Fourth Annual Chicago Supportive Oncology Conference

Community Oncology

Volume 3, Number 6 (June 2006)

Letter from the Editor

325

 

Add your voice to the community dialogue

David H. Henry, MD, FACP, Editor

Pennsylvania Hospital, Philadelphia, PA

In this issue we focus on two lead articles about gynecologic cancers: Is IP chemotherapy with cisplatin the new standard of care in optimally debulked ovarian cancer patients? A clinical alert recently issued by the NCI seems to suggest that it is. Also: an analysis of early treatment with IL-11 in heavily pretreated patients with gynecologic cancer.

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Community Dialogue

343

 

Reaching the Latino community

Community Oncology interviews Elmer Huerta, MD, MPH, founder and director of the Cancer Risk Assessment and Screening Center at the Washington Cancer Institute, Washington Hospital Center, Washington, DC

When Dr. Huerta asks many of his Latino patients whether they know what a Pap smear is, for example, or how prostate cancer might be detected early, more often than not he gets incorrect information. He realized, he said, that people were letting their cancers go out of control because they lacked basic health knowledge. Now on a one-man whirlwind of a campaign, Dr. Huerta is reaching out to the Latino community on radio, television, the Internet—any which way he can to deliver his good health and prevention message.

full text 88 kb

Community Translations

348

 

Intraperitoneal therapy for stage III optimally debulked ovarian cancer

A recently reported Gynecologic Oncology Group trial showed a remarkable 15.9-month increase in median overall survival for intraperitoneal (IP) versus intravenous chemotherapy among patients with newly diagnosed stage III ovarian cancer or primary peritoneal cancer. These findings raise important questions including whether the benefits of IP treatment can be preserved without excess toxicity. The data are explained, and the issues are discussed.

full text 155 kb

Original Contribution

357

 

Early treatment with rhIL-11 in heavily pretreated patients with gynecologic cancer

Douglas E. Pugmire, DO

Gynecologic Oncology Specialists of Michigan, Lansing, MI

A retrospective chart review of 54 women who had been heavily pretreated for gynecologic cancers suggests that early rhIL-11 treatment during chemotherapy may improve platelet counts at nadir, resulting in fewer interruptions in treatment.

abstract full text 115 kb

Practice Survival

372

 

Where faith and medicine meet

Alva B. Weir III, MD

Campus and Community Ministries of the Christian Medical and Dental Associations, Bristol, TN

Giving good medicine makes you a good healer. But offering hope and faith as well may make you an excellent one. The author asks, “What is my responsibility as a doctor toward matters of religious faith among my patients?”

abstract full text 71 kb

Controversies in Patient Management

379

 

Prophylactic mastectomy and the clinical management of high-risk breast cancer patients

Kristine E. Calhoun, MD, and Benjamin O. Anderson, MD

Breast Health Center, Department of Surgery, University of Washington/Seattle Cancer Care Alliance, Seattle, WA

Women with a strong family history of breast cancer or BRCA1 or BRCA2 mutations present a clinical management conundrum for surgeons and physicians: When and in which patients is prophylactic mastectomy indicated? It’s critical to re-evaluate patient selection standards and therapeutic options for high-risk patients. Their decision must not be rushed, and should only be made after thorough counseling.

abstract full text 126 kb

Economics/Practice Management

385

 

Developing and operating multidisciplinary disease-specific clinics

Patrick A. Grusenmeyer, ScD, MPA, FACHE, Nicholas J. Petrelli, MD, and Patricia Strusowski, RN

Christiana Care Health Services, Inc., Newark, DE

An oncology multidisciplinary clinic (MDC) can raise the standard of care and improve the experience of patients. As a coordinated patient consultation, an MDC provides definitive diagnosis and treatment planning based on the input of an assortment of medical specialists and support services. How to get MDCs up and running to enhance your practice.

abstract full text 85 kb

Implementing Clinical Trials

393

 

Community participation in NCI-sponsored clinical trials

Lori Minasian, MD

Community Oncology and Prevention Trials Research Group, National Cancer Institute, Rockville, MD

In 2004, the National Cancer Institute spent $800 million on cancer-related clinical trials. Taking part in these trials offers an excellent opportunity for community oncologists and their patients. Here’s how.

abstract full text 83 kb

Letters to the Editor

333

 

Why not test the tumor first?

Gregory D. Pawelski

Wernersville, PA

full text 48 kb

333

 

Genetic testing and the need for more data

Jondavid Pollock, MD, PhD

Radiation Oncology, Schiffler Cancer Center, Wheeling, WV

full text 50 kb

Brief Communications

367

 

Single cutaneous nodule as the first sign of lung cancer: a rare presentation

Prachi P. Agrawal, DNB, Savita Arora, MD, Arun K. Rathi, MD, Anil K. Bahadur, MD, and Kishor Singh, MD

Departments of Radiation Oncology and Pathology, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India

Case report of a 50-year-old man with a small nodular lesion on his scalp.

full text 66 kb

Legal Matters

375

 

Ask your lawyer: working with legal counsel

Lee W. Doty, Esq.

Philadelphia, PA

full text 63 kb

Technology

389

 

You’ve got mail

Jo Cavallo

Patients are logging on to the Internet to do everything from learning about their disease to e-mailing their doctors and getting virtual second opinions.

full text 51 kb

390

 

Protecting your patients’ e-privacy—and yourself as well

John J. Fried

Steps you can take now to keep your patients' private mail private.

full text 48 kb

Washington Update

397

 

Regulating insurance: who wins and who loses?

Joel B. Finkelstein

The latest tussle over insurance legislation pits the American Cancer Society and its supporters against business associations that want to establish national pools under one Federal rule, and not the many mandates of individual states. This time around, the legislation appears to have a better chance of passing in both the House and Senate. And that has the ACS worried that patients will be harmed.

full text 66 kb

On Submitting Articles

400

 

Guide for authors

full text 78 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.