Tag Archives: mortality

Social drivers of cancer mortality

By | March 28, 2022

In 1981, Doll and Peto published a well-known paper estimating that roughly 75-80% of cancer mortality was preventable. Forty years later, cancer mortality has declined some overall – but we still see vast disparities. Some of these disparities have gotten worse over time. With the Biden administration’s reignited Cancer Moonshot initiative, combined with a renewed… Read More »

The myth of female hysteria and women’s health disparities

By | March 5, 2020

What role might the myth of “female hysteria” play in women’s health disparities? For thousands of years, women’s health complaints were often diagnosed as “female hysteria” – a catch-all term that basically implied “it’s all in her head.” The condition was sometimes believed to be caused by a wandering uterus and/or sexual frustration. Doctors treated… Read More »

Street Medicine—a home for high quality medical care for people experiencing homelessness

“One foot in the grave,” he said. “Is that how you feel?” I asked.  “No, it’s how I live.” Unsheltered for 38 years, he had lived primarily behind a dumpster floating in and out of the medical, social and judicial system. In the month before the new Keck School of Medicine of the University of… Read More »

WhatsApp Doc? Connecting Specialists to General Practitioners in India

By | July 24, 2018

In India, cardiovascular diseases (CVDs), specifically coronary heart disease and congestive heart failure, are leading causes of disability and death. The large projected population of patients with CVDs in the coming years poses one of the biggest threats to this fast developing nation’s future. The crushing magnitude of the problem is exacerbated in rural areas where… Read More »

Abuse-Deterrent Formulations: A Solution to the Problem

By | January 25, 2018

Despite continuous efforts to address the problem, high rates of prescription opioid use and abuse continue to plague our country.  According to the CDC, deaths involving prescription opioids in the United States have quadrupled since 1999, and so have the sales of these prescription drugs.  In 2015, the American Public Health Association published a policy… Read More »

The Aging Physician

There are some occupations where employees are mandated to receive age-based skills and cognitive testing. For example, the National Business Aviation Association has a mandatory retirement age of 65 for airline pilots. Additionally, firefighters, employees of the Federal Bureau of Investigation, air traffic controllers, and nuclear material couriers are all subject to age-based regulations. These agencies impose age-based… Read More »

Survey says: Most women don’t know about breast cancer overdiagnosis and overtreatment

By | October 4, 2017

October is here, so along with the fall foliage, prepare yourself for a deluge of pink ribbons, umbrellas, bumper stickers, and billboards: it’s Breast Cancer Awareness Month. Started as a well-intentioned campaign to raise awareness about breast cancer and fundraise for breast cancer research, some have said that the movement commodifies a deadly disease at… Read More »

Empathy: What We’re Lacking in End of Life Care

The population of the U.S is progressively becoming older; however, healthy aging is no longer an oxymoron.  The availability of preventative medicine and health promotion programs have extended how long people can live healthy lives without chronic disability. Those aged 65 and over are projected to reach 83.7 million by 2050 [PDF].  While modern medicine has become… Read More »

Lessons from Analyses of Health Insurance Expansions from the 1980s through 2012

By | February 15, 2017

In a recent Medical Care article, Guy and colleagues analyzed health insurance expansions among parents from 1999 through 2012 to assess the impacts of four different types of public and private expansions. They primarily examined changes in parents’ health insurance coverage, but they also analyzed whether expanding coverage for parents could “spill over” and raise coverage… Read More »

Time for a vacation?

By | August 3, 2016

As I sat at my desk daydreaming about my family’s upcoming August beach vacation and remembering good times from last year’s beach trip with the kids, I began to feel the anxiety creeping in. I think you know the kind of anxiety I’m talking about: worry about falling behind on work, concern that my lack… Read More »

Multidimensional frailty score as a predictor of postoperative mortality

By | June 9, 2016

According to the 2010 U.S. Census, there are 40 million people (13% of the population) older than 65 years of age living in the U.S. This population has increased dramatically during the last two decades. Currently more than half of all surgeries are performed on this group of patients in the U.S. Frailty is typically defined by… Read More »

Death is not always an adverse event

By | June 9, 2016

Quality in healthcare can be a slippery concept. But in general, our medical system treats mortality as the ultimate adverse event. Higher mortality is thought to indicate poorer quality care. But what if death were the appropriate and preferred outcome for an individual? Consider the hypothetical case of an 87-year-old man named Philip. Philip has a living… Read More »