Majority Support Medical Pot in New NEJM Poll

“To recommend, or not to recommend, medicinal marijuana? That’s the question recently posed in a New England Journal of Medicine interactive online poll. To get a feel for physicians’ opinions, NEJM presented readers with a fictional clinical situation. Here’s the scenario:

“Marilyn is a 68-year-old woman with breast cancer metastatic to the lungs and the thoracic and lumbar spine. She is currently undergoing chemotherapy with doxorubicin. She reports having very low energy, minimal appetite, and substantial pain in her thoracic and lumbar spine. For relief of nausea, she has taken ondansetron and prochlorperazine, with minimal success. She has been taking 1000 mg of acetaminophen every 8 hours for the pain. Sometimes at night she takes 5 mg or 10 mg of oxycodone to help provide pain relief. During a visit with her primary care physician she asks about the possibility of using marijuana to help alleviate the nausea, pain, and fatigue. She lives in a state that allows marijuana for personal medicinal use, and she says her family could grow the plants. As her physician, what advice would you offer with regard to the use of marijuana to alleviate her current symptoms? Do you believe that the overall medicinal benefits of marijuana outweigh the risks and potential harms?”

Readers weighed in with a variety of impassioned opinions. And the results, the authors said, were  surprising: 76% of respondents said they would recommend medicinal marijuana. Here’s part of the discussion:

“Physicians in favor of medicinal marijuana often focused on our responsibility as caregivers to alleviate suffering. Many pointed out the known dangers of prescription narcotics, supported patient choice, or described personal experience with patients who benefited from the use of marijuana. Those who opposed the use of medicinal marijuana targeted the lack of evidence, the lack of provenance, inconsistency of dosage, and concern about side effects, including psychosis. Common in this debate was the question of whether marijuana even belongs within the purview of physicians or whether the substance should be legalized and patients allowed to decide for themselves whether to make use of it.”” 

More: http://ripr.org/post/majority-support-medical-pot-new-nejm-poll 

Majority of Clinicians Support Medicinal Marijuana Use

“A majority of clinicians appears to support the use of medicinal marijuana, according to research published in the May 30 issue of the New England Journal of Medicine.”

Majority of Clinicians Support Medicinal Marijuana Use 
“(HealthDay News) – A majority of clinicians appears to support the use of medicinal marijuana, according to research published in the May 30 issue of the New England Journal of Medicine.
 

Jonathan N. Adler, MD, and James A. Colbert, MD, associate editors for the New England Journal of Medicine, describe the results of polling and comments in an interactive feature in which experts discussed the use of medicinal marijuana for a 68-year old woman with metastatic breast cancer.”

More: http://www.empr.com/majority-of-clinicians-support-medicinal-marijuana-use/article/295539/#

Most Docs Would Prescribe Marijuana to Cancer Patient

“The vast majority of doctors would prescribe medical marijuana to ease the pain of an older woman suffering from advanced breast cancer, according to a survey conducted by the New England Journal of Medicine (NEJM).

In its February edition, the NEJM presented its readers with a hypothetical scenario of 68-year old patient named “Marilyn” whose breast cancer had metastasized to her lung and spine. Marilyn, who lives in a state where medical marijuana is legal, asked her primary care doctor if using marijuana would alleviate her chronic pain, nausea and fatigue.

The results of the online survey, published in the May 30 edition of the NEJM, found that 76 percent of the 1,446 doctors who responded would give Marilyn a prescription for medical marijuana.”

More: http://americannewsreport.com/nationalpainreport/most-docs-would-prescribe-marijuana-to-cancer-patient-8820152.html

Most Docs OK With Medical Marijuana: Survey – MedlinePlus

“Majority would give a prescription to an advanced cancer patient in pain.Three-quarters of doctors who responded to a survey about medical marijuana said they would approve the use of the drug to help ease pain in an older woman with advanced breast cancer.

….there are two FDA-approved prescription cannabinoid pills — dronabinol (Marinol) and nabilone (Cesamet) — that don’t begin working as quickly as smoked marijuana, but provide longer symptom relief without the high of marijuana.

 They also don’t appear to have any addictive properties, he said.

What many doctors would like to see, according to the survey, is more evidence on the use of marijuana as medicine, so they could make a better-informed decision one way or the other.”

More: http://www.nlm.nih.gov/medlineplus/news/fullstory_137301.html

Survey: 76 percent of doctors approve of medical marijuana use – CBS

“A majority of doctors would approve the use of medical marijuana, according to a new survey.”

“”We were surprised by the outcome of polling and comments, with 76 percent of all votes in favor of the use of marijuana for medicinal purposes — even though marijuana use is illegal in most countries,” the survey’s authors wrote.

The results appeared in the New England Journal of Medicine on May 30. It included responses from 1,446 doctors from 72 different countries and 56 different states and provinces in North America. In addition, 118 doctors posted comments about their decision on the survey.

Doctors who said they would prescribe it talked a lot about the responsibility of caregivers to help minimize their patients suffering, their patients’ personal choice and the known dangers of prescription narcotics and painkillers. They also pointed out knowledge of personal cases where marijuana was able to help patients.”

More: http://www.cbsnews.com/8301-204_162-57587129/survey-76-percent-of-doctors-approve-of-medical-marijuana-use/

Medical Marijuana: 76% Of Doctors Would Prescribe It, Poll Finds – HUFFPOST

“Three out of four doctors would prescribe marijuana to a patient who was experiencing pain from cancer, according to the results of a poll published in the New England Journal of Medicine.”

Doctors Medical Marijuana

Most Docs OK With Medical Marijuana: Survey – US News and World Report

“Majority would give a prescription to an advanced cancer patient in pain. Three-quarters of doctors who responded to a survey about medical marijuana said they would approve the use of the drug to help ease pain in an older woman with advanced breast cancer.”

“The point of the vignette was to illustrate the kinds of patients that show up on our doorstep who need help. This issue is not one you can ignore, and some states have already taken matters into their own hands,” said Dr. J. Michael Bostwick, a professor of psychiatry at the Mayo Clinic in Rochester, Minn.

“There are no 100 percents in medicine. There’s a lot of anecdotal evidence that this is something we should study more. Forgive the pun, but there’s probably some fire where there’s smoke, and we should investigate the medicinal use of marijuana or its components,” Bostwick said.

Marijuana comes from the hemp plant Cannabis sativa. It’s a dry, shredded mix of the plant’s leaves, flowers, stems and seeds. It can be smoked as a cigarette or in a pipe, or it can be added to certain foods, such as brownies.”

More: http://health.usnews.com/health-news/news/articles/2013/05/29/most-docs-ok-with-medical-marijuana-survey

HIGH HOPE ON CANCER

“MEN who regularly smoke cannabis may have a lower risk of developing bladder cancer, research suggests.”

MEN who regularly smoke cannabis may have a lower risk of developing bladder cancer
 

“Scientists found regular cannabis users were 45% less likely to get the disease compared with men who didn’t smoke the drug. 

Anil Thomas of Los Angeles Medical Centre in California tracked the incidence of bladder cancer among 82,050 men aged 45 to 69. 

Men who reported using cannabis once or twice had no reduction in the incidence of the cancer while those who had used the drug more than 500 times showed a reduction. 

Dr Thomas said: “Bladder cancer is the fourth most common malignancy in men. 

“The results could lead to further studies to determine if the active components of cannabis have biologic activity against bladder cancer.””

http://www.dailystar.co.uk/posts/view/317889High-hope-on-cancer

Study claims marijuana tied to lower bladder cancer risk – USA TODAY

“A new study compared the risk of bladder cancer in more than 83,000 men who smoked cigarettes only, marijuana only, or both substances. New research says smoking pot may be less likely to cause bladder cancer than smoking cigarettes.”

“The finding is potentially valuable, the study authors said, given the ongoing debate over legalizing marijuana for medical purposes.”

More: http://www.usatoday.com/story/news/nation/2013/05/11/study-claims-marijuana-tied-to-lower-bladder-cancer-risk/2153019/

“Association Between Cannabis Use and the Risk of Bladder Cancer: Results From the California Men’s Health Study.” http://www.ncbi.nlm.nih.gov/pubmed/25623697

http://www.thctotalhealthcare.com/category/bladder-cancer/

Study Claims Marijuana Tied to Lower Bladder Cancer Risk

“Cannabis use only was associated with a 45 percent reduction in bladder cancer incidence, and tobacco use only was associated with a 52 percent increase in bladder cancer,” said study author Dr. Anil A. Thomas, a fellow in urology at Kaiser Permanente Medical Center in Los Angeles…

“The theory is that there are receptors in the bladder that are affected by cannabis,” he said.

The cannabinoids [compounds] in the marijuana may link with the cannabinoid receptors in the bladder and somehow protect against cell changes that can lead to cancer..”

More: http://www.healthfinder.gov/News/Article/676121/study-claims-marijuana-tied-to-lower-bladder-cancer-risk

“…using tobacco only was associated with an increased risk of bladder cancer, whereas cannabis use only was associated with a 45% reduction in bladder cancer… cannabis use may be inversely associated with bladder cancer risk…” http://www.ncbi.nlm.nih.gov/pubmed/25623697

http://www.thctotalhealthcare.com/category/bladder-cancer/