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  1 / 1811 MEDLINE  
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[PMID]:28393715
[Au] Autor:Türk M; Yildirim F; Yurdakul AS; Öztürk C
[Ad] Endereço:Department of Chest Diseases, Faculty of Medicine, Gazi University, Ankara, Turkey. mrttrk@gmail.com.
[Ti] Título:Hospitalization costs of lung cancer diagnosis in Turkey: Is there a difference between histological types and stages?
[Ti] Título:Türkiye'de akciger kanseri tanisinda hastane yatis maliyetleri: Hastaligin histolojik tipi ve evresi maliyeti etkiler mi?.
[So] Source:Tuberk Toraks;64(4):263-268, 2016 Dec.
[Is] ISSN:0494-1373
[Cp] País de publicação:Turkey
[La] Idioma:eng
[Ab] Resumo:Introduction: To establish the direct costs of diagnosing lung cancer in hospitalized patients. Materials and Methods: Hospital data of patients who were hospitalized and diagnosed as lung cancer between September 2013 and August 2014 were retrospectively analyzed. Patients who underwent surgery for diagnosis and who were initiated with cancer treatment during the same hospital stay were excluded from study. Histological types and stages of lung cancer were determined. Expenses were grouped as laboratory costs, pathology costs, diagnostic imaging costs, overnight room charges, medication costs, blood center costs, consumable expenditures' costs and inpatient service charges (including consultants' service, electrocardiogram, follow-up, nursing services, diagnostic interventions). Result: Of the 68 patients, 55 (81%) had non-small cell lung cancer (NSCLC), 13 (19%) had small cell lung cancer (SCLC). 47% of patients with NSCLC had stage 4 disease and 86% of patients with SCLC had extensive stage disease. Median total cost per patient was 910 (95% CI= 832-1291) Euros (€). Of all costs, 37% were due to inpatient service charges and 22% were medication costs. Median total cost per patient was 912 (95% CI= 783-1213) € in NSCLC patients and 908 (95% CI= 456-2203) € in SCLC patients (p> 0.05). In NSCLC group, total cost per patient was 873 (95% CI= 591-1143) € in stage 1-2-3 diseases and 975 (95% CI= 847-1536) € in stage 4 disease (p> 0.05). In SCLC group total cost per patient was 937 € in limited stage and 502 (95% CI= 452-2508) € in extensive stage (p> 0.05). Conclusions: There is no significant difference between costs related to diagnosis of different lung cancer types and stages in patients hospitalized in a university hospital.
[Mh] Termos MeSH primário: Carcinoma Pulmonar de Células não Pequenas/diagnóstico
Serviços de Diagnóstico/economia
Neoplasias Pulmonares/diagnóstico
Carcinoma de Pequenas Células do Pulmão/diagnóstico
[Mh] Termos MeSH secundário: Carcinoma Pulmonar de Células não Pequenas/economia
Carcinoma Pulmonar de Células não Pequenas/patologia
Custos e Análise de Custo
Feminino
Hospitalização/economia
Hospitais Universitários
Seres Humanos
Tempo de Internação
Neoplasias Pulmonares/economia
Neoplasias Pulmonares/patologia
Masculino
Meia-Idade
Estadiamento de Neoplasias
Estudos Retrospectivos
Carcinoma de Pequenas Células do Pulmão/economia
Carcinoma de Pequenas Células do Pulmão/patologia
Turquia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170515
[Lr] Data última revisão:
170515
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170411
[St] Status:MEDLINE


  2 / 1811 MEDLINE  
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[PMID]:27550567
[Au] Autor:Davis KA; Smith LB
[Ti] Título:Ethical Considerations about EHR-Mediated Results Disclosure and Pathology Information Presented via Patient Portals.
[So] Source:AMA J Ethics;18(8):826-32, 2016 Aug 01.
[Is] ISSN:2376-6980
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Electronic health records (EHR) now include patient portals where patients can obtain clinical reports, including notes, radiology reports, and laboratory/anatomic pathology results. Although portals increase patient access to information, no guidelines have been developed for hospitals about appropriate delays in posting different types of pathology reports to the EHR. Delays exist as a matter of policy to allow physicians time to answer questions and provide emotional support when discussing sensitive results with patients. Some types of results are more sensitive than others, however, including results of cancer, genetic, and HIV testing. Ethical questions about patient access to test results online are discussed.
[Mh] Termos MeSH primário: Acesso à Informação/ética
Serviços de Diagnóstico/ética
Revelação/ética
Registros Eletrônicos de Saúde
Patologia Clínica/ética
Portais do Paciente/ética
Relações Médico-Paciente
[Mh] Termos MeSH secundário: Emoções
Ética Clínica
Hospitais
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160824
[St] Status:MEDLINE


  3 / 1811 MEDLINE  
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[PMID]:27548934
[Ti] Título:Standards Changes for Providers of Diagnostic Imaging Services.
[So] Source:Jt Comm Perspect;36(7):9, 11, 2016 Jul.
[Is] ISSN:1044-4017
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Diagnóstico por Imagem
Serviços de Diagnóstico/normas
[Mh] Termos MeSH secundário: Joint Commission on Accreditation of Healthcare Organizations
Manuais como Assunto
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1609
[Cu] Atualização por classe:160823
[Lr] Data última revisão:
160823
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:160824
[St] Status:MEDLINE


  4 / 1811 MEDLINE  
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[PMID]:27480290
[Au] Autor:Brennan DS; Balasubramanian M; Spencer AJ
[Ad] Endereço:Australian Research Centre for Population Oral Health, School of Dentistry, Faculty of Health Sciences, The University of Adelaide, South Australia, Australia.
[Ti] Título:Diagnostic services in Australia: service rates and characteristics of patients.
[So] Source:Aust Dent J;61(3):298-303, 2016 Sep.
[Is] ISSN:1834-7819
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Diagnostic services are the most common area of dental service in Australia. The objective was to investigate differences in services per visit for examinations and radiographs in relation to the characteristics of patients receiving these services in terms of age and gender, aspects of visiting such as dental insurance and reasons for visit, and oral health such as number of teeth and presence of decay. METHODS: A random sample of Australian dentists was surveyed in 2009-2010. Data on diagnostic services and patient characteristics were collected from a service log. RESULTS: A total of 1148 dentists responded (response rate = 67%). Models adjusted for age and gender of patients showed that rates [Rate Ratio, 95% CI] of examinations were higher for insured patients [1.13; 1.06-1.21], while rates of radiographs were higher for emergency visits [1.25; 1.11-1.48]. Patients with 20 or more teeth had higher rates for examinations [1.15; 1.01-1.32] and radiographs [1.28; 1.02-1.60]. Decayed teeth were associated with lower examination rates [0.70; 0.65-0.76] but higher rates of radiographs [1.34; 1.16-1.55]. CONCLUSIONS: The finding that number of teeth was associated with higher rates of examinations and radiographs suggests that retention of teeth could be influencing the increasing rates of diagnostic services in Australia.
[Mh] Termos MeSH primário: Assistência Odontológica/estatística & dados numéricos
Padrões de Prática Odontológica
Odontopatias/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Austrália/epidemiologia
Criança
Pré-Escolar
Serviços de Diagnóstico/utilização
Feminino
Seres Humanos
Seguro Odontológico/estatística & dados numéricos
Masculino
Meia-Idade
Radiografia Dentária/utilização
Inquéritos e Questionários
Odontopatias/terapia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171010
[Lr] Data última revisão:
171010
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:160803
[St] Status:MEDLINE
[do] DOI:10.1111/adj.12373


  5 / 1811 MEDLINE  
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[PMID]:27461597
[Au] Autor:Singh S; Badaya S
[Ad] Endereço:G. R. Medical College, Gwalior, Madhya Pradesh, India.
[Ti] Título:Tele-cytology: An innovative approach for cervical cancer screening in resource-poor settings.
[So] Source:J Cancer Res Ther;12(2):481-5, 2016 Apr-Jun.
[Is] ISSN:1998-4138
[Cp] País de publicação:India
[La] Idioma:eng
[Ab] Resumo:Carcinoma cervix remains a leading cause of cancer mortality among women in countries lacking any screening program. The existing screening policy and approach via conventional cytology centered mainly in Tertiary Care Center, is totally unaffordable to Indian women, especially in the remote areas. This suggests the need of depolarizing the resources via generating the near real time modalities which could be used at the door step of the needy ones. For any screening modality to be effective it should be adequately sensitive, specific, reproducible, cheap, simple, affordable, and the most important is should be real time to ensure wide coverage and curtail loss to follow-up. Incorporating telecytology as a screening tool could make the dream come true. Telecytology is the interpretation of cytology material at a distance using digital images. Use of mobile telecytology unit housed in a van carrying satellite equipment and the automated image capturing systems is the central theme behind this idea. The imaging equipment would be carrying out the imaging of Papanicolaou smears prepared at the screening site and sending the images to the central laboratories situated at some tertiary care level. This concept could overcome the hindrance of trained cytology infrastructure in the resource poor settings and could provide an efficient and economical way of screening patients. There is possibility that the designed approach may not detect the entire women positive for the disease but if the desired objective was to diagnose as many cases as possible in resource poor setting, then this process offers an advantage over no screening at all.
[Mh] Termos MeSH primário: Citodiagnóstico/métodos
Detecção Precoce de Câncer/métodos
Telepatologia/métodos
Neoplasias do Colo do Útero/diagnóstico
[Mh] Termos MeSH secundário: Automação Laboratorial
Serviços de Diagnóstico/normas
Feminino
Seres Humanos
Índia/epidemiologia
Programas de Rastreamento
Neoplasias do Colo do Útero/epidemiologia
Neoplasias do Colo do Útero/etiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170316
[Lr] Data última revisão:
170316
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160728
[St] Status:MEDLINE
[do] DOI:10.4103/0973-1482.157343


  6 / 1811 MEDLINE  
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[PMID]:27357834
[Au] Autor:Amenuvegbe GK; Francis A; Fred B
[Ad] Endereço:School of Public Health, University of Health and Allied Sciences, Ho, Ghana.
[Ti] Título:Low tuberculosis case detection: a community and health facility based study of contributory factors in the Nkwanta South district of Ghana.
[So] Source:BMC Res Notes;9:330, 2016 Jun 29.
[Is] ISSN:1756-0500
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Tuberculosis (TB) continues to pose a major public health problem globally. In Ghana, the national TB case detection rate is 81 %; however, some districts are not able to meet their case detection targets. This study was therefore carried out in the Nkwanta South district to identify possible factors contributing to low TB case detection. METHODS: A cross sectional descriptive study involving the review of outpatients records for the year 2012 was conducted. Data on cough for 2 weeks or more duration, age, sex, area of residence and sputum smear examination were extracted. A community-based survey involving household contacts of TB patients and community based volunteers was also carried out. Data collected in the community included knowledge of TB status of relatives, level of socialization with TB patients and signs and symptoms of TB disease. Descriptive statistics including cross-tabulations were used to identify possible factors contributing to low TB case detection. RESULTS: A total of 932 patients out of 3987 reported coughing for 2 weeks or more (23.4 %; 932/3987). Out of that, only 24.6 % (230/932) had sputum smear microscopy done, yielding 57 (24.8 %) positive cases. Five out of the 57 positive cases were found not registered for the initiation of treatment leading to a false primary default rate of 8.8 % per year. Eighty-five percent of the contacts were able to mention persistent cough as a sign/symptom of TB with 80.4 % indicating that TB can be cured. Only 10 % of health facilities provided diagnostic services in the district with only 25 % of staff having had training in TB management. CONCLUSION: The study identified some factors (weak record review systems, inadequate diagnostic centres, lack of trained persons and some level of stigma at the community level) that could be contributing to low TB case detection in the Nkwanta South district.
[Mh] Termos MeSH primário: Serviços de Saúde Comunitária/estatística & dados numéricos
Serviços de Diagnóstico/estatística & dados numéricos
Testes Diagnósticos de Rotina/estatística & dados numéricos
Instalações de Saúde/estatística & dados numéricos
Mycobacterium tuberculosis/isolamento & purificação
Tuberculose Pulmonar/diagnóstico
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Criança
Pré-Escolar
Tosse/fisiopatologia
Estudos Transversais
Serviços de Diagnóstico/recursos humanos
Feminino
Gana/epidemiologia
Conhecimentos, Atitudes e Prática em Saúde
Inquéritos Epidemiológicos
Seres Humanos
Masculino
Meia-Idade
Escarro/microbiologia
Tuberculose Pulmonar/epidemiologia
Tuberculose Pulmonar/microbiologia
Tuberculose Pulmonar/fisiopatologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170220
[Lr] Data última revisão:
170220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160701
[St] Status:MEDLINE
[do] DOI:10.1186/s13104-016-2136-x


  7 / 1811 MEDLINE  
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[PMID]:27355530
[Au] Autor:Schroeder LF; Guarner J; Elbireer A; Castle PE; Amukele TK
[Ad] Endereço:From the University of Michigan, Ann Arbor (L.F.S.); Emory University, Atlanta (J.G.); Johns Hopkins University School of Medicine, Baltimore (A.E., T.K.A.); Albert Einstein College of Medicine, Bronx, NY (P.E.C.); Global Coalition against Cervical Cancer, Arlington, VA (P.E.C.); and the Makerere Un
[Ti] Título:Time for a Model List of Essential Diagnostics.
[So] Source:N Engl J Med;374(26):2511-4, 2016 Jun 30.
[Is] ISSN:1533-4406
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Serviços de Diagnóstico/normas
Técnicas e Procedimentos Diagnósticos/normas
[Mh] Termos MeSH secundário: Política de Saúde
Seres Humanos
Organização Mundial da Saúde
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1607
[Cu] Atualização por classe:160630
[Lr] Data última revisão:
160630
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:160630
[St] Status:MEDLINE
[do] DOI:10.1056/NEJMp1602825


  8 / 1811 MEDLINE  
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[PMID]:27287197
[Au] Autor:Baynam G; Pachter N; McKenzie F; Townshend S; Slee J; Kiraly-Borri C; Vasudevan A; Hawkins A; Broley S; Schofield L; Verhoef H; Walker CE; Molster C; Blackwell JM; Jamieson S; Tang D; Lassmann T; Mina K; Beilby J; Davis M; Laing N; Murphy L; Weeramanthri T; Dawkins H; Goldblatt J
[Ad] Endereço:Genetic Services of Western Australia, Department of Health, Government of Western Australia, Perth, WA, Australia. Gareth.baynam@health.wa.gov.au.
[Ti] Título:The rare and undiagnosed diseases diagnostic service - application of massively parallel sequencing in a state-wide clinical service.
[So] Source:Orphanet J Rare Dis;11(1):77, 2016 06 11.
[Is] ISSN:1750-1172
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The Rare and Undiagnosed Diseases Diagnostic Service (RUDDS) refers to a genomic diagnostic platform operating within the Western Australian Government clinical services delivered through Genetic Services of Western Australia (GSWA). GSWA has provided a state-wide service for clinical genetic care for 28 years and it serves a population of 2.5 million people across a geographical area of 2.5milion Km(2). Within this context, GSWA has established a clinically integrated genomic diagnostic platform in partnership with other public health system managers and service providers, including but not limited to the Office of Population Health Genomics, Diagnostic Genomics (PathWest Laboratories) and with executive level support from the Department of Health. Herein we describe report presents the components of this service that are most relevant to the heterogeneity of paediatric clinical genetic care. RESULTS: Briefly the platform : i) offers multiple options including non-genetic testing; monogenic and genomic (targeted in silico filtered and whole exome) analysis; and matchmaking; ii) is delivered in a patient-centric manner that is resonant with the patient journey, it has multiple points for entry, exit and re-entry to allow people access to information they can use, when they want to receive it; iii) is synchronous with precision phenotyping methods; iv) captures new knowledge, including multiple expert review; v) is integrated with current translational genomic research activities and best practice; and vi) is designed for flexibility for interactive generation of, and integration with, clinical research for diagnostics, community engagement, policy and models of care. CONCLUSION: The RUDDS has been established as part of routine clinical genetic services and is thus sustainable, equitably managed and seeks to translate new knowledge into efficient diagnostics and improved health for the whole community.
[Mh] Termos MeSH primário: Serviços de Diagnóstico
Doenças Raras/diagnóstico
[Mh] Termos MeSH secundário: Austrália
Assistência à Saúde/estatística & dados numéricos
Genômica/métodos
Sequenciamento de Nucleotídeos em Larga Escala
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171107
[Lr] Data última revisão:
171107
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160612
[St] Status:MEDLINE
[do] DOI:10.1186/s13023-016-0462-7


  9 / 1811 MEDLINE  
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[PMID]:27231080
[Ti] Título:Uptake of a newly implemented advance care planning program in a dementia diagnostic service.
[So] Source:Nurs Older People;28(5):14, 2016 May 27.
[Is] ISSN:1472-0795
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Through a three-stage project in a specialist memory clinic in Australia, researchers introduced ACP to clients with mild cognitive impairment or recently diagnosed dementia and their families. Clients and carers were initially posted a survey assessing completed documentation for future care, understanding of the principles of ACP and willingness to receive further information. Those wanting more information were invited to a seminar introducing the ACP programme and service. Participants wanting to complete ACP documentation could make an appointment with the ACP clinicians.
[Mh] Termos MeSH primário: Planejamento Antecipado de Cuidados
Demência/psicologia
[Mh] Termos MeSH secundário: Austrália
Cuidadores
Serviços de Diagnóstico
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171026
[Lr] Data última revisão:
171026
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:160528
[St] Status:MEDLINE
[do] DOI:10.7748/nop.28.5.14.s23


  10 / 1811 MEDLINE  
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[PMID]:27173403
[Au] Autor:Mooney H
[Ad] Endereço:London.
[Ti] Título:More radiologists needed for improved cancer diagnosis, says royal college.
[So] Source:BMJ;353:i2718, 2016 May 12.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Serviços de Diagnóstico/recursos humanos
Neoplasias/diagnóstico
Radiologistas/provisão & distribuição
[Mh] Termos MeSH secundário: Seres Humanos
Medicina Estatal
Reino Unido
[Pt] Tipo de publicação:NEWS
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:160514
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.i2718



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