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Daily Archives: July 29, 2013

Overdiagnosis and Overtreatment in Cancer

Esserman LJ, Thompson IM, Jr, Reid B. Overdiagnosis and Overtreatment in Cancer: An Opportunity for Improvement. JAMA. 2013;():-. doi:10.1001/jama.2013.108415.

“Over the past 30 years, awareness and screening have led to an emphasis on early diagnosis of cancer. Although the goals of these efforts were to reduce the rate of late-stage disease and decrease cancer mortality, secular trends and clinical trials suggest that these goals have not been met; national data demonstrate significant increases in early-stage disease, without a proportional decline in later-stage disease. What has emerged has been an appreciation of the complexity of the pathologic condition called cancer. The word “cancer” often invokes the specter of an inexorably lethal process; however, cancers are heterogeneous and can follow multiple paths, not all of which progress to metastases and death, and include indolent disease that causes no harm during the patient’s lifetime. Better biology alone can explain better outcomes. Although this complexity complicates the goal of early diagnosis, its recognition provides an opportunity to adapt cancer screening with a focus on identifying and treating those conditions most likely associated with morbidity and mortality.”

New GAO Reports – Farm Programs, Grant Workforce, Insurance Markets, Medicare, NOAA, Education

Farm Programs – USDA Needs to Do More to Prevent Improper Payments to Deceased Individuals, GAO-13-503, Jun 28, 2013 Grant Workforce – Agency Training Practices Should Inform Future Government-wide Efforts, GAO-13-591, Jun 28, 2013 Insurance Markets – Impacts of and Regulatory Response to the 2007-2009 Financial Crisis, GAO-13-583, Jun 27, 2013 Medicare – Ownership Status… Continue Reading

TRAC – Decline in Voting Civil Rights Lawsuits

“In light of the Supreme Court decision striking down the preclearance provision of the Voting Rights Act, and the announcement by Attorney General Holder that the Department of Justice would aggressively enforce remaining provisions to include “bailing in” the entire State of Texas, it is worth examining recent use of federal civil courts to enforce… Continue Reading

The U.S. Can’t Afford to Economize on Child Care

Bloomberg: “Day care is the most neglected area of U.S. public policy for children. It isn’t only a matter of spending — although the difference between what’s budgeted for babies and toddlers and what goes to educate older kids is stark. In 2008, federal, state and local governments together invested about $300 for every child of… Continue Reading

Diaper Need and Its Impact on Child Health

Diaper Need and Its Impact on Child Health – Megan V. Smith, Anna Kruse, Alison Weir, and Joanne Goldblum. Pediatrics peds. 2013-0597; published ahead of print July 29, 2013, doi:10.1542/peds.2013-0597.  “This study quantifies diaper need, proposes a method to measure diaper need, and explores psychosocial and demographic variables associated with diaper need in a large sample… Continue Reading

McKinsey – Measuring the full impact of digital capital

Measuring the full impact of digital capital July 2013 | byJacques Bughin and James Manyika “On July 31, 2013, the US Bureau of Economic Analysis will release, for the first time, GDP figures categorizing research and development as fixed investment. It will join software in a new category called intellectual-property products. In our knowledge-based economy, this is a sensible… Continue Reading