Fourth Annual Chicago Supportive Oncology Conference

Community Oncology

Volume 4, Number 3 (March 2007)

Letter from the Editor

113

 

On two fronts in cancer care: politics and treatment

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

The West Clinic, Memphis, TN

At Community Oncology’s second annual conference, we heard in no uncertain terms that reimbursement in medical oncology has reached the breaking point. But our efforts at grass-roots advocacy are paying off. The other major meeting theme: the rich and growing number of treatment options for cancer patients. In this issue, we focus on the benefits and side effects of panitumumab for colorectal cancer, HER1/EGFR inhibitors, and follicular rash, and the latest therapies for multiple myeloma and toxicities of thalidomide and lenalidomide.

full text 46 kb

Community Translations

121

 

Panitumumab in metastatic colorectal cancer

Panitumumab, the first fully human monoclonal antibody for chemotherapy-refractory disease, also shows promise in first-line treatment. It is a valuable weapon in the fight against colorectal cancer, which continues to be a major public health problem. The third most common cancer in both men and women, colorectal cancer is already metastatic at diagnosis in 15% to 25% of patients. Up to 50% of patients will eventually develop metastatic disease. Anti-EGFR agents such as panitumumab may contribute significantly to making this disease a manageable chronic condition. Our article summarizes the current research on panitumumab and offers three distinct perspectives.

 

FROM THE COMMUNITY ONCOLOGIST'S PERSPECTIVE
A welcome addition to the therapeutic armamentarium against colorectal cancer

Amol N. Rakkar, MD

Palo Verde Hematology/Oncology, Glendale, AZ

 

FROM THE NURSE'S PERSPECTIVE
Nursing considerations when administering panitumumab

Debra Knudson, ADN, RN

Palo Verde Hematology/Oncology, Glendale, AZ

 

FROM THE ADMINISTRATOR'S PERSPECTIVE
The economic concerns when new drugs become available

Lynn Ratzlaff, CHSM

Palo Verde Hematology/Oncology, Glendale, AZ

full text 121 kb

Managing Side Effects

129

 

Epoetin alfa for chemotherapy-induced anemia: assessment of two equivalent dosing regimens

Gina D. Policarpo, PharmD, and David H. Henry, MD

Pennsylvania Oncology Hematology Associates, Philadelphia, PA, and Department of Medicine, Joan Karnell Cancer Center, Pennsylvania Hospital, Philadelphia, PA

This review article summarizes the clinical data from key studies of each dosage regimen of epoetin alfa for anemia, a frequent complication in patients with cancer receiving myelosuppresive chemotherapy. If left untreated, anemia can have serious adverse sequelae. According to the most recently updated clinical practice guidelines of the National Comprehensive Cancer Network, treatment with erythropoietic therapy should be considered for patients whose hemoglobin concentration is < 11 g/dL.

abstract full text 199 kb

Controversies in Patient Care

151

 

Patients seeking second medical hematology/oncology opinions in the United States: a report of their demographics and disease processes

Kelly K. Curtis, MD, and Donald W. Northfelt, MD

Mayo Clinic, Scottsdale, AZ

The seeking and rendering of second opinions are common occurrences in the routine delivery of medical care in the United States. Virtually all subspecialties of medicine offer second opinions to patients seeking them. For patients and the medical community alike, however, the benefit associated with obtaining a second opinion remains unclear.

abstract full text 94 kb

Nursing Management

157

 

Managing follicular rash related to chemotherapy and monoclonal antibodies

Judy Hetherington, MSN, CRNP, Caryn Andrews, PhD, CRNP, Yaroslav Vaynshteyn, MSN, CRNP, and Rhonda Fishel, MD

Alvin & Lois Lapidus Cancer Institute at Sinai Hospital, Baltimore, MD; Alvin & Lois Lapidus Cancer Institute at Northwest Hospital Center, Randallstown, MD; and Sinai Hospital, Baltimore, MD

The authors have developed several innovative ways to treat follicular rash. Although these methods are not research based-antidotes, their demonstrated value merits dissemination. Two case studies are included, both written by patients, one of whom is also a physician, to provide insight into how this problem affects people and the importance of recognizing and treating follicular rash early in its course. A series of management steps is offered.

abstract full text 133 kb

Community Oncology Meeting News

119

 

Community oncologists meet in Capital

full text 42 kb

Cases in Community Oncology

137

 

Advances in the treatment of multiple myeloma

Priya Vishnubhotla, MD

US Oncology, Cancer Centers of Florida, Orlando

full text 91 kb

Brief Communications

144

 

Synchronous pancreatic cancer and mantle cell lymphoma: a case report

Igor Genkin, MD, Amy E. Cocco, MD, and Joseph E. Willis, MD

University Hospitals Health Care System, Cleveland, OH

full text 63 kb

Adverse Events Alert

147

 

Thalidomide- and lenalidomide-associated thromboembolism

Cara Angelotta, BA, and Charles L. Bennett, MD, PhD, MPP

Northwestern University, Chicago, IL

full text 73 kb

Meetings Highlights

 

FROM THE 29TH ANNUAL SAN ANTONIO BREAST CANCER SYMPOSIUM

164

 

Breast cancer preventive effect of tamoxifen persists after discontinuation of therapy

full text 45 kb

165

 

Balance of efficacy and toxicity varies with trastuzumab for early breast cancer

full text 45 kb

166

 

Lapatinib-paclitaxel combo shows promise in IBC

full text 38 kb

166

 

Study supports weekly nab-paclitaxel for MBC

full text 43 kb

167

 

Treatment-induced amenorrhea improves prognosis of early, ER/PR-positive breast cancer

full text 42 kb

168

 

Reduced-fat diet lowers risk of relapse in early-stage breast cancer

full text 40 kb

Washington Update

171

 

Medicare recovery audit program going national

Joel B. Finkelstein

full text 54 kb

© 2007 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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