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issues in oncology
health-care policy
issues in oncology

ASCO Calls for Comprehensive Payment Reform to Address Issue of Site Neutrality

ASCO has called for comprehensive physician payment reform to support the full scope of services required by patients with cancer, rather than jeopardizing patient outcomes by reducing the available resources in a particular cancer care setting in an effort to achieve "site neutrality" in...

National Coalition for Cancer Survivorship Honors Richard Pazdur, MD, and Ellen Goodman

On October 21 in Washington, DC, the National Coalition for Cancer Survivorship (NCCS) hosted a reception to honor Richard Pazdur, MD, and Ellen Goodman. Special guest Robert M. Califf, MD, Deputy Commissioner for Medical Products and Tobacco at the U.S. Food and Drug Administration (FDA),...

issues in oncology

A Cancer Diagnosis Can Lead to Significant Loss of Working Hours, Income

A new analysis indicates that when American adults are diagnosed with cancer, they experience significant decreases in the probability of working, in the number of hours they work, and correspondingly, in their incomes. Such negative impacts of a cancer diagnosis are particularly pronounced among...

prostate cancer

ASTRO 2015: A Shorter Radiation Therapy Schedule Can Be as Effective as a Conventional Schedule for Men With Low-Risk Prostate Cancer

Hypofractionated radiation therapy results in similar rates of cure and side effects compared to a longer treatment schedule for some men with low-risk prostate cancer, according to research (Abstract LBA6) presented by Lee et al October 19, 2015, at the American Society for Radiation Oncology...

prostate cancer
issues in oncology
issues in oncology

ASTRO 2015: Genomic Classifier Appears to Predict Metastasis in Patients With Prostate Cancer Following Prostatectomy

For men with prostate cancer who have had a prostatectomy and salvage radiation therapy, analyzing their tumor genome provides clues as to whether their cancer will metastasize, thereby enabling clinicians to better personalize treatment options, according to research presented by Den et al...

cns cancers

ASTRO 2015: Patients With Intermediate-Risk Meningiomas Who Receive Postoperative Radiotherapy Have a 96% 3-Year Progression-Free Survival

Patients with intermediate meningiomas treated with radiation therapy after surgery experienced a 96% 3-year progression-free survival rate and had minimal adverse events, according to research presented by Rogers et al October 21, 2015, at the American Society for Radiation Oncology’s...

pancreatic cancer

FDA Approves Liposomal Irinotecan for Advanced Pancreatic Cancer

The U.S. Food and Drug Administration today approved irinotecan liposome injection (Onivyde), in combination with fluorouracil (5-FU) and leucovorin, to treat patients with metastatic pancreatic cancer who have been previously treated with gemcitabine-based chemotherapy. According to the National...

NCCN Unveils Evidence Blocks for CML and Multiple Myeloma

The National Comprehensive Cancer Network (NCCN), a not-for-profit alliance of 26 of the world's leading cancer centers, has unveiled its new value initiative—the NCCN Evidence Blocks, published within new versions of the NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines) for...

lung cancer
issues in oncology

ASTRO 2015: Intensity-Modulated Radiotherapy Causes Less Inflammation Than 3D Conformal Radiotherapy in Lung Cancer Patients

Patients with stage III non–small cell lung cancer (NSCLC) who receive intensity-modulated radiation therapy (IMRT) have 44% fewer cases of severe pneumonitis and improved likelihood of completing consolidative chemotherapy after radiation, compared to patients who receive three-dimensional...

supportive care
issues in oncology
cost of care

ASTRO 2015: Coordinated Radiation Therapy and Palliative Care Based on Patient Feedback Lead to Better Quality of Life, Reduced Health-Care Costs

A collaborative, patient-reported outcome–based approach by palliative care and radiation oncology teams results in better outpatient symptom management and a decrease in end-of-life hospitalizations and costs for late-stage cancer patients, according to research presented by Read et al...

head and neck cancer
supportive care

ASTRO 2015: Frequent Post-Treatment Follow-up by Advance Practice Nurses Improves Care for Patients With High-Risk Head and Neck Cancer

For high-risk patients who receive chemoradiotherapy for head and neck cancer, frequent follow-up appointments conducted by advance practice nurses (APNs) in a clinical outpatient setting allowed for more intensive symptom management, resulting in fewer post-treatment emergency room visits and...

palliative care
supportive care

ASTRO 2015: Patients With Bone Metastases Undergoing Radiation Therapy for Symptom Control Have Lower Pain Flare Rates With Steroid Use

The steroid dexamethasone reduces radiation-induced pain flare in cancer patients with painful bone metastases, according to research presented by Chow et al (Abstract LBA1) October 18, 2015 at the American Society for Radiation Oncology’s (ASTRO’s) 57th Annual Meeting in San Antonio,...

skin cancer

ASTRO 2015: Subset of Patients With Metastatic Melanoma Achieves Clinical Benefit From Combination of Immunotherapy and Radiation Therapy

Immunotherapy combined with palliative radiation therapy for a subset of patients with metastatic melanoma reduces the growth and spread of the cancer, according to research presented by Hiniker et al (Abstract 215) on October 20, 2015 at the American Society for Radiation Oncology’s...

lung cancer
issues in oncology
issues in oncology

Low-Dose CT Lung Cancer Screenings in 20 to 29 Pack-Year Smokers

The potential risks and harms of low-dose computed tomography lung cancer screening in current 20 to 29 pack-year smokers needs to be assessed before recommending such screening to this group, according to a study published by Pinsky and Kramer in the Journal of the National Cancer Institute....

skin cancer
issues in oncology

More Than 11 Moles on the Arm May Indicate Higher Risk of Melanoma

Researchers at King's College London have investigated a new method that could be used by general practitioners to quickly determine the number of moles on the entire body by counting the number found on a smaller “proxy” body area, such as an arm. These findings were published by...

lymphoma

Researchers Link Immunosuppressive Mycophenolate Mofetil to Increased Risk of Central Nervous System Lymphoma

A study led by Johns Hopkins researchers has linked the immunosuppressive drug mycophenolate mofetil to an increased risk of central nervous system lymphoma in solid organ transplant patients. But the same study also found that another class of immunosuppressive drugs, calcineurin inhibitors, given ...

issues in oncology
breast cancer
issues in oncology

Study Examines Links Between Viral and Bacterial Microbial Signatures and Triple-Negative Breast Cancer

Cancer is the result of normal cellular functions going wildly awry on a genetic level. That fact has been known for some time, but increasing evidence is showing that the human microbiome, the diverse population of microorganisms within every person, may play a key role in either setting the stage ...

survivorship
issues in oncology

Cancer Survivors More Likely to Have Poor Diets Than Those With No History of Cancer

While most cancer survivors in the United States are motivated to seek information about food choices and dietary changes to improve their health, a new study comparing their dietary patterns to federal guidelines indicates that they often fall short. By Zhang et al in Cancer, the findings point to ...

issues in oncology

Anticancer Effects of Drugs Overestimated by as Much as 45% in Preclinical Animal Studies

Badly designed studies may lead to the efficacy of drugs being overestimated and money being wasted on trials that prove fruitless, according to new a study from McGill University in Montreal. The findings, published by Henderson et al in eLife, highlight the importance of ensuring that other...

prostate cancer
issues in oncology
palliative care

Aggressive End-of-Life Care More Frequent Among Black Than White Men With End-Stage Prostate Cancer

A study to examine racial disparities in end-of-life care among black and white patients dying of prostate cancer found that “significant racial disparities in end-of-life care" do exist. “Although diagnostic and therapeutic interventions are less frequent in black patients with...

breast cancer

Study Finds Use of Accelerated Partial-Breast Irradiation Has Stagnated

Accelerated partial-breast irradiation was designed to be a faster, more convenient, and potentially safer way for many women with breast cancer to reduce their mortality risk and help keep their cancer from returning after surgery. But a new study shows that despite the availability of accelerated ...

lung cancer
skin cancer

Antioxidants May Increase the Rate of Metastasis, Protect Existing Tumors in Malignant Melanoma

Fresh research at Sahlgrenska Academy has found that antioxidants can double the rate of melanoma metastasis in mice. The results reinforce previous findings that antioxidants hasten the progression of lung cancer. According to Martin Bergö, PhD, people with cancer or an elevated risk of...

skin cancer

Evidence of Basal to Squamous Cell Phenotype Switch Under Vismodegib Treatment for Basal Cell Carcinoma

In a letter to The New England Journal of Medicine, Ransohoff et al describe genetic evidence of phenotype switching from basal cell to squamous cell carcinoma in a patient receiving vismodegib (Erivedge) for basal cell carcinoma. Hedgehog signaling pathway activation, a central feature of...

gynecologic cancers
gynecologic cancers

Adjuvant Hormone Therapy May Improve Survival in Epithelial Ovarian Cancer

Results of the phase III AHT trial reported in the Journal of Clinical Oncology by Eeles et al suggest that adjuvant hormonal therapy may improve survival in women with epithelial ovarian cancer. The trial, started in 1990, was stopped early due to low recruitment. Study Details In the open-label ...

breast cancer
supportive care
issues in oncology

To Optimize Tamoxifen Use Among Premenopausal Women With Breast Cancer, Include Access to Fertility-Preservation Options

A multivariable analysis of clinical factors associated with tamoxifen use among premenopausal women with hormone receptor–positive breast cancer showed that fertility preservation was a significant factor and “the only predictor of both noninitiation and early cessation” of...

hematologic malignancies
leukemia
lymphoma
issues in oncology

Half-Matched Bone Marrow Transplant Recipients May Tolerate Transplantation Just as Well as Fully Matched Recipients

Bone marrow transplantation is a lifesaving therapy for many patients with blood cancers like leukemias and lymphomas. Currently, the gold standard blood-generating stem cells are obtained from a donor, most likely a sibling, with a perfect match to the patient in order to minimize the chance of...

skin cancer

Surgical Resection Prolongs Survival for Patients Whose Melanoma Has Spread to the Abdomen

Surgical removal of melanoma that has metastasized to the abdomen appears to help patients live more than twice as long as those who receive only medical therapy, according to study results presented at the 2015 Clinical Congress of the American College of Surgeons. In more than 1,600 patients...

colorectal cancer
issues in oncology

Many Patients Do Not Accurately Recall Important Colonoscopy Details as Time Lapses

As time lapses, many patients who have undergone a colonoscopy become less and less likely to recall when and where they last had the procedure performed, who the doctor was who performed it, whether polyps were found, and, if so, the number and size of those polyps, according to new study results...

cns cancers

Targeted Chemotherapy Shows Early Signs of Slowing Neuroblastoma Tumor Growth With Less Toxicity in Preclinical Models

Surviving neuroblastoma as a child can come with just as many challenges as the cancer itself, mainly because of the toxic effects of chemotherapy. But a team of surgeons is in the nascent stages of developing a more targeted, less toxic method of treating neuroblastoma patients with chemotherapy....

breast cancer
issues in oncology
cost of care

Unilateral Mastectomy Is a More Cost-Effective Treatment for Sporadic Cancer in One Breast Than Contralateral Prophylactic Mastectomy

For younger women with early-stage, noninherited breast cancer on one side, a unilateral mastectomy leads to a slightly higher quality of life and lower costs over the next 20 years compared with contralateral prophylactic mastectomy, according to new study results presented at the 2015 Annual...

colorectal cancer

All Relatives of Patients With Colorectal Cancer May Be at Increased Risk Regardless of Age at Diagnosis of Index Patient

All relatives of individuals with colorectal cancer are at increased risk for this cancer, regardless of the age of diagnosis of the index patient in the family, according to a study published by Samadder et al in Clinical Gastroenterology and Hepatology. These findings may impact future guidelines ...

supportive care

Palliative Care 2015: Panel Presents Recommendations to Improve Primary Palliative Care Services in Medical Oncology

When integrated into routine oncology care, palliative care can improve symptom burden, quality of life, and patient and caregiver satisfaction. However, because the number of palliative care specialists in the United States is too small to meet the number of patients requiring palliative care, the ...

palliative care
supportive care
palliative care

Palliative Care 2015: Collaboration Between Radiation Oncologists and Palliative Care Specialists Improves Care for Patients With Advanced Cancer

An innovative service model that partners radiation oncology with palliative care leads to better results for patients, according to a new analysis. The model of care, established at Mount Sinai Medical Center, is one of only a handful in the country. The study (Abstract 110) will be presented at...

cns cancers

FDA Approves Expanded Indication for Medical Device to Treat Newly Diagnosed Glioblastoma Multiforme

The U.S. Food and Drug Administration (FDA) today approved an expanded indication for the Optune tumor treating fields device to treat patients with newly diagnosed glioblastoma multiforme. It is given along with the chemotherapy drug temozolomide following standard treatments that include...

supportive care
palliative care

Palliative Care 2015: Study Finds the Answer to One Question Can Help Identify Patients Nearing the End of Life

Determining the answer to a simple question, “Would you be surprised if this patient died within the next year?” can be an important tool to help predict which patients with cancer may be in their final year of life, according to the findings from a study by Vick et al. The tool, known...

lung cancer

ASCO Endorses CHEST Guideline on Treatment of Small Cell Lung Cancer

As reported in the Journal of Clinical Oncology, ASCO has endorsed the current American College of Chest Physicians (CHEST) guideline on treatment of small cell lung cancer, released in 2013. After review of evidence from an updated literature search covering 2011 to March 2015, an ASCO...

lung cancer
issues in oncology
issues in oncology
issues in oncology

Palliative Radiotherapy May Be Overused in Late-Stage Lung Cancer

Almost half of patients with advanced lung cancer receive more than the recommended number of radiation treatments to reduce their pain, according to a new study published by Koshy et al in the Journal of the National Cancer Institute. Radiation therapy that is palliative can reduce the pain from...

gynecologic cancers
issues in oncology

Bariatric Surgery May Resolve Precancerous Uterine Lining Changes in Obese Women

A study evaluating the effects of bariatric surgery on obese women most at risk for cancer has found that the weight-loss surgery slashed participants' weight by one-third and eliminated precancerous uterine growths in those who had them. Other effects included improving patients' physical quality...

solid tumors
lung cancer
cns cancers

ECC 2015: Lung and Gastrointestinal Neuroendocrine Tumors and Results From the RADIANT-4 Trial

An international team of researchers has shown that the use of the mTOR inhibitor everolimus can delay tumor growth among both gastrointestinal and lung neuroendocrine tumors. This is particularly important for patients with lung tumors, the researchers say, because there is currently no approved...

health-care policy
issues in oncology
issues in oncology

ECC 2015: Tackling the Global Shortfall in Radiotherapy

Millions of people are unable to receive necessary treatment worldwide because of a chronic underinvestment in radiotherapy resources, according to a major new Commission on access to radiotherapy, published in by Atun et al in The Lancet Oncology, and presented at the 2015 European Cancer Congress ...

lung cancer
gastroesophageal cancer

KW-0761 May Reduce Immune System–Suppressing Treg Cells in Patients With Solid Tumors

A small phase Ia clinical trial investigating whether depleting immune cells called Tregs, which can inhibit anticancer immune responses, with KW-0761, a humanized anti-CCR4 monoclonal antibody, in patients with lung or esophageal cancer has found that the therapy dramatically reduced the number of ...

lymphoma

Brentuximab Vedotin Effective, Safe in Elderly Hodgkin Lymphoma Patients Who Cannot Tolerate Standard Chemotherapy

A study published by Forero-Torres et al in Blood reported that brentuximab vedotin (Adcetris) is an effective and safe first course of treatment for older patients with Hodgkin lymphoma who are unfit for chemotherapy.  Ineligibility for Chemotherapy Although standard chemotherapy can...

issues in oncology
lung cancer

ECC 2015: First Targeted Treatment for Small Cell Lung Cancer Shows Promise

Small cell lung cancer (SCLC) is an aggressive disease that is difficult to treat and is frequently diagnosed only when it has metastasized. Five-year survival rates in SCLC, which accounts for about 14% of all lung cancers, are very low, at only 6%. Researchers presented novel findings (Abstract...

issues in oncology

ECC 2015: Children Exposed to Prenatal Cancer Treatment Show Normal Mental Processes and Heart Function

In a special session on cancer in pregnancy at the 2015 European Cancer Congress (Abstract 3205), Frédéric Amant, MD, PhD, said that new results from a study of 129 children, aged 1–3, born after prenatal exposure to cancer treatment, showed normal development of their...

lymphoma

ECC 2015: Living Conditions and Gender Appear to Affect Incidence of Hodgkin Lymphoma

Living in overcrowded conditions appears to protect children and young adults against developing a particular type of Hodgkin lymphoma. This protective effect seems to suggest that infections earlier in life may stimulate the immune system to deal with future infections and cancerous cells more...

colorectal cancer
issues in oncology

ECC 2015: Discovery of Differences Between Tumors of Younger and Older Patients With Colorectal Cancer May Lead to Better Treatments

Colorectal cancer is on the rise among younger patients. Although some of the younger-onset cases can be explained by hereditary factors, the majority arise spontaneously. Researchers have now found that tumors in younger patients with colorectal cancer may be molecularly distinct from those of...

cns cancers
issues in oncology

ECC 2015: Genetic Screening of Brain Metastases Could Reveal New Targets for Treatment

Unraveling the genetic sequences of cancer that has spread to the brain could offer unexpected targets for effective treatment, according to new research (Abstract 2905) presented at the 2015 European Cancer Congress in Vienna, Austria, and published simultaneously by Brastianos et al in...

breast cancer
survivorship
issues in oncology

ECC 2015: Hormone Therapy May Prevent Ovarian Failure and Preserve Fertility in Women With Breast Cancer

Young women undergoing chemotherapy for breast cancer may be more likely to remain fertile if they also receive hormonal treatment, according to new research (Abstract 1957) presented at the 2015 European Cancer Congress in Vienna, Austria, and published simultaneously by Lambertini et al in Annals ...

issues in oncology

ECC 2015: Over Three-Quarters of People With Cancer Worldwide Have No Access to Safe Surgery

Over 80% of the 15 million people diagnosed with cancer worldwide in 2015 will need surgery, but less than one-quarter of them will have access to proper, safe, affordable surgical care when they need it, according to a major new Commission examining the state of global cancer surgery. The...

survivorship
issues in oncology
issues in oncology

ECC 2015: EUROCARE Results Show Large Variations in Survival Among European Countries

Comparisons of cancer patients’ survival and care in Europe up to 2007 showed that although more patients are surviving for at least 5 years after diagnosis, there are large variations among countries, which are particularly significant in cancers of the blood. Milena Sant, MD, from the...

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