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Adding hormonal therapy to radiation lengthens survival in men with recurring prostate cancer
High-grade cancer that’s still confined to the prostate is generally treated surgically. But a third of the men who have their cancerous prostates removed will experience a rise in blood levels of prostate-specific antigen (PSA). This is called PSA recurrence. And since detectable PSA could signal the cancer’s return, doctors will often treat it by irradiating the prostate bed, or the area where the gland used to be.
In February, researchers reported that radiation is a more effective treatment for PSA recurrence when given in combination with androgen-deprivation therapy (ADT). ADT interferes with the body’s ability...
Source: Harvard Health Blog - May 19, 2017 Category: Consumer Health News Authors: Charlie Schmidt Tags: Cancer Prostate Health Source Type: blogs
To PSA test or not to PSA test: That is the discussion
Though it seems Americans don’t agree on much, screening for cancer is an exception. Who wouldn’t support preventing or identifying cancer at an early, more treatable stage, when the alternative is pain, toxic therapies, and a shortened life? That may be why people get confused when news headlines don’t reinforce a “just do it” message. A recent example of the disconnect between public perception and medical evidence is screening for prostate cancer using the prostate-specific antigen (PSA) test. The United States Preventive Services Task Force (USPSTF), a non-governmental expert panel that produces guidelines fo...
Source: Harvard Health Blog - May 11, 2017 Category: Consumer Health News Authors: Steven J. Atlas, MD, MPH Tags: Cancer Health Managing your health care Men's Health Prostate Health Screening Source Type: blogs
To Your Health: an NLM podcast
The National Library of Medicine presents a weekly audio update that highlights consumer health news and accompanying information from MedlinePlus. Information includes such topics as revised prostate cancer screening guidelines, low back pain and the geography of cancer deaths. This consumer health oriented podcast also helps consumers use MedlinePlus to follow up on weekly topics. Each podcast is less than 7 minutes in length and are accompanied with a transcript. Listen to the podcasts.
Source: BHIC - May 9, 2017 Category: Databases & Libraries Authors: Annette Parde-Maass Tags: General National Library of Medicine News Source Type: blogs
Negotiated Rates: What No One Talks About in Health Care Legislation
Last week, the House of Representatives passed legislation for the American Health Care Act, the first step in repealing the Affordable Care Act, or as some would call it, Trumpcare versus Obamacare. The American Psychiatric Association and the American Medical Association (and many other medical societies) oppose the new legislation. An enormous concern is that the new legislation won't require insurance companies to cover preexisting conditions, or require coverage for mental health treatment or prenatal/maternity care. Over the coming years, the new legislation is predicted to leave 24 million more Ame...
Source: Shrink Rap - May 7, 2017 Category: Psychiatry Authors: Dinah Source Type: blogs
What patients want isn ’t always what they need
One of the nurses knocked on my door on a quiet Monday morning.
“Hey, can you see this patient? I guess it’s not urgent but he’s here now, and I think what the doctor told him just threw him for a loop.”
Of course I had time. In my role as clinical nurse specialist in a busy uro-oncology unit, I see men who need help making a treatment decision for management of their prostate cancer. As we walked towards the clinic room where the patient was waiting, the nurse filled me in on what had transpired. The patient, a man in his early 60s, had been diagnosed with high-risk prostate cancer. He had come to see the urologis...
Source: Kevin, M.D. - Medical Weblog - April 23, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/anne-katz" rel="tag" > Anne Katz, RN, PhD < /a > Tags: Physician Cancer Source Type: blogs
A New Attempt Emerges To Bridge GOP Divisions On AHCA (Updated)
April 21 Update: New Aid For State Formulary Review At REGTAP
On April 17, 2017, CMS announced that it would be turning the job of drug formulary review for qualified health plans over to state regulators in the thirteen HealthCare.gov states that have plan management responsibility. On April 19, CMS offered at its REGTAP.info website (registration required) a seminar on the qualified health plan (QHP) application review tools for prescription drugs that the states may use for these reviews.
The EHB Category and Class Drug Count Tool, which is new for the 2018 QHP review period, reviews drug lists to ensure that QHPs com...
Source: Health Affairs Blog - April 20, 2017 Category: Health Management Authors: Timothy Jost Tags: Costs and Spending Featured Following the ACA Insurance and Coverage Source Type: blogs
Four Crucial Questions To Ask Your Doctor
I am seeing an increasing number of patients who did not know they had a choice about taking a medicine or having a procedure.
Why did you have that heart cath? A: My doctor said I should.
Why are you on that medicine? A: My doctor prescribed it.
It’s time we re-review the basic four questions you should ask your doctor.
I wrote about this in April of 2015 for WebMD. Here is 2017 update:
1. What are the odds this test/medicine will benefit me?
Medical decisions are like gambles. Benefit is not guaranteed. In my field, catheter ablation of supraventricular tachycardia (SVT) has a success rate approaching 99%, but th...
Source: Dr John M - April 17, 2017 Category: Cardiology Authors: Dr John Source Type: blogs
USPSTF adopts my reasoning on PSA screening for prostate cancer
Which way on PSA?
I oppose over-testing and over-treatment, so I really had to think hard five years ago when I turned 45 and my doctor offered PSA screening for prostate caner. The US Preventive Services Task Force (USPSTF) had just come out against PSA screening, concluding that the harms outweighed the benefits.
Nonetheless (Why I decided to get a PSA screening test for prostate cancer), I did go forward. As I wrote:
I know that PSA is a very imperfect indicator. I definitely want to avoid the stress and possible discomfort of having a biopsy. I’m worried about false positive and false negative biopsy results. And I...
Source: Health Business Blog - April 13, 2017 Category: Health Management Authors: dewe67 Tags: Patients Physicians Policy and politics Research Uncategorized Source Type: blogs
Precision Medicine Is Our Best Hope In The Fight Against Cancer
In the fight against cancer, precision medicine is one of the most promising tools and the logical outcome of current healthcare trends. As start-ups offering personalized healthcare solutions multiply like mushrooms after rain, governments and regulatory agencies have to give appropriate responses in regulating the grass-root healthcare jungle. Here is my analysis about the potential and dilemmas about precision medicine.
Precision medicine is the logical outcome of modern healthcare
There is one phrase, which is not part of the Hippocratic Oath, but everyone in medicine knows it. Primum non nocere, meaning “first do n...
Source: The Medical Futurist - March 30, 2017 Category: Information Technology Authors: nora Tags: Future of Medicine Genomics Healthcare Design Personalized Medicine AI cancer cancer research chemotherapy digital gc4 genetics Genome Innovation oncology precision medicine targeted treatment technology Source Type: blogs
Please include more patients at our medical meetings
As a consumer and admirer of movies, I always look forward to the Academy Awards. A celebration of the best movies and performances of the past year. A night filled with spectacular performances, glamor, and amazing speeches. The speeches are truly special for me since we get a glimpse into the true character and soul of the award winners as they thank those who helped them along their journey.
I feel like national medical meetings have similar qualities. We celebrate the research, clinical trials, and breakthroughs over the past year. The highlights for me are the presentations by thought leaders in the field. Every ...
Source: Kevin, M.D. - Medical Weblog - March 12, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/prateek-mendiratta" rel="tag" > Prateek Mendiratta, MD < /a > Tags: Conditions Cancer Source Type: blogs
For Self-Employed Entrepreneurs, Losing The ACA Would Be An Enormous Setback
Lawmakers who dream of gutting the Affordable Care Act (ACA) do not seem to care about its importance to small business owners, particularly those who are solo entrepreneurs. What these politicians fail to understand is that the health care law is the first meaningful insurance reform available to entrepreneurs in decades. In fact, for many self-employed business owners, their firms would not exist without it. That’s why repealing the law is going to be a sizable setback for entrepreneurship.
One of the most popular and best-known provisions of the ACA has been particularly important to solo entrepreneurs: the prohibitio...
Source: Health Affairs Blog - March 9, 2017 Category: Health Management Authors: John Arensmeyer Tags: Following the ACA Insurance and Coverage Colorado entrepreneurs Source Type: blogs
What I do for thirty seven dollars and five cents
The building contractor chatted pleasantly while I checked his blood pressure, waist circumference, cholesterol levels, fasting glucose and urine protein. We discussed bowel and prostate cancer screening in detail, and I gave him written information as we were out of time. As I signed his script for the blood pressure medication, he winked.
“That was easy money for you, wasn’t it?”
Thirty-seven dollars and five cents is the value the government places on up to twenty minutes of my time. This figure, the amount a practice receives from Medicare for a standard consultation, hasn’t changed in four years, and under the...
Source: Kevin, M.D. - Medical Weblog - March 9, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/dr-elizabeth-oliver" rel="tag" > Dr. Elizabeth Oliver < /a > Tags: Physician Primary care Source Type: blogs
Invisible High-Risk Pools: How Congress Can Lower Premiums And Deal With Pre-Existing Conditions
As Congress and the Trump administration move forward with plans to repeal and replace the Affordable Care Act (ACA), they are looking for proven state-led reforms that maintain access for those with pre-existing conditions in the current exchange market while also lowering premiums for everyone buying insurance in the individual market.
Maine faced similar challenges in 2011 as it sought to unwind failed experiments that pushed its market into a long-term death spiral. But by creating an invisible high-risk pool and relaxing its premium rating bands, Maine policymakers were able to cut premiums in half while still guarant...
Source: Health Affairs Blog - March 2, 2017 Category: Health Management Authors: Joel Allumbaugh, Tarren Bragdon and Josh Archambault Tags: Following the ACA Health Policy Lab Insurance and Coverage ACA repeal and replace high-risk pools pre-existing conditions Source Type: blogs
