17. 32. Khemani RG, Sward K, Morris A, Dean JM, Newth CJ. …

Early and late complications related to central venous catheters in hematological malignancies: a retrospective analysis of 1102 patients.

Several severe complications may be associated with the use of central venous catheters (CVC). We retrospectively evaluated on a large cohort of patients the incidence of CVC-related early and late complications. From 7/99 to 12/2005, 1102 CVC have been implanted at our Institution in 881 patients with hematological malignancies (142,202 total day number of implanted CVC). Early mechanic complications were 79 (7.2% - 0.55/1,000 days/CVC). Thirty-nine episodes of early infective complications (<1 week from CVC implant) occurred (3.5% - 0.3/1000 days/CVC): furthermore, 187 episodes of CVC-relate

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… assistance. 1 , 2 CVC-related complications can be divided into early complications (mechanical and infective) and late complications (mechanical, infective and thrombotic); early complications are generally secondary to the insertion procedures, while late complications are more frequently due to malpractice …

[Correlation between survival time and severity of injuries in fatal injuries in traffic accidents].

INTRODUCTION: In forensic pathology, only trauma systems based on disintegration of anatomic structure of organs and tissues, could be used … hat were the mechanism and mode of dying; whether the death was preventable; if there were possible malpractice and negligence, etc.

Ethical considerations for hematologic precursor conditions.

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… Jacobson 12 warned that clinicians’ fear of this outcome and malpractice can drive overtreatment. From the patient’s perspective, the worst outcome may instead be quadrant B; exposure to chemotherapy which did not prevent cancer. Table 2. …

Using ncRNAs as Tools in Cancer Diagnosis and Treatment-The Way towards Personalized Medicine to Improve Patients' Health.

Although the first discovery of a non-coding RNA (ncRNA) dates back to 1958, only in recent years has the complexity of the transcriptome started to be elucidated. However, its components are still under investigation and their identification is one of the challenges that scientists are presently facing. In addition, their function is still far from being fully understood. The non-coding portion of the genome is indeed the largest, both quantitatively and qualitatively. A large fraction of these ncRNAs have a regulatory role either in coding mRNAs or in other ncRNAs, creating an intracellular

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… Litigation cases stemming from alleged negligence and malpractice allegations [ 355 ] are in fact likely to grow as a result of personalized medicine becoming more widespread [ 356 ]. … The notion of “genetic malpractice” has been defined as the failure on the part of doctors to recommend or properly interpret genetic testing, and such dynamics can be further compounded by the still unsolved disagreements within the medical community as to the scope and timing of the implementation …

Predicting Pathologic Bone Lesions Using Scout Computed Tomography (CT) Imaging.

The purpose of this study is to evaluate the benefit of reviewing scout CT images, obtained for routine oncologic surveillance, for the early identification of pathologic bony lesions. A retrospective review was conducted on patients who previously underwent surgical treatment by two orthopedic oncology surgeons at a tertiary care institution from 2009-2019 for pathologic lesions or fractures of the humerus or femur. Radiographic records were reviewed to identify patients in this cohort who had available scout views from CT imaging prior to official diagnosis of the bony lesion or fracture. CT

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… Medicolegal-malpractice and ethical issues in radiology: should CT and MRI scout images be interpreted? American Journal of Roentgenology 2017 209 1 p. 43 10.2214/AJR.17.18038 2-s2.0-85021125637 28639926 15 Bazzocchi A. Spinnato P. Albisinni U. …

Effect of Bone Metastasis Cancer Board on Spinal Surgery Outcomes: A Retrospective Study.

Background and Objectives: Bone metastasis cancer boards (BMCBs) focusing on the management of bone metastases have been gathering much attention. However, the association of BMCBs with spinal surgery in patients with spinal metastases remains unclear. In this retrospective single-center observational study, we aimed to clarify the effect of a BMCB on spinal metastasis treatment. Materials and Methods: We reviewed consecutive cases of posterior decompression and/or instrumentation surgery for metastatic spinal tumors from 2008 to 2019. The BMCB involved a team of specialists in orthopedics, re

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… Descriptive analysis of state and federal spine surgery malpractice litigation in the United States Spine 2018 43 984 990 10.1097/BRS.0000000000002510 29215494 19. Johnson S.K. Knobf M.T. Surgical interventions for cancer patients with impending or actual pathologic fractures Orthop. …

Less is more: inverting the paradigm across the cancer care continuum.

Cancer care often operates under the assumption that 'more is better', resulting in frequent testing, intensive treatments, and constant follow-up. However, this approach has unintended consequences and places significant burdens on patients, providers, and healthcare systems. At the same time, cancer care is evolving rapidly and the number of cancer survivors continues to grow, highlighting the urgent need for reform.In the Netherlands, important efforts are taking place to de-escalate and de-implement ineffective practices across the cancer care continuum, from screening to palliative care.

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… Additionally, the threat of litigation can lead to ‘defensive medicine’, in which providers recommend more intensive interventions to minimise malpractice risk, even when the potential benefits are small. 3 This complex interplay of factors highlights the need for a multi-level approach, by educating …

Health-Related Quality of Life and Treatment Satisfaction of Patients with Blood Cancer in Kazakhstan: A Cross-Sectional Study.

Blood cancer is the most prevalent health problem associated with poorer health-related quality of life (HRQoL). Associations between HRQoL and its determinants including physical, emotional, and functional domains are insufficiently investigated among blood cancer patients of Kazakhstan. We aimed to assess HRQoL and treatment satisfaction of blood cancer patients in Kazakhstan.MethodsThis was a cross-sectional study, conducted from November 2022 to December 2022, which enrolled all adult blood cancer patients registered at the healthcare facilities of Semey. This study involved 87 respondents

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… Patient satisfaction has multiple influences on patient compliance and retention, treatment outcomes, and medical malpractice claims (Tsigengagel et al., 2022). …

Umbilical cord pH, blood gases, and lactate at birth: normal values, interpretation, and clinical utility.

Normal birth is a eustress reaction, a beneficial hedonic stress with extremely high catecholamines that protects us from intrauterine hypox … ograms and fetal acidosis, a cord artery pH may help rather than hurt a staff person subjected to a malpractice suit based on undesirable cardiotocogram patterns. Contrary to common beliefs and assumptions, up to 90% of cases of cerebral palsy do not originate from intrapartum events. Future research will elucidate whether cell injury markers with point-of-ca …

PROMIS® Health Organization (PHO) 2021 Conference Abstracts.

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