Science Policy For All

Because science policy affects everyone.

Science Policy Around the Web – March 3, 2015

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By: Cheryl Jacobs Smith, Ph.D

photo credit: Flickr heart via photopin (license)

Science and Health Policy

Younger Women Hesitate To Say They’re Having A Heart Attack

Each year more than 15,000 women under the age of 55 die of heart disease in the United States. Interestingly enough, younger women are twice as likely to die after being hospitalized for a heart attack as men in the same age group. In a small study in Circulation: Cardiovascular Quality and Outcomes, Lichtman and her colleagues investigated why younger women delay getting help. The researchers conducted in-depth interviews with 30 women, ages 30 to 55, who had been hospitalized after a heart attack. It turned out that many had trouble recognizing the symptoms of a heart attack. Many women cited that they had not ‘experienced the Hollywood heart attack’. This is in part due to early clinical research into heart disease where the clinical subjects were men. Only when the studies started to include women did researchers and clinicians identify that there are gender-specific symptoms to a heart attack. Men experience the ‘Holly wood heart attack’ where women experience vague symptoms like nausea or pain down their arms. Moreover, several women reported that their doctors initially misdiagnosed the pain. This within itself highlights the unconscious bias of female hysteria that dates back to ancient times. Hopefully this study increases awareness of what social factors impact how heart disease is diagnosed in women and spurs additional studies to validate their findings. Heart disease is the third leading cause of death for women ages 35 to 44, and it’s the second leading cause of death for women 45 to 54, according to the Centers for Disease Control and Prevention (Cancer is the No. 1 cause). Therefore, it is of utmost importance to better educate both clinicians and the general public of the differences in heart disease symptoms between men and women. (Maanvi Singh, NPR)

 

Health Policy – Cancer

Cancer Breakthroughs Are Needed In Policy As Well As Science

Since 1990, the number of cancer-related deaths and new cancer diagnosis has been on a negative decline. Although cancer discoveries and cancer treatment has been improving, new insights to how to meet the challenges of affording high-quality treatment and delivery of excellent cancer care is needed. The economic burden of cancer care in the U.S. is expected to reach more than $170 billion per year by 2020. Some say expensive medicines are the culprits. However, spending on cancer treatment as a share of overall healthcare expenditures in the U.S. has not changed significantly in 50 years. To better measure the burden of cancer treatment in the U.S., it would be beneficial to have more transparency when it comes to cancer treatment billing—not only cancer medication costs. This likely would reduce large variations in the cost of the same services between different cancer-care providers. Additionally, the U.S. Food and Drug Administration’s oncology division has teamed with academia and industry in efforts to accelerate cancer R&D—exploring “adaptive” clinical trials that steer patients to the most appropriate trials through “master protocol agreements.” With these efforts and more there is a growing consensus that cancer care and treatment needs to be reformed. Hopefully with the raised awareness this will lead to further scientific breakthroughs to reduce the overall burden of cancer care treatment and deliver the kind of outcomes that cancer patients deserve and have been patiently waiting for. (John Lechleiter, Forbes)

 

Bioethics – Ebola

Bioethics Commission: Ebola Teaches Us Public Health Preparedness Requires Ethics Preparedness

The Presidential Commission for the Study of Bioethical Issues (Bioethics Commission) advises the President and the Administration on ethical practices that promote research, healthcare delivery, and scientific innovation as a means of improving public health. The Commission decided to report its findings from the Ebola epidemic to highlight the successes and failures of the U.S. infectious disease protocol. From the perspective of Commission Chair, Dr. Gutmann, there is much to be improved. “The Ebola epidemic in western Africa overwhelmed fragile health systems, killed thousands of people, and highlighted major inadequacies in our ability to respond to global public health emergencies,” Commission Chair Amy Gutmann, Ph.D., said. “It demonstrated the dire need to prepare before the next epidemic. A failure to prepare and a failure to follow good science — for example, by not developing vaccines and not supporting health care providers — will lead to needless deaths.” “Public health preparedness requires ethics preparedness,” Gutmann said. “We need to be prepared, for example, to communicate early and often during an Ebola epidemic — drawing upon the best scientific evidence — why not to quarantine asymptomatic individuals. Needlessly restricting the freedom of expert and caring health care workers is both morally wrong and counterproductive; it will do more to lose than to save lives.” The Bioethics Commission’s seven recommendations offer targeted policy and research design suggestions. The Bioethics Commission sets a critical framework from which the U.S. can work off of to improve its education and outreach concerning future public health epidemics both domestically and abroad. (Presidential Commission for the Study of Bioethical Issues)

 

 

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Written by sciencepolicyforall

March 3, 2015 at 9:00 am

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