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The role of neoadjuvant systemic therapy for high grade upper tract urothelial carcinoma: Results from the upper tract collaborative network (UCAN).
Urol Oncol
December 2024
Department of Urology, University of Texas Southwestern Medical Center, Dallas, TX.
Introduction: Utilization of neoadjuvant systemic therapy (NAT) prior to radical nephroureterectomy (RNU) for upper tract urothelial carcinoma (UTUC) is inconsistent, and optimal patient selection for NAT is unclear. The purpose of this study was to evaluate the clinical benefit of NAT in high grade UTUC undergoing RNU.
Materials And Methods: The UTUC Collaborative Network (UCAN) identified patients who underwent RNU for high grade UTUC between 2000 and 2022.
Quality of Hospices Used by Medicare Advantage and Traditional Fee-for-Service Beneficiaries.
JAMA Netw Open
December 2024
Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Article Synopsis
- The study investigates the differences in hospice care quality and enrollment between Medicare Advantage (MA) beneficiaries and those enrolled in traditional Medicare fee-for-service (FFS).
- Using a population-based data analysis of over 4 million decedents and 2 million hospice enrollees from 2018-2019, the research aims to assess hospice usage and quality indicators.
- Findings indicate that MA plan beneficiaries are more likely to use hospice care in the last six months of life compared to FFS beneficiaries, highlighting potential disparities in hospice access.
Dynamics of covert signaling: Modeling the emergence and extinction of identity signals.
Psychol Rev
December 2024
Department of Cognitive and Information Sciences, University of California, Merced.
Covert identity signals permit the communication of group membership to ingroup members while avoiding potentially costly detection by members of other groups. If individuals are incentivized to detect others' group memberships, however, covert signals may not remain covert for very long. We propose a theoretical extension to the literature on covert signaling in which conventionalized identity signals can become destabilized when learned by outgroup individuals to be replaced by the emergence of new signaling conventions.
View Article and Find Full Text PDFThe Impact of Traveling Fellowships: Perspectives from Rothman-Ranawat Travel Fellows.
J Arthroplasty
December 2024
Department of Orthopaedic Surgery, Johns Hopkins Hospital, Baltimore, Maryland, USA. Electronic address:
Background: Traveling fellowships, such as the Hip Society Rothman-Ranawat fellowship, offer orthopaedic surgeons the opportunity to enhance their skills, conduct research, and gain mentorship at top orthopaedic centers. This study aimed to assess the impact of the Hip Society Rothman-Ranawat traveling fellowship on an adult reconstruction surgeon's career.
Methods: A non-incentivized online survey was distributed to the 40 past recipients of the Hip Society Rothman-Ranawat traveling fellowship spanning from 2013 to 2023.
Bringing leaders of network subgroups closer together does not facilitate consensus.
Sci Rep
December 2024
Yale Institute for Network Science, Yale University, New Haven, CT, USA.
Consensus formation is a complex process, particularly in networked groups. When individuals are incentivized to dig in and refuse to compromise, leaders may be essential to guiding the group to consensus. Specifically, the relative geodesic position of leaders could be important for reaching consensus.
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