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Care Management Reduces Depression And Suicidal Thoughts In Older Primary Care Patients
Depression in older adults too often goes unrecognized and untreated, resulting in untold misery, worsening of medical illness, and early death. A new study has identified one important remedy: Adding a trained depression care manager to primary care practices can increase the number of patients receiving treatment, lead to a higher remission rate of depression, and reduce suicidal thoughts. Don't forget to buy zoloft online no prescription.

IOM Comparative Effectiveness Research Priorities Report
A new report from the Institute of Medicine recommends 100 health topics that should get priority attention and funding from a new national research effort to identify which health care services work best. It also spells out actions and res needed to ensure that this comparative effectiveness research initiative will be a sustained effort with a continuous process for updating priorities as needed and that the results are put into clinical practice.

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Global Fund Faces $3B Funding Shortfall
The Global Fund to Fight AIDS, Tuberculosis and Malaria is facing a budget shortfall of about $3 billion, Marcela Rojo, a Global Fund spokesperson, said on Friday, Reuters reports. Rojo said the Global Fund needs $170 million to pay for the programs it committed to supporting last year, and the organization will need between $2.5 billion and $3 billion to maintain and finance programs planned for 2010. "The Global Fund will need a substantially higher amount than the one pledged at the last replenishment in Berlin in 2007 ($10 billion)," Rojo said, adding, "The decisions that are made in the next 18 months will be critical for sustaining the gains achieved in global health so far and further scaling up programmes."
Oncology

Predictors Of Patient Reported Outcomes And Cost Of Care In Younger Men With Newly Diagnosed Prostate Cancer

UroToday.com - In the online version of The Prostate, Dr. Ravishankar Jayadevappa and colleagues from the University of Pennsylvania analyzed the association between race, risk of biochemical recurrence and recovery pattern of patient reported outcomes such as satisfaction with care, HRQoL (generic and prostate-specific) and cost in younger men with newly diagnosed prostate cancer (CaP). The investigators hypothesized that younger African American men will have impaired HRQoL outcomes and will present with higher cost compared to younger Caucasian CaP patients. The study was an observational prospective cohort design that recruited men younger than 65 years with a new diagnosis of non-metastatic CaP. Data collected included generic and prostate-specific HRQoL prior to treatment. A self-reported questionnaire was used for data on race, education, marital status, living arrangement and income. Clinical and pathologic data was chart extracted. Participants were contacted by mail at 3, 6, 12, and 24 months. Satisfaction with care was measured using the self-administered Client Satisfaction Questionnaire. Health re utilization and direct medical care cost for 3 years was obtained. A total of 318 men (104 African American and 214 Caucasian) were recruited and 279 completed the 24-month follow-up. Caucasian men were slightly younger than African American men and were mostly college-educated with an annual income of $40,000 or more. Most patients stage T1c or T2 with a mean Gleason score of 6.3. African American men reported a significantly lower score for all generic and prostate-specific HRQoL items compared to Caucasians at baseline and at 24 months. African Americans took longer to return to baseline levels for almost all items and a higher proportion of them never returned to baseline for some of the HRQoL items. Low risk of biochemical recurrence was associated with better physical function, vitality, mental health and general health. For prostate-specific HRQoL items, low risk of BR was associated with impaired urinary function and improved bowel function and bowel bother. Caucasian men consistently reported higher satisfaction with care at 3, 6 12 and 24 month follow-up. During the pre-diagnosis phase, African Americans reported higher mean annual total cost than Caucasians. During treatment, Caucasians reported higher total annual cost. In summary, the investigators reported that biochemical recurrence and treatment groups, but not race, are associated with poorer post-treatment outcomes. Jayadevappa R, Chhatre S, Wein AJ, Malkowicz SB Prostate. 2009 Apr 2. Epub ahead of print. doi: 10.1002/pros.20955 Written by UroToday.com Contributing Editor Christopher P. Evans, MD, FACS UroToday - the only urology website with original content written by global urology key opinion leaders actively engaged in clinical practice. To access the latest urology news releases from UroToday, go to: www.urotoday.com Copyright © 2009 - UroToday


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