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Too much information? Study finds recent cancer survivors report poorer health

WASHINGTON — Treating childhood cancer now may be less toxic now than in earlier decades, but survivors don’t feel any better off.

The study published in the Annals of Internal Medicine evaluated responses from people in their 20s and 30s who were asked to report their physical and mental health status. The study included responses from more than 14,000 survivors of childhood cancer from the 1970s, ’80s and ’90s.

“Despite an overall decline in radiation exposure, reduced mean chemotherapy doses, and decreased proportions of survivors with more severe chronic health conditions, patient-reported health status generally did not improve across treatment decade,” a news release from the American College of Physicians said.

The study’s hypothesis was that patients treated in the 1990s, with contemporary therapy would have better health status than those treated in the 1970s. But instead, the study found that survivors treated in the ’70s had lower numbers reporting poor health and cancer-related anxieties over the course of time than those treated in the ’90s.

Researchers believe that this was due to the ready access to and availability of information on follow-up care and educational materials, which have prepared patients on the adverse outcomes and later effects of their disease.

States seek to lower drug prices by targeting the companies that manage them for health plans

TOPEKA, Kan. (AP) — As consumers worry about medication costs, states are trying to lower drug prices by reining in big companies that oversee prescription coverage for health insurers. Some of those companies, called pharmacy benefit managers, also own pharmacies, and one of them, CVS, has spent millions of dollars fighting the regulations. Affordability is a key issue ahead of this year’s midterm elections. Legislators in at least a dozen states passed laws this year to limit compensation to the companies, set minimum payments from the companies to pharmacists and require the companies to disclose more information to their clients, states and the public. A Tennessee law will bar pharmacy benefit managers from operating retail pharmacies as of July 1, 2028, though CVS Health Corp. has filed a federal lawsuit to avoid having to close its 136 pharmacies there.
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