06Jun

Aspirin appears to boost the survival rate for older people with bladder and breast cancer.

“[Increased survival] was primarily strongest amongst those who took aspirin 3 or more times a week,” said Holli Loomans-Kropp, PhD, MPH, study author and NCI DCP Cancer Prevention Fellow at the National Cancer Institute. Her comments appear in Oncology Nursing News.

Researchers used data collected over an 8-year period from 139,896 participants in the Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial. They found taking aspirin had no effect on whether a person would develop cancer. Nor did it have any impact on survival rates for those with esophageal, gastric, pancreatic, or uterine cancer.

But for those patients 65 years and older with breast or bladder cancer, taking aspirin three or more times a week improved their chances of survival over those taking no aspirin or taking it less often.

In the study, published online last month in JAMA Network Open, the researchers, said, “Although aspirin use at least 3 times/week was associated with the strongest risk reduction, any aspirin use was associated with increased bladder and breast cancer survival. These results may indicate that for some cancer types, any aspirin use may be advantageous; however, greater benefit may be observed with increased frequency of use.”

The researchers note that many people – between 25% and 50% of adults – take aspirin regularly. “Long-term aspirin use has been associated with decreased risk of heart disease, stroke, cancer (particularly gastrointestinal cancers), and all-cause mortality,” the researchers write. “Recent research suggests that aspirin use may offer protection against the development of and mortality from other cancer types as well.”

Previous findings from the Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial showed an association between aspirin use and significant reductions in the risk of colorectal polyps and colorectal cancer, but minimal or no association with prostate and ovarian incidence and survival.

“Although prior research has been most heavily concentrated in gastrointestinal cancers, our analysis extends the advantages associated with aspirin use to other cancers, such as bladder and breast cancers,” the researchers write. The latest study now suggests that aspirin use can improve longevity for older people with breast cancer and especially for bladder cancer.

“There is definitely evidence provided by our study, but it is not enough to suggest anything clinical, as it was a secondary analysis,” Loomans-Kropp told Oncology Nursing News. “Other randomized clinical trials are required to be able to say anything more definitively.”

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Jun 6, 2023

Dog Study Could Lead to Help For Humans with Sports Injuries

Osteoarthritis of the knee is a common condition in humans and in their canine companions. An estimated 20% of dogs older than a year and 12% of people between 25 and 74 will develop the condition.

The causes and mechanisms are not well understood, however age and weight are considered major risk factors.

Injuries also lead to developing the disease. In fact one of the most common of all sports injuries in humans as well as dogs – a tear of the anterior cruciate ligament — is the leading cause of post traumatic osteoarthritis.

The mystery is why many, but not all, dogs and people with ACL injuries develop post traumatic osteoarthritis, medically referred to as PTOA. Now, a study of dogs at Cornell University’s veterinary school, published this month in Scientific Reports, offers clues to the potential for developing PTOA.

Researchers led by Dr. Heidi Reesink, assistant professor in equine health at Cornell, found that changes in the production of lubricin, a joint lubricating protein, could be a precursor to developing joint disease.

Lubricin is critical to smooth joint functioning. “We know that if a person or animal doesn’t make that protein, they will develop devastating joint disease affecting all the major weight-bearing joints,” says Reesink.

The prevailing view among veterinarians and physicians is that lubricin production declines after injury, leading to the development of PTOA. “The dogma in this field has been that lubricin decreases in joint disease,” Reesink said.

But the study found that in canine patients with a knee ligament tear lubricin increased and it was correlated with the development of osteoarthritis.

“This indicates that the presence of increased lubricin might actually be a biomarker for predicting future osteoarthritis,” said Reesink. “We also saw increased lubricin in dogs months to years after they injured their ACLs, suggesting that lubricin might be an indicator of ongoing joint instability.”

Increased lubricin could serve as a tipoff to clinicians to intervene with early treatments to ward off or slow the development of osteoarthritis, not just in dogs, but in people, too.

Photo by Alvan Nee on Unsplash

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Jun 6, 2023

Thank You Respiratory Therapists for the Vital Work You Do

Since first being proclaimed in 1982, National Respiratory Care Week has been celebrated in hospitals and clinics by respiratory therapists, their healthcare colleagues and patients.

This year is different. COVID-19 has made us all acutely aware of the important work respiratory therapists do. In the early months of the outbreak, therapists traveled to the places that were the hardest hit to help overworked staff. They managed patients on ventilators and when there were more patients than ventilators, they improvised.

As one respiratory therapist told MedpageToday a few months ago, “When you’ve maxed everything out, where do you go from there?”

Not only are they frontline workers, their jobs brought them in close contact with the sickest patients, exposing them to the virus in a way few other healthcare workers were.

In more normal times, respiratory therapists work in a variety of settings, including in private homes, hospitals, care facilities and sleep centers, treating patients with lung and breathing problems. The range of these problems is broad, from asthma and bronchitis to trauma patients and including those with Lou Gehrig’s disease and sleep apnea.

Becoming a respiratory therapist requires an associate’s degree in respiratory care and licensing by the state. The National Board for Respiratory Care conducts a formal exam, which is recognized by the licensing boards of several states. Once licensed, a therapist must maintain their skills, demonstrating that by earning continuing education credits.

For the lifesaving work respiratory therapists are doing this year, and the critical job they do all the time, we say thank you to these professionals and honor their commitment to us all.

Photo by Kelly Sikkema on Unsplash

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