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| http://dx.doi.org/10.1016/j.xjon.2021.01.006 | DOI Listing |
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The health care price crisis needs policy solutions.
Am J Manag Care
December 2024
Catalyst for Payment Reform. Email:
This commentary, part of the Price Crisis campaign, calls for state and federal policy interventions that are needed to rebalance the market to enhance competition and provide value in health care.
View Article and Find Full Text PDFReducing-a little-the high price of randomized trials of the efficacy of multicancer early detection.
J Natl Cancer Inst
December 2024
Department of Epidemiology, University of Washington, Seattle, WA 98195, United States.
Exploring opposing arguments in the call for randomized controlled trials to demonstrate benefit of Mohs micrographic surgery for cutaneous melanoma.
Dermatol Online J
October 2024
Department of Dermatology, Mayo Clinic, Rochester, Minnesota, USA Division of Dermatologic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
The call for robust randomized clinical trials (RCTs) comparing Mohs micrographic surgery (MMS) with wide local excision for treatment of melanoma has stymied the development of guidelines for MMS despite growing evidence of benefit. This commentary explores the controversy by detailing opposing arguments, reviewing the relevant evidence supporting the use of MMS for early-stage melanoma, and discussing the role that RCTs may play in development of national guidelines for surgical treatment options for melanoma. Randomized clinical trials are considered the gold standard of clinical research, but there are no such trials currently to support MMS for melanoma.
View Article and Find Full Text PDFReply to: Is there a kindling effect in COPD exacerbations?
Eur Respir J
December 2024
Observational and Pragmatic Research Institute, Singapore.
https://bit.ly/3O016tT
View Article and Find Full Text PDFWhen built environments in health care result from an evidence-based design (EBD) process, they are interventions that can improve patients' health outcomes. This commentary on a case discusses which ethical values should guide organizations' capital expenditure decisions about retrofits, which might be more costly than the original budget. This discussion urges reevaluation of the common assumption that capital improvements are "sunk costs," since such improvements can promote long-term positive health outcomes for an organization's patients, thereby advancing both financial value and ethical values.
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