Culture

Lower income patients less likely to participate in cancer clinical trials

MAYWOOD, Il. -- Lower-income cancer patients are less likely to participate in cancer clinical trials, according to a study co-authored by Loyola University Medical Center oncologist Kathy Albain, MD, FACP.Patients with incomes of less than $50,000 per year were 27 percent less likely than higher-income patients to participate in clinical trials, and those with incomes less than $20,000 were 44 percent less likely to participate.Fifty-three percent of patients with incomes less than $20,000 per year expressed concerns about their costs of participating in clinical trials.

New statistical model lets patient's past forecast future ailments

Analyzing medical records from thousands of patients, statisticians have devised a statistical model for predicting what other medical problems a patient might encounter.

Like how Netflix recommends movies and TV shows or how Amazon.com suggests products to buy, the algorithm makes predictions based on what a patient has already experienced as well as the experiences of other patients showing a similar medical history.

Antidepressant helps relieve pain from chemotherapy, study finds

ANN ARBOR, Mich. — The antidepressant drug duloxetine, known commercially as Cymbalta, helped relieve painful tingling feelings caused by chemotherapy in 59 percent of patients, a new study finds. This is the first clinical trial to find an effective treatment for this pain.

Future medical conditions predicted with new statistical model

Analyzing medical records from thousands of patients, statisticians have devised a statistical model for predicting what other medical problems a patient might encounter.

Like how Netflix recommends movies and TV shows or how Amazon.com suggests products to buy, the algorithm makes predictions based on what a patient has already experienced as well as the experiences of other patients showing a similar medical history.

Lower income cancer patients less likely to be involved in clinical trials

ANN ARBOR, MICH. — Cancer patients with annual household incomes below $50,000 were less likely to participate in clinical trials than patients with annual incomes of $50,000 or higher, and were more likely to be concerned about how to pay for clinical trial participation. This is the conclusion of a large study by the SWOG cancer research cooperative group that will be presented at the annual meeting of the American Society for Clinical Oncology (ASCO) in Chicago this week.

A patient's socioeconomic status may predict their preference in treatment options

CHICAGO, IL (June 1, 2012)––Though it would seem logical, cancer patients don't always choose therapies with the best chance for survival—cost and side effects are also major considerations. Little has been known about the extent to which cost and side effects influence a patient's treatment decision. Now, new findings by Fox Chase Cancer Center researchers reveals that a patient's socioeconomic status, more than any other characteristic—such as age or disease site—is predictive of whether he or she will favor high efficacy, low cost or low toxicity when choosing a treatment.

Caltech research shows Medicare auction will face severe difficulties

PASADENA, Calif.—Medicare's new method for buying medical supplies and equipment—everything from wheelchairs and hospital beds to insulin shots and oxygen tanks—is doomed to face severe difficulties, according to a new study by Caltech researchers.

The Center for Medicare and Medicaid Services (CMS) implemented the purchasing process—a novel type of auction—in nine metropolitan areas across the country last year and plans to expand it to 91 in 2013.

Alcohol may trigger serious palpitations in heart patients

The term "holiday heart syndrome" was coined in a 1978 study to describe patients with atrial fibrillation who experienced a common and potentially dangerous form of heart palpitation after excessive drinking, which can be common during the winter holiday season. The symptoms usually went away when the revelers stopped drinking. Now, research from UCSF builds on that finding, establishing a stronger causal link between alcohol consumption and serious palpitations in patients with atrial fibrillation, the most common form of arrhythmia.

Low-fiber diet puts adolescents at higher risk of cardiovascular disease

AUGUSTA, Ga. – Adolescents who don't eat enough fiber tend to have bigger bellies and higher levels of inflammatory factors in their blood, both major risk factors for cardiovascular disease and diabetes, researchers report.

The study of 559 adolescents age 14-18 from Augusta, Ga., showed they consumed on average about one-third of the daily recommended amount of fiber, said Dr. Norman Pollock, bone biologist at the Medical College of Georgia and the Institute of Public and Preventive Health at Georgia Health Sciences University.

More than 9-in-10 ED patients who receive CT of the abdomen and pelvis are clinically complex

The overwhelming majority (93.8 percent) of patients undergoing computed tomography (CT) of the abdomen and pelvis (CTAP) in the emergency department (ED) setting are classified as clinically complex, according to a study in the June issue of the Journal of the American College of Radiology. Clinically complex is used to describe patients who are, based on documentation of their ED physician, much sicker than others.

Caring for patients with fecal incontinence costs more than $4,000 per person each year

Ann Arbor, Mich. — Care for patients with fecal incontinence costs $4,110 per person for both medical and non-medical costs like loss of productivity, according to new research from the University of Michigan.

The prevalence of fecal incontinence is expected to increase substantially, as the elderly population in the U.S. continues to grow rapidly. The study, published this month in the journal Diseases of the Colon & Rectum, is the first U.S.-based study to assess the per-patient annual economic costs of the condition.

Vena cava filters do not lower mortality rate in most embolism cases

EAST LANSING, Mich. — A filter used to block clots from passing from the veins in the legs to the arteries of the lung does not improve mortality rates for most patients suffering a pulmonary embolism. However, if a patient is unstable – in shock or requires a ventilator – filters can save lives.

Furthermore, for unstable patients with a pulmonary embolism, it is crucial they receive clot-dissolving medications known as thrombolytic therapy.

SHSU professor investigates trends for elderly and crime

HUNTSVILLE, TX (5/31/12) -- While the elderly represent the fastest growing segment of the population, too little is known about the nature and scope of crime impacting this generation. Victoria Titterington of Sam Houston State University is trying to change that with a series of studies that examine the elderly and crime.

Penn study finds delayed side effects of head and neck cancer treatments go unreported

CHICAGO – New data from an Internet-based study show that patients with head and neck cancers (HNC) may be at risk for significant late effects after their treatment, but they're unlikely to discuss these and other survivorship care issues with their doctors. The findings, from researchers at the Perelman School of Medicine at the University of Pennsylvania, will be presented Monday, June 4, at the 2012 American Society of Clinical Oncology (ASCO) meeting in Chicago.

ASCO: Liver metastases and its prognostic significance in men with metastatic prostate cancer

PHILADELPHIA—Liver metastases predicts shorter overall survival in men with metastatic castration-refractory prostate cancer (mCRPC), according to data being presented at the 2012 American Society of Clinical Oncology Annual Meeting in Chicago. (Abstract # 4655, Sunday, June 3, 8:00 AM - 12:00 PM CST, S Hall A2).