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Journal of Oncology Practice

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https://www.readbyqxmd.com/read/28339307/testing-for-clostridium-difficile-in-patients-with-cancer
#1
Arjun Gupta, Sahil Khanna
No abstract text is available yet for this article.
March 24, 2017: Journal of Oncology Practice
https://www.readbyqxmd.com/read/28326862/the-state-of-cancer-care-in-america-2017-a-report-by-the-american-society-of-clinical-oncology
#2
(no author information available yet)
No abstract text is available yet for this article.
March 22, 2017: Journal of Oncology Practice
https://www.readbyqxmd.com/read/28306372/standardized-criteria-for-palliative-care-consultation-on-a-solid-tumor-oncology-service-reduces-downstream-health-care-use
#3
Kerin Adelson, Julia Paris, Jay R Horton, Lorena Hernandez-Tellez, Doran Ricks, R Sean Morrison, Cardinale B Smith
PURPOSE: Hospitalized patients with advanced cancer have a high symptom burden and need for support. Integration of palliative care (PC) improves symptom control and decreases unwanted health care use, yet many patients are never offered these services. In 2016, ASCO called for incorporation of PC into oncologic care for all patients with metastatic cancer. To improve the quality of cancer care, we developed standardized criteria, or triggers, for PC consultation on the inpatient solid tumor service...
March 17, 2017: Journal of Oncology Practice
https://www.readbyqxmd.com/read/28301279/integrating-palliative-care-services-in-ambulatory-oncology-an-application-of-the-edmonton-symptom-assessment-system
#4
Sherri L Rauenzahn, Susanne Schmidt, Ifeoma O Aduba, Jessica T Jones, Nazneen Ali, Laura L Tenner
PURPOSE: Research in palliative care demonstrates improvements in overall survival, quality of life, symptom management, and reductions in the cost of care. Despite the American Society of Clinical Oncology recommendation for early concurrent palliative care in patients with advanced cancer and high symptom burden, integrating palliative services is challenging. Our aims were to quantitatively describe the palliative referral rates and symptom burden in a South Texas cancer center and establish a palliative referral system by implementing the Edmonton Symptom Assessment Scale (ESAS)...
March 16, 2017: Journal of Oncology Practice
https://www.readbyqxmd.com/read/28301278/comparison-of-onsite-versus-online-chart-reviews-as-part-of-the-american-college-of-radiation-oncology-accreditation-program
#5
Jaroslaw T Hepel, Dwight E Heron, Arno J Mundt, Catheryn Yashar, Steven Feigenberg, Gordon Koltis, William F Regine, Dheerendra Prasad, Shilpen Patel, Navesh Sharma, Mary Hebert, Norman Wallis, Michael Kuettel
PURPOSE: Accreditation based on peer review of professional standards of care is essential in ensuring quality and safety in administration of radiation therapy. Traditionally, medical chart reviews have been performed by a physical onsite visit. The American College of Radiation Oncology Accreditation Program has remodeled its process whereby electronic charts are reviewed remotely. METHODS: Twenty-eight radiation oncology practices undergoing accreditation had three charts per practice undergo both onsite and online review...
March 16, 2017: Journal of Oncology Practice
https://www.readbyqxmd.com/read/28291383/investigating-associations-between-health-related-quality-of-life-and-endocrine-therapy-underuse-in-women-with-early-stage-breast-cancer
#6
Laura C Pinheiro, Stephanie B Wheeler, Katherine E Reeder-Hayes, Cleo A Samuel, Andrew F Olshan, Bryce B Reeve
PURPOSE: Endocrine therapy (ET) underuse puts women at increased risk for breast cancer (BC) recurrence. Our objective was to determine if health-related quality of life (HRQOL) subgroups were associated with underuse. METHODS: Data came from the third phase of the Carolina Breast Cancer Study. We included 1,599 women with hormone receptor-positive BC age 20 to 74 years. HRQOL was measured, on average, 5 months postdiagnosis. Subgroups were derived using latent profile (LP) analysis...
March 14, 2017: Journal of Oncology Practice
https://www.readbyqxmd.com/read/28291382/cost-implications-of-an-evidence-based-approach-to-radiation-treatment-after-lumpectomy-for-early-stage-breast-cancer
#7
Rachel A Greenup, Rachel C Blitzblau, Kevin L Houck, Julie Ann Sosa, Janet Horton, Jeffrey M Peppercorn, Alphonse G Taghian, Barbara L Smith, E Shelley Hwang
INTRODUCTION: Breast cancer treatment costs are rising, and identification of high-value oncology treatment strategies is increasingly needed. We sought to determine the potential cost savings associated with an evidence-based radiation treatment (RT) approach among women with early-stage breast cancer treated in the United States. PATIENTS AND METHODS: Using the National Cancer Database, we identified women with T1-T2 N0 invasive breast cancers treated with lumpectomy during 2011...
March 14, 2017: Journal of Oncology Practice
https://www.readbyqxmd.com/read/28287854/polypharmacy-and-adherence-to-adjuvant-endocrine-therapy-for-breast-cancer
#8
Gregory S Calip, Shan Xing, Da-Hae Jun, Wan-Ju Lee, Kent F Hoskins, Naomi Y Ko
PURPOSE: Many patients with breast cancer are treated for other conditions and experience polypharmacy with multiple concurrent medications. Our aim was to evaluate polypharmacy in relation to adherence to adjuvant endocrine therapy (AET) in breast cancer. METHODS: We conducted a retrospective cohort study of women with incident, invasive breast cancer initiating AET (tamoxifen, letrozole, anastrozole, exemestane) between 2009 and 2013 in the Truven Health MarketScan Database...
March 13, 2017: Journal of Oncology Practice
https://www.readbyqxmd.com/read/28287853/understanding-the-role-of-religion-in-medical-decision-making
#9
M Elizabeth Paulk
No abstract text is available yet for this article.
March 13, 2017: Journal of Oncology Practice
https://www.readbyqxmd.com/read/28267393/interruptions-of-head-and-neck-radiotherapy-across-insured-and-indigent-patient-populations
#10
Kimberly Thomas, Travis Martin, Ang Gao, Chul Ahn, Holly Wilhelm, David L Schwartz
PURPOSE: Radiotherapy for head and neck cancer is a cornerstone of care, requiring 30 to 35 days of treatment over 6 to 7 weeks. Diligent patient compliance is crucial, and unplanned treatment interruptions reduce cure rates. We studied interruption rates in private carrier-insured and Medicare-insured populations versus indigent populations served by a single academic health system. MATERIALS AND METHODS: A retrospective cohort study of electronic medical and billing records was performed analyzing treatment interruptions between January 2011 and December 2014...
March 7, 2017: Journal of Oncology Practice
https://www.readbyqxmd.com/read/28267392/bone-density-screening-in-postmenopausal-women-with-early-stage-breast-cancer-treated-with-aromatase-inhibitors
#11
Jamie Stratton, Xin Hu, Pamela R Soulos, Amy J Davidoff, Lajos Pusztai, Cary P Gross, Sarah S Mougalian
PURPOSE: In postmenopausal women with breast cancer treated with aromatase inhibitors (AIs), most expert panels advise baseline bone mineral density testing with a dual-energy x-ray absorptiometry (DXA) scan repeated every 1 to 2 years. How often this recommendation is followed is unclear. METHODS: We performed a retrospective analysis of women with stage I to III breast cancer who started AI therapy from January 1, 2008, to December 31, 2010, with follow-up through December 31, 2012, by using the SEER-Medicare database...
March 7, 2017: Journal of Oncology Practice
https://www.readbyqxmd.com/read/28260404/significant-and-sustained-reduction-in-chemotherapy-errors-through-improvement-science
#12
Brian D Weiss, Melissa Scott, Kathleen Demmel, Uma R Kotagal, John P Perentesis, Kathleen E Walsh
PURPOSE: A majority of children with cancer are now cured with highly complex chemotherapy regimens incorporating multiple drugs and demanding monitoring schedules. The risk for error is high, and errors can occur at any stage in the process, from order generation to pharmacy formulation to bedside drug administration. Our objective was to describe a program to eliminate errors in chemotherapy use among children. METHODS: To increase reporting of chemotherapy errors, we supplemented the hospital reporting system with a new chemotherapy near-miss reporting system...
March 4, 2017: Journal of Oncology Practice
https://www.readbyqxmd.com/read/28260403/reducing-overuse-of-colony-stimulating-factors-in-patients-with-lung-cancer-receiving-chemotherapy-evidence-from-a-decision-support-enabled-program
#13
Gboyega Adeboyeje, Abiy Agiro, Jennifer Malin, Michael J Fisch, Andrea DeVries
PURPOSE: Colony-stimulating factors (CSFs) are frequently overused for the primary prevention of febrile neutropenia (FN) in patients receiving chemotherapy. METHODS: A retrospective cohort study design was used to analyze commercial claims data in adults with lung cancer initiated on chemotherapy from April 1, 2013, to March 30, 2015. The tool was implemented at oncology practices in phases across 14 US states. Patients were assigned to intervention and nonintervention states according to whether they resided in service areas where the tool had been implemented...
March 4, 2017: Journal of Oncology Practice
https://www.readbyqxmd.com/read/28260402/cost-and-survival-analysis-before-and-after-implementation-of-dana-farber-clinical-pathways-for-patients-with-stage-iv-non-small-cell-lung-cancer
#14
David M Jackman, Yichen Zhang, Carole Dalby, Tom Nguyen, Julia Nagle, Christine A Lydon, Michael S Rabin, Kristen K McNiff, Belen Fraile, Joseph O Jacobson
PURPOSE: Increasing costs and medical complexity are significant challenges in modern oncology. We explored the use of clinical pathways to support clinical decision making and manage resources prospectively across our network. MATERIALS AND METHODS: We created customized lung cancer pathways and partnered with a commercial vendor to provide a Web-based platform for real-time decision support and post-treatment data aggregation. Dana-Farber Cancer Institute (DFCI) Pathways for non-small cell lung cancer (NSCLC) were introduced in January 2014...
March 4, 2017: Journal of Oncology Practice
https://www.readbyqxmd.com/read/28245148/prior-authorization-for-medications-in-a-breast-oncology-practice-navigation-of-a-complex-process
#15
Ankit Agarwal, Rachel A Freedman, Felicia Goicuria, Catherine Rhinehart, Kathleen Murphy, Eileen Kelly, Erin Mullaney, Myra St Amand, Phuong Nguyen, Nancy U Lin
INTRODUCTION: The cost and burden associated with prior authorization (PA) for specialty medications are concerns for oncologists, but the impact of the PA process on care delivery has not been well described. We examined PA processes and approval patterns within a high-volume breast oncology clinic at a major academic cancer center. METHODS: We met with institutional staff to create a PA workflow and process map. We then abstracted pharmacy and medical records for all patients with breast cancer (N = 279) treated at our institution who required a PA between May and November 2015 (324 prescriptions)...
February 28, 2017: Journal of Oncology Practice
https://www.readbyqxmd.com/read/28245147/impact-of-a-new-palliative-care-program-on-health-system-finances-an-analysis-of-the-palliative-care-program-inpatient-unit-and-consultations-at-johns-hopkins-medical-institutions
#16
Sarina R Isenberg, Chunhua Lu, John McQuade, Kelvin K W Chan, Natasha Gill, Michael Cardamone, Deirdre Torto, Terry Langbaum, Rab Razzak, Thomas J Smith
PURPOSE: Palliative care inpatient units (PCUs) can improve symptoms, family perception of care, and lower per-diem costs compared with usual care. In March 2013, Johns Hopkins Medical Institutions (JHMI) added a PCU to the palliative care (PC) program. We studied the financial impact of the PC program on JHMI from March 2013 to March 2014. METHODS: This study considered three components of the PC program: PCU, PC consultations, and professional fees. Using 13 months of admissions data, the team calculated the per-day variable cost pre-PCU (ie, in another hospital unit) and after transfer to the PCU...
February 28, 2017: Journal of Oncology Practice
https://www.readbyqxmd.com/read/28245146/remembering-our-true-north-realizing-exceptional-cancer-quality-in-an-era-of-exceptional-change
#17
Arif H Kamal
No abstract text is available yet for this article.
February 28, 2017: Journal of Oncology Practice
https://www.readbyqxmd.com/read/28221897/variations-among-physicians-in-hospice-referrals-of-patients-with-advanced-cancer
#18
Xiao Wang, Louise S Knight, Anne Evans, Jiangxia Wang, Thomas J Smith
PURPOSE: The benefits of hospice for patients with end-stage disease are well established. Although hospice use is increasing, a growing number of patients are enrolled for ≤ 7 days, a marker of poor quality of care and patient and family dissatisfaction. In this study, we examined variations in referrals among individuals and groups of physicians to assess a potential source of suboptimal hospice use. METHODS: We conducted a retrospective chart review of 452 patients with advanced cancer referred to hospice from a comprehensive cancer center...
February 21, 2017: Journal of Oncology Practice
https://www.readbyqxmd.com/read/28221896/accuracy-and-thoroughness-of-treatment-summaries-provided-as-part-of-survivorship-care-plans-prepared-by-two-cancer-centers
#19
Amye J Tevaarwerk, William G Hocking, Jamie L Zeal, Mindy Gribble, Lori Seaborne, Kevin A Buhr, Kari B Wisinski, Mark E Burkard, Douglas A Wiegmann, Mary E Sesto
PURPOSE: Treatment summaries prepared as part of survivorship care planning should correctly and thoroughly report diagnosis and treatment information. METHODS: As part of a clinical trial, summaries were prepared for patients with stage 0 to III breast cancer at two cancer centers. Summaries were prepared per the standard of care at each center via two methods: using the electronic health record (EHR) to create and facilitate autopopulation of content or using manual data entry into an external software program to create the summary...
February 21, 2017: Journal of Oncology Practice
https://www.readbyqxmd.com/read/28221895/use-of-evidence-based-prostate-cancer-imaging-in-a-nongovernmental-integrated-health-care-system
#20
Ramzi G Salloum, Maureen O'Keeffe-Rosetti, Debra P Ritzwoller, Mark C Hornbrook, Jennifer Elston Lafata, Matthew E Nielsen
PURPOSE: The overuse of imaging, particularly for staging of low-risk prostate cancer, is well documented and widespread. The existing literature, which focuses on the elderly in fee-for-service settings, points to financial incentives as a driver of overuse and may not identify factors relevant to policy solutions within integrated health care systems, where physicians are salaried. METHODS: Imaging rates were analyzed among men with incident prostate cancer diagnosed between 2004 and 2011 within the Colorado and Northwest regions of Kaiser Permanente...
February 21, 2017: Journal of Oncology Practice
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