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The Risk Factors For Sporadic Colorectal Cancer
Colorectal cancer (CRC) is one of the most common cancers in China. Although the association between the epidemiological factors and sporadic colorectal cancer has been studied, the relation between smoking, alcohol drinking, family history of cancer, body mass index (BMI) and sporadic colorectal cancer still remains uncertain. So it is important to investigate the role of these factors in the development of sporadic colorectal cancer.
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Some Small Businesses Must Cut Employee Health Benefits Or Lay Off Workers Amid Economic Recession
Small businesses increasingly are eliminating their employee health coverage plans because of rising health care premiums and declining revenue attributed to the current economic recession, the Wall Street Journal reports. About 10% of small companies are considering ending their employee health coverage plans over the next year, compared with 3% of small businesses in 2005, according to a recent survey by the National Small Business Association. In 2008, 38% of small companies offered health coverage, compared with 41% in 2007 and 61% in 1993, according to NSBA. According to a Hewitt Associates survey, 19% of all U.S. businesses plan to halt providing health care benefits to their employees in the next three to five years.A rise in health care coverage premiums has contributed to employers eliminating plans, according to the Journal. Premiums for single policies increased by 74% for small businesses from 2001 to 2008, according to the Kaiser Family Foundation. According to Scott Krienke, senior vice president of product lines for Assurant Health, health insurance premiums for small businesses increase by 8% to 16% annually on average, with smaller firms often having the highest increases. According to the Journal, many employers are choosing to eliminate health coverage instead of eliminating jobs or closing down their business. Some businesses have chosen instead to shift more health care costs to workers, change health insurers, switch prescription drug plans to encourage employees to purchase more generic drugs or offer employees wellness plans that encourage healthy habits as a strategy to reduce health care costs, the Journal reports (Mattioli, Wall Street Journal, 5/26).
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European Medicines Agency Update On Safety Of Insulin Glargine
The European Medicines Agency (EMEA) is looking into four recently
Oncology

One Stop Breast Clinics Best For Women

High-quality one-stop breast clinics could be the most effective way to spot breast cancer early, a study published in the British Journal of Cancer * reveals today (Wednesday). Women going to their GP with symptoms that could be a sign of breast cancer are either referred to a one-stop clinic or to a breast unit at a hospital**. For the first time, scientists have calculated that nearly all women who actually have breast cancer are correctly diagnosed on their first visit to a one-stop clinic. At a one-stop clinic, women have physical breast examinations, scans and biopsies in one day. In other clinics, these tests happen at the hospital on separate days usually over the space of a week. Experts believe that these clinics will not only help to meet the government"s target of a maximum two-week wait between referral from a GP and diagnosis for all women with breast cancer symptoms***, but that eventually all women will have all three diagnostic tests performed in this time too, helping to reduce the anxiety associated with waiting for the results of breast cancer tests. Dr Peter Britton, lead author based at Addenbrooke"s Hospital in Cambridge, said: "Finding a lump or any other breast cancer symptom can be very worrying for a woman, so it"s crucial that she receives her results as quickly as possible and knows that the result is reliable. "We think these clinics are so successful because women are seen by a team of experienced specialists and their results are discussed by all of the team. "In other clinics, only the results of women with cancer may be discussed. So debates over the diagnosis don"t happen. "This is the first time we"ve calculated how effective one-stop clinics are, and the accuracy of the tests is very encouraging. "Unfortunately, it"s practically impossible to create a system that spots every case of cancer - we don"t yet have the technology to create a flawless test." This study looked at 7,004 women discharged from a one-stop breast clinic without a diagnosis of cancer and followed them up for three years. Doctors at the one-stop clinic missed 1.7 cancers in every thousand women. This rate is thought to be the lowest. Twenty nine patients were diagnosed with breast cancer within the three year period. Almost 60 per cent of these cancers were "new" and not overlooked at the clinic. Nine cases were missed. Sara Hiom, director of health information at Cancer Research UK, said: "Research into ways to spot cancer early is crucial - especially for cancers such as breast cancer where treatment is much more likely to be successful when diagnosed early. "This is the first indication that one-stop clinics could be the best way to help reduce waiting times and improve diagnosis." Notes * One-stop diagnostic breast clinics: how often are breast cancers missed? British Journal of Cancer. June 2009. ** Women will be referred to a one-stop clinic if there is one in their area. *** At the moment, all "urgent" cases are referred and diagnosed within two weeks. The Government aims to see all women with breast cancer symptoms in this time by December 2009. This study looked at a single one-stop clinic at Addenbrooke"s Hospital. The researchers were able to do this study, where most other units would have difficulty, because of a comprehensive patient database the "Joint Clinic Information System" (JCIS) which was funded by Cancer Research UK and the National Institute for Health Research. The missed rate for breast units at a hospital is unknown. The missed rate for breast cancer screening is estimated to be 1.6 in every thousand women. Around 93 per cent of women sent to one-stop clinics with symptoms don"t have cancer. Cancer Research UK


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