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COVID-19 and haematology services in a cancer centre from a middle-income country: adapting service delivery, balancing the known and unknown during the pandemic.

The COVID-19 pandemic has caused major disruptions in multiple spheres of healthcare delivery in the world. Developing nations have had to tackle this unanticipated crisis in the midst of various other healthcare delivery issues and resource constraints. As a tertiary level cancer care provider located in an eastern Indian city, a COVID-19 hotspot, we share our experience from the perspective of haematology and haematopoietic stem cell transplantation (HSCT) services. The primary challenges related to infection control included infection screening and decreasing exposure among patients and hea

Trends in Medicare reimbursement for end-stage renal disease: 1974-1979.

This article presents detailed analyses of the trends in Medicare expenditures for persons with end-stage renal disease. Program expenditures increased at an annual rate of 30.5 percent from 1974 to 1981. Three-fourths of this increase was a result of increases in enrollment. Per capita reimbursements for dialysis patients increased at a 5.2-percent annual rate and per capita reimbursements for transplant patients increased at a 10.5-percent annual rate. In 1979, per capital reimbursements for home dialysis patients were $5,000 less than for in-unit dialysis patients. Patient characteristics s

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… Entitlement to Medicare benefits was extended to persons with end-stage renal disease with the enactment of the Social Security Amendments of 1972 (Public Law 92-603, Section 299I). It thus became the only catastrophic illness specifically covered by the Medicare program. … Klarman HE Rice DP Cooper BS Sources of increases in selected medical care expenditures, 1929-1969 Social Security Administration, Office of Research and Statistics Staff Paper No. 4 4 1970 Krakauer H Grauman JS McMullan MR The recent U.S. experience in the treatment of end-stage renal disease by dialysis …

Expected benefits and concerns regarding virtual reality in caring for terminally ill cancer patients - a qualitative interview study.

BackgroundMany palliative cancer patients require inpatient hospital treatment for medical reasons, which contrasts their frequent desire to be at home. Virtual reality (VR) could be a way of bringing the home environment closer to them. First observations have shown benefits from VR for inpatients in palliative care. The aim of this qualitative, descriptive study was to explore the expectations of in-patients suffering from incurable cancer and their relatives about VR, in particular individualized VR images of the patients' own home.MethodsSemi-structured interviews with inpatients suffering

Harmonising Hope: Impact of Music Therapy on Cancer Pain and Palliative Care.

ObjectivesMusic therapy can be a harmonising hope for cancer patients under palliative care to overcome fear, anxiety, anger, depression, pain and the range of emotional responses. Music therapists contribute to a comprehensive approach to providing holistic, patient-centred care to mainstream medical treatment. Hence, the study aims to understand the clinical impact of music therapy in cancer pain and palliative care.Materials and methodsAfter approval from the Institutional Review Committee and getting informed consent, a total of 102 individual music therapy sessions were conducted for 43 p

Healing Environments for Cancer Care: Toward a Patient-Centered Design Guideline for Inpatient Settings.

ObjectivesThis study proposes an evidence-based design guideline for oncology inpatient rooms that addresses the physical, emotional, and psychosocial needs of cancer patients.BackgroundCancer inpatients frequently experience long hospital stays with emotional vulnerability and clinical stress. Growing evidence suggests environmental design can shape patient experience, comfort, and recovery. Yet, current literature lacks an integrated framework for the spatial and sensory needs of this population.MethodA systematic literature review was conducted across Web of Science, Scopus, and PubMed. Fro

Отношение группы по гемато-онкологии к тому, чтобы направлять пациентов на паллиативный уход: качественное исследование.

ЦЕЛЬ: Согласно международной литературе, пациенты с гематологическими заболеваниями часто обращаются к паллиативному лечению (ПХ) на позднем этапе. Цель этого исследования заключается в изучении отношения группы по уходу за гемато-онкологами к направлению пациентов на ПК в больницу четвертого уровня в Боготе (Distrito Capital). МЕТОДЫ: Это аналитическое качественное исследование проводилось в рамках индивидуальных целевых групп в период с мая 2024 и октябрь 2024 в Университете Колумбии в Боготе, Колумбия. Данные анализировались на тематической основе с использованием рамочного анализа - аналит

Digital therapeutics from bench to bedside.

As a new therapeutic technique based on digital technology, the commercialization and clinical application of digital therapeutics (DTx) are increasing, and the demand for expansion to new clinical fields is remarkably high. However, the use of DTx as a general medical component is still ambiguous, and this ambiguity may be owing to a lack of consensus on a definition, in addition to insufficiencies in research and development, clinical trials, standardization of regulatory frameworks, and technological maturity. In this study, we conduct an in-depth investigation and analysis of definitions,

Establishing a successful outpatient CAR T-Cell program with cilta-cel: real-world experience from an expert roundtable.

In less than a decade since their first approval, chimeric antigen receptor T-cell (CAR-T) therapies have moved into earlier lines of therapy, shifting administration from an inpatient to an outpatient setting and increasing patient demand. Several CAR-T outpatient programs have been initiated to meet patient and institution needs, resulting in resource conservation, increased treatment capacity, reduced hospitalization times, and financial advantages. Ciltacabtagene autoleucel (cilta-cel) is uniquely suited for outpatient administration, given its predictably delayed cytokine release syndrome

Return to work experiences of patients treated with stem cell transplantation for a hematologic malignancy.

PurposeThis qualitative study aimed to identify hematopoietic stem cell transplantation (HSCT) survivors' (1) work perceptions; (2) barriers to and facilitators of return to work (RTW); and (3) possible solutions to improve RTW.MethodFifteen patients treated with HSCT 1-5 years ago participated in face-to-face semi-structured interviews. Interviews were analyzed following the steps of thematic content analyses.ResultsRTW was often characterized as a complex and prolonged trajectory, and it was frequently incomplete in working hours, tasks, and/or responsibilities. Work perceptions varied betwe

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… Still, also the Dutch social security system in which employees are protected against dismissal due to illness might play a role [ 21 ]. …

Patient-reported pain severity and health-related quality of life in patients with multiple myeloma in real world clinical practice.

BACKGROUND: The association between patient self-reported pain severity and health-related quality-of-life (HRQoL) is poorly understood. AIMS: This real-world study of symptomatic multiple myeloma (MM) patients sought to determine how pain severity from a single question asked during routine clinical consultation was associated with HRQoL. METHODS AND RESULTS: Point-in-time data on HRQoL of 330 patients with MM (median age 70 years) receiving anti-myeloma therapy in Germany and Italy from November 2017 through February 2018 were analyzed. HRQoL was assessed using validated questionnaires (Wo

Patient-Centered Insights on Treatment Decision Making and Living with Acute Myeloid Leukemia and Other Hematologic Cancers.

Expectations relating to treatment and survival, and factors influencing treatment decisions are not well understood in adult patients with acute myeloid leukemia. This study analyzed combined findings from a targeted literature review with patient-reported information shared on YouTube to further understand patient perspectives in hematologic cancers and, in particular, acute myeloid leukemia. The targeted literature review included articles concerning patient (aged ≥ 18 years) experiences or perspectives in acute myeloid leukemia or other hematologic cancers. YouTube video selection criteria

Analysis of medico-social factors for return to work among patients presenting with haematological malignancy (adamantine): results of a 'pilot study'.

ObjectiveThe aim of this study was to describe return to work determinants in patients with haematological malignancy.ResultsThis medico-social pilot study included patients with haematological malignancy in the département of Calvados, aged 18 to 55 years, diagnosed between 1st January and 31st December 2010 and alive at 1st January 2015. Patients were identified via consultation of the Lower Normandy haematological malignancy Registry. They completed a specially developed self-questionnaire, in addition to validated questionnaires for anxiety-depression, quality of life and fatigue. Of the p

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… Table 3 Analysis of obstacles to job retention (n = 52) Group 1 b Group 2 b p-value* Number of subjects 46 6 Sex 1.0 Men: n (%) 23 (50) 3 (50) Women: n (%) 23 (50) 3 (50) Mean age (SD*) (years) 49.8 (9.2) 52.5 (4.4) 0.73 Length of service (years) (SD) 16.5 (12.5) 15.8 (7.4) 0.84 Social security scheme … security scheme | 1.0 General: n (%) | 31 | 4 | Farming: n (%) | 3 | 0 | Civil service: n (%) | 6 | 2 | Self-employed: n (%) | 2 | 0 | Other: n (%) | 2 | 0 | Missing data: n(%) | 2 | – | Duration of sick leave (months): mean | 16.1 | 42.2 | 0.002 Type of employment contract | 1.0 Permanent: n …

Предсказатели способности работать в множестве склерозов.

Множественный склероз (MS) — хроническое расстройство, которое, как правило, свидетельствует об аккумулировании инвалидности и влияет на трудоспособность. Острота заболевания, как правило, определяется врачами, имеющими расширенную шкалу учета инвалидности (EDSS) в клинике, однако имеются также опросные листы, о которых сообщают пациенты, такие, как шкала множественных последствий склероза (MSIS-29) или шкала утомления моторных и когнитивных функций (FSMC). Цель этой работы заключалась в изучении количественной связи между степенью серьезности заболеваний и числом дней с выплатой пособий по бо

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… Kavaliunas A., Wiberg M., Tinghög P., et al., “Earnings and Financial Compensation From Social Security Systems Correlate Strongly With Disability for Multiple Sclerosis Patients,” PLoS One 10, no. 12 (2015): e0145435. 30. …

Влияние ориентированной на семью gamification на самоуправление людьми с множественным склерозом: протокол исследования смешанных методов.

ВВЕДЕНИЕ: Множественный склероз (МС) является хроническим заболеванием центральной нервной системы, которое затрагивает миллионы людей во всем мире, в том числе людей в Иране. Она затрагивает главным образом молодежь, что приводит к возникновению биопсихосоциальных проблем с непредсказуемыми симптомами. Самоуправление имеет решающее значение, но сопряжено с трудностями из-за отсутствия окончательного лечения. Новые подходы, такие, как медико-санитарные меры, в частности gamification, направлены на более эффективное привлечение пациентов. Хорошо продуманная gamification может оказать позитивное

Cancer Patients' Perspectives and Requirements of Digital Health Technologies: A Scoping Literature Review.

Digital health technologies have the potential to alleviate the increasing cancer burden. Incorporating patients' perspectives on digital health tools has been identified as a critical determinant for their successful uptake in cancer care. The main objective of this scoping review was to provide an overview of the existing evidence on cancer patients' perspectives and requirements for patient-facing digital health technologies. Three databases (CINAHL, MEDLINE, Science Direct) were searched and 128 studies were identified as eligible for inclusion. Web-based software/platforms, mobile or smar

Cannabis in Hematology Survey Study (CHESS): A Longitudinal Investigation on Uses, Attitudes, and Outcomes of Cannabis Among Hematology Patients Undergoing Hematopoietic Stem Cell Transplant.

Cancer patients use cannabis for medicinal purposes; however, few studies have examined hematology patients' use of cannabis and no research to our knowledge has investigated the use of cannabis amongst hematology patients before and after hematopoietic stem cell transplant (HCT). The purpose of this longitudinal survey study was to assess aspects of cannabis use in patients who underwent HCT. Eligible patients (N = 30) completed two surveys before and 90 days following their HCT. The surveys inquired about several aspects of cannabis (e.g., rate of use, beliefs and attitudes, access to inform

Preoperative stereotactic radiosurgery for brain metastases: the STEP study protocol for a multicentre, prospective, phase-II trial.

BackgroundSurgery is an important therapeutic option for brain metastases. Currently, postoperative stereotactic radiosurgery (SRT) leads to 6-month and 1-year local control estimated at 70 and 62% respectively. However, there is an increased risk of radio-necrosis and leptomeningeal relapse. Preoperative SRT might be an alternative, providing local control remains at least equivalent. It is an innovative concept that could enable the stereotactic benefits to be retained with advantages over post-operative SRT.MethodsSTEP has been designed as a national, multicentre, open-label, prospective, n

Разоблачение зоны Postrema на МРТ: мощность 3D FLAIR, 3D-T2, и 3D-DIR Последовательность в исследовании по вопросам контроля за рассмотрением дел.

Пострема (AP) является ключевым объездным органом, занимающимся регулированием автономических функций. Точная идентификация AP с помощью MRI имеет важное значение для нейроимации, но она сопряжена с трудностями. В рамках этого исследования была проведена оценка 3D FSE Cube T2Wi, 3D FSE Cube FLAIR и 3D DIR последовательностей для улучшения обнаружения AP у пациентов с множественным склерозом (MS) и без него. Включено исследование по вопросам контроля за конкретными случаями 35 больные с синдромом MS и 35 с другими недезинфицирующими заболеваниями центральной нервной системы (ND-CNSD). МРТ были

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… Institutional Review Board Statement The study was conducted in accordance with the Declaration of Helsinki, and approved by the Institutional Review Board (or Ethics Committee) of Mexican Institute of Social Security (R-2023-1301-212). … Funding Statement This research was funded by Mexican Institute of Social Security (IMSS) and National Council for the Humanities, Sciences and Technologies (CONAHCYT). …

Framework for integrating electronic patient-reported data in routine cancer care: an Oncology Intake Questionnaire.

ObjectiveAs part of ongoing implementation of electronic patient-reported outcome tools at the Dana-Farber Cancer Institute, here we describe the development of the electronic New Patient Intake Questionnaire.Materials and methodsThe original New Patient Intake Questionnaire includes a review of symptoms, oncology history, family history, health behaviors, health and social status, health literacy and numeracy, which was modified for integration into the EHR using content determination, build and configuration, implementation, analytics, and interventions. The engagement of key stakeholders, i

Iceland screens, treats, or prevents multiple myeloma (iStopMM): a population-based screening study for monoclonal gammopathy of undetermined significance and randomized controlled trial of follow-up strategies.

Monoclonal gammopathy of undetermined significance (MGUS) precedes multiple myeloma (MM). Population-based screening for MGUS could identify candidates for early treatment in MM. Here we describe the Iceland Screens, Treats, or Prevents Multiple Myeloma study (iStopMM), the first population-based screening study for MGUS including a randomized trial of follow-up strategies. Icelandic residents born before 1976 were offered participation. Blood samples are collected alongside blood sampling in the Icelandic healthcare system. Participants with MGUS are randomized to three study arms. Arm 1 is n