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Cost utility and budget impact analysis of dexamethasone compared with bortezomib and lenalidomide for the treatment of second line multiple myeloma from a South African public health perspective.

BackgroundMultiple myeloma is an incurable haematological malignancy that is associated with a high probability of relapse. The survival of relapsed patients has been greatly improved by the development of novel drugs such as lenalidomide and bortezomib. We assessed the cost-effectiveness of these drugs as second-line treatment for relapsed/refractory multiple myeloma (RRMM) patients in the South African public health care system.MethodsWe modelled 3 treatment strategies for second-line RRMM treatment: dexamethasone (standard of care), bortezomib (BORT) and lenalidomide plus dexamethasone (LEN

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… Additionally, we also assumed a 40% price reduction on the Single Exit Prices for private sector drugs unavailable on the South African public health sector tender system, following the recommendations of the HTA methods guide for converting private sector to public sector prices [ 19 ]. … According to Wouters et al . [ 44 ], during the period of their study, drugs were procured at low prices in the public health sector such that they cost considerably more in the private sector [ 44 ]. …

Depression, anxiety and stress among patients with hematological malignancies and the association with quality of life: a cross-sectional study.

AIM: To evaluate psychological distress and quality of life of patients with hematological malignancies, as well as to identify the prognostic factors that aggravate their condition. METHODS: A cross-sectional, descriptive study including 87 patients with Hematological Malignancies was conducted. Data were collected with an anonymous questionnaire consisted by A) a sheet with socio-demographic characteristics, B) the Depression, Stress and Stress Scale (DASS21), and C) World Health Organization Life Quality Scale (WHOQOL - BREF30). The processing and statistical analysis of the empirical mate

The role of funding and policies on innovation in cancer drug development.

Аннотация не предоставлена источником. Откройте карточку для перехода к публикации.

Judicialization of health: profile of demands for oncological medicines in a state in the central region of Brazil.

BACKGROUND: The significant increase in access to oncological medicines through court cases suggests that constitutional guarantees of integral and universal care in the Brazilian public health system are uncertain. METHODS: A retrospective observational study was conducted to analyze data from lawsuits requesting oncological medicines from 2014 to 2020 in the State of Goiás, Brazil, in state and federal courts. Sociodemographic, medical, and legal variables were statistically examined using descriptive, association, and correlation methods. RESULTS: Women brought more than half (54%) of the

Proceedings from the First Onco Summit: LATAM Chapter, 19-20 May 2023, Rio de Janeiro, Brazil.

The Onco Summit 2023: The Latin American (LATAM) Chapter took place over two days, from 19-20 May 2023, in Brazil. The event aimed to share the latest updates across various oncology disciplines, address critical clinical challenges, and exchange best practices to ensure optimal patient treatment. More than 30 international and regional speakers and more than 300 oncology specialists participated in the Summit. The Summit discussions centered on common challenges and therapeutic advances in cancer care, with a specific focus on the unique obstacles faced in LATAM and examples of adaptable stra

A survey to determine usual care after cancer treatment within the United Kingdom national health service.

BackgroundApproximately one third of cancer survivors in the United Kingdom face ongoing and debilitating psychological and physical symptoms related to poor quality of life. Very little is known about current post-cancer treatment services.MethodsOncology healthcare professionals (HCPs) were invited to take part in a survey, which gathered both quantitative and free text data about the content and delivery of cancer aftercare and patient needs. Analysis involved descriptive statistics and content analysis.ResultsThere were 163 complete responses from 278 survey participants; 70% of NHS acute

Impact of a New Cost-Effectiveness Threshold Implementation on Cancer Formulary Decisions in Jordan.

Rising prices of novel cancer medications are increasing the economic burden from cancer in Jordan, risking the ability of cancer patients to access lifesaving and life-extending treatments. Furthermore, in the absence of a national health technology assessment (HTA) framework, medication prices in Jordan are set based on manufacturers' pricing considerations and not a value proposition. In response to these challenges, King Hussein Cancer Center (KHCC), the de facto national cancer institute, developed a first-in-country, cancer-specific, cost-effectiveness threshold (CET) to aid institutiona

Potential health and economic impact of achieving Kenya's overweight and obesity reduction target: a modelling study.

IntroductionKenya has adopted the WHO target of halting the rise of overweight, including obesity, by 2025. This paper assesses the potential impact of achieving the set target on health, healthcare cost and productivity.MethodsWe used a proportional multistate life table model (Kenya Obesity Model) to simulate the 2019 population of Kenya over their lifetime. We compared a scenario in which body mass index (BMI) distributions stabilise in 2025 against one whose BMI distributions stabilise in 2044, and quantified changes in disease-specific health outcomes, healthcare costs and productivity. W

The 2024 Saudi Pharmacotherapy Didactic Curriculum Toolkit: A Modified Delphi Study.

BACKGROUND: Several pharmacy schools in Saudi Arabia (S.A.) refer to the American College of Clinical Pharmacy (ACCP) pharmacotherapy toolkit in developing their pharmacotherapy curriculum. However, the ACCP toolkit does not specifically address the healthcare needs of the Saudi population. A tailored pharmacotherapy curriculum that offers graduates the essential competencies to better serve the nation's needs is warranted. This study aims to develop a population-centered didactic pharmacotherapy toolkit for the Saudi population to assist pharmacy schools in designing pharmacotherapy course co

Воздействие Натальизумаба на производительность и способность работать у пациентов с множественным склерозом во Франции: исследование ТИТАН.

ВВЕДЕНИЕ: В исследовании ТИТАН были рассмотрены изменения в производительности, способности к труду и качестве жизни (QoL) до и после лечения с помощью высокоэффективной терапии (TYSABRY) у пациентов с множественным склерозом (MS) во Франции. МЕТОДЫ: Пациенты в возрасте ≥ 18 и < 65 годы с повторным выделением эмиссий MS, либо наивно в натализумб, либо с ≤ 1 :: оценка производительности труда (количество рабочих часов) в период беременности и родов, а также оплачиваемой работы 12 - месяцев до и после начала беременности. Были оценены изменения в годовом показателе рецидива и в шкале расширенног

The Contribution of Spanish Science to Patents: Medicine as Case of Study.

Investments in research and development (R&D) and innovation are expensive, and one wishes to be assured that there is positive feedback and to receive guidance on how to direct investments in the future. The social or economic benefits of investments in R&D are of particular interest to policymakers. In this regard, public expense in research, especially through universities, is sometimes being questioned. This paper establishes a measure of how research in Spain, and specifically in its universities, is involved. In this study, we have analyzed all the literature cited in the period 1998-201

Shortage of plasma-derived medicinal products: what is next? narrative literature review on its causes and counteracting policies in Italy.

Introduction: This paper describes the peculiarities of the plasma-derived medicinal product (PDMP) market and illustrates the results of a review of the literature on policies aimed at counteracting the shortage of PDMPs. Characteristics of PDMPs: Plasma is primarily used for the industrial production of blood products (80%). The demand for PDMPs, particularly immunoglobulins (IGs), is increasing. However, the production of PDMPs is complex, long (7-12 months), and expensive, accounting, according to US estimates, for 57% of the total costs of PDMPs compared to 14% for small molecules. PDMP m

Профессиональная реабилитация лиц с множественным склерозом в национальной системе здравоохранения Соединенного Королевства: оценка реального положения.

СПРАВОЧНАЯ ИНФОРМАЦИЯ: Имеются ограниченные данные о том, каким образом профессиональная реабилитация лиц с множественным склерозом (МС) может осуществляться через Национальную службу здравоохранения (НСЗ) Соединенного Королевства (Соединенное Королевство) и как она работает. AIM: Уяснить механизмы и контекст осуществления VR-терапии для лиц, имеющих MS в ГСЗ, и разработать теорию пояснительных программ. МЕТОДЫ: Реалистичная оценка, включая обзор доказательств, а затем полуструктурированные собеседования. Был проведен реалистический обзор VR для лиц, имеющих MS в НСЗ six Электронные базы данны

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… In the UK, VR interventions are provided in various settings such as the private sector, Department for Work and Pension (DWP), or healthcare settings [ 6 ]. In fact, employment is an outcome of health interventions in the UK National Health Service (NHS) [ 7 ]. …

SECURE study: baseline findings from a UK prospective cohort of incidentally detected MGUS.

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Using Genomic Data in Personalized Oncology Medicine: An Exploratory Expert-Elicitation Study with Narrative Regulatory Mapping of Regulations, Implementations, and Challenges in Saudi Arabia.

BACKGROUND/OBJECTIVES: Personalized medicine represents a transformative approach to healthcare in Saudi Arabia. However, a significant research gap exists regarding the specific regulatory, implementation, and practical challenges of integrating genomic data into personalized oncology care in the Saudi context. We aimed to conduct an exploratory assessment of the current regulatory landscape, practices, and challenges related to genomic data use in personalized oncology in Saudi Arabia and to identify regulatory and practical gaps, propose actionable solutions, and outline future directions f

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… The selection was based on at least 10 years of professional experience and aimed to ensure representation from the governmental and private sectors in Saudi Arabia. … Two experts represented the governmental sector, whereas the remaining two had experience in both governmental and private sectors. Table 2 presents the demographic characteristics of the participating experts. Table 2 Demographic characteristics of participating in SMEs. …

Влияние корпоративного управления и вознаграждения ГАС на стратегии капитализации банков и решения о выплате компенсации в период шоковых колебаний доходов.

UNLABELELED: Цель этого исследования состоит в том, чтобы изучить вопросы корпоративного управления и вознаграждения исполнительного директора с учетом стратегий капитализации банков и политики выплат в пакистанском банковском контексте. Данные были получены из финансовых ведомостей банков, зарегистрированных на пакистанской фондовой бирже 2005 в адрес 2020. Результаты исследования показали, что механизмы корпоративного управления, поощряющие интересы акционеров банка, связаны со стратегиями низкой капитализации. Размер совета директоров оказывает значительное влияние на капитализацию банков.

Препятствия и факторы, способствующие реформированию системы здравоохранения.

ВВЕДЕНИЕ: Системы здравоохранения во всем мире сталкиваются с растущим давлением, обусловленным растущим бременем неинфекционных заболеваний и старением населения, а также хронической нехваткой рабочей силы, инфраструктурными ограничениями и структурными дисгармониями между моделями ухода, предназначенными для лечения острых заболеваний, и долгосрочными потребностями сложных пациентов. Многие страны предпринимают комплексные усилия по преобразованию, включая перенос ухода ближе к дому, улучшение раннего выявления заболеваний и решение проблем, связанных с рабочей силой. Цель этого исследования

Типы и результаты лечения у пациентов с множественной миеломой во втором рецидиве в Колумбии (свобода) - многоцентральное исследование наблюдений.

ВВЕДЕНИЕ: Выбор методов лечения для пациентов с рецидивированной множественной миеломой (ММ) является весьма индивидуализированным и характеризуется различными методами лечения. Хотя имеются существенные данные о рецидиве MM в странах с высоким уровнем дохода, данные о методах лечения и клинических результатах при втором рецидиве у населения Латинской Америки по-прежнему ограничены. В этом исследовании описываются клинические характеристики, модели лечения, эффективность и безопасность лечения третьей линии у пациентов, у которых MM испытывает второй рецидив в обычной клинической практике по в

Clinical characteristics and outcomes of patients on haemodialysis at Jimma medical center, Ethiopia: a 7-Year review.

BACKGROUND: Haemodialysis is the primary kidney replacement therapy modality in Africa. In Ethiopia, the number of patients undergoing Haemodialysis is increasing, yet data on their outcomes is scarce. This study assesses the clinical characteristics and outcomes of Haemodialysis patients at Jimma Medical Center. METHODS: A retrospective cross-sectional study was conducted from April 08 to 12, 2024, involving patients who underwent Haemodialysis at Jimma Medical Center from June 2017 to March 2024. The data were coded and entered into EpiData version 3.1, then exported to the Statistical Pack

Routes to cancer diagnosis for patients with pre-existing psychiatric disorders: a nationwide register-based cohort study.

BackgroundPoor cancer prognosis has been observed in patients with pre-existing psychiatric disorders. Therefore, we need better knowledge about the diagnosis of cancer in this patient group. The aim of the study was to describe the routes to cancer diagnosis in patients with pre-existing psychiatric disorders and to analyse how cancer type modified the routes.MethodsA register-based cohort study was conducted by including patients diagnosed with incident cancer in 2014-2018 (n = 155,851). Information on pre-existing psychiatric disorders was obtained from register data on hospital contacts an

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… Strengths and limitations The main strengths of this study was the population-based design and the use of national registers from both the public and private sector with high data validity and almost complete coverage of the Danish population [ 29 , 31 , 41 ]. …