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A discrete choice experiment to understand preferences of patients with type 2 diabetes about the attributes of GLP1 receptor agonists in Spain. 通过离散选择实验了解西班牙 2 型糖尿病患者对 GLP1 受体激动剂属性的偏好。
IF 2.4 4区 医学
Current Medical Research and Opinion Pub Date : 2024-11-01 Epub Date: 2024-10-08 DOI: 10.1080/03007995.2024.2407960
Patricia San José, Ana Monteagudo, Antonio Picó, Miren Sequera, Jesús Medina
{"title":"A discrete choice experiment to understand preferences of patients with type 2 diabetes about the attributes of GLP1 receptor agonists in Spain.","authors":"Patricia San José, Ana Monteagudo, Antonio Picó, Miren Sequera, Jesús Medina","doi":"10.1080/03007995.2024.2407960","DOIUrl":"10.1080/03007995.2024.2407960","url":null,"abstract":"<p><strong>Objective: </strong>To determine the preferences regarding injection, medication frequency and complexity of GLP1 receptor agonists among patients with type 2 diabetes, treatment-naïve for such drugs in Spain. Additionally, patients' willingness to pay according to these attributes was evaluated.</p><p><strong>Methods: </strong>A discrete-choice experiment survey designed to evaluate patients' preferences over three attributes discriminating by age, sex and patients experience with previous injectable treatment was fulfilled by patients. The resulting model was analyzed using a conditional (fixed-effects) logistic regression.</p><p><strong>Results: </strong>A total of 180 patients (63.35 ± 11.49 years, 63.28% men, 48.41% with previous cardiovascular disease, 54.69% with a time of evolution of diabetes >10 years) recruited from 5 health care centers in Spain completed the survey. Patients viewed positively weekly injections (vs daily injections), but rated negatively a complex preparation of the dose (vs simple preparation). Whereas naïve patients for injectable medications did not consider administration timing of importance, no naïve patients considered it relevant. No relevant differences were observed according to age or gender. Patients were willing to pay 83.25€for a \"no preparation required\" dose. No naïve and naïve patients were willing to pay 34.61€ and 14.35€; <i>p</i> = 0.000, to change daily injection for a weekly injection.</p><p><strong>Conclusions: </strong>Patients highly valued the avoidance of injections, with weekly dosing clearly preferred over daily dosing, as well as reducing the treatment complexity. These findings may provide a better understanding of what patients prefer and value in their treatment and provide guidance for clinicians making therapeutic decisions regarding treatments of patients with type 2 diabetes.</p>","PeriodicalId":10814,"journal":{"name":"Current Medical Research and Opinion","volume":" ","pages":"1841-1846"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142364743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The missing link between cancer stem cells and immunotherapy. 癌症干细胞与免疫疗法之间缺失的联系。
IF 2.4 4区 医学
Current Medical Research and Opinion Pub Date : 2024-11-01 Epub Date: 2024-10-11 DOI: 10.1080/03007995.2024.2407963
Lobna Safwat Ali, Youssef A M Attia, Sohaila Mourad, Esraa M Halawa, Noreen H Abd Elghaffar, Seham Shokry, Omar M Attia, Maha Makram, Al-Hassan Soliman Wadan, Walaa A Negm, Engy Elekhnawy
{"title":"The missing link between cancer stem cells and immunotherapy.","authors":"Lobna Safwat Ali, Youssef A M Attia, Sohaila Mourad, Esraa M Halawa, Noreen H Abd Elghaffar, Seham Shokry, Omar M Attia, Maha Makram, Al-Hassan Soliman Wadan, Walaa A Negm, Engy Elekhnawy","doi":"10.1080/03007995.2024.2407963","DOIUrl":"10.1080/03007995.2024.2407963","url":null,"abstract":"<p><p>Cancer stem cells (CSCs) are cancer cells that can self-renew and give rise to tumors. The multipotency of CSCs enables the generation of diverse cancer cell types and their potential for differentiation and resilience against chemotherapy and radiation. Additionally, specific biomarkers have been identified for them, such as CD24, CD34, CD44, CD47, CD90, and CD133. The CSC model suggests that a subset of CSCs within tumors is responsible for tumor growth. The tumor microenvironment (TME), including fibroblasts, immune cells, adipocytes, endothelial cells, neuroendocrine (NE) cells, extracellular matrix (ECM), and extracellular vesicles, has a part in shielding CSCs from the host immune response as well as protecting them against anticancer drugs. The regulation of cancer stem cell plasticity by cancer-associated fibroblasts (CAFs) occurs through specific signaling pathways that differ among various types of cancer, utilizing the IGF-II/IGF1R, FAK, and c-Met/FRA1/HEY1 signaling pathways. Due to the intricate dynamics of CSC proliferation, controlling their growth necessitates innovative approaches and much more research. Our current review speculates an outline of how the TME safeguards stem cells, their interaction with CSCs, and the involvement of the immune and inflammatory systems in CSC differentiation and maintenance. Several technologies have the ability to identify CSCs; however, each approach has limitations. We discuss how these methods can aid in recognizing CSCs in several cancer types, comprising brain, breast, liver, stomach, and colon cancer. Furthermore, we explore different immunotherapeutic strategies targeting CSCs, including stimulating cancer-specific T cells, modifying immunosuppressive TMEs, and antibody-mediated therapy targeting CSC markers.</p>","PeriodicalId":10814,"journal":{"name":"Current Medical Research and Opinion","volume":" ","pages":"1963-1984"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142343151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Challenges for eGFR equations in the developing world. 发展中国家的 eGFR 方程面临的挑战。
IF 2.4 4区 医学
Current Medical Research and Opinion Pub Date : 2024-11-01 Epub Date: 2024-10-09 DOI: 10.1080/03007995.2024.2411440
Gershwin Davis, Srikanth Umakanthan, Lexley Pinto Pereira
{"title":"Challenges for eGFR equations in the developing world.","authors":"Gershwin Davis, Srikanth Umakanthan, Lexley Pinto Pereira","doi":"10.1080/03007995.2024.2411440","DOIUrl":"10.1080/03007995.2024.2411440","url":null,"abstract":"<p><p>The populations in countries that have the highest number of individuals with chronic kidney disease (CKD) are the low and middle-income countries which are ethnically diverse. The regional and international data highlighting the need for continuous monitoring of renal function warrants that such countries use equations that give the best estimates of glomerular filtration rate for their settings. While chronic disease conditions such as diabetes and hypertension are the main conditions associated with CKD in adult populations and complicated urinary tract infections and congenital anomalies in the kidney and the urinary tract in the young, the management of patients with CKD at any age can be impacted by medical and non-biological factors. This communication seeks to posit issues that may be germane to consider when using the CKD-EPI 2021 equations in the adult and young adult populations. These equations, by excluding the race factor, have put the spotlight on the relevance of the cultural and economic context concerning the management of renal patents. The social determinants of health, how an individual defines their gender, the cultural acceptance of such or the lack thereof, factors influencing the choice of the test, communication, and technology among others may all affect renal care. These issues together may have a greater impact on renal patient care and outcome than racial disparity. While the racial divide may have been a driver for differential treatment in developed nations with different ethnic groups they may be less so when compared with more homogenous populations.</p>","PeriodicalId":10814,"journal":{"name":"Current Medical Research and Opinion","volume":" ","pages":"1907-1911"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142361277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Letter to Editor regarding: "Between human and AI: methodological issues on reliability, effectiveness and accuracy to avoid misinterpretation" by Semeraro et al. 致编辑的信,内容涉及Semeraro 等人撰写的 "人类与人工智能之间:关于可靠性、有效性和准确性的方法问题,以避免误读"。
IF 4.6 4区 医学
Current Medical Research and Opinion Pub Date : 2024-11-01 Epub Date: 2024-10-04 DOI: 10.1080/03007995.2024.2408464
Amirhossein Sabour, Fariba Ghassemi
{"title":"Letter to Editor regarding: \"Between human and AI: methodological issues on reliability, effectiveness and accuracy to avoid misinterpretation\" by Semeraro et al.","authors":"Amirhossein Sabour, Fariba Ghassemi","doi":"10.1080/03007995.2024.2408464","DOIUrl":"10.1080/03007995.2024.2408464","url":null,"abstract":"","PeriodicalId":10814,"journal":{"name":"Current Medical Research and Opinion","volume":" ","pages":"1829-1830"},"PeriodicalIF":4.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142343149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Overall burden and impact on health-related quality of life associated with intravesical treatment of patients with non-muscle invasive bladder cancer in the United States. 美国非肌层浸润性膀胱癌患者膀胱内治疗的总体负担及其对健康相关生活质量的影响。
IF 4.6 4区 医学
Current Medical Research and Opinion Pub Date : 2024-11-01 Epub Date: 2024-10-07 DOI: 10.1080/03007995.2024.2411424
Todor I Totev, Andrea Ireland, Aditi Shah, Anabelle Tardif-Samson, Patrick Lefebvre, Dominic Pilon
{"title":"Overall burden and impact on health-related quality of life associated with intravesical treatment of patients with non-muscle invasive bladder cancer in the United States.","authors":"Todor I Totev, Andrea Ireland, Aditi Shah, Anabelle Tardif-Samson, Patrick Lefebvre, Dominic Pilon","doi":"10.1080/03007995.2024.2411424","DOIUrl":"10.1080/03007995.2024.2411424","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to describe the life impacts of intravesical therapies for non-muscle invasive bladder cancer (NMIBC) from a patient perspective.</p><p><strong>Methods: </strong>A cross-sectional online survey design was used. Adults with NMIBC (and no other cancer) treated intravesically in the prior 12 months were recruited from US patient online communities. Individuals participating in a clinical trial or treated with erdafitinib were excluded. Participants' treatment experiences were evaluated using a questionnaire comprising (a) custom questions reported on 11-point numerical rating scales and (b) validated patient reported outcome (PRO) measures for bladder symptom burden and work productivity.</p><p><strong>Results: </strong>Among 171 survey participants, most received bacillus Calmette-Guérin (BCG) (83%), intravesical gemcitabine (28%), or gemcitabine + docetaxel (13%) during the past year. Participants generally felt adequately informed about treatment, felt expectation of treatment matched actual experience, and expressed intent to complete the full treatment course and willingness to try different treatments if needed. Participants reported disease symptom burden of 42.6/72 on the NFBlSI-18 scale. Employed participants reported 51% work impairment and 59% overall work productivity loss due to NMIBC.</p><p><strong>Conclusions: </strong>Participants recently treated with intravesical therapies expressed intent to complete the full treatment course and willingness to try new therapies if needed. Participants reported high NMIBC symptom burden and work impairment negatively impacting their well-being, despite receiving intravesical treatment.</p>","PeriodicalId":10814,"journal":{"name":"Current Medical Research and Opinion","volume":" ","pages":"2003-2011"},"PeriodicalIF":4.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142364744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Demographic characteristics, clinical manifestations, and treatment outcomes of May-Thurner Syndrome: a five-year retrospective analysis using computed tomography venography in a Chinese population. 梅-特纳综合征的人口统计学特征、临床表现和治疗效果:一项在中国人群中使用计算机断层扫描静脉造影术进行的五年回顾性分析。
IF 2.4 4区 医学
Current Medical Research and Opinion Pub Date : 2024-11-01 Epub Date: 2024-10-29 DOI: 10.1080/03007995.2024.2418428
Yan-Qin Lan, Ying-Min Chen, Kai-Sen Lan, Ning Feng, Zhi-Feng Xi
{"title":"Demographic characteristics, clinical manifestations, and treatment outcomes of May-Thurner Syndrome: a five-year retrospective analysis using computed tomography venography in a Chinese population.","authors":"Yan-Qin Lan, Ying-Min Chen, Kai-Sen Lan, Ning Feng, Zhi-Feng Xi","doi":"10.1080/03007995.2024.2418428","DOIUrl":"10.1080/03007995.2024.2418428","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to analyze the demographic characteristics, symptoms, and treatment outcomes of patients diagnosed with May-Thurner syndrome (MTS) using computed tomography venography (CTV).</p><p><strong>Methods: </strong>Medical records of patients diagnosed with MTS through CTV at Hebei General Hospital of China between April 1, 2017, and May 31, 2022, were reviewed. The data collected included: (1) gender, age, body mass index (BMI), and smoking and drinking habits; (2) time of onset and symptoms of MTS, as well as other accompanying symptoms; (3) additional diagnoses, length of hospital stay (days), treatment methods, treatment success, and the occurrence of post-treatment bleeding or recurrence. Descriptive statistics were used, with mean ± standard deviation and median values reported. The t-test/u-test and Chi-square test (including the exact probability method) were used to compare means and rates, respectively, with a significance level set at α = 0.05.</p><p><strong>Results: </strong>Out of 402 patients (233 males, 169 females), 118 (29.4%) were diagnosed with MTS, with 47 (21.1%) males and 71 (39.7%) females. The incidence of MTS was significantly higher in females than males (χ<sup>2</sup> <sub>proportion</sub> = 16.545, χ<sup>2</sup> <sub>composition</sub> = 9.763, <i>p</i> < 0.05). The average ages of male and female MTS patients were 56.4 and 59.9 years, respectively, with mean BMIs of 27.05 and 27.09 kg/m<sup>2</sup>. Among male patients, 27.7% (13) were smokers, and 17.0% (8) consumed alcohol. Inferior vena cava (IVC) thrombosis was notable in 59.3% of MTS patients, with a significantly higher proportion in females (70.4%) than in males (42.6%) (χ<sup>2</sup> = 9.102, <i>p</i> < 0.05). Lower limb swelling without pain was reported by 70.3% of patients, with 53.4% (44.7% male, 59.2% female) experiencing swelling on the left side only, which was significantly more common than swelling on the right side only or both sides (χ<sup>2</sup> = 44.554, <i>p</i> < 0.05). Additionally, 12.7% of patients reported both swelling and pain, with left-side symptoms being more prevalent than right-side or both sides. The average ages at symptom onset were 51.3 ± 17.1 years in males and 57.1 ± 13.2 years in females. All treatments for MTS were successful without bleeding or recurrence. The most common treatment method was balloon dilation combined with stent placement (57.6%).</p><p><strong>Conclusion: </strong>CTV is highly effective in detecting and facilitating the successful treatment of MTS. It should be fully utilized to promote early diagnosis and treatment of MTS. Female MTS patients need more medical resources for diagnosis and treatment.</p>","PeriodicalId":10814,"journal":{"name":"Current Medical Research and Opinion","volume":" ","pages":"2013-2019"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142459976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Emergency department visits and hospitalizations attributable to recent Epstein-Barr virus infection. 近期感染 Epstein-Barr 病毒导致的急诊就诊和住院治疗。
IF 2.4 4区 医学
Current Medical Research and Opinion Pub Date : 2024-11-01 Epub Date: 2024-10-15 DOI: 10.1080/03007995.2024.2408465
Jennifer L St Sauver, Robert M Jacobson, Susan A Weston, Chun Fan, Roderick A McPhee, Philip O Buck, Susan A Hall
{"title":"Emergency department visits and hospitalizations attributable to recent Epstein-Barr virus infection.","authors":"Jennifer L St Sauver, Robert M Jacobson, Susan A Weston, Chun Fan, Roderick A McPhee, Philip O Buck, Susan A Hall","doi":"10.1080/03007995.2024.2408465","DOIUrl":"10.1080/03007995.2024.2408465","url":null,"abstract":"<p><strong>Objective: </strong>Infectious mononucleosis (IM) or mono is typically caused by primary infection with Epstein-Barr virus (EBV) and may have a months-long, complicated course. We utilized population-based data to add to the limited literature on health care utilization following EBV infection.</p><p><strong>Methods: </strong>The Rochester Epidemiology Project includes medical records for ∼60% of residents living in 27 counties of Minnesota (MN) and Wisconsin (WI). Persons meeting a case definition of recent EBV infection from 1 January 1998 to 31 December 2021 were compared to three persons not meeting the definition, matched on case's sex, age, and index date. Emergency department (ED) visits and hospitalizations in the two groups were compared during 5-years' follow-up divided into three periods (short-term ≤3 months, mid-term >3 months-1 year, long-term >1-5 years). Adjusted hazard ratios (AHR) were estimated to account for the potential influence of confounding variables.</p><p><strong>Results: </strong>In total, 6,423 persons had a recent EBV infection and were matched to 19,269 comparators. The risk of an ED visit was significantly higher among cases in the short-term period (24.3% vs referents: 7.6%, <i>p</i> <.001; AHR = 3.71, 95% CI = 3.41-4.03). Cases also had an increased risk of hospitalization in the short-term (5.2% vs 1.6%: referents, <i>p</i> <.001; AHR = 3.53, 95% CI = 2.94-4.24). For ED visits but not hospitalization, the excess risk persisted into the mid-term follow-up period. Persons without a concurrent clinical diagnosis of IM continued to have an increased risk of hospitalizations up to 1 year after index date (AHR = 1.45, 95% CI = 1.09-1.91) and an increased risk of ED visits up to 5 years after the index date (AHR = 1.29, 95% CI = 1.14-1.46).</p><p><strong>Conclusion: </strong>There is a substantial short- and mid-term increased risk of serious health care encounters associated with recent EBV infection. Mid- and long-term risks are increased in patients who do not have a concomitant diagnosis of IM.</p>","PeriodicalId":10814,"journal":{"name":"Current Medical Research and Opinion","volume":" ","pages":"1885-1891"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142459977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of rimegepant utilization patterns and patient characteristics among new users: a United States administrative claims-based study. 评估新用户使用利眠宁的模式和患者特征:基于美国行政索赔的研究。
IF 4.6 4区 医学
Current Medical Research and Opinion Pub Date : 2024-11-01 Epub Date: 2024-10-07 DOI: 10.1080/03007995.2024.2410930
Jessica Ailani, Motomori Lewis, Feng Dai, Aaron Jenkins, Jessica Cirillo, Karin Hygge Blakeman, Lucy Abraham, Joshua Brown
{"title":"Evaluation of rimegepant utilization patterns and patient characteristics among new users: a United States administrative claims-based study.","authors":"Jessica Ailani, Motomori Lewis, Feng Dai, Aaron Jenkins, Jessica Cirillo, Karin Hygge Blakeman, Lucy Abraham, Joshua Brown","doi":"10.1080/03007995.2024.2410930","DOIUrl":"10.1080/03007995.2024.2410930","url":null,"abstract":"<p><strong>Objective: </strong>To assess tablet utilization patterns and describe pre-treatment characteristics among new users of rimegepant.</p><p><strong>Background: </strong>Rimegepant is the only oral calcitonin gene-related peptide antagonist approved in the United States for both the acute and preventive treatment of migraine.</p><p><strong>Methods: </strong>We conducted a retrospective cohort study of people with migraine who initiated treatment with rimegepant using two US commercial claims databases (MarketScan and Optum). Patients (≥18 years old) with migraine who newly initiated rimegepant were included. Patients were stratified into two groups representing acute (quantity = 8) and prevention (quantity = 15 or 16) use cohorts. Baseline characteristics and medication use history were assessed on index and during the 365-day pre-index period. Rimegepant utilization periods were calculated based on days supplied and varying approaches to define use periods. Tablet quantity per 30 days was reported separately for both acute and prevention cohorts.</p><p><strong>Results: </strong>In MarketScan, a total of 14,037 rimegepant users were identified; 11,195 (79.8%) in the acute group and 1,880 (13.4%) in the prevention group. Rimegepant utilization for acute use was 4.9 ± 2.1 tablets per 30 days and for preventive use was 13.1 ± 7.7 tablets per 30 days. There was high baseline prevalence of triptan contraindications, warnings, and high cardiovascular risk, with a combined 46.2% meeting one or more of these criteria. Acute medication overuse was also common (25.1%) prior to rimegepant initiation. Results were consistent in the Optum database.</p><p><strong>Conclusion: </strong>Our analysis provides the first real-world data available on tablet utilization and characteristics of new users of rimegepant.</p>","PeriodicalId":10814,"journal":{"name":"Current Medical Research and Opinion","volume":" ","pages":"1913-1920"},"PeriodicalIF":4.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142343148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
User experience with HIV molecular epidemiology in research, surveillance, and cluster detection and response: a needs assessment. 用户在研究、监测、集群检测和响应中使用艾滋病毒分子流行病学的经验:需求评估。
IF 4.6 4区 医学
Current Medical Research and Opinion Pub Date : 2024-11-01 Epub Date: 2024-09-09 DOI: 10.1080/03007995.2024.2388840
Anne L R Schuster, Ashley Folta, Juli Bollinger, Gail Geller, Sanjay R Mehta, Susan J Little, Travis Sanchez, Jeremy Sugarman, John F P Bridges
{"title":"User experience with HIV molecular epidemiology in research, surveillance, and cluster detection and response: a needs assessment.","authors":"Anne L R Schuster, Ashley Folta, Juli Bollinger, Gail Geller, Sanjay R Mehta, Susan J Little, Travis Sanchez, Jeremy Sugarman, John F P Bridges","doi":"10.1080/03007995.2024.2388840","DOIUrl":"10.1080/03007995.2024.2388840","url":null,"abstract":"<p><strong>Objective: </strong>HIV molecular epidemiology (HIV ME) is a tool that aims to improve HIV research, surveillance, and cluster detection and response. HIV ME is a core pillar of the U.S. initiative to End the HIV Epidemic but faces some challenges and criticisms from stakeholders. We sought to assess user experience to identify the current needs for HIV ME.</p><p><strong>Methods: </strong>Users of HIV ME, including researchers and public health practitioners, were engaged via a structured survey. Needs were assessed via open-ended questions about HIV ME. Data were analyzed using reflexive thematic analysis; the concordance of results was assessed semi-quantitatively.</p><p><strong>Results: </strong>Of 90 possible HIV-ME end-users, 57 completed the survey (response rate = 63%), which included users engaged in research (<i>n</i> = 29) and public health (<i>n</i> = 28). Respondents identified current imperatives, challenges, and strategies to improve HIV ME. Imperatives included characterization of the virus, identification of HIV hotspots, and tailoring of HIV interventions. Challenges encompassed technological issues, ethical concerns, and implementation difficulties. Strategies to improve HIV ME involved improving data access and analysis, enhancing implementation guidance and resources, and fostering community engagement and support. Researchers and public health practitioners prioritized different imperatives, but similarly emphasized the ethical concerns with HIV ME.</p><p><strong>Conclusion: </strong>The imperatives identified by users underscore the necessity of HIV ME, while the challenges highlight the hurdles to be overcome, including ethical concerns which emerged as a shared emphasis across user groups. The strategies outlined offer a roadmap for overcoming these challenges. These insights, drawn from user experience, present a valuable opportunity to inform the development of guidelines for the ethical application of HIV ME in research, surveillance, and cluster detection and response.</p>","PeriodicalId":10814,"journal":{"name":"Current Medical Research and Opinion","volume":" ","pages":"1873-1883"},"PeriodicalIF":4.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142153278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Advancements in current one-size-fits-all therapies compared to future treatment innovations for better improved chemotherapeutic outcomes: a step-toward personalized medicine. 当前 "一刀切 "疗法的进步与未来治疗创新的比较,以更好地改善化疗效果:迈向个性化医疗的一步。
IF 4.6 4区 医学
Current Medical Research and Opinion Pub Date : 2024-11-01 Epub Date: 2024-10-21 DOI: 10.1080/03007995.2024.2416985
Nadia M Hamdy, Emad B Basalious, Mona G El-Sisi, Maha Nasr, Ahmed M Kabel, Eman S Nossier, Ashraf H Abadi
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