Dementia, End-of-Life Care

Hospice care for those with dementia falls far short of meeting people’s needs at the end of life

Strikingly, only 12% of Americans with dementia ever enroll in hospice. Among those who do, one-third are near death. This is in stark contrast to the cancer population: Patients over 60 with cancer enroll in hospice 70% of the time. In my experience caring for dementia patients, the underuse of hospice by dementia patients has more to do with how hospice is structured and paid for in the U.S. than it does patient preference or differences between cancer and dementia.

Addiction, Opioids, University of Washington

King County launches ‘bup’ hotline.

Buprenorphine, also called suboxone, is a medication used to treat opioid use disorder. It is one of the best available treatments to alleviate withdrawal, reduce cravings, and reduce overdose risk by about half when taken as directed. It works by binding to the same receptors that opioids like fentanyl bind to, but it only turns them on about halfway. That keeps people from feeling sick and helps with their cravings.

Biotechnology, Cancer, Colon Cancer, Laboratory Medicine

By looking for fragments of DNA that have escaped from tumors into the bloodstream, or circulating tumor DNA (ctDNA), doctors may be able to identify which of their patients with colorectal cancer need chemotherapy after surgery.