Medicine, General & Internal

Article Economics

Cost-effectiveness of alternative first- and second-line treatments for benign prostatic hyperplasia in Singapore

Junxing Chay, Joshua Yi Min Tung, Rebecca Jade Su, Edwin Jonathan Aslim, Callix Wong, Georgia Swan, Wei Jin Chua, Henry Sun Sien Ho, Eric Andrew Finkelstein

Summary: This study evaluated the cost-effectiveness of minimally invasive surgical therapies for moderate-to-severe BPH patients in Singapore, finding that WVTT as a first-line treatment is cost-effective for both moderate and severe patients, while PUL is not cost-effective. TURP is cost-effective as a first-line treatment for severe patients only.

JOURNAL OF MEDICAL ECONOMICS (2023)

Article Economics

Healthcare costs among patients with newly diagnosed helicobacter pylori infection in the United States: a linked claims-EHR study

Shailja Shah, Katherine Cappell, Robert Sedgley, Corey Pelletier, Rinu Jacob, Machaon Bonafede, Rena Yadlapati

Summary: This study aimed to characterize the cost drivers of patients with Helicobacter pylori (HP) and estimate the cost savings associated with successful eradication compared to failed eradication. The results showed that the healthcare costs of HP patients are influenced by comorbidities and there are significant cost savings for patients with successful HP eradication in specific HP-related conditions.

JOURNAL OF MEDICAL ECONOMICS (2023)

Article Economics

Cardiovascular outcomes by time-varying New York Heart Association class among patients with obstructive hypertrophic cardiomyopathy: a retrospective cohort study

Yan Wang, Weihua Gao, Xu Han, Jenny Jiang, Belinda Sandler, Xiaoyan Li, Carla Zema

Summary: This study used the Optum Market Clarity database to examine the relationship between New York Heart Association (NYHA) functional class and cardiovascular outcomes in obstructive hypertrophic cardiomyopathy (HCM). The study found that as the NYHA class worsened, the risks of all outcomes increased.

JOURNAL OF MEDICAL ECONOMICS (2023)

Article Economics

Health care resource utilization in 3L+patients with chronic phase chronic myeloid leukemia receiving asciminib or bosutinib

Jorge E. Cortes, Delphine Rea, Michael J. Mauro, Diana Tran, Pearl Wang, Kejal Jadhav, Aurore Yocolly, Koji Sasaki

Summary: This study assessed and compared the health care resource utilization (HCRU) rates of asciminib and bosutinib among 3 L+ patients with chronic myeloid leukemia in chronic phase (CML-CP) in the ASCEMBL trial. The results showed that asciminib-treated patients had lower resource utilization compared to bosutinib-treated patients over the long-term.

JOURNAL OF MEDICAL ECONOMICS (2023)

Article Economics

Calibration of the IQVIA Core Diabetes Model to the stroke outcomes from the SUSTAIN 6 cardiovascular outcomes trial of once-weekly semaglutide

Sasha Berry, Barrie Chubb, Annabel Acs, Edel Falla, Akanksha Verma, Samuel J. P. Malkin, Barnaby Hunt, Andrew J. Palmer

Summary: The study aimed to investigate the performance of the IQVIA Core Diabetes Model in predicting the outcomes of the SUSTAIN 6 trial and examine the impact of calibration on cost-effectiveness outcomes from a UK healthcare payer perspective. The results showed that once-weekly semaglutide had improved health economic benefits in treating diabetes-related complications compared to placebo plus standard of care, especially after calibration.

JOURNAL OF MEDICAL ECONOMICS (2023)

Article Economics

Meta-regression to explain the placebo effects in clinical trials of anti-CGRP monoclonal antibodies for migraine prevention

Stephane Alexandre Regnier, Xin Ying Lee

Summary: This study conducted a meta-regression analysis on placebo data from clinical trials of anti-calcitonin gene-related peptide (anti-CGRP) monoclonal antibodies for migraine prevention, and found that intravenous administration of placebo led to a higher reduction in monthly migraine days. Additionally, episodic migraine type and a higher proportion of patients with multiple failed preventive treatments were associated with lower efficacy.

JOURNAL OF MEDICAL ECONOMICS (2023)

Article Economics

Impact of information and deliberation on the consistency of preferences for prioritization in health care - evidence from discrete choice experiments undertaken alongside citizens' juries

Jennifer A. Whitty, Peter Littlejohns, Julie Ratcliffe, Kylie Rixon, Andrew Wilson, Elizabeth Kendall, Paul Burton, Kalipso Chalkidou, Paul A. Scuffham

Summary: This study compared the opinions on prioritizing access to bariatric surgery obtained through a Citizens' Jury (CJ) and a preference elicitation method (Discrete Choice Experiment, DCE). The results showed that the important criteria were similar across the groups, but the order of importance varied. The participants in the CJ had more diverse opinions after deliberation, with a higher priority given to those with comorbidities. This study contributes to understanding the use of different methods for gathering public opinions on healthcare decisions.

JOURNAL OF MEDICAL ECONOMICS (2023)

Article Economics

Cost-effectiveness analysis of HLA-B*13:01 screening for the prevention of co-trimoxazole-induced severe cutaneous adverse reactions among HIV-infected patients in Thailand

Warittakorn Kategeaw, Nontaya Nakkam, Sasisopin Kiertiburanakul, Chonlaphat Sukasem, Wichittra Tassaneeyakul, Nathorn Chaiyakunapruk

Summary: This study evaluated the cost-effectiveness of HLA-B*13:01 screening before co-trimoxazole initiation in HIV-infected patients in Thailand. The findings suggest that this screening strategy may not be cost-effective.

JOURNAL OF MEDICAL ECONOMICS (2023)

Article Medicine, General & Internal

Prevalence of covid-19 among patients with chronic obstructive pulmonary disease and tuberculosis

Muhammad Muneeb Hassan, Muhammad Ameeq, Farrukh Jamal, Muhammad H. Tahir, John T. Mendy

Summary: This study retrospectively studied 498 COVID-19 patients with tuberculosis and COPD at the DHQ Hospital in Muzaffargarh, Punjab, Pakistan. The results showed that COVID-19 patients with tuberculosis had a higher risk of death and a lower risk of recovery, with a shorter time to death and longer time to recovery.

ANNALS OF MEDICINE (2023)

Review Medicine, General & Internal

Using chronobiology-based second-generation artificial intelligence digital system for overcoming antimicrobial drug resistance in chronic infections

Yotam Kolben, Henny Azmanov, Ram Gelman, Danna Dror, Yaron Ilan

Summary: Antimicrobial resistance is a significant obstacle caused by the widespread use of antimicrobial agents. This paper presents the establishment of a second-generation AI chronobiology-based approach to prevent further resistance and potentially overcome existing resistance.

ANNALS OF MEDICINE (2023)

Review Medicine, General & Internal

The role of vitamin D deficiency in the development of paediatric diseases

Zhu Liu, Shiming Huang, Xiaoli Yuan, Yan Wang, Yannan Liu, Jing Zhou

Summary: Children in developed countries suffer from vitamin D deficiency due to less outdoor exercise and insufficient intake, leading to various pediatric disorders.

ANNALS OF MEDICINE (2023)

Review Medicine, General & Internal

Systematic review with meta-analysis of mid-regional pro-adrenomedullin (MR-proadm) as a prognostic marker in Covid-19-hospitalized patients

Bartosz Fialek, Charles De Roquetaillade, Michal Pruc, Alla Navolokina, Francesco Chirico, Jerzy Robert Ladny, Frank William Peacock, Lukasz Szarpak

Summary: A comprehensive literature search found a correlation between MR-proADM levels and mortality in COVID-19 patients. The use of MR-proADM may aid in risk stratification, evaluating potential therapy escalation, predicting complications or clinical deterioration, and avoiding unnecessary hospital admissions.

ANNALS OF MEDICINE (2023)

Article Medicine, General & Internal

High endothelial venules proportion in tertiary lymphoid structure is a prognostic marker and correlated with anti-tumor immune microenvironment in colorectal cancer

Zhao Zhan, Shi-jin Liu, Yi-ran Zhang, Zhi-long Liu, Xiao-xu Zhao, Ding Hui, Yun-long Pan, Jing-hua Pan

Summary: This study investigated the role of the high endothelial venules/tertiary lymphoid structures (HEV/TLS) in colorectal cancer (CRC) and found that it is associated with a favorable prognosis and the anti-tumor immune microenvironment.

ANNALS OF MEDICINE (2023)

Article Medicine, General & Internal

Feasibility of machine learning-based modeling and prediction using multiple centers data to assess intrahepatic cholangiocarcinoma outcomes

Shuang-Nan Zhou, Da-Wei Jv, Xiang-Fei Meng, Jing-Jing Zhang, Chun Liu, Ze-Yi Wu, Na Hong, Yin-Ying Lu, Ning Zhang

Summary: This study developed a clinical decision support tool based on machine learning to predict the prognosis of intrahepatic cholangiocarcinoma. Three models were established using data from the SEER database and a hospital, with a concordance index ranging from 0.67 to 0.73. The models can help clinicians make optimal treatment decisions.

ANNALS OF MEDICINE (2023)

Review Medicine, General & Internal

Dry eye disease: identification and therapeutic strategies for primary care clinicians and clinical specialists

John Sheppard, Bridgitte Shen Lee, Laura M. Periman

Summary: Dry eye disease is a multifactorial disorder characterized by tear film imbalance, which can lead to inflammation and damage of the ocular surface. It affects 5% to 50% of the worldwide population and can be caused by various factors such as ocular and systemic diseases, medications, and environmental conditions. The management of this chronic disease involves both pharmacologic and nonpharmacologic interventions, with primary care clinicians playing a crucial role in diagnosis, education, and referral. It is important for healthcare professionals to be aware of the etiology and treatment options of dry eye disease.

ANNALS OF MEDICINE (2023)

Review Medicine, General & Internal

R-spondin family biology and emerging linkages to cancer

Zhimin He, Jialin Zhang, Jianzhong Ma, Lei Zhao, Xiaodong Jin, Hongbin Li

Summary: The R-spondin protein family, consisting of RSPO1-4, regulates tumor development and progression in addition to its role as agonists of the Wnt/beta-catenin pathway. Aberrant expression of RSPOs is associated with tumorigenesis and their expression is correlated with anticancer immune cell signatures. The potential therapeutic value of RSPOs in cancer medicine has been investigated, but the precise molecular mechanism and role of RSPOs in cancer remains unclear.

ANNALS OF MEDICINE (2023)

Article Medicine, General & Internal

Profiling of differentially expressed circRNAs and functional prediction in peripheral blood mononuclear cells from patients with rheumatoid arthritis

Li Xue, Biao Wang, Jianhong Zhu, Qian He, Fang Huang, Wei Wang, Li Tao, Yan Wang, Nan Xu, Ni Yang, Li Jin, Hua Zhang, Ning Gao, Ke Lei, Yanping Zhang, Chaoliang Xiong, Jing Lei, Ting Zhang, Yan Geng, Ming Li

Summary: This study aimed to investigate the key circRNAs related to rheumatoid arthritis (RA) by identifying differentially expressed circRNAs (DEcircRNAs) in peripheral blood mononuclear cells (PBMCs) from RA patients compared to controls and osteoarthritis (OA) patients. Real-time PCR validation and correlation analysis with laboratory indices were also performed. The functional annotation of host genes of the DEcircRNAs in RA revealed their involvement in metabolic pathways, ECM-receptor interaction, and the PI3K-Akt signalling pathway. These findings contribute to a better understanding of the role of circRNAs in the specific mechanism underlying RA.

ANNALS OF MEDICINE (2023)

Article Medicine, General & Internal

The association between serum folate and ultrasound-defined hepatic steatosis

Xingxing Chen, Jiajia Lu, Qi Xu, Bin Chen, Lijun Shen

Summary: A study discovered that a folate shortage may increase the risk of hepatic steatosis. The relationship between serum folate and controlled attenuation parameter (CAP) was investigated among 3606 participants from the National Health and Nutrition Examination Survey (NHANES). The findings showed a negative correlation between serum folate and CAP, particularly in males and whites. Among whites, the association followed a U-shaped curve at a specific blood folate level.

ANNALS OF MEDICINE (2023)

Article Medicine, General & Internal

Inappropriate gestational weight gain impact on maternofetal outcomes in gestational diabetes

Silvia Santos Monteiro, Tiago S. Santos, Liliana Fonseca, Miguel Saraiva, Fernando Pichel, Clara Pinto, Maria T. T. Pereira, Joana Vilaverde, Maria C. C. Almeida, Jorge Dores

Summary: This study evaluated the association between deviation from appropriate gestational weight gain and adverse maternofetal outcomes in women with gestational diabetes. The results showed that inappropriate gestational weight gain was associated with increased risk of large-for-gestational-age infants and macrosomia. This suggests that weight management is important in addition to glycemic control in women with gestational diabetes.

ANNALS OF MEDICINE (2023)