Fourth Annual Chicago Supportive Oncology Conference

Community Oncology

Volume 3, Number 5 (May 2006)

Letter from the Editor

234

 

Taking the team approach

Lee S. Schwartzberg, MD, FACP, Editor-in-Chief

The West Clinic, Memphis, TN

Contributors to this issue reflect the makeup of the multidisciplinary teams that cancer patients expect and deserve for their treatment. Our featured topic, breast cancer, is a good model for that approach.

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Community Dialogue

241

 

The new focus on accountability

Community Oncology interviews Jerry Reeves, MD, National Chief Medical Officer of the Hotel Employees and Restaurant Employees International Union

Dr. Reeves talks with us about accountability, fairness, and transparency—and why he thinks oncologists will no longer be brokers for chemotherapy agents.

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Original Contribution

259

 

The impact of first and subsequent cycle pegfilgrastim on neutropenic events in patients receiving myelosuppressive chemotherapy in community practice: interim results of the prospective FIRST study

Howard Ozer, MD, PhD, Beiying Ding, PhD, and Lyndah Dreiling, MD

University of Oklahoma Cancer Center, Oklahoma City, OK, and Amgen Inc., Thousand Oaks, CA

To gain additional experience in the community practice setting, the authors conducted a large, prospective study in patients with cancer receiving myelotoxic chemotherapy and pegfilgrastim support in all cycles.

abstract full text 203 kb

Challenging Cases/Rare Cancers

266

 

Duodenal somatostatinoma and gastrointestinal stromal tumor associated with neurofibromatosis

Susan Kruse Sullivan, RN, Alan L. Schuricht, MD, Jill D. Siegfried, MS, Jean M. Fede, DO, and Teresa Victoria, MD

Departments of Surgery, Oncology, Pathology, and Radiology, The Joan Karnell Cancer Center, Pennsylvania Hospital, Philadelphia, PA

Somatostatinomas, a rare form of a malignant neuroendocrine tumor, are found with increasing frequency in patients with neurofibromatosis type 1 and GISTs.

abstract full text 175 kb

Controversies in Patient Management

275

 

Reducing the risk of recurrence in postmenopausal women with early breast cancer: a role for aromatase inhibitors

Nicholas J. Robert, MD

Fairfax-Northern Virginia Hematology-Oncology, Fairfax, VA

Aromatase inhibitors offer improved outcomes over tamoxifen and should be considered as front-line adjuvant hormonal treatment or given sequentially following a course of tamoxifen therapy.

abstract full text 178 kb

Economics/Practice Management

284

 

Board-certified oncology pharmacists: partners in the multidisciplinary care of cancer patients

Dawn Marie Stull, PharmD, BCOP, Andrea Iannucci, PharmD, BCOP, and Richard J. Bertin, PhD, RPh

Specialty Council on Oncology Pharmacy, Medical Science Liaison, Millennium Pharmaceuticals, Inc, Cambridge, MA, Specialty Council on Oncology Pharmacy; University of California Davis Medical Center, Sacramento, CA, and Board of Pharmaceutical Specialties, Washington, DC

Including an oncology pharmacy clinical specialist on the treatment team for cancer patients improves outcomes, reduces the length of hospital stays, reduces medication errors, and lowers costs.

abstract full text 88 kb

Quality Care

295

 

Better communication with minority patients: seven strategies for achieving cultural competency

Carl W. Patten, Jr., JD, MPH, and Randy M. Kammer, JD

Blue Cross and Blue Shield of Florida, Jacksonville, FL

Cultural and ethnic differences present barriers to quality care. These barriers revolve, in part, around inadequate communication with minority populations. This article offers specific strategies for surmounting those barriers.

abstract full text 128 kb

Managing Side Effects

304

 

Managing lymphedema, a lingering problem for breast cancer patients

Sara Cohen, OTR/L, CLT-LANA

Memorial Sloan-Kettering Cancer Center, New York, NY

The prospect of lymphedema provokes substantial anxiety for many patients with breast cancer. This condition is a chronic problem that is time-consuming to manage, often resulting in dramatic life changes. The author suggests ways to help patients both prevent and treat lymphedema.

abstract full text 137 kb

Psychosocial Oncology

311

 

Emotional distress in patients with cancer: the sixth vital sign

Barry D. Bultz, PhD, CPsych and Jimmie C. Holland, MD

University of Calgary, Calgary, Alberta, Canada, and Memorial Sloan-Kettering Cancer Center, New York, NY

As the incidence of cancer continues to rise, so too will the rate of emotional distress in cancer patients. There are both clinical and economic benefits to addressing the psychosocial needs of these patients.

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Brief Communications

246

 

Detecting asymptomatic endometrial carcinoma by combined PET/CT

Cynthia A. English, DO, Brian Pruitt, MD, and Willam R. Robinson, MD

Harrington Cancer Center, Texas Tech University Health Sciences Center, Amarillo, TX

full text 58 kb

Legal Matters

289

 

Ask your lawyer

Lee W. Doty, Esq.

Philadelphia, PA

Thinking of buying an MRI for the office, expanding your types of lab tests, or investing in a nearby imaging center where you can send your patients? First, you’ll need legal advice about conflicts of interest in a practice.

full text 95 kb

Technology

301

 

Feeding your software-hungry PDA

John J. Fried

As a follow-up to our April 2006 issue, here are some more programs to consider for your PDA, all to help you grapple with the medical decisions you have to make each day.

full text 64 kb

Washington Update

317

 

Facing reality: cancer clinics and the full impact of MMA

Steven M. Coplon

Community Oncology Alliance, Washington, DC

The Community Oncology Alliance has championed a number of initiatives on various fronts to help private practitioners do what they do best: offer quality care to cancer patients in a low-cost setting.

full text 71 kb

© 2006 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.

The opinions expressed herein are those of the authors or advertisers. The authors, editors, and publishers make every effort to ensure that no inaccurate or misleading data, opinion, or statement is published in this journal and that drug names, dosages, and recommendations are accurate. However, readers should confirm all dosage schedules against the manufacturer’s package information data. The Publisher, Editorial Board, and their employees accept no liability whatsoever for the consequences of any inaccurate or misleading data, opinion, or statement.