Vishal Patel
@vrpatel97
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Resident @brighamsurgery
Boston, MA
Joined April 2021
Check out our latest in @JAMA_current: a description of the communities that may be most impacted by increases in H-1B visa fees for health care professionals Link: https://t.co/sdrqE1F0mV Great overview by lead author and🌟@LiuMichaelMD below
1/ On September 19, a Presidential Proclamation increased ⏫ H-1B visa fees from ~$3500 to $100,000. In @JAMA_current, we find that many US counties depend heavily on H-1B health care workers - particularly rural and the highest poverty communities Link: https://t.co/YF5YyrGLvM
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Grateful for our team @AdeAdamson and #GilWelch
@BrighamResearch @BrighamSurgery @CSPH_BWH
@harvardmed @statnews @KFFHealthNews @NYTHealth @Reuters_Health @AcademyHealth
@bmj_latest @MGBInnovation
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👉More diagnoses≠deaths: rising early-onset cancer incidence mostly reflects more testing, not more disease 👉Unneeded diagnoses have physical, emotional, and financial harms 👉Treating rising incidence as a crisis risks wasteful screening and distracts from larger issues
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Notably, of the cancers with the fastest rising incidence in adults under 50, incidence has outpaced mortality (which for most of these cancers has barely changed over 30 years).
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Rising cancer incidence in young adults has drawn concern, influenced screening recommendations, and led to millions in scientific investigations for etiologies. One possible source of the rise is overdiagnosis, which is common in older adults https://t.co/1A465Sk01J
nejm.org
The authors use 40 years of data on cancer incidence and mortality to produce curves that show changes in cancer incidence (decreasing, increasing, or staying stable) and the effect of early detect...
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Check out our latest in @JAMAInternalMed: the rising incidence of early-onset cancer is largely an epidemic of diagnosis, not disease https://t.co/LOzK264eJf
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Thanks to the amazing team: @LiuMichaelON @AnupamBJena @Thomasctsai #stephenstearns CC: @BrighamSurgery @BrighamResearch @NYThealth @Reuters_Health @forbeshealth @Medscape
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Takeaways 👉Despite similar education and income, surgeons die at higher rates than other physicians 👉Surgeons die from certain causes disproportionately (cancer, MVCs, assault, hypertension) 👉More work is needed to investigate why (ie, long hours, work hazards, stress, etc) /4
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Finding 2: Surgeons have distinct mortality patterns. Motor vehicle crashes are their 4th leading cause of death (vs. 9th in others), and cancer mortality is higher among surgeons than among other physicians and the general population. Notably, suicide rates are similar. /3
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Finding 1: Surgeons die at higher rates compared to other physicians. Specifically, their mortality rate is 55% higher than of non-surgeon physicians, more in line with lawyers and engineers. /2
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Check out our latest in @JAMASurgery, a large-scale analysis of the rates and leading causes of death among surgeons https://t.co/BvNCRvwpdd /1
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Higher mortality rates among surgeons vs non-surgeon physicians may reflect differences related to work environment, professional demands, and lifestyle. https://t.co/cc06rsWkqn
@AnupamBJena
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Great breakdown by the lead author @LiuMichaelON
https://t.co/QZr29C4NUy
@BrighamSurgery @MGBResearchNews @harvardmed
Recent NIH grant terminations have resulted in deep uncertainty among researchers🧑🔬& academic institutions🏫. In @JAMA_current, we characterize the scope of terminations, types of grants affected, and differential impact of cuts across career stages Link: https://t.co/ZWa7eH9zvc
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Check out our latest in @JAMA_current, a description of the extent of recent retroactive grant terminations at the @NIH
https://t.co/IqDjJmR3Fz
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Thanks @TIME for covering our paper! https://t.co/W8zWfRY30p
time.com
"What could explain this mortality puzzle?" write Dr. Christopher Worsham and Dr. Anupam Jena.
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As always, was great working with @LiuMichaelON @ChrisWorsham @AnupamBJena @IshaniG CC: @BrighamWomens @BrighamResearch @HMSHCP @MGH_RI @harvardmed @statnews @NYThealth @Reuters_Health @forbeshealth
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Some key takeaways and implications of these findings below from @LiuMichaelON: https://t.co/7MMMJj1OmR
@JAMAInternalMed @BrighamWomens @BrighamResearch @HMSHCP @MGH_RI @harvardmed @rhodes_trust @JAMA_current @JAMANetwork 3/ Strikingly, we found that Black female physicians had ⬆️ mortality rates than White females in the general population! Advantages associated with being a👩⚕️ - 🔼 care access, 🩺 knowledge, and resources - are insufficient to offset the harms of structural sexism + racism.
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Similarly peculiar - the excess mortality among several racial and ethnic minority groups was larger among physicians than even in the general population /6
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