Improving Access to Specialized Centers is Not Enough to Mitigate Socioeconomic Disparities in Complex Oncologic Surgery

Socioeconomic disparities in head and neck cancer patients' access to cancer treatment centers.

INTRODUCTION Both socioeconomic status and travel time to cancer treatment have been associated with treatment choice and patient outcomes. An improved understanding of the relationship between these two dimensions of access may enable cancer control experts to better target patients with poor access, particularly in isolated suburban and rural communities. METHODS Using geographical informat...

Tackling HIV in MENA: Talk Is Not Enough–It Is Time for Bold Actions: A Response to Recent Commentaries

Improving onset to needle time: knowledge is not enough.

See related article, pages 1844–1849. Mikulik and colleagues present important new data that will inform future public health stroke education campaigns.1 They conducted a survey of lay public stroke knowledge and likely behaviors with a large representative sample of over 40-year-olds in the Czech Republic. One major driver for this work was the low use of recombinant tissue plasminogen activa...

Socioeconomic disparities in mortality after cancer surgery: failure to rescue.

IMPORTANCE Disparities in operative mortality due to socioeconomic status (SES) have been consistently demonstrated, but the mechanisms underlying this disparity are not well understood. OBJECTIVE To determine whether variations in failure to rescue (FTR) contribute to socioeconomic disparities in mortality after major cancer surgery. DESIGN, SETTING, AND PARTICIPANTS We performed a retrosp...

Is targeting access to sanitation enough?

Exposure to faecal pathogens including rotavirus, pathogenic strains of Escherichia coli, Vibrio cholerae, Shigella spp, Salmonella enterica serotype Typhi, hepatitis E virus, and soil-transmitted helminths can precipitate serious human illness. However, systematic reviews of eff orts to reduce exposure to human faeces through improvement of sanitation have shown that the evidence of a health b...