RTendulkarMD

Trends in Physician Electronic Health Record Time and Message Volume This cohort study uses national electronic health record data to assess patient medical advice request message volume and the time physicians spend in the records.

The time relegated to being data clerks among US physicians is increasing
jamanetwork.com/journals/jam...

Excerpt from a public letter Roald Dahl wrote encouraging people to vaccinate their children. Olivia, my eldest daughter, caught measles when she was seven years old. As the illness took its usual course I can remember reading to her often in bed and not feeling particularly alarmed about it. Then one morning, when she was well on the road to recovery, I was sitting on her bed showing her how to fashion little animals out of coloured pipe-cleaners, and when it came to her turn to make one herself, I noticed that her fingers and her mind were not working together and she couldn’t do anything. “Are you feeling all right?” I asked her. “I feel all sleepy,” she said. In an hour, she was unconscious. In twelve hours she was dead. The measles had turned into a terrible thing called measles encephalitis and there was nothing the doctors could do to save her. That was twenty-four years ago in 1962, but even now, if a child with measles happens to develop the same deadly reaction from measles as Olivia did, there would still be nothing the doctors could do to help her. On the other hand, there is today something that parents can do to make sure that this sort of tragedy does not happen to a child of theirs. They can insist that their child is immunized against measles. I was unable to do that for Olivia in 1962 because in those days a reliable measles vaccine had not been discovered. Today a good and safe vaccine is available to every family and all you have to do is to ask your doctor to administer it.

The measles outbreak in Texas is reminding me of the public letter Roald Dahl wrote about losing his daughter to measles in 1962, just before the vaccine was publicly available.

Experts Call NIH Budget Cuts an 'Apocalypse' for Science The reductions target indirect costs that cover administrative and equipment costs.

I have been talking to the media, Time, Fortune, NBC, etc., to explain how the onslaught on science and NIH will impact the health of all Americans. Everyone knows someone who has cancer, heart disease, or depression. Spread the word about how cutting science impacts all.
time.com/7216299/nih-...

Screening performance and characteristics of breast cancer detected in the Mammography Screening with Artificial Intelligence trial (MASAI): a randomised, controlled, parallel-group, non-inferiority, ... The findings suggest that AI contributes to the early detection of clinically relevant breast cancer and reduces screen-reading workload without increasing false positives.

New: The largest medical A.I. randomized controlled trial yet performed, enrolling >100,000 women undergoing mammography screening
The use of AI led to 29% higher detection of cancer, no increase of false positives, and reduced workload compared with radiologists w/o AI thelancet.com/journals/lan...

CDC Data Are Disappearing The agency has already removed scientific data from public view. More could follow.

This is how autocrats throughout history have endangered the people they govern by erasing factual information vital to health and well being
www.theatlantic.com/health/archi...

A reminder that when they examine the prostates of men who died of something else (heart attack, car accident), a HUGE percentage of men over 50 have prostate cancer and don't know even know it. We know there are a lot we don't need to treat at all. The problem is figuring out which ones.

Single-modality endocrine therapy versus radiotherapy after breast-conserving surgery in women aged 70 years and older with luminal A-like early breast cancer (EUROPA): a preplanned interim analysis of a phase 3, non-inferiority, randomised trial Endocrine therapy was associated with a greater reduction in HRQOL, as measured by GHS, compared with radiotherapy at 24 months. While these interim results suggest radiotherapy might better preserve HRQOL in older women with low-risk early breast cancer, further data on disease control outcomes and final patient accrual are needed to draw definitive conclusions.

Europa trial of RT vs ET for early stage breast cancer #SABCS24 #radonc www.thelancet.com/journals/lan...

#SABCS24 #bcsm #OncSky #RadOnc #MedSky

BIG 2-04 SUPREMO: postmastectomy #radiation in int risk #breastcancer did not improve 10y overall survival, incl for node + subset. Stat sig but small ⬇️ in chest wall recurrence (2.5% -> 1.1% abs risk, NNT 63 to prevent 1 CW recurrence)
@oncoalert.bsky.social

Great to present this secondary analysis of a prospective randomized trial at SABCS demonstrating decreased acute toxicity with VMAT vs 3D-CRT technique for patients with breast cancer receiving PMRT/RNI! An important treatment option for our patients! @mdanderson.bsky.social @sabcs.bsky.social

Europa trial (70yo ER+ T1N0, mostly 5fx PBI RT vs Endocrine) @Icro_Meattini showing better HRQOL, fewer adverse events, and low recurrence at 2 years. Very encouraging. #radonc #SABC24 Paper out today in @TheLancet #SABCS24

Bluesky doesn't have native "Trending" feature yet, so I put together the next best thing - a feed showing top 10 most reposted posts for the past 3 hours. See what is making rounds: bsky.app/profile/numb...

Cervical Cancer Mortality Among US Women Younger Than 25 Years This study examines trends in cervical cancer mortality in US women aged younger than 25 years before and after the introduction of human papillomavirus vaccines.

The HPV vaccine has been recommended in the US since 2006. New study out today shows that cervical cancer deaths in young women in the years that followed have plummeted, decreasing 15% per year from 2013-2015.
jamanetwork.com/journals/jam...

How Can Guidelines Give Clearer Guidance on Prostate Cancer Screening? This Viewpoint explores how guideline groups can come together to agree on a framework that produces clear and unified recommendations.

#ProstateCancer screening is complicated. Unfortunately, recommendations re: screening are confusing--to the population, to those at high risk, and to physicians, as well. Can we better coordinate our guidelines among major cancer organizations?
jamanetwork.com/journals/jam...

In Search of Joy and Meaning in Modern Medicine | JCO Oncology Practice

Simone’s maxims are timeless, and were the inspiration for this piece ascopubs.org/doi/10.1200/...

Understanding Academic Medical Centers: Simone’s Maxims1 Academic medical centers today represent a unique fusion of traditional academia, hospital functions, several levels of education, and, above all, patients. They are complex organizations trying to di...

Everyone in medicine should read Simone’s maxims once yearly

aacrjournals.org/clincancerre...

Congress has one month to save a key Medicare benefit Millions of Medicare patients use telehealth—but their coverage is ending abruptly.

Most Medicare coverage for telehealth is set to end soon unless Congress acts. I reported on how this is a bad situation for the millions of people who rely on telehealth to more easily get medical care for @motherjones.com. www.motherjones.com/politics/202...

Concomitant Chemotherapy in Trimodal Treatment of Patients with Muscle Invasive Bladder Cancer: A Systematic Review of Prospective Trials For selected patients with muscle-invasive bladder cancer (MIBC), trimodal therapy (TMT) incorporating transurethral resection of the tumor and chemor…

Systematic review of radiosensitisation with bladder preserving radiotherapy.
➡️ Use a radiosensitiser wherever possible, doesn't matter which one
➡️ Highest level of evidence for #BCON & #5FUMMC
👏🏽👏🏽👏🏽👇🏽
www.sciencedirect.com/science/arti...

Same for Oncology

bsky.app/profile/meds...

If anyone in #radonc wants to attach the medsky label to their profile, like the post below

Bluesky now has over 20M people!! 🎉

We've been adding over a million users per day for the last few days. To celebrate, here are 20 fun facts about Bluesky:

Subscribe to @medsky.social and go to the threads to find your specialty, like the post with your specialty and then you’ll get a label and your account will be added to the medsky curation list