Head of Medicare and Medicaid Describes Newly Proposed Plan to Lower Costs and Improve Care
April 5th 2011Donald M. Berwick, the Director of Centers for Medicare and Medicaid Services (CMS) of the Health and Human Services Department as of March 2010, has written a perspective on the accountable care organizations (ACOs) of the Medicare Shares Savings Program.
Palliative Care Doctors Find Meaning in Death; Oncologists Find Distress
March 31st 2011An ethnographic study of palliative care specialists reveals that many of them find dealing with dying patients a gratifying experience. The scant evidence about oncologists on this subject paints a much different picture.
The Role of Patients, Clinicians, and Payers in Comparative Effectiveness Research
March 30th 2011Speaking at the ACCC last Friday, Sean Tunis, founder and director of the Center for Medical Technology Policy, gave a basic primer on what he sees as the primary goal of comparative effectiveness research.
Analysis of Clinical Trials Show No Added Risk of VTE Among Patients On Chemo + Bevacizumab
March 30th 2011The Journal of Clinical Oncology published a paper ahead of print on March 21, 2011 that shows no increased risk of venous thromboembolisms (VTEs) when bevacizumab was added to chemotherapy compared to chemotherapy alone.
NCCN Issues 1st Clinical Guidelines for Post-Transplant Lymphoproliferative Disorder
March 29th 2011The National Comprehensive Cancer Network presented the first treatment algorithm for post-transplant lymphoproliferative disorder (PTLD) at the 16th annual NCCN's Conference on Clinical Practice Guidelines and Quality.
Oncology Care in 2021: The FDA, Medicare, and Healthcare Reform
March 29th 2011At the Association for Community Cancer Centers annual national meeting in Washington, DC this past March, the session on “Oncology Care in 2021” featured three panelists with significant experience in shaping healthcare policy.
Ipilimumab Boosts Melanoma Survival, Gets Thumbs Up From FDA
March 26th 2011The US Food and Drug Administration (FDA) on March 25 approved ipilimumab (Yervoy, Bristol-Myers Squibb) as immunotherapy for patients with late-stage melanoma, based studies showing it improved survival outcomes in these difficult-to-treat patients.
FDA Perspective on Developing Novel Combination Therapies
March 23rd 2011As we learn more about the network of cellular pathways that function in the proliferation of cancer cells, it is becoming abundantly clear that there is no “magic bullet” cancer treatment. Janet Woodcock highlights the goals and current developments at the FDA to progress the combination clinical trial process
Revised Guidelines on Metastatic Breast Cancer Bone Metastases
March 21st 2011The American Society of Clinical Oncology (ASCO) updated its recommendation last month on the role of bone-modifying agents in the prevention of skeletal-related events (SREs) for metastatic breast cancer patients with bone metastases.
Does Evidence-Based Medicine Really Reduce Costs?
March 16th 2011Emerging as one of the many pieces to the puzzle is the adoption of pathways based on evidence-based medicine (EBM). It has long been theorized that the use of standardized care models not only improves the quality of care, but also reduces costs and makes costs more predictable.
How Will Transparency Systems for Healthcare Costs Affect Prices?
March 15th 2011More than 30 states are now either pursuing or contemplating legislation that will increase healthcare cost transparencies, and three bills relating to cost transparencies were introduced in Congress in 2010. Unfortunately, research on the effects of price transparency on healthcare systems is in its infancy, and little information is available for states to make these important legislative decisions.
What Is the Indication for Sorafenib in Hepatocellular Carcinoma? A Clinical Challenge
March 15th 2011In this review article we will discuss the current data on, and future role of, sorafenib in the treatment of hepatocellular carcinoma beyond Child-Pugh A cirrhosis, in conjunction with local therapy, and in a transplant setting.
STAT3 Found to be Associated with Adverse Clinical Outcomes in Colorectal Cancers
March 11th 2011A model example of personalized cancer therapy that has demonstrated improved patient outcomes is the use of anti-HER2 treatment. Breast cancer patients screened via molecular diagnostics and identified as having amplification of the HER2 gene generally have a poorer prognosis, but show better responses to anti-HER2 treatment.
Intensity-Modulated Radiation Therapy Offers Greater Coverage, Fewer Toxicities
March 11th 2011Adding a third dimension to the therapeutic field and reversing treatment planning may provide safer and more effective dose delivery, according to recent studies discussed at the Miami Breast Cancer Conference.
Biomarkers, Pathology Help Target Breast Cancer Treatment
March 10th 2011The combination of biomarkers and molecular pathology will aid oncologists in developing targeted treatments for breast cancer, according to Samuel Aparicio, MD, PhD, who will be delivering a presentation on recognizing breast cancer heterogeneity in targeted treatment at the Miami Breast Cancer Conference this week.
Phase III Randomized Breast Cancer Lymph Node Study Likely to be Practice-Changing
March 8th 2011Axillary lymph node dissections (ALND) remain the standard of care for breast cancer patients that have sentinel lymph node metastases. However, the procedure carries the risk of serious complications such as infection, lymphedema, and seroma.