Publications by authors named "David C Molina"

This review comprehensively investigates the intricate interplay between small non-coding RNAs (sncRNAs) and pancreatic ductal adenocarcinoma (PDAC), a devastating malignancy with limited therapeutic options. Our analysis reveals the pivotal roles of sncRNAs in various facets of PDAC biology, spanning diagnosis, pathogenesis, drug resistance, and therapeutic strategies. sncRNAs have emerged as promising biomarkers for PDAC, demonstrating distinct expression profiles in diseased tissues.

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Introduction: Peritoneal metastases from colorectal cancer (CRC) present a significant clinical challenge with poor prognosis, often unresponsive to systemic chemotherapy. Cytoreductive surgery (CRS) combined with hyperthermic intraperitoneal chemotherapy (HIPEC) is a treatment approach for select patients. The use of curcumin, a natural compound with antitumor properties, in HIPEC is of interest due to its lower side effects compared to conventional drugs and potential for increased efficacy through direct delivery to the peritoneal cavity.

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Introduction: Because limited data exist, we sought to evaluate timeliness of multimodal treatments in a safety net breast cancer population.

Methods: Breast cancer patients treated at a safety net hospital from 2016 to 2020 were analyzed retrospectively. Time intervals were defined as primary time (PT) from diagnosis to initiation of primary intervention, secondary time (ST) from completion of primary to initiation of secondary intervention, and tertiary time (TT) from completion of secondary to initiation of tertiary intervention.

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Background:  Under the Affordable Care Act, Medicaid expansion effective 1 January 2014 aimed to increase access to health care. We sought to determine the association of Medicaid expansion with disparities in utilization of breast reconstruction.

Methods: Non-Hispanic Black (NHB) and White (NHW) breast cancer patients undergoing mastectomy +/- reconstruction between 2010 and 2017 were selected from the National Cancer Database.

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Article Synopsis
  • A study was conducted at a safety net medical facility to assess how social factors impact access to surgical oncology care for at-risk patients, focusing on referral compliance and timing of appointments!*
  • Of the 189 patients referred, over half did not speak English, 69.4% were Hispanic, and nearly 40% lacked insurance, with only 55% attending their initial consultation and about 53% starting definitive treatment!*
  • Findings indicate that while social determinants like insurance status and language barriers didn't significantly impact access to care, many patients still struggled to complete necessary consultations and treatments, highlighting important issues in healthcare accessibility.*
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