Message for Margaret

first_imgSubscribe now for unlimited access Get your free guest access  SIGN UP TODAY To continue enjoying, sign up for free guest accessExisting subscriber? LOGIN Stay at the forefront of thought leadership with news and analysis from award-winning journalists. Enjoy company features, CEO interviews, architectural reviews, technical project know-how and the latest innovations.Limited access to industry news as it happensBreaking, daily and weekly e-newsletters Subscribe to Building today and you will benefit from:Unlimited access to all stories including expert analysis and comment from industry leadersOur league tables, cost models and economics dataOur online archive of over 10,000 articlesBuilding magazine digital editionsBuilding magazine print editionsPrinted/digital supplementsSubscribe now for unlimited access.View our subscription options and join our communitylast_img read more

CPC-Capiz stays on top in SBP-Iloilo caging tilt

first_imgCOLEGIO de la Purisima Consolacion-Capiz kept its hold on the top spot in the U-15 and U-12 category of the Samahang Basketbol ng Pilipinas (SBP) Chairman’s Cup at Ledesco Gym of Hua Siong College of Iloilo.Colegio de la Purisima solidified its hold on the top spot in U-15 category with 6-1 slate after an 84-35 victory over PAREF-Westbridge. Chris Almonguerra led the way with 12 points, while John France Deloviar added 10 markers.University of San Agustin, meanwhile, notched its fourth win in as many games after a 78-38 domination over Assumption Passi (1-2). Agapito Clarito and Char Ernest Cartel have 14 each for SanAg.Bing Conlu Team, on the other hand, cruised to its second victory in three games after a 49-43 win over Flying Lizaros Draco (1-3). Miguel Pacificador had 17 markers for the winning team. Colegio de la Purisima were also on top in U-12 with 7-0 win-loss slate after a 79-69 win over Hua Siong College of Iloilo (2-1). Henry Penafiel tallied 29 markers for the winning team.Team Pavia, meanwhile, improved to 2-1 win-loss record after a 72-33 domination over PAREF-Westbridge (2-2). Reynold Gaborno had 13 markers, while Rohan Gumban had 12 for Pavia.In the other U-12 match, Oton Templars hiked its record to 3-2 by scoring a 43-32 victory over CSJ (1-2). Cris Emmanuel Suelo tallied 12 markers for the winning team./PNlast_img read more

Medicare incurs more than 12 billion over prostate cancer care in older

first_img Source: Reviewed by James Ives, M.Psych. (Editor)Sep 14 2018Researchers from the University of North Carolina Lineberger Comprehensive Cancer Center estimate that screening for and treating prostate cancer in men aged 70 years or older, which is not recommended by national guidelines, cost Medicare more than $1.2 billion over a three year period for each group of men diagnosed in the United States each year.Published in the journal JAMA Oncology, the study examined the costs associated with screening for prostate cancer, including treatment, for three years after diagnosis. They estimated that for men diagnosed in each of 2004, 2005, 2006, and 2007, the total cost for treating and screening for each group would be $1.2 billion for three years after diagnosis. The study also showed that of the total, $451 million was spent on men who were diagnosed with prostate cancer that is graded with a Gleason score of 6, which is considered to be low-grade disease and best managed using active surveillance rather than aggressive treatment.”The tough discussions that happen in health economics are often cases where care is beneficial, but costly. That’s a hard trade-off, but this one is actually easier than that,” said UNC Lineberger’s Justin Trogdon, PhD, associate professor of health policy management in the UNC Gillings School of Global Public Health, and the study’s first author. “This is a scenario where care is probably not beneficial and also costly, and we are putting a dollar figure on just how costly this is.”The researchers said there is a wide recognition that screening for prostate cancer should stop in men at age 70. The U.S. Preventive Services Task Force recommends against prostate cancer screening in men above age 70, citing, among other reasons, that the harms from screening are “at least moderate” or greater for men in that age group because of risk of false-positives, harms from biopsy, and harms from treatment, which can include sexual dysfunction and urinary incontinence.”For patients who are diagnosed with prostate cancer at an older age, because the cancer is often slow-growing, it is unlikely to be the cause of their mortality,” said UNC Lineberger’s Ronald C. Chen, MD, MPH, associate professor in the UNC School of Medicine Department of Radiation Oncology and the study’s corresponding author. “So, we are not only spending U.S. health care dollars diagnosing an issue that probably isn’t going to be a problem for patients, but when we treat these patients who don’t need treatment, they suffer unnecessary side effects like urinary incontinence or sexual dysfunction.”Related StoriesSugary drinks linked to cancer finds studyUsing machine learning algorithm to accurately diagnose breast cancerTrends in colonoscopy rates not aligned with increase in early onset colorectal cancerFor the retrospective study, researchers used the National Cancer Institute Surveillance, Epidemiology, and End Results (SEER)-Medicare linked claims database to analyze costs related to diagnosis and work-up, treatment, follow-up, and side-effect management for nearly 50,000 men 70 years of age or older who were diagnosed with prostate cancer between 2004 and 2007. They estimated the cost of diagnosing and treating men for three years after diagnosis because that’s a typical time frame for patients to receive treatment in.They found that for men diagnosed in each year, the total three-year cost was $1.2 billion. For men diagnosed in 2004, for example, their estimated cost to Medicare would be $1.2 billion across three years. The median per-patient cost within three years after prostate cancer diagnosis was $14,453, with treatment costs accounting for 73 percent of that total. The researchers estimated a cost savings of $320 million per year for Medicare if patients who have a Gleason score of 6 choose active surveillance.”Studies indicate that we are testing for prostate cancer in people for whom the potential harms outweigh the potential benefits, and then we are treating – actually over treating – people for a cancer that may have little to no impact on their life expectancy,” Chen said. “Not following guidelines could be putting people’s health at risk, and it is costing the U.S. health care system a lot of money. It would make more sense to put these resources into other areas that could do more good for patients.”Researchers write in the study that foregoing aggressive treatment of low-risk prostate cancer in older patients, especially those with other health issues, could prevent harm due to treatment-related side effects, while also providing a savings to Medicare. They suggest that screening men with at least a 10-year life expectancy, and selectively treating those with more aggressive cancer may be one approach to eliminate unnecessary spending while maximizing patient outcomes.last_img read more