Death Within 1 Month of Diagnosis in Childhood Cancer: ..
Cancer is a leading cause of death worldwide, ..
After clinician or patient referral to the Death with Dignity program, each potential participant is assigned a patient advocate (hereafter referred to as advocate), one of three (of six) licensed social workers employed by Seattle Cancer Care Alliance. The advocate assists patients, family members, pharmacists, and physicians throughout the multistep process, while prospectively tracking compliance with required documentation submitted to the Washington Department of Health. The advocate describes the Death with Dignity process and the alternatives (specifically, palliative care and hospice, with these services offered as additions to, or in lieu of, Death with Dignity). The advocate then assesses the patient's rationale for and interest in further participation. In nearly all cases, family members are present.
Early Stage Breast Cancer Far From a Death Sentence: Study
However, three observational epidemiologic reports, all based on data from the American Cancer Society, suggested that intentional weight loss is, in fact, associated with decreased mortality, though the information on intentionality was based on retrospective, self-reported baseline data. Whether these weight losses at baseline were maintained is unknown, since changes in weight during the studies were not reported. Two retrospective cohort studies involving obese subjects and one involving obese subjects with diabetes suggested that bariatric surgery may also result in a marked reduction in mortality. Elsewhere in this issue of the Adams et al. provide further support for this opinion on the basis of a new, very large retrospective cohort study on gastric bypass.