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By Ezekiel J. Emanuel and Steven D. Pearson   If you want to know what is wrong with American health care today, exhibit A might be the two new proton beam treatment facilities the Mayo Clinic has begun building, one in Minnesota, the other in Arizona, at a cost of more than $180 million dollars … Read more

Oct 6 (Reuters) – Starting breast cancer screening as early as age 25 may help women who carry a genetic mutation linked to a higher risk of cancer live longer, according to a U.S. study.

The use of CT scans has grown tremendously in the past three decades. The imaging tests, first widely used in the mid-1970s, have become a valuable tool for pinpointing tumors and blood clots, monitoring heart disease, and reducing the need for exploratory surgery. But there is evidence that their use has outpaced need.

The American Medical Association is taking public comment through the end of this week on a proposal to control use of the tests. There are a couple of good reasons for doing that.

Karen Donelan, EdM, ScD was a plenary speaker at the 37th Annual Meeting of the American Academy of Nursing (AAN) on November 12, 2010 in Washington, DC. Dr. Donelan's speech "Healthcare Thoughtleaders’ Perspectives on Nursing in an Era of Reform" presented data from a national survey of healthcare thoughtleaders and stakeholders about the influence and … Read more

There are a few fairly long-standing myths about cardiac CT angiography (CTA). The top two emphasize its exploding use and high costs. Yet, several studies published in this month's American Journal of Roentgenology attempted to put those myths to bed. David C. Levin, MD, of the Center for Research on the Utilization of Imaging Services … Read more

Comparative-effectiveness research has become the platform for several organizations, including the Institute for Clinical and Economic Review (ICER). Based at the Institute for Technology Assessment at Massachusetts General Hospital in Boston, ICER’s mission is to lead comparative-effectiveness–research innovation through methods that the organization says integrate considerations of clinical benefit and economic value through a unique … Read more

(Ivanhoe Newswire) — Women who received one of three treatments for uterine fibroids at Brigham and Women's Hospital in Boston said their symptoms diminished and their quality of life significantly increased, according to this study.   Uterine fibroids are benign pelvic tumors that occur in as many as one in five women during their childbearing … Read more

Improved diagnostic certainty in emergency department may lead to reduced overall cost

The use of CT scanning to evaluate abdominal pain in emergency departments can help physicians arrive at a diagnosis quickly and decisively.  A study conducted at Massachusetts General Hospital (MGH) and appearing in the February issue of the American Journal of Roentgenology also finds that information provided by CT scans changed treatment plans for almost half the patients studied and significantly reduced probable hospital admissions. 

“Our report addresses an important question with substantial policy relevance – what is the value of CT scanning in the emergency department setting?” says Scott Gazelle, MD, MPH, PhD, an MGH radiologist and director of the Institute for Technology Assessment, senior author of the study. “We specifically looked at how the use of CT for patients with abdominal pain affects physicians’ thinking about their patients’ diagnosis, their confidence in the diagnosis and the treatment plan; and we found that it significantly affected all three.” 

PCORT alumna Alexi Wright, MD was recently featured on ABC News. Dr. Wright’s research is studying the impact of end-of-life discussions on patient treatment. Read the story at abcnews.com.

Inge Lennes, MD – oncologist and 2010-2012 PCORT Fellow is featured. http://www.massgeneralmag.org/surviving-cancer-in-every-way/