Fourth Annual Chicago Supportive Oncology Conference

Community Oncology

Volume 3, Number 9 (September 2006)

Letter from the Editor

547

 

Staying focused on the practical

Lee S. Schwartzberg, MD, FACP, Editor

The West Clinic, Memphis, TN

This issue is packed with information of immediate practical relevance, from clinical trials to managing side effects, the latest on treatment for multiple myeloma and more.

full text 43 kb

Community Dialogue

553

 

Insurance coverage for rare cancers: the carrier’s perspective

Community Oncology interviews Fiona Wilmot, MD, MPH, Medical Director of Policy, Pharmacy & Therapeutics for Blue Shield of California.

full text 67 kb

Nursing Management

558

 

Managing the side effects of sorafenib and sunitinib

Laura S. Wood, RN, MSN, OCN

Cleveland Clinic Taussig Cancer Center, Cleveland, OH

The approval of sorafenib and sunitinib has created a paradigmatic shift in the treatment of metastatic renal cell carcinoma. This article offers a brief overview of the side effects associated with these drugs, guidelines for helping patients resolve their symptoms and, a patient education resource list.

full text 138 kb

Original Contribution

567

 

Emerging therapies for metastatic carcinoma to the liver

Kenneth K. Tanabe, MD

Massachusetts General Hospital Cancer Center and Harvard Medical School, Boston

Advances in patient selection, preoperative imaging, surgical techniques, and systemic therapy have led to improvements in clinical outcomes following resection of hepatic metastases in patients with stage IV colorectal carcinoma.

abstract full text 182 kb

 

COMMENTARY
Surgical resection of liver metastasis from colorectal cancer: targeting local therapy to systemic disease

Frank D. Howard IV, MD, PhD

Wilshire Oncology Medical Group, Inc., La Verne, CA

full text 63 kb

Challenging Cases/Rare Cancers

575

 

The emerging role of novel therapeutic agents in the management of patients with multiple myeloma

Irene M. Ghobrial, MD, Leslie Lockridge, MD, and Paul G. Richardson, MD

Jerome Lipper Multiple Myeloma Center, Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA

This article summarizes current clinical trials for newly diagnosed patients and those with relapsed/refractory MM, as well as therapeutic options for patients who are not candidates for stem-cell transplantation.

abstract full text 165 kb

Managing Side Effects

585

 

Management of febrile neutropenia

Saman Kannangara, MD

Division of Infectious Diseases, Pennsylvania Hospital, University of Pennsylvania Health System, Philadelphia, PA

At least half of neutropenic patients who become febrile have an established or occult infection. Because of a lack of inflammatory response, signs and symptoms of infection are often subtle. How to assess and treat.

abstract full text 142 kb

Current Clinical Trials

593

 

Assessing the combination of FOLFOX or FOLFIRI with bevacizumab, cetuximab, or both in metastatic colorectal cancer (Cancer and Leukemia Group B/Southwest Oncology Group 80405)

Alan P. Venook, MD, Charles D. Blanke, MD, Richard M. Goldberg, MD, Denise K. Reinke, APRN, BC, AOCN®, Susan Sutherland, John R. Taylor, MA, Pamela McAllister, PhD, and Richard L. Schilsky, MD

This article is the first in a new series that details available clinical trials and offers information on how you and your practice can participate. The CALGB/SWOG 80405 trial is designed to assess the optimal combination of biological agents and chemotherapy for the first-line treatment of patients with advanced or metastatic colorectal cancer.

full text 193 kb

Economics/Practice Management

603

 

A dispensing pharmacy: is it right for your community practice?

Michael Reagan, RPh

International Oncology Network, Baltimore, MD

Advances in patient selection, preoperative imaging, surgical techniques, and systemic therapy have led to improvements in clinical outcomes following resection of hepatic metastases in patients with stage IV colorectal carcinoma.

abstract full text 70 kb

 

COMMENTARY
Choosing a pharmacy model and a dispensing method

Jennie Smith

National Oncology Alliance, San Francisco, CA

full text 45 kb vendor comparison table 15 kb

 

COMMUNITY PERSPECTIVE
Running an on-site retail oncology pharmacy

Chris Walker, BSPharm, RPh

Oncology Hematology Associates of Central Illinois, Peoria, IL

full text 46 kb

Technology

600

 

Web site review: staying UpToDate

John J. Fried

Created by a Harvard medical school professor, UpToDate.com offers reliable answers to tough medical questions in a number of fields, including oncology. What’s offered, how much it costs, and an interview with one California community practitioner who uses the site regularly.

full text 45 kb

Washington Update

609

 

No quick fix for drug errors, but it can be done

Joel B. Finkelstein

Five years after the Institute of Medicine released its last report on drug errors, a new report shows we still have a long way to go before the problem is corrected. What the Federal government is doing, and what you can do too.

full text 59 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.