The 340b Drug Discount Program: Oncology's Optical Illusion
November 15th 2013The historical rationale for the 340b program is a good one: indigent patients do need reliable access to prescription drugs, and entities meeting this need should be supported. However, the evolution of the 340b program has strayed widely from its original intent.
IOM Report: Solving Cancer Care Crisis Starts With Improving Patient Engagement, Team-Based Care
October 30th 2013Delivering patient-centered care and engaging in shared decision-making should be top priorities for oncologists responding to the current crisis in the quality of cancer care delivery, according to a recent Institution of Medicine report.
ASCO Issues ‘Top 5’ List of Overused Cancer Tests and Treatments
October 29th 2013The American Society of Clinical Oncology (ASCO) today issued its second “Top 5” list of tests and treatments that are routinely used by oncologists despite a lack of evidence that they are cost effective or beneficial to patients.
Cancer Care and Accountable Care Organizations: The Unknown Patient Experience Landscape
October 15th 2013ACOs can provide the structure, but it’s up to the stakeholders to establish mutually agreeable goals for this new care delivery model. Achieving these goals will require a different set of dialogues and conversations among stakeholders, and patients and their advocates must have seats at the table.
PSA Screening: Good Evidence Shows Little Benefit, Significant Harms
October 15th 2013The Task Force’s recommendation against PSA screening for prostate cancer is based on the best available science and the knowledge that, while we all want to prevent suffering and death from prostate cancer, PSA screening simply does not get us there.
PSA Screening in Men Newly Diagnosed With Colorectal Cancer: Each According to His Group’s Means?
October 15th 2013Once a patient has been appropriately educated by an informed healthcare provider about the possible benefits of PSA screening, then patient preference as part of shared decision making regarding PSA screening should be considered in all cases.
PSA Screening for Colorectal Cancer Patients: Proceeding With Caution
October 15th 2013It may be appropriate to offer prostate cancer screening to carefully selected men with a previous history of colorectal cancer. However, the risks and benefits of establishing the diagnosis in this setting need to be considered and discussed with them.
Should All Colorectal Cancer Patients Over Age 60 Be Screened for Prostate Cancer?
October 15th 2013Not all patients with colorectal cancer are candidates for such screening, however, as a remaining life expectancy of at least 10 years is generally required in order for PSA screening to yield a significant mortality benefit.
Tracking Nausea/Vomiting in Diary Helped Health Care Team Reduce Symptoms
October 7th 2013Asking patients to track their nausea and vomiting after a course of chemotherapy helped the health care team to adjust medications and achieve better control of symptoms, according to the results of a small single center study.
Hospice Care Is Part of Oncology Practice
September 27th 2013Why do doctors have such a hard time embracing hospice care and using it to benefit patients, particularly oncology patients? Referring a patient to a hospice program starts a sophisticated plan of care wholly directed at patient comfort, education of the family and grief counseling for the family.