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Recent News and Articles on the Keywords: cancer + off + pay  Related to the article below (Last Update: 8/5/2008)


Daily Green
Acrylamide leaving your French fries?
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Q&A: HPV vaccination
Irish Times, Ireland - 18 minutes ago
Dr Muiris Houston , Medical Correspondent writes about the pros and cons of HPV vaccination for girls and explains the link between HPV and cancer of the ...

Washington Post
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Your cable or your health?
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Bad debt accounts for $3.6 million of that community benefit, bills that are written off for patients with the ability to pay who choose not to. ...

BBC News
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Mystery donor to gran's rescue
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Western Star
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Source: Google News

… ?utility? of the time trade-off method in cancer patients: Feasibility and proportional trade-off -
AM Stiggelbout, GM Kiebert, J Kievit, JWH Leer, … - Journal of Clinical Epidemiology, 1995 - Elsevier
... a violation of the assumption of pro- portional time trade-off. ... Hall [13] in healthy
women and women with breast cancer. ... The price to pay for either the HYE or ...

Willingness to pay and time trade-off: sensitive to changes of quality of life in psoriasis patients … -
R Schiffner, J Schiffner-Rohe, M Gerstenhauer, F … - British Journal of Dermatology, 2003 - Blackwell Synergy
... to pay and time trade-off: sensitive to changes of quality of life in psoriasis
patients? R. Schiffner,; J. Schiffner-Rohe,; M. Gerstenhauer**Cancer Registry ...

Formation of Risk Beliefs, Joint Production and Willingness to Pay to Avoid Skin Cancer -
M Dickie, S Gerking - Review of Economics and Statistics, 1996 - JSTOR
... the ex ante marginal willingness to pay or option ... three prod- uct characteristics:
(1) skin cancer protection in ... and is guaranteed not to wash off, feel greasy ...

[PDF] Cancer cells, chemotherapy and gene clusters -
D Pinkel - Nat. Genet, 2000 - bio.kaist.ac.kr
... Whereas these results indicate that the bet is likely to pay off in at least some
areas of cancer analysis, past experience with cancer markers genes i drugs ...
-

Willingness-To-Pay and Time-Trade-Off: Useful Utilities in Patients with Psoriasis vulgaris? -
R Schiffner, M Landthaler, W Stolz - Dermatology and Psychosomatics, 2000 - content.karger.com
... Willingness-To-Pay and Time-Trade-Off ... Fairclough DL, Jankowski MK: Com- parison of
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[BOOK] Early Warning Signals for R&D Projects: How to Pick the Winners and Make Your Investments Pay Off
R Balachandra - 1989 - Lexington Books

… the feasibility of using willingness to pay as a measure of value in cancer supportive care: an … -
G Dranitsaris - Supportive Care in Cancer, 1997 - Springer
... for those subjects who would not pay for the ... 0pyes; 1pno), and positive family history
of cancer (0pyes, 1pno ... The cut-off for sig- nificance for all statistical ...

Breast cancer patients' out-of-pocket expenses. -
KA Moore - Cancer Nursing, 1999 - cancernursingonline.com
... achieving satisfactory communication, taking time off from work ... threatening disease
such as breast cancer will not improve anyone's ability to pay for health ...

Willingness to pay and time trade-off: useful utility indicators for the assessment of quality of … -
R Schiffner, S Brunnberg, U Hohenleutner, W Stolz, … - British Journal of Dermatology, 2002 - Blackwell Synergy
... Comparison of time-trade-off utilities and rating scale value of cancer patients
and ... Quality of life, health-state and willingness to pay in patients ...

On the Eve of Protein Destruction: Ubiquitin Research Begins To Pay Off -
K Garber - JNCI, 2002 - jnci.oxfordjournals.org
... NEWS. On the Eve of Protein Destruction: Ubiquitin Research Begins To Pay Off. Ken
Garber For the last three decades, many cancer researchers have focused on the ...

Source: Google Scholar

Colon cancer screenings may not pay off and could pose harm to some

Even though current guidelines advocate colorectal cancer screenings for those with severe illnesses, they may bring little benefit and may actually pose harm, according to a recent study by Yale School of Medicine researchers published in the Archives of Internal Medicine.

The study offers a new approach for assessing who is likely to benefit from a screening so that screening recommendations can be tailored more effectively to individual patients.

First author R. Scott Braithwaite, M.D., and his colleagues developed a new method of evaluating medical screening tests like colonoscopy, called the “payoff time,” which is the minimum amount of time it takes for the benefits from a test to exceed its harms (i.e., its complications and side effects). The method can also be applied to patients of any age and illness.

To estimate the payoff time for using colonoscopy to screen for colorectal cancer, the team focused on two patient groups that included 50-year-old men with HIV, and 60-year-old women with congestive heart failure.

Braithwaite said the payoff time for colorectal cancer screening was as long as five years for 50-year-old men and as long as 2.9 years for 60-year-old women. Because patients with severe congestive heart failure have a life expectancy of less than 2.9 years, they were more likely to be harmed than benefited by colorectal cancer screening, say the researchers, whereas patients with HIV have a life expectancy of greater than five years, so they were likely to benefit from colorectal cancer screening.

“This issue is only becoming increasingly important as pay-for-performance and physician ‘report cards’ encourage clinicians to offer screening to everyone, regardless of individual benefit,” said Braithwaite, assistant professor of medicine at Yale School of Medicine and at the VA Connecticut Healthcare System. “This may have the unintended consequence of harming patients with severe illnesses.”

Braithwaite added that the “cocktail” of therapies that have revolutionized HIV care have increased life expectancy so much that screening guidelines now apply to patients with HIV.

###

Other authors on the study included John Concato, M.D., Chung Chou Chang, Mark S. Roberts, M.D. and Amy C. Justice, M.D.

The study was supported by a grant from the National Institute of Alcohol Abuse and Alcoholism, National Institutes of Health.

Citation: Archives of Internal Medicine Vol. 167, No. 21 (November 26, 2007)

 
 
 
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