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Journal of Oncology Practice

Eduardo Salas
No abstract text is available yet for this article.
October 18, 2016: Journal of Oncology Practice
Anshu K Jain, Mary L Fennell, Anees B Chagpar, Hannah K Connolly, Ingrid M Nembhard
Effective communication is a requirement in the teamwork necessary for improved coordination to deliver patient-centered, value-based cancer care. Communication is particularly important when care providers are geographically distributed or work across organizations. We review organizational and teams research on communication to highlight psychological safety as a key determinant of high-quality communication within teams. We first present the concept of psychological safety, findings about its communication effects for teamwork, and factors that affect it...
October 18, 2016: Journal of Oncology Practice
Lee N Newcomer, Richard Weininger, Robert W Carlson
PURPOSE: To evaluate a computer-based prior authorization system that was designed to include and test two new concepts for physician review: (1) the tool would minimize denials by providing real-time decision support with alternative options if the original request was noncompliant, and (2) the tool would collect sufficient information to create a patient registry. METHODS: A new prior authorization tool incorporating real-time decision support was tested with a large national payer...
October 18, 2016: Journal of Oncology Practice
Michael P Kosty, Amy Hanley, Veronica Chollette, Suanna S Bruinooge, Steven H Taplin
No abstract text is available yet for this article.
October 18, 2016: Journal of Oncology Practice
J Russell Hoverman
No abstract text is available yet for this article.
October 4, 2016: Journal of Oncology Practice
Madeline Leong, Mirat Shah, Thomas J Smith
No abstract text is available yet for this article.
September 20, 2016: Journal of Oncology Practice
Raymond U Osarogiagbon, Hector P Rodriguez, Danielle Hicks, Raymond S Signore, Kristi Roark, Satish K Kedia, Kenneth D Ward, Christopher Lathan, Scott Santarella, Michael K Gould, Mark J Krasna
The complexity of lung cancer care mandates interaction between clinicians with different skill sets and practice cultures in the routine delivery of care. Using team science principles and a case-based approach, we exemplify the need for the development of real care teams for patients with lung cancer to foster coordination among the multiple specialists and staff engaged in routine care delivery. Achieving coordinated lung cancer care is a high-priority public health challenge because of the volume of patients, lethality of disease, and well-described disparities in quality and outcomes of care...
September 20, 2016: Journal of Oncology Practice
Minnie Bluhm, Cathleen M Connell, Raymond G De Vries, Nancy K Janz, Kathleen E Bickel, Maria J Silveira
PURPOSE: The value of chemotherapy for patients with cancer in the last weeks of life warrants examination. Late chemotherapy may not improve survival or quality of life but typically precludes hospice enrollment and may result in additional symptoms, increased use of other aggressive treatments, and worsening quality of life. Few studies have explored oncologists' rationales for administering chemotherapy near death. This study examines the self-reported factors that influence oncologists' decisions about late chemotherapy...
September 20, 2016: Journal of Oncology Practice
John Hilton, Sasha Mazzarello, Dean Fergusson, Anil A Joy, Andrew Robinson, Angel Arnaout, Brian Hutton, Lisa Vandermeer, Mark Clemons
PURPOSE: The current clinical trials development and conduct process is cumbersome and expensive, with the majority of studies focusing on either the development of new agents or new indications for established agents. Unfortunately, research comparing standard-of-care interventions is rarely performed, leaving many important and practical patient-centered questions unanswered. Novel clinical trial methodologies and approaches are needed. METHODS: We have identified simple key components that, when combined, enhance the ability to both perform and increase accrual for studies that compare standard-of-care interventions...
September 20, 2016: Journal of Oncology Practice
Lee N Newcomer
No abstract text is available yet for this article.
September 20, 2016: Journal of Oncology Practice
Fleur Huang, Amy Driga, Bronwen E LeGuerrier, Renée Schmitz, Debra M Hall-Lavoie, Xanthoula Kostaras, Karen P Chu, Edith Pituskin, Sharon M Watanabe, Alysa Fairchild
Caring for patients with incurable cancer presents unique challenges. Managing symptoms that evolve with changing clinical status and, at the same time, ensuring alignment with patient goals demands specific attention from clinicians. With care needs that often transcend traditional service provision boundaries, patients who seek palliation commonly interface with a team of providers that represents multiple disciplines across multiple settings. In this case study, we explore some of the dynamics of a cross-disciplinary approach to symptom management in an integrated outpatient radiotherapy service model...
September 20, 2016: Journal of Oncology Practice
Nathan J McNeese, Nandita Khera, Sara E Wordingham, Noel Arring, Sharon Nyquist, Amy Gentry, Brian Tomlinson, Nancy J Cooke, Ayan Sen
Hematopoietic cell transplantation (HCT) is an important and complex treatment modality for a variety of hematologic malignancies and some solid tumors. Although outcomes of patients who have undergone HCT and require care in intensive care units (ICUs) have improved over time, mortality rates remain high and there are significant associated costs. Lack of a team-based approach to care, especially during critical illness, is detrimental to patient autonomy and satisfaction, and to team morale, ultimately leading to poor quality of care...
September 20, 2016: Journal of Oncology Practice
Geoffrey S Hamlyn, Kathryn E Hutchins, Abby L Johnston, Rishonda T Thomas, James Tian, Arif H Kamal
PURPOSE: Patients turn to National Cancer Institute (NCI) -designated comprehensive cancer centers because of perceived better quality and more timely access to care. However, recent studies have found that patients at various institutions may struggle to gain access to an appointment or obtain consistent information from attendants. Our study employs a mystery shopper format to identify and quantify barriers faced by patients seeking to make a first consultation appointment across a homogenous sample of 40 NCI-designated comprehensive cancer centers...
September 20, 2016: Journal of Oncology Practice
Michael Cecchini, Kim Framski, Patricia Lazette, Teresita Vega, Michael Strait, Kerin Adelson
PURPOSE: Cancer staging is critical for prognostication, treatment planning, and determining clinical trial eligibility. Electronic health records (EHRs) have structured staging modules, but physician use is inconsistent. Typically, stage is entered as unstructured free text in clinical notes and cannot easily be used for reporting. METHODS: We created an Epic Best Practice Advisory (BPA) decision support tool that requires physicians to enter cancer stage in a structured module...
September 20, 2016: Journal of Oncology Practice
Richard L Street, Kathleen M Mazor, Neeraj K Arora
No abstract text is available yet for this article.
September 20, 2016: Journal of Oncology Practice
Perrin E Romine, Sophie K Harkins, Stacy W Gray
No abstract text is available yet for this article.
September 20, 2016: Journal of Oncology Practice
Dominique Tremblay, Jean Latreille, Karine Bilodeau, Arnaud Samson, Linda Roy, Marie-France L'Italien, Christine Mimeault
This article discusses the case of a 47-year-old woman who underwent primary therapy with curative intent for breast cancer. The case illustrates a number of failure events in transferring information and responsibility from oncology to primary care teams. The article emphasizes the importance of shared leadership, as multiple team members, dispersed in time and space, pursue their own objectives while achieving the common goal of coordinating care for survivors of cancer transitioning across settings. Shared leadership is defined as a team property comprising shared responsibility and mutual influence between the patient and the patient's family, primary care providers, and oncology teams, whereby they lead each other toward quality and safety of care...
September 20, 2016: Journal of Oncology Practice
Katia Noyes, John R T Monson, Irfan Rizvi, Ann Savastano, James S A Green, Nick Sevdalis
Teamwork is essential for addressing many of the challenges that arise in the coordination and delivery of cancer care, especially for the problems that are presented by patients who cross geographic boundaries and enter and exit multiple health care systems at various times during their cancer care journeys. The problem of coordinating the care of patients with cancer is further complicated by the growing number of treatment options and modalities, incompatibilities among the vast variety of technology platforms that have recently been adopted by the health care industry, and competing and misaligned incentives for providers and systems...
September 20, 2016: Journal of Oncology Practice
Abram Recht, Mark R Somerfield, Stephen B Edge
The American Society of Clinical Oncology guideline for the use of postmastectomy radiotherapy (PMRT) was published in 2001. This update of that guideline, completed in collaboration with the American Society for Radiation Oncology and the Society of Surgical Oncology, focuses on key areas of ongoing controversy, including the use of PMRT for patients with one to three positive lymph nodes, use of PMRT for patients undergoing neoadjuvant systemic therapy, and selected technical aspects of PMRT, particularly the extent of regional nodal irradiation...
September 20, 2016: Journal of Oncology Practice
Alexi A Wright, Kari Bohlke, Mitchell I Edelson
No abstract text is available yet for this article.
September 13, 2016: Journal of Oncology Practice
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