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Involvement of palliative care specialists in the care of medical oncology patients has been repeatedly observed to improve patient-reported outcomes, but there is no analogous research in surgical oncology populations. To determine whether surgeon-palliative care team comanagement, compared with surgeon team alone management, improves patient-reported perioperative outcomes among patients pursuing curative-intent surgery for high morbidity and mortality upper gastrointestinal (GI) cancers. From October 20, 2018, to March 31, 2022, a patient-randomized clinical trial was conducted with patients and clinicians nonblinded but the analysis team blinded to allocation. The trial was conducted in 5 geographically diverse academic medical centers in the US. Individuals pursuing curative-intent surgery for an upper GI cancer who had received no previous specialist palliative care were eligible. Surgeons were encouraged to offer participation to all eligible patients. Surgeon-palliative care comanagement patients met with palliative care either in person or via telephone before surgery, 1 week after surgery, and 1, 2, and 3 months after surgery. For patients in the surgeon-alone group, surgeons were encouraged to follow National Comprehensive Cancer Network-recommended triggers for palliative care consultation. The primary outcome of the trial was patient-reported health-related quality of life at 3 months following the operation. Secondary outcomes were patient-reported mental and physical distress. Intention-to-treat analysis was performed. In total, 359 patients (175 [48.7%] men; mean [SD] age, 64.6 [10.7] years) were randomized to surgeon-alone (n = 177) or surgeon-palliative care comanagement (n = 182), with most patients (206 [57.4%]) undergoing pancreatic cancer surgery. No adverse events were associated with the intervention, and 11% of patients in the surgeon-alone and 90% in the surgeon-palliative care comanagement groups received palliative care consultation. There was no significant difference between study arms in outcomes at 3 months following the operation in patient-reported health-related quality of life (mean [SD], 138.54 [28.28] vs 136.90 [28.96]; P = .62), mental health (mean [SD], -0.07 [0.87] vs -0.07 [0.84]; P = .98), or overall number of deaths (6 [3.7%] vs 7 [4.1%]; P > .99). To date, this is the first multisite randomized clinical trial to evaluate perioperative palliative care and the earliest integration of palliative care into cancer care. Unlike in medical oncology practice, the data from this trial do not suggest palliative care-associated improvements in patient-reported outcomes among patients pursuing curative-intent surgeries for upper GI cancers. ClinicalTrials.gov Identifier: NCT03611309.

For those in the know, stock car racing has been a silent, but growing, phenomenon over the past few years. This year, it marks a milestone by entering the radar of mainstream media. For the first time in its 52-year history, the sport will be aired mostly on network TV, as FOX and NBC have negotiated a six-year deal to televise 28 of 36 races each season. From its inaugural race, the Daytona 500, on February 18, through June 24, FOX will air NASCAR's premier Winston Cup Series, where each race earns drivers points that will decide the champion. NBC will pick up the season's second half, which ends in November. It is a move that both NASCAR officials and network executives hope will finally push auto racing into the mainstream, bringing in more viewers, and with them, more advertising, sponsorships, and licensing deals.

More than 45% of workers say they bring a packed lunch from home at least once a week, and 20% do it everyday, according to a study by research firm Datamonitor. More than 31% say they skip lunch altogether, and 11% say they do so at least once a week. Nowadays, workers are compelled to use the lunch break to make up time by multi-tasking or to catch up on their personal lives by running errands.

Streaming media is the latest tactic employed by e-commerce companies in search of the elusive Web consumer. Barnes & Noble is hoping the use of streaming media - which launches moving images, video, or audio without being downloaded - brings more shoppers to the sit and gets them to stay longer and buy more. For now, consumer electronics companies and auto manufacturers are the heaviest users of streaming media, according to Jupiter Research. But as the race for clicks and eyeballs intensifies, so will the use of streaming media by e-commerce businesses analysts say.

At a public hearing organized last month by a coalition of Brooklyn community groups, residents of Brooklyn described the difficulty of finding AIDS services in their areas. The borough has the largest number of blacks with AIDS in the city, yet many local AIDS service providers have been de-funded.

A great deal of medical mistrust, much of it related to the infamous 40-year government-funded Tuskegee Syphilis Study, in which 399 black men were purposely left to die from untreated syphilis, is hampering the efforts of HIV prevention workers in the black community. However, many black AIDS activists lay much of the blame for the crisis at the steps of the black church.