scholarly journals A Statewide Multi-institutional Study of Asymptomatic Pre-Treatment Testing of Radiation Therapy Patients for SARS-CoV-2 in a High-Incidence Region of the United States

2021 ◽  
pp. 100704
Author(s):  
C. Modi ◽  
A.E. Dragun ◽  
C.F. Henson ◽  
S. Jain ◽  
S. Ahlawat ◽  
...  
Keyword(s):  
United States ◽  
Radiation Therapy ◽  
The United States ◽  
High Incidence ◽  
Pre Treatment

scholarly journals Three discipline collaborative radiation therapy (3DCRT) special debate: The United States should build additional proton therapy facilities

2019 ◽  
Vol 20 (2) ◽  
pp. 7-12 ◽  
Author(s):  
Steve Braunstein ◽  
Li Wang ◽  
Wayne Newhauser ◽  
Todd Tenenholz ◽  
Yi Rong ◽  
...  
Keyword(s):  
United States ◽  
Radiation Therapy ◽  
Proton Therapy ◽  
The United States

scholarly journals Lawsuits against plastic surgeons: Does locale affect incidence of claims?

2007 ◽  
Vol 15 (3) ◽  
pp. 155-157 ◽  
Author(s):  
Jonathan L Kaplan ◽  
Warren C Hammert ◽  
James E Zin
Keyword(s):  
United States ◽  
Emergency Room ◽  
Plastic Surgery ◽  
Medical Malpractice ◽  
The United States ◽  
Absolute Number ◽  
Malpractice Claims ◽  
High Incidence ◽  
Medical Malpractice Claims ◽  
Geographical Locations

Background Physicians continue to practice in a very litigious environment. Some physicians try to mitigate their exposure to lawsuits by avoiding geographical locations known for their high incidence of medical malpractice claims. Not only are certain areas of the United States known to have a higher incidence of litigation, but it is also assumed that certain areas of the hospital incur a greater liability. There seems to be a medicolegal dogma suggesting a higher percentage of malpractice claims coming from patients seen in the emergency room (ER), as well as higher settlements for ER claims. Objective To determine if there is any validity to the dogma that a higher percentage of malpractice claims arise from the ER. Methods An analysis of common plastic surgery consults that result in malpractice claims was performed. The location where the basis for the lawsuit arose – the ER, office (clinic) or the operating room (OR) – was evaluated. The value of the indemnity paid and whether its value increased or decreased based on the location of the misadventure was evaluated. Results According to the data, which represented 60% of American physicians, there was a larger absolute number of malpractice claims arising from the OR, not the ER. However, the highest average indemnity was paid for cases involving amputations when the misadventure originated in the ER. Conclusions The dogma that a greater percentage of lawsuits come from incidents arising in the ER is not supported. However, depending on the patient's injury and diagnosis, a lawsuit from the ER can be more costly than one from the OR.

Disparities in Patterns of Conventional Versus Stereotactic Body Radiotherapy in the Treatment of Spine Metastasis in the United States

2020 ◽  
pp. 082585972098220
Author(s):  
Ellen Kim ◽  
Shearwood McClelland ◽  
Jerry J. Jaboin ◽  
Albert Attia
Keyword(s):  
United States ◽  
Radiation Therapy ◽  
Private Insurance ◽  
Spinal Metastases ◽  
The United States ◽  
External Beam Radiation ◽  
Beam Radiation ◽  
Cancer Data ◽  
Spine Metastases ◽  
Population Type

Introduction: The improved survival of patients even with metastatic cancer has led to an increase in the incidence of spine metastases, suggesting the need for a more aggressive palliative treatment than conventional external beam radiation therapy (cEBRT). Consequently, spinal stereotactic body radiation therapy (SBRT) has increased in popularity over the past decade. However, there has been no comparison of patterns of usage of cEBRT versus SBRT in the treatment of spinal metastases in the US. Methods: The National Cancer Data Base (NCDB) from 2004-2013 was used for analysis. cEBRT was defined as 30 Gy in 10 fractions, 20 Gy in 5 fractions, or 8 Gy in 1 fraction. SBRT was defined as 25-32 Gy infive5 fractions, 24-32 Gy in 4 fractions, 20-32 Gy in three fractions, 14-32 Gy in 2 fractions, or 14-24 Gy in 1 fraction. Single and multivariable associations between patient demographic and cancer characteristics and type of radiation were performed. Results: From 2004-2013, 23,181 patients with spinal metastases in the United States received cEBRT, while 1,030 received SBRT as part of their first course of treatment. Most patients (88%) received 10 fractions of radiation. Multivariable analysis suggested that non-Medicare or private insurance (adjusted OR 0.4-0.7), African-American race (adjusted OR = 0.8, 95%CI = 0.7-1.0), age 65+ (adjusted OR = 0.8), living in a region with lower population (adjusted OR 0.7), earlier year of diagnosis (OR = 0.9), and receiving treatment in a non-academic/research facility (adjusted OR 0.6) were associated with cEBRT. After controlling for other variables, regional education level was no longer significantly associated with cEBRT. Conclusions: Most patients with spine metastases were treated with cEBRT, usually with 10 fractions. Receipt of SBRT was significantly associated with race, insurance, geography, population, type of treatment facility, and year of diagnosis, even after controlling for other factors. These findings raise questions about disparities in access to and delivery of care that deserve further investigation.

scholarly journals Trends in Radiation Therapy among Cancer Survivors in the United States, 2000–2030

2017 ◽  
Vol 26 (6) ◽  
pp. 963-970 ◽  
Author(s):  
Alex K. Bryant ◽  
Matthew P. Banegas ◽  
Maria Elena Martinez ◽  
Loren K. Mell ◽  
James D. Murphy
Keyword(s):  
United States ◽  
Radiation Therapy ◽  
Cancer Survivors ◽  
The United States

Trial of Therapy and Prospective Study of Nephroblastoma

PEDIATRICS ◽  
1972 ◽  
Vol 49 (4) ◽  
pp. 638-639
Author(s):  
P. A. Voûte ◽  
J. Lemerle
Keyword(s):  
United States ◽  
Clinical Trial ◽  
Radiation Therapy ◽  
Prospective Study ◽  
International Society ◽  
Pediatric Oncology ◽  
The United States ◽  
Therapeutic Trial ◽  
A Prospective Study

The International Society of Pediatric Oncology (ISPO) is planning a clinical therapeutic trial on nephroblastoma in Europe. Large agreement exists on the treatment of these tumors; the principal modalities are surgery, radiation therapy, and chemotherapy. However, there are some unanswered questions as to the value of different forms of administration of radiation and chemotherapy, which we feel could best be elucidated by a prospective study in the form of a clinical trial. A trial has been going on in the United States for 2 years.

Victimization, Cultural Imperatives, and Empowerment of People of Color in the United States

2021 ◽  
pp. 173-190
Author(s):  
Tamanna M. Shah
Keyword(s):  
United States ◽  
The United States ◽  
Policy Formulation ◽  
People Of Color ◽  
Mass Shootings ◽  
Cultural Economic ◽  
Marginalized Groups ◽  
High Incidence ◽  
Women And Children ◽  
Crimes Against Women

The high incidence of violent crimes in the United States of America, which include mass shootings, hate crimes, Islam bashing, murders, extortion, crimes against women and children, and white supremacist crimes, witnessed in last few years is a cause for great concern. The land of liberty is lately seeing increasing victimization of deprived or socially unempowered groups. This chapter looks at such victimization and the cultural supremacy that is giving rise to ethnic strife among people. It is argued that robust and well-evolved policies will reduce crime and empower marginalized groups, a majority of whom are women and children. The empowerment—social, cultural, economic, and political—and recognition of the challenge of victimization is the only solution. There is a need to recognize the egalitarian impulses for a better policy formulation devoid of prejudice to craft a secure future for the victims.

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