Treatment of Stage IIIA Non-Small-Cell Lung Cancer: A Concise Review for the Practicing Oncologist [Clinical Reviews]
Stage IIIA non–small-cell lung cancer occurs in a heterogenous group of patients for whom the best treatment is multimodality therapy with chemotherapy, radiation, and surgery in a select group of individuals. This clinical review intends to answer the most common questions that clinicians face in the decision about the best management in this group. (Source: Journal of Oncology Practice)
Source: Journal of Oncology Practice - July 11, 2016 Category: Cancer & Oncology Authors: Santana-Davila, R., Martins, R. Tags: Diagnosis & Staging, Surgery, Radiation, Chemotherapy, Combined Modality Clinical Reviews Source Type: research
Performance Status-Based Oncology Practice Guidelines: Easier Said Than Done [Editorial]
(Source: Journal of Oncology Practice)
Source: Journal of Oncology Practice - July 11, 2016 Category: Cancer & Oncology Authors: Gerber, D. E. Tags: Clinical guidelines, Management and treatment, ASCO Guidelines, Non-ASCO Guidelines, Guidelines, Chemotherapy Editorial Source Type: research
Cross-Sectional Data That Explore the Relationship Between Outpatients Quality of Life and Preferences for Quality Improvement in Oncology Settings [FOCUS ON QUALITY]
Conclusion:
Two areas of improvement were commonly selected: easily accessible health services and information and support for self-management. Although the results suggest an association between a few quality improvement preferences and HRQoL, a wider spectrum of patient characteristics must be considered when targeting quality improvement to patient subgroups. (Source: Journal of Oncology Practice)
Source: Journal of Oncology Practice - June 9, 2016 Category: Cancer & Oncology Authors: Fradgley, E. A., Bryant, J., Paul, C. L., Hall, A. E., Sanson-Fisher, R. W., Oldmeadow, C. Tags: Quality of care, Management and treatment, Practice Administration, Quality of Life, Quality of Care, Practice Administration FOCUS ON QUALITY Source Type: research
Relationship Between Quality of Comorbid Condition Care and Costs for Cancer Survivors [FOCUS ON QUALITY]
Conclusion:
Higher-quality processes of care may not reduce short-term costs, but the prevention of avoidable outcomes reduces costs. The association between quality and cost was similar for cancer survivors and noncancer controls. (Source: Journal of Oncology Practice)
Source: Journal of Oncology Practice - June 9, 2016 Category: Cancer & Oncology Authors: Frick, K. D., Snyder, C. F., Herbert, R. J., Blackford, A. L., Neville, B. A., Wolff, A. C., Carducci, M. A., Earle, C. C. Tags: Quality of life, Cost of care, Patient, Survivor, Survival Analysis, Outcomes Research, Quality of Life, Quality of Care, Adult Medical Oncology FOCUS ON QUALITY Source Type: research
Clinical Benefits Associated With Medicaid Coverage Before Diagnosis of Gynecologic Cancers [HEALTH POLICY]
Conclusion:
Medicaid enrollment before gynecologic cancer diagnosis is associated with an earlier stage at presentation. Given the existence of a cervical cancer screening program in North Carolina and lack of Medicaid expansion, these data suggest that screening programs alone are not sufficient to counteract the delay in diagnosis that is common for uninsured individuals. (Source: Journal of Oncology Practice)
Source: Journal of Oncology Practice - June 9, 2016 Category: Cancer & Oncology Authors: Doll, K. M., Basch, E. M., Meng, K., Barber, E. L., Gehrig, P. A., Brewster, W. R., Meyer, A.-M. Tags: Access to care, General public, Access to care, Access to care, Medicare, Survival Analysis, Epidemiology, Outcomes Research, Gynecologic Oncology HEALTH POLICY Source Type: research
Cost-Effectiveness Analysis of Different Sequences of the Use of Epidermal Growth Factor Receptor Inhibitors for Wild-Type KRAS Unresectable Metastatic Colorectal Cancer [HEALTH POLICY]
Conclusion:
First-line use of EGFRI in metastatic colorectal cancer is not cost effective at its current pricing relative to Bev. (Source: Journal of Oncology Practice)
Source: Journal of Oncology Practice - June 9, 2016 Category: Cancer & Oncology Authors: Riesco-Martinez, M. C., Berry, S. R., Ko, Y.-J., Mittmann, N., Giotis, A., Lien, K., Wong, W. W. L., Chan, K. K. W. Tags: Pharmacoeconomics, Cost of care, Chemotherapy, Cost Effectiveness, Decision Analysis Outcomes HEALTH POLICY Source Type: research
Use of Gene Expression Profiling and Chemotherapy in Early-Stage Breast Cancer: A Study of Linked Electronic Medical Records, Cancer Registry Data, and Genomic Data Across Two Health Care Systems [CARE DELIVERY]
Conclusion:
Although there was greater use of RS for patients who sought care in more than one health care setting, use of chemotherapy followed RS guidance in University and Community health care systems. These results suggest that precision medicine may help optimize cancer treatment across health care settings. (Source: Journal of Oncology Practice)
Source: Journal of Oncology Practice - June 9, 2016 Category: Cancer & Oncology Authors: Afghahi, A., Mathur, M., Thompson, C. A., Mitani, A., Rigdon, J., Desai, M., Yu, P. P., de Bruin, M. A., Seto, T., Olson, C., Kenkare, P., Gomez, S. L., Das, A. K., Luft, H. S., Sledge, G. W., Sing, A. P., Kurian, A. W. Tags: Access to care, Chemotherapy, Population and Observational Studies, Outcomes Research CARE DELIVERY Source Type: research
Effectiveness of a Survivorship Program: An Assessment of Patients With Breast Cancer in a Community Setting [CARE DELIVERY]
Conclusion:
Survivorship programs can be time and resource consuming, but our study is one of the first to show that a survivorship program effectively changes patient behavior in important ways. Patients who attended an SC were more likely to be compliant with NCCN-recommended follow-up and to use other survivorship resources and felt their concerns were better addressed. These measures can be used to help us improve our survivorship services and by other institutions to measure the quality and effectiveness of their programs. (Source: Journal of Oncology Practice)
Source: Journal of Oncology Practice - June 9, 2016 Category: Cancer & Oncology Authors: Dietrich, L., Smith, A. L., Watral, A., Borgert, A. J., Al-Hamadani, M., Van Oosbree, M., Meyer, C. M. Tags: Survivorship, Caregiver CARE DELIVERY Source Type: research
Pathways Clinical Decision Support for Appropriate Use of Key Biomarkers [CARE DELIVERY]
Conclusion:
This analysis demonstrates the use of a clinical pathway to measure the adoption of a diagnostic test, the Oncotype DX breast assay, and the use of the appropriate therapy on the basis of the RS. As more diagnostics are established to aid in the personalized treatment of diseases, pathways may be important in maintaining clinician awareness of the appropriate disease presentations where these tests should be used, measuring usage of these tests, and tracking the treatment decisions on the basis of test results. (Source: Journal of Oncology Practice)
Source: Journal of Oncology Practice - June 9, 2016 Category: Cancer & Oncology Authors: Ellis, P. G., Brufsky, A. M., Beriwal, S., Lokay, K. G., Benson, H. O., McCutcheon, S. B., Krebs, M. Tags: Clinical guidelines, Management and treatment, Clinical guidelines, Quality, Quality of care, Clinical guidelines, Clinical guidelines, Management and treatment, Chemotherapy, Hormonal Therapy, Non-ASCO Guidelines CARE DELIVERY Source Type: research
Assessing Colorectal Cancer Screening Adherence of Medicare Fee-for-Service Beneficiaries Age 76 to 95 Years [CARE DELIVERY]
Conclusion:
High proportions of average-risk Medicare fee-for-service beneficiaries screened by colonoscopy may represent opportunities for improving appropriateness and allocative efficiency of CRC screening by Medicare. (Source: Journal of Oncology Practice)
Source: Journal of Oncology Practice - June 9, 2016 Category: Cancer & Oncology Authors: Bian, J., Bennett, C., Cooper, G., D'Alfonso, A., Fisher, D., Lipscomb, J., Qian, C.-N. Tags: Medicare, Population and Observational Studies, Efficiency of Care CARE DELIVERY Source Type: research
Lower Patient Ratings of Physician Communication Are Associated With Unmet Need for Symptom Management in Patients With Lung and Colorectal Cancer [CARE DELIVERY]
Conclusion:
A significant minority of patients with newly diagnosed lung and colorectal cancer report unmet needs for symptom management. Interventions to improve symptom management should consider the importance of physician communication to the patient’s experience of disease. (Source: Journal of Oncology Practice)
Source: Journal of Oncology Practice - June 9, 2016 Category: Cancer & Oncology Authors: Walling, A. M., Keating, N. L., Kahn, K. L., Dy, S., Mack, J. W., Malin, J., Arora, N. K., Adams, J. L., Antonio, A. L. M., Tisnado, D. Tags: Communication, Doctor-patient communication, Quality, Palliative care, Quality of care, Quality of Life, Quality of Care, Quality of Life, Quality of Care, Pain Control, Supportive Care, Palliative Care CARE DELIVERY Source Type: research
Typical Time to Treatment of Patients With Lung Cancer in a Multisite, US-Based Study [CARE DELIVERY]
Conclusion:
Results defined typical time to treatment of patients with lung cancer across a variety of health systems and should facilitate establishing metrics for determining timeliness of lung cancer care. (Source: Journal of Oncology Practice)
Source: Journal of Oncology Practice - June 9, 2016 Category: Cancer & Oncology Authors: Vidaver, R. M., Shershneva, M. B., Hetzel, S. J., Holden, T. R., Campbell, T. C. Tags: Management and treatment, Management and treatment, Efficiency of Care, Pulmonary Medicine, Diagnosis & Staging CARE DELIVERY Source Type: research
The Patient Care Connect Program: Transforming Health Care Through Lay Navigation [CARE DELIVERY]
The Patient Care Connect Program (PCCP) is a lay patient navigation program, implemented by the University of Alabama at Birmingham Health System Cancer Community Network. The PCCP’s goal is to provide better health and health care, as well as to lower overall expenditures. The program focuses on enhancing the health of patients, with emphasis on patient empowerment and promoting proactive participation in health care. Navigator training emphasizes palliative care principles and includes development of skills to facilitate advance care planning conversations. Lay navigators are integrated into the health care team, w...
Source: Journal of Oncology Practice - June 9, 2016 Category: Cancer & Oncology Authors: Rocque, G. B., Partridge, E. E., Pisu, M., Martin, M. Y., Demark-Wahnefried, W., Acemgil, A., Kenzik, K., Kvale, E. A., Meneses, K., Li, X., Li, Y., Halilova, K. I., Jackson, B. E., Chambless, C., Lisovicz, N., Fouad, M., Taylor, R. A. Tags: Communication, Older adult (geriatrics), Quality of care, Access to care, Access to care, Medicare, Information systems, Access to care, Quality of Care, Efficiency of Care CARE DELIVERY Source Type: research
Challenges With Research Contract Negotiations in Community-Based Cancer Research [CARE DELIVERY]
Conclusion:
Improving clinical trial activation processes and reducing inefficiencies would be beneficial to all interested stakeholders, including patients who may ultimately stand to benefit from participation in clinical trials. The following key recommendations were made: standardization of contracts and negotiation processes to promulgate transparency and efficiencies, improve sponsor processes to minimize burden on sites, create and promote use of contract templates and best practices, and provide education and consultation. (Source: Journal of Oncology Practice)
Source: Journal of Oncology Practice - June 9, 2016 Category: Cancer & Oncology Authors: Thompson, M. A., Hurley, P. A., Faller, B., Longinette, J., Richter, K., Stewart, T. L., Robert, N. Tags: Financing, Organization, Clinical Trials CARE DELIVERY Source Type: research
Association of Breast Cancer Knowledge With Receipt of Guideline-Recommended Breast Cancer Treatment [CARE DELIVERY]
Conclusion:
Knowledge about one’s tumor characteristics was strongly associated with receipt of recommended therapies. Interventions to improve patients’ knowledge and understanding of their cancers should be tested as a strategy for improving receipt of care. (Source: Journal of Oncology Practice)
Source: Journal of Oncology Practice - June 9, 2016 Category: Cancer & Oncology Authors: Freedman, R. A., Kouri, E. M., West, D. W., Lii, J., Keating, N. L. Tags: Radiation, Chemotherapy, Combined Modality, Hormonal Therapy, Population and Observational Studies, Quality of Care CARE DELIVERY Source Type: research
