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Prevalence and Outcomes of COVID-19 among Hematology/Oncology Patients and Providers of a Community-Facing Health System during the B1.1.529 ("Omicron") SARS-CoV-2 Variant Wave.

(1) Background: the SARS-CoV-2 (COVID-19) pandemic continues, and patients actively receiving chemotherapy are known to be at enhanced risk for developing symptomatic disease with poorer outcomes. Our study evaluated the prevalence of COVID-19 among patients and providers of our community-facing county health system during the B1.1.529 ("Omicron") COVID-19 variant wave. (2) Methods: We retrospectively analyzed patients that received care and clinical providers whom worked at the Jackson Memorial Hospital Hematology/Oncology clinic in Miami, Florida, USA, from 1 December 2021 through 30 April 2

Затраты на кладрибинные таблетки для лечения высокоактивных реплаксирующих множественных склерозов в Италии.

ВВЕДЕНИЕ: Множественный склероз (MS) представляет собой хроническое аутоиммунное заболевание, воздействующее на центральную нервную систему. Лица с весьма активными реактивными выбросами MS (HA-RRMS) часто сталкиваются с симптомами, продолжительность которых превышает 24 h, за которым следует период полной или частичной ремиссии. Цель этого исследования состояла в том, чтобы оценить экономические последствия применения таблеток кладрипина для лечения пациентов, имеющих HA-RRMS в итальянском контексте. МЕТОДЫ: модель Маркова, разработанная компанией PRECISIONheor для имитации результатов лечени

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… Loss of leisure time for informal care was attributed to all carers, regardless of age, gender, or occupation, and calculated using the national average disposable income after contributions and taxes. Costs were derived from [ 25 ] and converted from GBP to 2024 euros. …

Cytotoxicity of bendamustine, alone and in combination with novel agents, toward adult T-cell leukemia cells.

Adult T-cell leukemia/lymphoma (ATL) develops from the infection of T cells with human T lymphotropic virus type 1 (HTLV-1). There are an estimated 5-20 million HTLV-1 carriers worldwide and the patients are frequently observed in subtropical Africa, the Caribbean, Middle East, South America, and South West Japan. The prognosis of ATL remains dismal due to rapid acquired resistance to treatment with cytotoxic chemotherapeutic agents. In particular, the development of novel therapies for relapsed or refractory (R/R) ATL is an unmet need. Previous clinical trials revealed that bendamustine (BDM)

Unlocking hidden potential: advancements, approaches, and obstacles in repurposing drugs for cancer therapy.

High rates of failure, exorbitant costs, and the sluggish pace of new drug discovery and development have led to a growing interest in repurposing "old" drugs to treat both common and rare diseases, particularly cancer. Cancer, a complex and heterogeneous disease, often necessitates a combination of different treatment modalities to achieve optimal outcomes. The intrinsic polygenicity of cancer, intricate biological signalling networks, and feedback loops make the inhibition of a single target frequently insufficient for achieving the desired therapeutic impact. As a result, addressing these c

Medical Costs and Healthcare Utilization among Cancer Decedents in the Last Year of Life in 2009.

PurposeThe purpose of this study was to evaluate the cancer care cost during the last year of life of patients in Korea.Materials and methodsWe studied the breakdown of spending on the components of cancer care. Cancer decedents in 2009 were identified from the Korean Central Cancer Registry and linked with the Korean National Health Insurance Claims Database. The final number of patients included in the study was 70,558.ResultsIn 2009, the average cancer care cost during the last year of life was US $15,720. Patients under age 20 spent US $53,890 while those 70 or over spent US $11,801. Those

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… KNHI contribution was used as a proxy measure for actual household income because it is calculated based on the income, property, and private auto taxes for each household [ 11 ]. …

The Effect of Disability on the Diagnosis and Treatment of Multiple Myeloma in Korea: A National Cohort Study.

PURPOSE: This study aimed to determine whether the diagnosis, treatment approach, and prognosis of multiple myeloma (MM) vary according to the presence and type of disability. MATERIALS AND METHODS: Demographic, socioeconomic, and medical data were obtained from the National Disability Database, the Korean Central Cancer Registry, and the Korean National Health Insurance claims database. An age- and sex-matched cohort was established using a 1:3 ratio constituted with 2,776,450 people with disabilities and 8,329,350 people without disabilities. Adult patients diagnosed with MM were subsequent

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… The KNHI premium was used to estimate household income because it is calculated based on income, property, and automobile taxes for each household [ 12 ]. 3. …

Более низкий риск множественного склероза у пациентов с хроническим гепатитом С: общенациональное исследование по регистрации населения.

Множественный склероз (MS) — иммунопосредованное неврологическое заболевание, вызывающее демиэлирование. Этиология неизвестна, однако пациенты с предыдущей вирусной инфекцией, такой, как вирус Эпштейн-Барр, оказались в более опасном положении с точки зрения развития MS. С другой стороны, лица, инфицированные ВИЧ, имеют более низкий риск развития НР. Вирус гепатита С (ГКВ) в основном заражает печень, но пациенты с ГЦВ могут испытывать несколько внеэптических проявлений, и исследования показали связь с несколькими аутоиммунными заболеваниями, такими, как нейропатия и миелит. Настоящее исследован

Cancer patients on Twitter: a novel patient community on social media.

BackgroundPatients increasingly turn to the Internet for information on medical conditions, including clinical news and treatment options. In recent years, an online patient community has arisen alongside the rapidly expanding world of social media, or "Web 2.0." Twitter provides real-time dissemination of news, information, personal accounts and other details via a highly interactive form of social media, and has become an important online tool for patients. This medium is now considered to play an important role in the modern social community of online, "wired" cancer patients.ResultsFifty-o

ZD6474--clinical experience to date.

ZD6474 selectively targets two key pathways in tumour growth by inhibiting vascular endothelial growth factor (VEGF)-dependent tumour angiogenesis and epidermal growth factor (EGF)-dependent tumour cell proliferation and survival. Phase I clinical evaluation has shown ZD6474 to be generally well tolerated, with a pharmacokinetic profile appropriate for once-daily oral dosing. Phase II evaluation of ZD6474 at doses of 100-300 mg is ongoing in a range of patient types in single and combination regimens. These include three randomised studies of patients with non-small-cell lung cancer. In one of

Financial Toxicity in Patients With Breast Cancer Treated at Private Medicine Institutions in Brazil.

Financial toxicity (FT) refers to the negative impact of the financial burden of cancer diagnosis and treatment on patients' well-being. With rising global costs of oncologic therapies, diagnostics, and supportive care, FT has become a key concern in cancer care, influencing adherence, quality of life, and outcomes. Breast cancer, given its high prevalence and socioeconomic implications, is notably associated with FT. Beyond direct medical expenses, patients often face income loss and out-of-pocket costs for supportive care, which can significantly affect their therapeutic trajectory. Addressi

Причины использования медицинских услуг до появления множественных склерозов: Общенациональное совпадающее исследование кохарта в Швеции.

СПРАВОЧНАЯ ИНФОРМАЦИЯ: Данные свидетельствуют о том, что признаки и симптомы могут появиться за годы до начала клинического заболевания множественным склерозом (МС). Мы изучили использование вторичной медицинской помощи и лекарств до появления MS. МЕТОДЫ: Используя взаимосвязанные административные данные, мы проанализировали диагностированную неврологами клиническую когорту MS и определенную алгоритмом административную когорту в Швеции (см.2001-2019). Число лиц, имеющих MS (PwMS) five Компараторы, не входящие в СУ, в разбивке по полу, году рождения, месту проживания и продолжительности прожива

Indications for Sleeve Gastrectomy-Is It Worth Waiting for Comorbidities to Develop?

(1) Background and Objectives: Morbid obesity significantly increases the prevalence of comorbidities, such as heart disease, restrictive lung disease, stroke, diabetes mellitus and more. (2) Methods: Patients undergoing gastric sleeve surgery were divided into three groups with BMI between 30-34.9 kg/m2 (Group I), 35-39.9 kg/m2 (Group II), and over 40 kg/m2 (Group III). Preoperative examinations included cardiac ultrasound, respiratory function and laboratory tests, and preoperative comorbidities were also recorded. Following a one-year follow-up, we compared the rate of weight loss in the th

Opportunities for Savings in Risk Arrangements for Oncologic Care.

ImportanceAs the US accelerates adoption of alternative payment through global payment models such as Accountable Care Organizations (ACOs) or Medicare Advantage (MA), high spending for cancer care is a potential target for savings.ObjectiveTo quantify the extent to which ACOs and other risk-bearing organizations operating in a specific geographic area (hospital referral region [HRR]) could achieve savings by steering patients to efficient medical oncology practices.Design, setting, and participantsThis observational study included serial cross-sections of Medicare beneficiaries with cancer fr

Assessing Pretransplant and Posttransplant Therapy Response in Multiple Myeloma Patients.

Multiple myeloma (MM) is a hematologic cancer defined by an abnormal development of clonal plasma cells in the bone marrow, releasing vast quantities of immunoglobulins and different proteins. In the majority of patients, MM remains incurable despite decades of medical improvement and a number of treatment breakthroughs. Frontline standard-of-care has little long-term success, with the majority of patients eventually relapsing, although the overall progression-free survival (PFS) has improved significantly in the last ten years. Patients who are eligible for a transplant have the highest PFS r

Skip pattern approach toward the early access of innovative anticancer drugs.

BackgroundWith the rapid development of innovative anticancer treatments, the optimization of tools able to accelerate the access of new drugs to the market by the regulatory authority is a major issue. The aim of the project was to propose a reliable methodological pathway for the assessment of clinical value of new therapeutic innovative options, to objectively identify drugs which deserve early access (EA) priority for solid and possibly in other cancer scenarios, such as the hematological ones.Materials and methodsAfter a comprehensive review of the European Public Assessment Report of 21

Prioritising systemic cancer therapies applying ESMO's tools and other resources to assist in improving cancer care globally: the Kazakh experience.

BackgroundIn Kazakhstan, cancer is the second leading cause of death with a major public health and economic burden. In the last decade, cancer care and cancer medicine costs have significantly increased. To improve the efficiency and efficacy of cancer care expenditure and planning, the Kazakhstan Ministry of Health requested assistance from the World Health Organization (WHO) and the European Society for Medical Oncology (ESMO) to review its systemic cancer treatment protocols and essential medicines list and identify high-impact, effective regimens.Materials and methodsESMO developed a four

Identifying the informational needs and sources of support of Adolescent and Young Adult (AYA) cancer survivors to inform the development of a digital platform.

PurposeThis study aimed to examine the (age-specific) informational needs and support sources used by Adolescent and Young Adult (AYA) cancer survivors throughout their cancer trajectory and socio-demographic and clinical factors associated with most common AYA-related informational needs.MethodsA cross-sectional questionnaire study was conducted among AYA cancer survivors (mean, 10.3 years after diagnosis, SD = 5.6). Informational needs and sources of support were examined via open questions and analyzed via a thematic inductive approach. Responses on informational needs were categorized acco

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… diagnosis on mortgage” “Options to buy a house with a non-removable cancer” “Mortgages and life insurance” “Insurance matters” “What are the consequences when applying for insurances/mortgage” “How can you get a mortgage/what alternatives are there in terms of housing” “Life insurance” “Finances (benefits, taxes … | | | “Mortgages and life insurance” | | | | “Insurance matters” | | | | “What are the consequences when applying for insurances/mortgage” | | | | “How can you get a mortgage/what alternatives are there in terms of housing” | | | | “Life insurance” | | | | “Finances (benefits, taxes …

Global cancer statistics 2024: GLOBOCAN estimates of incidence and mortality worldwide for 34 cancers in 186 countries.

This article provides updated global cancer statistics for the year 2024 based on the GLOBOCAN estimates of the International Agency for Research on Cancer. The authors describe national cancer incidence and mortality by world region and the Human Development Index and predict the burden in 2050 based on demographic trends. In 2024, an estimated 20.6 million new cancer cases (19.5 million excluding nonmelanoma skin cancer) and 9.8 million deaths (9.7 million excluding nonmelanoma skin cancer) occurred worldwide, equivalent to one in five people developing cancer during their lifetime and one i

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… Tobacco taxation, one of the most effective strategies for reducing tobacco demand, has increased in four WHO regions, yet only 40 countries (25 high‐income and 15 middle‐income) met the WHO‐recommended benchmark of taxes accounting for at least 75% of the retail price in 2024. 31 A recent modeling work … A 2019 study reported that only 41 of 180 countries (23%) mandated pictorial health warnings; 16 (9%) had comprehensive bans on advertising, promotion, and sponsorships; 34 (19%) taxed these products; and just six (3%) regulated their content and emissions of smokeless tobacco products. 34 The rising …

Preoperative Neutrophil-to-Lymphocyte Ratio is Associated with Early Postoperative Pain and Opioid Consumption after Total Knee Arthroplasty: A Retrospective Study.

BACKGROUND: Improving quality and effectiveness of health care is one of the priorities of health policies. Hospital or physician volume represents a measurable variable with a relevant impact on effectiveness of health care. A recent Italian law, the "spending review", calls for the definition of "qualitative, structural, technological and quantitative standards of hospital care". There is a need for an accurate evaluation of the available scientific evidence in order to identify these standards, including the volume of care above or below which the public and private hospitals may be accredi

Yang-Monti Principle in Bridging Long Ureteral Defects: Cases Report and A Systemic Review.

BACKGROUND Improving quality and effectiveness of healthcare is one of the priorities of health policies. Hospital or physician volume represents a measurable variable with an impact on effectiveness of healthcare. An Italian law calls for the definition of «qualitative, structural, technological, and quantitative standards of hospital care». There is a need for an evaluation of the available scientific evidence in order to identify qualitative, structural, technological, and quantitative standards of hospital care, including the volume of care above or below which the public and private hospi