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Volume 1, Number 3 (September/October 2004) | |||||
Letter from the Editor |
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135 |
From ivory tower to next-door neighbor: cancer centers, community physicians, access to cancer care The West Clinic, Memphis, TN When academic centers open satellite offices in your town, where does that leave community-based oncologists? Local doctors offer continuity of care; cancer centers offer specialized expertise. So can we all just get along? General oncologists need to embrace the experience of their colleagues from academia, and academics need to build bridges to the community and use their clout to help provide cancer care to those without access.
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Community Translations |
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138 |
Predicting the outcome of breast cancer treatment by gene profiling Correlating pretreatment gene expression with clinical outcome is proving efficacious in breast tumors. The techniques are broadening the possibilities for rational treatment of breast cancer patients.
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142 |
Chemotherapy for androgen-independent prostate cancer Aside from fighting androgen-independent prostate cancer, physicians need to combat the nihilism that has grown up around treatment of men with this disease. Based on two large randomized clinical trials, docetaxel-based chemotherapy every 3 weeks represents a new—more hopeful—standard of care.
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Original Research |
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149 |
Radiosurgical treatment of brain metastases in a community oncologic practice Department of Radiation Oncology and Biophysics, Eastern Virginia Medical School, and Neurosurgical Specialists, Inc., Norfolk, VA A common complication in cancer patients, brain metastases often result in diminished functional independence. The authors retrospectively analyzed all patients treated with stereotactic radiosurgery (SRS) and whole-brain radiation therapy (WBRT) in their large community-based practice. The goal: to determine whether SRS and WBRT administered in the community can garner results comparable with those achieved at regional centers of specialization.
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Controversies in Patient Management |
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159 |
Cancer-related anemia: when dollars and cents—not science—dictate treatment University of Oklahoma Health Sciences Center, Oklahoma City, OK In an increasingly cost-conscious clinical environment, practitioners may be reluctant to prescribe erythropoietic therapy for patients with mild anemia, unless reimbursement guidelines change. Erythropoietic agents are the mainstay of anemia therapy. But insurance requirements often result in delayed treatment, which is clearly unacceptable, especially given the patchwork of regulations in various states.
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Economics/Practice Management |
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166 |
Discover the genius within your organization: the benefits of personality assessment tools Tina Carey and Associates, Inc., San Gabriel, CA Accelerated partial breast irradiation is increasingly being used as an alternative to whole breast irradiation after lumpectomy in patients with early-stage breast cancers. But is it more cost-effective?
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Community Dialogue |
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171 |
Satellite clinics: friend or foe?
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174 |
Sizing up the competition When a major cancer center opens a satellite clinic in community oncologists’ backyard, it’s often a source of concern for local physicians. Are they encroaching on the turf of local doctors? Can they peacefully coexist with private practices? Are patients better off? To hear both sides of the story, we sat down with two physicians on Long Island on opposite sides of the divide.
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Psychosocial Oncology |
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179 |
End of treatment—laugh or cry? Psycho-Oncology Specialist, Claremont, CA Compared with the close monitoring and almost daily contact with physicians and staff, the end of chemotherapy and radiation feels, to many patients, as though they are being “dropped off a cliff.” They may be glad to finish these procedures, but the end of treatment represents a new era of doubt and worry. How to help your patients cope.
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Meetings Highlights & Calendar |
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183 |
EPEC-O: training oncologists in palliative care
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184 |
Overcoming the barrier of poor health literacy
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185 |
Community physicians encouraged to consider high-priority phase III trials
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187 |
Meetings Calendar
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Washington Update |
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189 |
NCI extends clinical trials to community oncologists
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190 |
FDA reorganizes cancer review office
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191 |
CMS releases Medicare drug reimbursement estimates for 2005
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Reader Services |
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133 |
Guide for Authors
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© 2004 by Elsevier Inc. All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopy, recording, or any information storage and retrieval system, without permission in writing from the publisher. |
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