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ALEXANDRIA, Virginia-The American Society of Clinical Oncology (ASCO) has launched the first study aimed at developing a national monitoring system for cancer care in the United States. A panel of ASCO physicians and other health experts will oversee the study, which will be conducted by researchers at Harvard University and the RAND Corporation, the organization said in a news release.

CHICAGO-Poor reading ability and low income affect many aspects of health care, including cancer screening. Preliminary analysis of data from a study of new enrollees in a Medicare managed care program showed that women with low or inadequate functional literacy were less likely than literate patients to have a Pap smear, and those with yearly incomes below $20,000 were less likely to have mammography.

BOSTON-In a survey of 103 parents of children who had died of cancer, 89% said their children suffered “a lot” or “a great deal” from at least one symptom of the cancer or its treatment during their last month of life. The symptoms mentioned most often were pain, fatigue, and dyspnea. “Our results suggest that greater attention to symptom control and the overall well-being of children with advanced disease might ease their suffering,” the researchers, from the Dana-Farber Cancer Institute and Children’s Hospital, Boston, said in their report (N Engl J Med 342:326-333, 2000).

ALEXANDRIA, Va-The Journal of Clinical Oncology (JCO) has doubled the number of issues it publishes each year, but not the number of articles it will accept. The JCO, a publication of the American Society of Clinical Oncology (ASCO), now publishes two issues monthly, one mailed in the middle and the other at the end of the month.

ROCKVILLE, Md-The FDA has accused Lane Labs-USA, Inc., of Allendale, NJ, with illegally promoting three products as treatments for cancer and other diseases, and is seeking a permanent federal court injunction against the marketing of the products: BeneFin, produced from shark cartilage; SkinAnswer, a glycoalkaloid skin cream; and MGN-3, a rice-bran extract.

WASHINGTON-The Clinton Administration wants to sharply increase funding for studies to determine environmental causes of cancer, particularly of the breast and prostate. The President is asking Congress to provide $27 million in fiscal year 2001 to the Centers for Disease Control and Prevention (CDC) Environmental Health Lab, an increase of 56% over the current budget.

-“Science relies on trust,” Peter Cleaton-Jones, chairman of the Committee for Research on Human Subjects (Medical), University of Witwatersrand, said in an interview about the recently discovered scientific misconduct by

ROCKVILLE, Md-The NCI has awarded the contract to develop and implement the Cancer Trials Support Unit (CTSU) to Westat Corporation (Rockville, Md), a health and social sciences research organization. Westat will work with the Coalition of National Cancer Cooperative Groups and Oracle Corporation’s Health Informatics Consulting Practice.

The program currently sends artists to work in cancer units at New York Hospital (oncology, bone marrow transplant, and pediatric oncology units), Lenox Hill Hospital, Beth Israel Hospital, Roosevelt-St. Luke’s Hospital, and Columbia

Newly updated guidelines for treating HIV-infected adults and adolescents are now available and include recommendations for the use of recently developed tests that help determine whether the virus carried by a patient has become

With ever more new therapeutic agents in development, more practitioners are needed to shepherd patients through clinical trials-coordinating the trials, developing standardized treatment orders, managing symptoms, providing patient

BETHESDA, Md-Seeking better mice for research, the National Cancer Institute has funded the Mouse Models of Human Cancer Consortium, which will consist of 19 new research groups involving investigators at 30 US institutions. The teams will seek to create models that duplicate the ways human cancers develop, progress, and respond to therapies or preventive agents.

Hepatocellular carcinoma is a major public health problem worldwide, although at present it remains a relatively uncommon cancer in the United States. As pointed out by Dr. Venook in his elegant review of the topic, most hepatocellular carcinomas progress locoregionally. Hepatic failure is the most common mode of death for patients with this disease. For this reason, regional management strategies would appear to be attractive. Dr. Venook is to be commended for an accurate review of the literature regarding this issue. Unfortunately, that literature suffers from many limitations.

Drs. Lee and Levine have written a thoughtful, thorough review of the management of venous thromboembolism in cancer patients. Venous thromboembolism remains an important, common, and potentially fatal complication of cancer and many of its therapies. Certainly, the incidence of upper extremity and catheter-related thrombosis has increased significantly in recent years with the widespread use of central venous catheters. On the other hand, recent years have also brought new, less invasive methods of diagnosis and the promise of still more new diagnostic methods to come.

When one considers the frequency with which practicing oncologists encounter situations and issues involving venous thrombosis in their patients, it is remarkable how little attention has been paid to this problem in the oncology literature or standard textbooks of oncologic theory and practice. Although the topic of hypercoagulability in cancer patients has been the subject of several excellent articles,[1,2] these reviews, while exhaustive with respect to pathophysiology, provide relatively little information of practical use to the oncologist.