BMJ 2011; 343 doi: https://doi.org/10.1136/bmj.d5585 (Published 08 September 2011) Cite this as: BMJ 2011;343:d5585

Patients from ethnic minority groups apparently receive more aggressive cancer care at the end of life, but is this what they actually want? A study in Cancer explored the willingness to use personal financial resources to extend life among white, black, Hispanic, and Asian patients (2011;117:3476-84, doi:10.1002/cncr.25839). Of over 4200 patients asked, 80% of black patients were willing to spend all resources to extend life compared with 54% of white, 69% of Hispanic, and 72% of Asian patients. The delivery of high quality cancer care requires an understanding of how these preferences affect care and outcomes.

A microbial sealant applied to skin immediately before surgical incision reduced the rate of skin infection from 26% to 2% (P=0.001) among 47 patients undergoing coronary artery bypass grafting. The sealant was applied to legs before bilateral saphenous veins were harvested. Wound swabs were taken at five days and wounds were assessed at 30 days by two blinded observers. Each patient had one leg treated with the sealant …

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