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A new, costly cancer drug vs placebo; Cabozantinib in neuroendocrine tumors; How NIH funded trials can fail patients and payers

Sensible Medicine

This week in the New England Journal of Medicine , researchers from Harvard, took patients dying of neuroendocrine tumor (this is what Steve Jobs died of) and randomized them to a costly, toxic, branded drug or sugar pill. The trial has issues with control arm, skewed randomization (2:1), drop out and endpoints.

Hospice 101
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Grand Rounds Recap 2.15.23

Taming the SRU

Multitasking is performing two tasks simultaneously In studies of emergency physicians, around 70% of responses to an interruption result in a task switch Multitasking accounts for only 8% of responses to interruption Multitasking is only truly possible for manual tasks (hand-washing, gathering equipment, etc.)

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The Latest in Critical Care, 3/11/24 (Issue #33)

PulmCCM

There was no difference in rate of discharge to hospice (6.8% for likelier hospice discharge after automatic palliative care consultation. This is not a hot research area.) Ascension is a $27 billion, 140-hospital conglomerate operating in 19 states—the third largest system in the U.S

Hospice 52
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Myths of Grieving

Dr. Mike Sevilla

MYTH: Grief Happens In An Orderly Process Close to the end of my father’s life, the family decided to place him on hospice services. There are a lot of myths when it comes to grieving, and I want to share three myths that I have experienced so I can help others through this mysterious process. Unfortunately, that is not the case.

Hospice 52
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Empowering Patients’ Rights in Hospice Training

American Medical Compliance

The Empowering Patients’ Rights in Hospice Training teaches healthcare providers how to uphold key patient rights in hospice care. Introduction to Patients' Rights in Hospice Most Americans prefer to die at home or in a home-like setting,yet over 30% die in acute care hospitals.

Hospice 52
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NICU graduation to PICU

Don't Forget the Bubbles

They used linked data from the National Neonatal Research Database and the Paediatric Intensive Care Audit Network (PICANet) to look at all babies born <32 weeks and admitted to neonatal units (NNUs) in England and Wales from 2013 to 2018 and identify babies who were transitioned to PICUs within England and Wales 36 weeks CGA.

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