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Volume 2, Number 5 (September/October 2005) | |||||
Letter from the Editor |
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375 |
Doing well by doing good The West Clinic, Memphis, TN Herceptin has a second act in breast cancer, but will it be too costly to deliver? An important question on quality care, addressed by several articles in this issue.
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Community Dialogue |
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379 |
Your open line to the CMS With a strong reputation for research on quality cancer care, Dr. Bach was a choice many community oncologists approved of when he was selected as a special cancer policy adviser. We spoke with him recently about what lies ahead when it comes to the demonstration project, pay for performance, reimbursements, and more.
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Community Translations |
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388 |
Trastuzumab in adjuvant therapy for early-stage breast cancer It was the topic that set ASCO on its ear: current trials now indicate that adding trastuzumab prolongs disease-free survival. The data are so strong, they warrant a change in the standard of care from adjuvant anthracycline therapy, with or without taxanes, to adjuvant treatment with trastuzumab for eligible patients with HER2+ resected breast cancer.
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Review Articles |
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397 |
The adverse health effects of occupational exposure to hazardous drugs Long Beach, NY Concern has been growing about the safety of healthcare workers who handle chemotherapy drugs. Acute symptoms in nursing staff include nausea, vomiting, headaches, dizziness, hair loss, and liver damage. Also worrisome: risks to reproductive health, fetal abnormalities, and risk for leukemia.
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403 |
Developing a hazardous drug safe-handling program Southern Regional Health System, Riverdale, GA The government has issued warnings and alerts for the past 20 years to protect healthcare workers. Implementing a comprehensive safety program poses a number of challenges, not least of which is adherence. The author offers a step-by-step approach.
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Original Research |
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418 |
Importance of molecular confirmation in the diagnosis of myeloproliferative disorders William W. Backus Hospital, Norwich, CT, and University of Connecticut Health Center, Farmington, CT The authors report a Philadelphia chromosome–positive case with pathological features of a myeloproliferative disorder consistent with chronic myeloid leukemia. But things weren’t as they seemed.
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Challenging Cases/Rare Cancers |
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429 |
Lymphoma with effusion in an HIV patient Joan Karnell Cancer Center, Pennsylvania Hospital, Philadelphia, PA A 42-year-old man with a history of HIV and Kaposi’s sarcoma complained of increasing shortness of breath, weakness, and abdominal pain. How he was treated.
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Economics/Practice Management |
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435 |
Spotting the time bombs in your managed care contracts Murphy Austin Adams Schoenfeld LLP, Sacramento, CA The author describes 10 areas where things can go badly and how you can avoid the traps.
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Quality Care |
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441 |
Better margins, better quality: seizing the moment Alice G. Gosfield and Associates PC, Philadelphia, PA The author advocates five principles that would improve care, save time, and increase financial margins.
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Psychosocial Oncology |
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446 |
Patients’ and families’ receptivity to discussions about future healthcare Valley Cancer Pain Treatment Center, Scottsdale, AZ A small study shows that with guidance and encouragement from physicians and their staff, patients and their loved ones are more likely to prepare an advance directive.
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Book Review |
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408 |
The high cost of low-priced cancer drugs Reviewed by Dawn Holcombe, FACMPE, Oncology Network of Connecticut, South Windsor, CT Dangerous Doses chronicles the investigations launched over the past 4 years in Florida to prosecute wholesalers and profiteers intent on selling bad drugs to doctors and patients.
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Community Alert |
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410 |
Finding programs to help patients pay for drugs is now much easier Several hundred drug assistance programs stand ready to offer free or low-cost drugs to patients in need. A new Web site and toll-free number help navigate the system.
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Technology |
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425 |
Results of our EMR survey: what readers told us Readers share their experiences using electronic medical record (EMR) systems.
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Washington Update |
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453 |
Through shared data, a new NCI program aims to speed delivery of innovative care Politicians from both sides of the aisle are coming together on this issue.
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454 |
Consequences of the Medicare Modernization Act Community Oncology Alliance, Memphis, TN Seven reasons why the Competitive Acquisition Program is the wrong solution.
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© 2005 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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