January 17th, 2011 by RyanDuBosar in Better Health Network, Research
Tags: ACP Internist, American College Of Physicians, Cancer Prevalence, Cancer Treatment, CMS, Cost of Cancer Care, Cost of Healthcare, Journal of the National Cancer Institute, National Institutes of Health, NCI, NIH, Oncology, Ryan DuBosar, SEER, Surveillance Epidemiology and End Results, U.S. Center for Medicare and Medicaid Services
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Medical expenditures for cancer are projected to reach at least $158 billion in today’s dollars by 2020. That’s a 27 percent increase, assuming that incidence and treatment costs remain at 2010 levels, according to a National Institutes of Health (NIH) analysis of growth and aging of the U.S. population.
But new diagnostic tools and treatments could raise medical expenditures as high as $207 billion, assuming that the costs of new treatments increases 5 percent, said the researchers from the National Cancer Institute (NCI), part of the NIH. The analysis appears in the Journal of the National Cancer Institute. Recent trends reflect a 2 percent annual increase in medical costs in the initial and final phases of care, which would boost projected 2020 costs to $173 billion.
Projections of expenses, assuming steady incidence and survival rates and no increase in treatment costs
Projections were based on the most recent data available on cancer incidence, survival and costs of care. In 2010, medical costs associated with cancer were projected to reach $127.6 billion, with the highest costs associated with breast cancer ($16.5 billion), followed by colorectal cancer ($14 billion), lymphoma ($12 billion), lung cancer ($12 billion) and prostate cancer ($12 billion). Read more »
*This blog post was originally published at ACP Internist*
January 14th, 2011 by AndrewSchorr in Research, True Stories
Tags: Andrew Schorr, Beth Anne Baber, Bonnie Addario, Cancer Research, Lung Cancer Foundation, Neuroblastoma, Oncology, Patient Empowerment, Patient Power, Pediatrics, Personalized Medicine World Conference, Pulmonology, The Nicholas Conor Institute
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I am really excited about serving as the emcee for next week’s Personalized Medicine World Conference in Mountain View, California near San Francisco. I also will be the moderator of a panel discussion on patient empowerment. As I prepare, I am interviewing the panelists and their stories are very inspiring.
One panelist is Bonnie Addario. Bonnie had been an oil company executive in the Bay Area. She began having chest pain. Was it her heart? No. Was it a nerve problem? No. Doctors were stumped. Bonnie was frustrated, but she was also a woman of action — a “powerful patient.” She went on her own for a full body scan. The news was not good. A lung cancer tumor was wrapped around her aorta and other vessels. It was inoperable. But, fortunately, chemotherapy and radiation shrunk the tumor and loosened the stranglehold it had on her blood vessels. Surgery was then possible. It took 17 hours and she even had more radiation before she left the operating room.
Bonnie’s life was saved. But what then? She was a changed woman who wanted to do more to advance care in lung cancer. She organized a conference, first to help UCSF, where she was treated, but it immediately became clear it should be bigger. Bonnie found herself forming the Lung Cancer Foundation. Read more »
*This blog post was originally published at Andrew's Blog*
January 14th, 2011 by RyanDuBosar in Health Policy, Research
Tags: Accountable Care Organizations, ACP Internist, American College Of Physicians, Archives of Internal Medicine, Communication Gap, Doctor-to-Doctor Communication, Electronic Medical Records, EMRs, General Medicine, Health Information Technology, Medical Specialty, Patient Handoffs, Patient-Centered Medical Home, Patient's History, Physician Referrals, Primary Care, Ryan DuBosar
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Far more primary care doctors report detailed referrals than do specialists report receiving them. The same applies in reverse. Specialists report returning quality consultations, while primary care physicians report receiving them far less often.
Researchers reported in Archives of Internal Medicine that perceptions of communication regarding referrals and consultations differed widely. While 69.3 percent of primary care physicians reported “always” or “most of the time” sending a patient’s history and the reason for the consultation to specialists, only 34.8 percent of specialists said they “always” or “most of the time” received the information. And, while 80.6 percent of specialists said they “always” or “most of the time” send consultation results to the referring physicians, only 62.2 percent of primary care physicians said they received it.
So where are the reports going? Read more »
*This blog post was originally published at ACP Internist*
January 13th, 2011 by Harriet Hall, M.D. in Book Reviews, Research
Tags: Anti-Vaccine Movement, Bacterial Infection, Dr. Harriett Hall, Epidemiology, Flu Deaths, Flu Epidemic, Flu Vaccine, Flu Virus, Homeopathy, Immunology, Infectious Disease, Influenza, John M. Berry, Pneumonia, Public Health, Science and Medicine, Science Based Medicine
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One of our readers suggested that I review the book The Great Influenza: The Epic Story of the Deadliest Plague in History, by John M. Barry. It’s not a new book (it was published in 2004) but it is very pertinent to several of the issues that we have been discussing on this blog, especially in regards to the current anti-vaccine movement. It’s well worth reading for its historical insights, for its illumination of the scientific method, and for its accurate reporting of what science has learned about influenza.
In the great flu epidemic of 1918, influenza killed as many people in 24 weeks as AIDS has killed in 24 years. It’s hard to even imagine what that must have been like, but this book helps us imagine it. It tells horror stories: Children found alone and starving beside the corpses of their parents in homes where all the adults had died, decomposing bodies piling up because there was no one left who was healthy enough to bury them.
Sometimes the disease developed with stunning rapidity: During one three-mile streetcar trip, the conductor, three passengers, and the driver died. In another incident, apparently healthy soldiers were being transferred to a new post by train: During the trip, men started coughing, bleeding, and collapsing; and by the time it arrived at its destination, 25 percent of the soldiers were so sick they had to be taken directly from train to hospital. Two-thirds of them were eventually hospitalized in all, and 10 percent of them died. The mind boggles. Read more »
*This blog post was originally published at Science-Based Medicine*
January 13th, 2011 by RamonaBatesMD in Health Tips, Research
Tags: Archives of Dermatology, Dr. Joel Hillhouse, Dr. Ramona Bates, East Tennessee State University, Indoor Tanning, Maternal Influence, Mother-Daughter Relationship, Oncology, Personal Appearance, Preventive Health, Preventive Medicine, Skin Cancer Prevention, Skin Cancer Risk, Skin Damage, Suture For A Living, Tanning Beds, Teen Health, Teenage Girls, UV Rays, Young Women
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Not all maternal influence on daughter behavior is good. Take for example the influence of the unhealthy use of indoor tanning beds as presented in a recent Archives of Dermatology article (full reference below) which “investigated whether indoor tanning with one’s mother the first time would influence frequency of tanning later in life and whether it was associated with age of initiation.”
Joel Hillhouse, Ph.D., of East Tennessee State University-Johnson City and colleagues published a study the May 2010 issue of the Archives of Dermatology which looked at which health-based intervention worked best in reducing skin cancer risks. They found that “emphasizing the appearance-damaging effects of UV light, both indoor and outdoor, to young patients who are tanning is important no matter what their pathological tanning behavior status.”
For this study, Hillhouse and colleagues randomly selected a total of 800 female students who were then sent a screening questionnaire on their indoor tanning history. Those who reported ever indoor tanning (n = 252) were invited to participate in the study and offered an incentive ($5). A total of 227 (mean age, 21.33 years; age range, 18-30 years) agreed, signed informed consent documents, and completed assessments.
One of the questions asked who accompanied the participant the first time they indoor tanned (i.e. tanned alone, with friend, with mother, or other). Read more »
*This blog post was originally published at Suture for a Living*
Projections of expenses, assuming steady incidence and survival rates and no increase in treatment costs
