All news from Anaesthesiology

To Assess The Cost-Effectiveness Of Teledermoscopy For Skin Cancer Diagnosis

According to a study, researcher suspected that Teledermatology for skin cancer is slightly more expensive than usual care, but it expedites time to clinical resolution. The study was published in JAMA Dermatology.  The study using deidentified Australian health system data, store-and-forward teledermoscopy skin cancer referral was estimated to cost A$54.64 per person more than usual care but enabled clinical resolution to be achieved a mean of 26 days earlier.

Effectiveness of Rivaroxaban Against Venous Thromboembolism

Research from the University of Warwick indicates that taking a tablet a day can help treat cancer patients of a potentially deadly condition. People with cancer have an increased risk of developing blood clots, with roughly one in five experiencing venous thromboembolism (VTE) – either deep vein thrombosis (DVT) or pulmonary embolism (PE). Blood clots in the deep veins of the leg may travel to the lungs causing a pulmonary embolism. These two conditions are referred to as VTE – a dangerous and potentially deadly medical condition of which there are 10 million cases worldwide.

Improved Treatment For Lung Cancer

Lung cancer is the third most common type of cancer in Germany and the disease affects both men and women. However, immunotherapies are successful in only 20% of cases. Researchers at Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU) have now discovered a special mechanism that regulates tumor growth in lung cancer. This opens up new possibilities in the treatment of lung cancer patients. The results were published in the journal Oncoimmunology.

Human Herpes Virus 8 in HIV-1 Infected Individuals

While it is well established that the tissue presence of HHV8 in combination with immunosuppression leads to the development of clinical KS, there are limited data on the dynamics of circulating HHV8 in HIV infected individuals receiving cytoreductive chemotherapies for various malignancies, or the impact of anti-tumor therapies on HHV8 viremia.

Furthermore, it is possible that circulating HHV8 may be associated with increased immune activation and exhaustion, but studies focusing on the associations between HHV8 viremia, CD4+ T cell counts, and lymphocyte phenotypes in the setting of HIV and malignancy are lacking. To address these issues, we examined the associations between different systemic cancer chemotherapies for KS and other malignancies with T cell counts and phenotype, circulating HHV8 DNA, HIV infection and clinical KS.

Implications for Interventions for Incurable Cancers in Bangladesh

Affordability of care, training, access to opioids, and psychological support were identified critical issues in the Economist analysis.

Additional barriers to successful management include

(i) the desires of seriously ill patients to be at home, and not to travel to doctors' offices or clinics;

(ii) the absence of “real” time (that is, current) symptom type and intensity information by doctors because symptom questionnaires are not much used at all or repeatedly used;

(iii) the absence of information on practical, affordable, and effective interventions among treating physicians; and efficient systems and processes to facilitate physicians' giving successful palliative care and to lead to greater engagement of physicians overall in this kind of care.