Kelly Davio

Articles by Kelly Davio

In a discussion during the American Psychiatric Association 2018 Annual Meeting, held in New York, New York, a panel of psychiatrists argued that private insurance is failing patients with mental health disorders, and that a single-payer system would provide better access and better care for the most seriously ill patients.

In a talk on integrative healthcare for transgender populations during the American Psychiatric Association’s 2018 Annual Meeting, held in New York, New York, Hansel Arroyo, MD, director of psychiatry and behavioral medicine at the Institute for Advanced Medicine at the Center for Transgender Medicine and Surgery at Mount Sinai Hospital, discussed the Institute’s approach to addressing mental health needs in the delivery of care.

While cardiovascular disease (CVD) is the leading cause of death among women as well as men, and while both sex and gender differences in CVD and its treatments have been well documented, women continue to be less represented than men in clinical trials of drugs to treat CVD. Among proposed reasons for this phenomenon are the recruitment of younger patients, inclusion criteria that tend to select men, and exclusion criteria that are more common in women.

Huntington disease (HD) is an incurable, inherited neurological disorder caused by the mutant Huntingtin gene, which produces a mutant form of Huntingtin protein (mHTT). In addition to creating the profound neurological impacts of HD, the mHTT protein also impairs other organ systems, and new research, published in Cell Reports, suggests that the protein may play a role in cardiac-related mortality in patients with HD.

More patients are undergoing surgical procedures performed as day surgery with much of their recovery time at home without the direct supervision of a healthcare professional; therefore, these patients must possess functional health literacy (FHL) to understand instructions on how to manage their recovery at home. A new study, published in JAMA Surgery, described FHL among patients in Sweden who were undergoing day surgery and the association of FHL with postoperative recovery.

The FDA’s Peripheral and Central Nervous System Drugs Advisory Committee has unanimously recommended approval of the New Drug Application for GW Pharmaceuticals’ proposed cannabidiol oral solution for the adjunctive treatment of seizures associated with 2 rare disorders, Lennox-Gastaut syndrome and Dravet syndrome, in patients 2 years and older.

A new, large cohort study of transgender or gender nonconforming youth—the Study of Transition, Outcomes, and Gender—showed that people who first presented as transgender or gender nonconforming before their 18th birthday have a higher prevalence of mental health conditions, including anxiety, depression, and attention-deficit disorders compared with their cisgender counterparts.

Being uninsured puts patients at risk of delayed or suboptimal care for serious diseases, including colon cancer. While colon cancer is potentially curable at its early stages, those who lack insurance (or who have public insurance only) are less likely to receive screening, and some studies have demonstrated that those with no insurance or public insurance are less likely to receive the chemotherapy that can reduce the risk of recurrence in phase III disease.

Sancilio Pharmaceuticals announced that it has received the European Medicines Agency’s Orphan Designation for its SC411 (which it plans to market as Altemia), a proposed treatment for sickle cell disease in pediatric patients, in the European Union. The FDA granted the proposed drug a similar designation—the Rare Pediatric Disease designation—in 2017.

As the companies that remain on the market have gained more experience with the individual and small group market risk pools, and have set higher premiums for exchange plans, their gross profit margins have increased. The Council of Economic Advisors said that the fact that premiums continue to rise “is a clear sign of a distorted market that involves larger transfers from taxpayers to insurers.”

On the closing day of the National Comprehensive Cancer Network (NCCN) 23rd Annual Conference in Orlando, Florida, Bijal Shah, MD, of Moffitt Cancer Center, presented on acute lymphoblastic leukemia (ALL), and on the lessons learned from the application of chimeric antigen receptor (CAR) T-cell therapy in this indication.

The use of immune checkpoint inhibitors has revolutionized the treatment of cancer, said John A. Thompson, MD, of the Fred Hutchinson Cancer Research Center and the Seattle Cancer Care Alliance, but “With this good news has come some not so good news”: immune-related adverse events can cause serious harm to patients receiving these drugs.

At the National Comprehensive Cancer Network (NCCN) 23rd Annual Conference, held March 22-24 in Orlando, Florida, Sharon H. Giordano, MD, MPH, the University of Texas MD Anderson Cancer Center; Anthony D. Elias, MD, University of Colorado Cancer Center; and William J. Gradishar, MD, Robert H. Lurie Comprehensive Cancer Center of Northwestern University, provided an update on the NCCN guidelines for the treatment of breast cancer and discussed new directions in breast cancer therapy.



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