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BETHESDA, Md-The National Cancer Institute has established a program to investigate drug resistance in the AIDS virus. NCI director Richard D. Klausner, MD, told the National Cancer Advisory Board (NCAB) that the new effort will cut across NCI’s intramural program and that he expects it to involve extramural researchers and scientists from other institutes within the National Institutes of Health.

NEW ORLEANS-It is possible to prevent most cases of chemotherapy-induced emesis by simple, convenient, and cost-effective regimens, Richard J. Gralla, MD, director of the Ochsner Foundation Cancer Institute, New Orleans, said at a cancer update sponsored by the Ochsner Medical Foundation and the American Cancer Society.

BETHESDA, Md-The National Cancer Institute’s mint-new Division of Cancer Control and Population Science got its marching orderings only days before officially beginning operations. The National Cancer Advisory Board (NCAB) accepted the recommendations of a committee report titled “A New Agenda for Cancer Control Research” as a basic operating plan for the division.

CHICAGO-Health care professionals who provide care to cancer patients need to help managers of employee benefits programs determine the cost and quality of the oncology services they purchase, said Dale Orred, corporate benefits manager for United Parcel Service, Atlanta.

CHICAGO-As the health care system in this country shifts from fee for service to managed care, private and public payers are being forced to make decisions about the oncology services they purchase. As payers struggle to define the scope of their coverage of oncology services, however, they may be ignoring the aspects of care that are most important to patients, speakers said at a conference on purchasing oncology services, sponsored by the American Cancer Society.

TORONTO-Cancer patients with febrile neutropenia have routinely been hospitalized and treated with intravenous antibiotics. A pilot study presented at the 37th Interscience Conference on Antimicrobial Agents and Chemotherapy (ICAAC) suggests that low-risk patients can be treated just as well at home.

BROOKVILLE, NY-“Most of us wait until it’s too late to make decisions on end-of-life care,” Robert C. Cassidy, PhD, said at a conference on that subject. “But somewhere out there is an abyss, and we better start knitting a parachute before we get pushed out of the plane.”

HAMBURG-More than 6,000 cancer researchers, clinical oncologists, and specialist cancer nurses from all over the world attended the Ninth European Cancer Conference (ECCO 9), considered Europe’s foremost multidisciplinary oncology event. (See reports on pages 1, 2, 3, 8, 13, 15, 24, 27, and 40.)

WASHINGTON-The House and Senate have each passed bills revising the process by which the Food and Drug Administration approves new drugs and medical devices. But what happens in the conference committee that resolves a significant difference between the two measures may well decide whether President Clinton signs or vetoes the final bill.

n PRINCETON, NJ-A single dose of Quadramet (Samarium Sm 153 Lexidronam injection) significantly relieved bone pain in patients with metastatic breast, prostate, and other primary cancers in a dose-dependent manner, a multicenter European study has shown.

CHICAGO-“Is the private practice oncologist at risk? I think we are,” said Bruce Feinberg, DO, at the first national conference on purchasing oncology services, sponsored by the American Cancer Society and the Kerr L. White Institute for Health Services Research, Decatur, Ga.

CHICAGO-When the US Supreme Court decided recently that patients have no inherent right to physician-assisted suicide, it neglected to help physicians decide how to respond to those “exceptional cases involving real patients with real suffering,” said Timothy E. Quill, MD, at the American Academy of Family Physicians annual meeting.

CHICAGO-The purchasers that make critical health care decisions for approximately 75% of the American population who have insurance readily acknowledge they have little understanding of the cost of oncology care or the types of services that cancer patients need.

BARCELONA, Spain-Intrathecal administration of the selective neuronal channel blocker SNX-111 via an external pump proved safe and feasible in 11 patients with chronic intractable pain. More than half of the group saw an improvement in pain control, William Brose, MD, reported at a meeting of the International Association for the Study of Pain.

SAN DIEGO-Just as a glacier may advance and retreat simultaneously, managed oncology care appears to be experiencing both integration and disintegration, said James L. Wade III, MD, president of the Association of Community Cancer Centers (ACCC).

With a few clicks of a computer mouse, scientists now can access a free on-line index that will soon show tens of thousands of

BALTIMORE-The $368.5 billion settlement worked out between 40 state attorneys general and the tobacco industry now faces the lengthy congressional process. Congress must enact and the President must sign into law a number of provisions to finalize the agreement.

Presenting the nursing perspective on cancer, Ms. Nora Jodrell, Macmillan Lecturer in Cancer Nursing and President Elect of

SAN DIEGO-Many oncologists attending a session on capitation at the Association of Community Cancer Centers’ 14th National Oncology Economics Conference may have hoped the speaker would reveal the “ideal rate” to charge for capitated oncology care, but, unfortunately, “there is no such thing,” Philip L. Beard told the gathering.

PHILADELPHIA-“Litigation is killing the Pap test. You have to allow patients to sue, but suing because the test is imperfect, we can’t allow,” Richard M. DeMay, MD, told Oncology News International. The solution, he believes, is “some sort of legislation.”

PHILADELPHIA-The American Association for Cancer Research (AACR) is seeking applications for its sixth annual Gertrude B. Elion Cancer Research Award, as well as Research Fellowships for young scientists.

TORONTO-Potent new anti-HIV three-drug “cocktails” are far more likely to fail in the real world of primary care than in carefully controlled clinical trials, researchers reported at the American Society for Microbiology’s 37th Interscience Conference on Antimicrobial Agents and Chemotherapy (ICAAC). However, it appears that such failures are much less likely if patients are started on the three agents concurrently rather than sequentially.