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Cost-effectiveness of cancer interventions in Rwanda: literature review and expert elicitation for health benefits package design.

IntroductionPrioritising health benefits packages (HBPs) that specify which health services are covered under insurance is sometimes done in disease-specific clusters. Cancer is a good candidate for this, given its high cost and rising disease burden, particularly in low- and middle-income countries.The Government of Rwanda assessed 49 cancers against nine criteria to inform the design of its HBP. Each cancer had a basic, core and enhanced package of services, and one preventive intervention was assessed, totalling 148 interventions. This paper focuses on the results of one criterion: cost-eff

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… The CBHI covers more than 80% of the population 9 and is managed by the Rwanda Social Security Board. … The authors would like to thank all the cancer experts who participated in the HBP design process; all 17 members of Rwanda’s HBP committee which appraised the evidence; additional contributions from the Rwanda Social Security Board, Ministry of Health, University of Rwanda School of Public Health and …

Impact of Adding a Rapid PCR-Based Blood Culture Identification Panel to the Antimicrobial Stewardship Program of Patients with Febrile Neutropenia in a Peruvian Referral Hospital.

The addition of Biofire® FilmArray® Blood Culture Identification panel 2 (BCID2) to the antimicrobial stewardship program (ASP) could improve outcomes in bloodstream infections (BSI) of patients with febrile neutropenia (FN). A pre- and post-quasi-experimental single-center study was conducted at a reference hospital in Peru. Three groups were considered: patients with BSI before ASP intervention (control group), patients with BSI after ASP intervention (group 1), and patients with BSI after ASP intervention plus BCID2 PCR Panel implementation (group 2). Overall, 93 patients were identified (3

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… Hinojosa-Andía et al. reported a predominance of gram-negative bacteremia in two years of follow-up in another social security hospital, as ESBL-producing Klebsiella pneumoniae is related to mortality in patients with acute leukemia who received reinduction chemotherapy [ 13 ]. … Fourth, despite the local initiatives of our hospital in order to consolidate an ASP, there are still no regulations for all the social security centers in Peru and reports of clinical or impact indicators of these programs are still very scarce. …

Fighting trafficking of falsified and substandard medicinal products in Russia.

BACKGROUND: The trafficking of falsified and substandard medicinal products is a global socio-economic problem, which poses a serious threat to economy and health of populations of most countries, including the Russian Federation. OBJECTIVE: To identify the main achievements and challenges in the fight against trafficking of falsified and substandard medicinal products in the Russian Federation, to formulate possible solutions to these problems. METHODS: The study of criminal cases and statistical information about the level of crime in the Russian Federation; legal analysis of regulatory le

Using a digital patient powered research network to identify outcomes of importance to patients with multiple myeloma.

BACKGROUND: Social media platforms give patients a voice by allowing them to discuss their health and connect with others. These unfiltered and genuine reports offer direct access to what matters most to patients. Exploring the patient-reported outcomes discussed in these platforms reveal clinical insights and behavioral patterns of the real-world patient journey. This research study reviewed health-related quality of life (HRQoL) concepts reported by patients with multiple myeloma (MM). METHODS: Data were obtained using the Belong.life patient-powered research network (PPRN) using social med

Transplant Programs in APBMT: Blood and Marrow Transplant Activity Report from Myanmar APBMT Meeting 2018, Taiwan.

Hematopoietic stem cell transplantation (HSCT) was introduced in Myanmar in 2014 and was first performed in a patient with multiple myeloma at the North Okkalapa General and Teaching Hospital. From 2014 to 2016,transplantation activities were in the preliminary stage of establishing the infrastructure and gradually developing capacity-building. In 2016, the Yangon General Hospital also commenced autologous transplantation for myeloma. Five autologous transplants were performed in Myanmar during 2016 in patients with myeloma, using high-dose melphalan and non-cryopreserved peripheral blood stem

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… Despite the existence of the social security system in Myanmar, its coverage is limited to individuals from selected government ministries and public sector employees. …

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

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… Social security and SUS: revisiting the theme. Saúde e Sociedade; 2005: 14 (1): 7–22. 10.1590/S0104-12902005000100003. Epub 01 Apr 2008. ISSN 1984–0470. Accessed on 29 Jun 2022 38. Mendes A. The long battle for SUS funding. Saúde e Sociedade 2013 22(4): 987–993. 10.1590/S0104-12902013000400002. …

Консолидация, систематическая оценка и сопоставление руководящих рекомендаций в отношении лечения хронической боли: Протокол для составления карты рекомендаций в отношении цифрового хронического заболевания.

ВВЕДЕНИЕ: Хроническая боль 1 В 5 :: взрослые и дети во всем мире; однако управление попрежнему носит весьма различный характер, и, как правило, обеспечивается низкий уровень медицинского обслуживания. Несогласованность рекомендаций, содержащихся в руководящих принципах клинической практики в отношении лечения хронической боли, способствует неоптимальному лечению пациентов. Мы будем разрабатывать и распространять живую цифровую карту рекомендаций в отношении хронической боли (e-Chronic Bain RecMap) для выявления заслуживающих доверия рекомендаций в three высокоприоритетные области1) опиоиды,2)

Оценка знаний и информации лиц, живущих с множественным склерозом: межсекторное исследование вопросника.

Интернет стал основным источником информации по вопросам здравоохранения для людей, страдающих множественным склерозом (МС). Однако с учетом большого количества дезинформации, обнаруженной в Интернете, такое поведение может представлять серьезную угрозу для пользователей Интернета. ЦЕЛЬ: Данное исследование направлено на изучение знаний и поведения людей, живущих с РС, в специализированной клинике MS, где образование является краеугольным камнем ухода. МЕТОДЫ: Это межсекторальное исследование, основанное на обследованиях 20 правдивые или ложные заявления, охватывающие как научные факты, так и

Eliminating REMS for CAR T-Cell Therapies: An Opportunity to Improve Access.

Autologous Chimeric antigen receptor (CAR) T-cell therapies have demonstrated substantial efficacy in patients with relapsed or refractory hematologic malignancies; however, their implementation has been constrained by regulatory barriers. Risk Evaluation and Mitigation Strategies (REMS), mandated by the U.S. Food and Drug Administration (FDA), were initially implemented to mitigate risks associated with cytokine release syndrome (CRS), immune effector cell-associated neurotoxicity syndrome (ICANS), and other treatment-related toxicities. On 27 June 2025, the FDA removed REMS requirements for

Оказываешь новую клиническую услугу - что у тебя в лифте?

Люди с множественным склерозом (PwMS) определяют эмоциональное благополучие как одну из ключевых неудовлетворенных потребностей в уходе. Меры, основанные на заботливости, могут повысить эмоциональное благосостояние в ПВМС; вместе с тем отсутствует информация о том, как они применяются в рамках обычного ухода. Лица, оказывающие влияние на политику в области здравоохранения, могут получить критическую информацию о процессе осуществления. Цель этого исследования заключалась в изучении потребностей и приоритетов тех, кто оказывает влияние на политику в области здравоохранения, в деле внедрения МБМ

Data resource profile: Transforming Outcomes through Research in Cancer Healthcare in Victoria (TORCH-VIC).

INTRODUCTION: The Transforming Outcomes through Research in Cancer Healthcare in Victoria (TORCH-VIC) is a comprehensive population-based cohort that links cancer diagnoses recorded in the Victorian Cancer Registry with administrative health data to capture the complete cancer journey from pre-diagnosis through long-term outcomes. Established in 2022, TORCH-VIC provides real-world evidence on healthcare utilisation, patterns of care, costs, and outcomes across the cancer continuum in Victoria, Australia. METHODS: TORCH-VIC comprises adults aged 18 years and over diagnosed with colorectal, lun

Accelerating novel therapies for sickle cell disease with RWE: ASH RC Data Hub as a strategically coordinated registry network.

AbstractReal-world evidence (RWE) has been used to improve quality of care, accelerate innovation, and evaluate emerging therapies for drugs, devices, and biologics. The Coordinated Registry Network (CRN), aggregating and linking highly curated patient data, has emerged as a model for RWE generation that has guided the development of the American Society of Hematology Research Collaborative (ASH RC) Data Hub. With the aim of bolstering research, enhancing clinical care, and expediting evidence generation using RWE, the ASH RC and the Innovative Genomics Institute launched a joint initiative, "

Доступ к терапии перенаправления T-Cell в Мультимиломе: пациент, сторож и физиологическая точка зрения на осведомленность и барьеры.

Справочная информация: Лечение перенаправления Т-клеток (TCRTs), включая терапию CAR-T-клеток и биконкретные антитела, изменило методы лечения повторной/охлажденной множественной миеломы (MM), однако реальное усыновление по-прежнему ограничено из-за ограничений в плане осведомленности и доступа пациентов, лиц, обеспечивающих уход, и врачей. Методы: Мы провели перекрестное исследование (июнь-сентябрь) 2025) с использованием одобренных IRB обследований СВОД, распространяемых среди пациентов, имеющих MM (через MyChart), лиц, обеспечивающих уход за получателями ТСПР (по электронной почте) и общинн

Comparative effects of dual-task training versus combined exercise training in water and on land on patients with multiple sclerosis: a study protocol of a randomised factorial trial.

INTRODUCTION: People with multiple sclerosis (PwMS) experience cognitive and motor impairments, including cognitive training and exercise training. This study compares dual task and combined exercise training in water and on land. Water-based training may enhance cognitive and motor function more effectively than land-based training, presenting a promising intervention for PwMS. We explore dual-task training (DTT), including cognitive and motor exercise, with combined exercise in water and on land on the cognition, balance and gait PwMS. METHODS AND ANALYSIS: This is a double-blind 3*2*2 fact

International cooperation in public health in Martinique: geostrategic utility for cancer surveillance in the Caribbean.

BackgroundCooperation in public health and in oncology in particular, is currently a major issue for the island of Martinique, given its geopolitical position in the Caribbean region. The region of Martinique shares certain public health problems with other countries of the Caribbean, notably in terms of diagnostic and therapeutic management of patients with cancer. We present here a roadmap of cooperation priorities and activities in cancer surveillance and oncology in Martinique.Main bodyThe fight against cancer is a key public health priority that features high on the regional health policy

A single-center 7-year experience with end-stage renal disease care in Nigeria-a surrogate for the poor state of ESRD care in Nigeria and other sub-saharan african countries: advocacy for a global fund for ESRD care program in sub-saharan african countries.

Background. A single-center ESRD care experience in a Nigerian teaching hospital is presented as a surrogate case to demonstrate the prevailing ESRD care situation in Nigeria and most SSA countries. Methods. The data of 320 consecutive ESRD patients undergoing maintenance haemodialysis treatment during a seven-year period were retrospectively analyzed. Results. Over 80% of the subjects funded dialysis treatments from direct out of pocket payment. The mean duration on dialysis before dropout was 5.2 ± 7.6 weeks, with majority 314 (98.1%) of the patients unable to sustain dialysis above 12 weeks

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… Origins of medicare disease entitlements, social security amendments of 1972; pp. 176–208. 24. Idem. Organ Transplantation: Issues and Recommendations . Rockville.Md: Department of Health and Human Services. Public Health Service and Health Resources and Services Administration; 1986. 25. …

Создание Visualization of Digital Mobility Outlooks: Delphi-Type Process with Peoples.

СПРАВОЧНАЯ ИНФОРМАЦИЯ: Последние технологические достижения в области изношенных устройств открывают новые возможности для измерения мобильности в реальных условиях. " Mobilise-D " подтвердила результаты цифровой мобильности для получения новых результатов и конечных точек в клинических исследованиях 4 различные долгосрочные заболевания (болезнь Паркинсона, множественный склероз, хроническая обструктивная легочная болезнь и проксимальный бедренный перелом). Эти результаты также дают уникальную информацию, которая имеет важное значение для пациентов; однако имеется ограниченная литера

Identifying Frail Patients by Using Electronic Health Records in Primary Care: Current Status and Future Directions.

With the rapidly aging population, frailty, characterized by an increased risk of adverse outcomes, has become a major public health problem globally. Several frailty guidelines or consensuses recommend screening for frailty, especially in primary care settings. However, most of the frailty assessment tools are based on questionnaires or physical examinations, adding to the clinical workload, which is the major obstacle to converting frailty research into clinical practice. Medical data naturally generated by routine clinical work containing frailty indicators are stored in electronic health r

Множественный опыт и предпочтения в области миеломы: исследование смешанных методов лечения пациентов и партнеров по уходу в Соединенных Штатах.

ЦЕЛЬ: Множественная миелома (ММ) характеризуется рецидивом лечения и сопротивлением, что требует принятия последовательных решений о лечении на протяжении всего курса лечения. Для того чтобы понять, каким образом состояние заболеваний и изменение условий лечения влияют на решения, принимаемые пациентами и партнерами по уходу, было проведено исследование по изучению неинтервенционных смешанных методов. ПАТИЕНТЫ И МЕТОДЫ: Пациенты, самоотчитывающиеся MM и партнеры по уходу, были набраны через Гритское сообщество по борьбе с раком, социальные сети и снежные шары для участия в этом исследовании, п

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… . […] I am on social security disability and unfortunately that does not pay enough for me to live exactly comfortable. (54-year-old patient with nonrefractory MM) The exhaustion, fatigue, mental fatigue has been the most disruptive along with how much administrative work it takes to cover costs and …

Сексуальная дисфункция и качество жизни в различных возрастных группах у пациентов с множественным склерозом: перспективный перекрестный анализ.

ВВЕДЕНИЕ: Множественный склероз (MS), являющийся наиболее распространенным хроническим неврологическим расстройством у молодых людей, существенно влияет на неврологическую функцию, особенно на автономную нервную систему. Хотя физические симптомы видны, MS также вызывает такие скрытые эффекты, как сексуальная дисфункция. Исследования показывают, что сексуальные расстройства чаще встречаются у пациентов, страдающих НР, по сравнению с другими неврологическими заболеваниями и примерно в пять раз чаще, чем у населения в целом. В ходе этого исследования использовались вопросники по вопросам сексуаль