Study shows improving survival rates among some cancer patients | Study: Radiation, not active surveillance, is most common prostate cancer choice | Light daily activity can have heart benefits in elderly
February 20, 2015
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Study shows improving survival rates among some cancer patients
A study in JAMA Oncology showed that the survival rates of many Americans with breast, prostate, liver, lung, and colon or rectum cancers have improved from 1990 to 2009. Patients aged 50 to 64 diagnosed with cancer of the colon or rectum from 2005 to 2009 had a 43% lower risk of death than patients diagnosed from 1990 to 1994, the study found. HealthDay News (2/19)
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Nursing, Health & Medical Science
Study: Radiation, not active surveillance, is most common prostate cancer choice
Carcinoma of the prostate.
Histopathology of carcinoma of the prostate. (Callista Images)
A study in JAMA Oncology found that many prostate cancer patients choose treatment over active surveillance. An analysis of 38,000 men older than 65 who were diagnosed from 2004 to 2007 found that 58% had radiation therapy, 19% had their prostate removed and 10% had active surveillance. "We believe treatment -- radiation or surgery -- shouldn't be 90% of what's being done," said urologist Sandip Prasad of the Medical University of South Carolina, who co-wrote a commentary on the study. HealthDay News (2/19)
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Light daily activity can have heart benefits in elderly
Data from more than 1,100 adults in their 70s and 80s who had limited mobility showed that those who had some daily movement, including slow walking or light housework, had a lower risk of heart attack over the next decade, researchers reported in the Journal of the American Heart Association. The study did not prove cause and effect, but cardiologist Gerald Fletcher of the Mayo Clinic commented that it should encourage physicians and families to help elderly patients look for ways to remain active. HealthDay News (2/18)
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Cancer survivors need help making lifestyle changes, study says
Oncology clinicians and care teams should help cancer survivors make changes in diet and exercise, according to a study on the website of CA: A Cancer Journal for Clinicians. Researchers at the University of Alabama at Birmingham wrote that interventions could include weight-management programs coordinated with primary care providers, nutrition counseling and exercise training. News (2/18)
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Study links multivitamin-mineral use to lower risk of heart disease death
Women who had been taking multivitamin-mineral supplements for at least three years had a 35% lower risk of dying from heart disease over the next 18 years, compared with those who did not take them, according to a study in the Journal of Nutrition. The study, led by a registered dietitian from the NIH Office of Dietary Supplements, found the results did not hold true for women who had been taking the supplements for less than three years or for men. Reuters (2/18)
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Trends & Technologies
Spending on health care accelerating, report finds
An Altarum Institute report found U.S. health care spending is accelerating, with growth of 5% in 2014, up from 3.6% the year before. It's the largest increase since before the recession. Higher drug prices and an increase in the number of insured Americans are among the factors that could be driving the trend. Bloomberg (2/18)
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PCMH model boosts cancer screening rates, study says
Study data from 2,218 primary care practices linked the patient-centered medical home model with higher screening rates for breast, colorectal and cervical cancers among patients with the lowest socioeconomic status. Researchers reported in JAMA Internal Medicine that cervical and breast cancer screenings among patients in the highest economic group were not affected by the PCMH model, but tests for colorectal cancer did increase. Medscape (free registration) (2/18)
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Legislative Policy & Regulatory News
Agency defers implementation of overpayment rule
The CMS will defer the implementation of a rule meant to collect millions in excess payments for health care services until Feb. 16 next year. However, health care providers are still required to return excess payments within 60 days under the proposed rule. McKnight's Long-Term Care News (2/18)
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ACA enrollment raises the stakes in Supreme Court case
About 8.6 million people in 37 states used to enroll in or renew a 2015 health insurance plan, and the majority of them would lose their premium subsidies if the Supreme Court rules that tax credits are available only through state-run exchanges. More than 85% of users qualified for a tax credit, HHS Secretary Sylvia Mathews Burwell said. The New York Times (tiered subscription model) (2/19)
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Editor's Note
Tuesday's SmartQuote, credited to Hannah Szenes, should have identified her as a Hungarian-born paratrooper for the British forces. Szenes was part of a group of Jewish soldiers parachuted into Yugoslavia by the British army to help rescue Hungarian Jews there.
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Your present circumstances don't determine where you can go; they merely determine where you start."
-- Nido Qubein,
businessman and motivational speaker
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