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1.
J Am Coll Radiol ; 16(11): 1598-1603, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31152689

RESUMO

PURPOSE: Financial conflicts of interest (FCOIs) may influence or undermine the credibility of clinical practice guidelines or society recommendations. Given the wide regard of such publications, understanding the prevalence and extent of FCOIs among their authors is essential. METHODS: The most current guidelines containing recommendations for breast cancer screening from the US Preventive Services Task Force, American Cancer Society, American College of Obstetricians and Gynecologists, International Agency for Research on Cancer, ACR, and American College of Physicians were retrieved from their respective organizational websites. Industry payments received by authors were then extracted using CMS Open Payments database (OPD), and the values and types of these payments were evaluated. Finally, financial disclosures were compared with open payments. RESULTS: Among a total of 43 authors and 7 guideline documents, 14 authors (33%) received at least one industry payment according to OPD payment records, whereas a majority of 29 authors (67%) had none. The median total payment from all sources across all breast imaging guidelines was $0 (interquartile range, $0-$84). Four authors (9%) declared at least one significant FCOI, five (12%) received more than $5,000 from a single company in a single year, and one author had a significant FCOI (2%) identified from OPD records but not disclosed within the guideline document. CONCLUSIONS: These findings suggest that FCOIs likely have little to no influence on the adoption of consensus recommendations regarding routine screening mammography for all cohorts of women.


Assuntos
Neoplasias da Mama/prevenção & controle , Conflito de Interesses/economia , Revelação , Detecção Precoce de Câncer/métodos , Mamografia/economia , Guias de Prática Clínica como Assunto , American Cancer Society/economia , Feminino , Apoio Financeiro , Humanos , Mamografia/estatística & dados numéricos , Programas de Rastreamento/organização & administração , Medicina Preventiva/organização & administração , Publicações/economia , Publicações/estatística & dados numéricos , Estados Unidos
2.
Am J Manag Care ; 22(4 Suppl): s92-4, 2016 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-27270159

RESUMO

The American Cancer Society (ACS) has been a leading voice for healthcare reform and an informed advocate for effective health insurance reforms. Since the implementation of the Affordable Care Act (ACA), the ACS has observed a shift in inquiries to its Health Insurance Assistance Service (HIAS) from individuals seeking coverage, to a growing problem of individuals presenting issues from being underinsured. Underinsured patients with cancer face serious financial challenges due to large co-pays and coinsurance costs. HIAS was created to help these patients identify potential options for insurance coverage while tracking patient trends. The types of calls received by HIAS have been captured as part of an internal database that allows for the analysis of trends and emerging issues. By evaluating several case studies that illustrate common issues faced by underinsured individuals, we identified solutions ranging from exploring financial assistance programs, such as co-pay relief and providing appeal information, to searching for more adequate or affordable insurance options. Additionally, the ACS has worked to find strong partnerships with other nonprofit organizations to aid in cost relief. Although the ACA has made plans available to many patients and their families, the maximum for an individual's in-network out-of-pocket costs are still too high for many individuals. New approaches are needed to improve the cost protection of health plans. By documenting access problems faced by patients with cancer, the ACS is better positioned to tell policy makers about the concerns of real patients and work toward policy solutions.


Assuntos
American Cancer Society/economia , Custo Compartilhado de Seguro/economia , Gastos em Saúde/estatística & dados numéricos , Cobertura do Seguro/economia , Seguro Saúde/economia , Neoplasias/economia , Neoplasias/terapia , Adulto , Custo Compartilhado de Seguro/estatística & dados numéricos , Feminino , Humanos , Cobertura do Seguro/estatística & dados numéricos , Seguro Saúde/estatística & dados numéricos , Pessoas sem Cobertura de Seguro de Saúde/estatística & dados numéricos , Estudos de Casos Organizacionais , Estados Unidos
3.
J Geriatr Oncol ; 7(4): 225-33, 2016 07.
Artigo em Inglês | MEDLINE | ID: mdl-27197917

RESUMO

Identifying knowledge gaps and research opportunities in cancer and aging research was the focus of a three-part conference series led by the Cancer and Aging Research Group from 2010 to 2015. The third meeting, featured representatives from the NIA, NCI, ACS and PCORI each of whom discussed research priorities and funding opportunities in cancer and aging at their respective agencies. This manuscript reports on the proceedings of that conference with a specific focus on funding priorities for interventions to improve the quality of life and survivorship of older adults with cancer. Helpful tips from each funder regarding writing a scientifically strong research proposal are presented.


Assuntos
Envelhecimento , Sobreviventes de Câncer , Neoplasias , Qualidade de Vida , Apoio à Pesquisa como Assunto/organização & administração , Sobrevivência , Idoso , American Cancer Society/economia , Pesquisa Biomédica , Sobreviventes de Câncer/psicologia , Humanos , National Cancer Institute (U.S.)/economia , National Institute on Aging (U.S.)/economia , National Institutes of Health (U.S.)/economia , Neoplasias/psicologia , Neoplasias/terapia , Avaliação de Resultados da Assistência ao Paciente , Assistência Centrada no Paciente , Estados Unidos
4.
Clin Adv Hematol Oncol ; 9(10): 720, 2011 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-22252575
6.
Bull Hist Med ; 81(1): 70-93, 2007.
Artigo em Inglês | MEDLINE | ID: mdl-17369663

RESUMO

This paper examines a collection of images of children printed in cancer education and fund-raising materials distributed by voluntary health organizations, released by public relations departments of specialized cancer hospitals, and featured in popular magazines and newspapers beginning in the late 1940s. Children represented only a small fraction of all persons with cancer, yet they became a key component of the media campaign for the disease. What narratives were embedded in the photographs and profiles? Like the March of Dimes' use of young polio patients to promote their programs, "poster children" were strategically used throughout the mid-to-late twentieth century to advance principles of early cancer detection and prompt treatment; to illustrate or, at times, exaggerate promising biomedical advances in the field; and to elicit emotional responses and donations from a wide audience during the escalation of the war against cancer.


Assuntos
American Cancer Society/história , Institutos de Câncer/história , Obtenção de Fundos/história , Meios de Comunicação de Massa , Neoplasias/história , Fotografação , Saúde Pública/história , American Cancer Society/economia , Institutos de Câncer/economia , Criança , Defesa do Consumidor , Feminino , História do Século XX , Humanos , Masculino , Marketing , Neoplasias/economia , Saúde Pública/economia , Relações Públicas , Apoio à Pesquisa como Assunto/história , Estados Unidos
8.
Int J Health Serv ; 29(3): 565-78, 1999.
Artigo em Inglês | MEDLINE | ID: mdl-10450547

RESUMO

The American Cancer Society is fixated on damage control--diagnosis and treatment--and basic molecular biology, with indifference or even hostility to cancer prevention. This myopic mindset is compounded by interlocking conflicts of interest with the cancer drug, mammography, and other industries. The "nonprofit" status of the Society is in sharp conflict with its high overhead and expenses, excessive reserves of assets and contributions to political parties. All attempts to reform the Society over the past two decades have failed; a national economic boycott of the Society is long overdue.


Assuntos
American Cancer Society/economia , Organizações sem Fins Lucrativos/economia , Política , Conflito de Interesses , Humanos , Neoplasias/prevenção & controle , Política Organizacional , Serviços Preventivos de Saúde/economia , Estados Unidos
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