Health
Senior Doctors in England Accept Pay Offer, Ending Dispute
In a significant development, senior doctors in England have accepted a pay offer from the government. The deal applies to specialty and associate specialist (SAS) doctors who have completed junior doctor training but are not working as consultants or general practitioners (GPs). SAS doctors, who had been threatening strike action, have now joined their consultant colleagues in ending their dispute.
The pay deal is worth up to 19.4% and includes contract reforms and changes to career progression. This announcement comes ahead of a planned five-day strike by junior doctors next week, marking their 11th walkout during the dispute.
The British Medical Association (BMA) had requested a 35% pay rise to compensate for 15 years of below-inflation increases. In contrast, junior doctors received an average pay rise of nearly 9% in the last financial year.
Dr. Ujjwala Mohite, chair of the BMA’s SAS Committee, emphasized the importance of this agreement in retaining SAS doctors in the profession. She highlighted burnout, eroded pay, and stunted career progression as challenges faced by SAS doctors.
Health Secretary Victoria Atkins welcomed the result, calling it a “fair deal” for taxpayers. She urged junior doctors to call off their strike, promising further negotiations after the election. Meanwhile, pay disputes continue in Northern Ireland and Wales, where junior doctors, SAS doctors, and consultants are evaluating a new pay offer.
Health
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Health
Obesity Linked to Poorer Outcomes in Childhood Cancer Patients, Study Finds
Children with obesity diagnosed with cancer face significantly worse health outcomes, including a heightened risk of relapse and death, according to a new Canadian study.
The research, published in the journal Cancer, analyzed data from over 11,000 cancer patients aged 2 to 19, of whom 10.5% were obese at diagnosis. The study examined various cancers, including leukemia, lymphoma, and other tumors, and found that obesity negatively impacted outcomes across the entire cohort.
Increased Risk of Relapse and Mortality
The findings revealed that obese children had a 16% higher risk of cancer relapse and a 29% increased risk of death within five years of diagnosis, even after accounting for factors such as age, sex, and ethnicity.
“Our study highlights the negative impact of obesity among all types of childhood cancers,” said Dr. Thai Hoa Tran, a pediatric hematologist and oncologist at the University Hospital Centre Sainte-Justine in Montreal, Canada, and one of the study’s authors.
Dr. Tran emphasized the need for strategies to address obesity’s impact on cancer outcomes in future clinical trials and highlighted the importance of combating the childhood obesity epidemic to prevent severe health consequences.
Acute Lymphoblastic Leukemia and Brain Tumors Most Affected
The study found the impact of obesity was particularly pronounced in children with acute lymphoblastic leukemia (ALL)—a cancer of the blood and bone marrow—and brain tumors. Researchers suggested that fat tissue may play an active role in tumor progression, metastasis, and resistance to treatment.
Previous research has indicated that adipose (fat) tissue cells can promote tumor development and hinder the effectiveness of therapies. Additionally, the study noted concerns about potential undertreatment and inappropriate dosing of chemotherapy in obese patients, which could further compromise outcomes.
Limitations and Calls for Improved Measures
The researchers acknowledged limitations in their study, including reliance on body mass index (BMI) to define obesity. They pointed out that BMI is an imprecise measure that does not fully capture body composition or nutritional status.
“BMI remains a crude and imperfect measure,” the authors wrote, echoing recent calls from experts to adopt more accurate diagnostic tools for obesity. Critics argue that BMI may lead to overdiagnosis or fail to reflect the nuanced impact of weight on health outcomes.
Implications and Urgency
The findings underscore the urgent need for interventions targeting childhood obesity and call for more precise research to better understand the interplay between obesity and cancer treatment. As childhood obesity rates continue to rise globally, addressing this epidemic could have far-reaching implications for improving survival rates and health outcomes for young cancer patients.
Health
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