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Journal of Oncology Practice

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https://www.readbyqxmd.com/read/28418762/challenges-persist-under-americans-with-disabilities-act-amendments-act-how-can-oncology-providers-help
#1
Michael Feuerstein, Amanda K Gehrke, Brian T McMahon, Megan C McMahon
PURPOSE: To determine whether the Amendments to the hallmark Americans with Disabilities Act (ADA; effective January 2009), which provide increased access to the antidiscrimination laws for many with chronic illness, are related to changes in workplace discrimination allegations in individuals with a history of cancer. METHODS: Information collected by the Equal Employment Opportunities Commission was used to compare allegations of discrimination and their merit before (2001 to 2008) and after (2009 to 2011) implementation of the Amendments Act...
April 18, 2017: Journal of Oncology Practice
https://www.readbyqxmd.com/read/28418761/economic-evaluation-of-a-hospital-based-palliative-care-program
#2
Sarina R Isenberg, Chunhua Lu, John McQuade, Rab Razzak, Brian W Weir, Natasha Gill, Thomas J Smith, David R Holtgrave
PURPOSE: Establish costs of an inpatient palliative care unit (PCU) and conduct a threshold analysis to estimate the maximum possible costs for the PCU to be considered cost effective. METHODS: We used a hospital perspective to determine costs on the basis of claims from administrative data from Johns Hopkins PCU between March 2013 and March 2014. Using existing literature, we estimated the number of quality-adjusted life years (QALYs) that the PCU could generate...
April 18, 2017: Journal of Oncology Practice
https://www.readbyqxmd.com/read/28414556/dynamic-equilibrium
#3
Antoun Nabhan, Blase N Polite
No abstract text is available yet for this article.
April 17, 2017: Journal of Oncology Practice
https://www.readbyqxmd.com/read/28414555/making-the-right-thing-easier-to-do-standardized-integration-of-oncology-and-palliative-care
#4
Arif H Kamal, Tara Kauffman
No abstract text is available yet for this article.
April 17, 2017: Journal of Oncology Practice
https://www.readbyqxmd.com/read/28406730/potentially-curable-pancreatic-cancer-american-society-of-clinical-oncology-clinical-practice-guideline-update-summary
#5
Alok A Khorana, Pamela B Mangu, Matthew H G Katz
No abstract text is available yet for this article.
April 13, 2017: Journal of Oncology Practice
https://www.readbyqxmd.com/read/28398843/treatment-satisfaction-and-adherence-to-oral-chemotherapy-in-patients-with-cancer
#6
Jamie M Jacobs, Nicole A Pensak, Nora J Sporn, James J MacDonald, Inga T Lennes, Steven A Safren, William F Pirl, Jennifer S Temel, Joseph A Greer
PURPOSE: Although patients with cancer overwhelming prefer oral to intravenous chemotherapy, little is known about adherence to oral agents. We aimed to identify the rates and correlates of adherence in patients with diverse malignancies. MATERIALS AND METHODS: Ninety patients with chronic myeloid leukemia or metastatic renal cell carcinoma, non-small-cell lung cancer, or breast cancer enrolled in this prospective, single-group, observational study of medication-taking behaviors...
April 11, 2017: Journal of Oncology Practice
https://www.readbyqxmd.com/read/28379722/clinical-pathways-management-of-quality-and-cost-in-oncology-networks-in-the-metastatic-colorectal-cancer-setting
#7
Peter G Ellis, Bert H O'Neil, Martin F Earle, Stephanie McCutcheon, Hans Benson, Melinda Krebs, Kathy Lokay, Amanda Barry
PURPOSE: Via Pathways (clinical pathways for cancer) provide evidence-based guidance for specific patient presentations based on the merit of efficacy, then toxicity, and finally cost (if efficacy and toxicity are comparable). We evaluated the impact of a change to the guidance in the metastatic colorectal cancer (mCRC) setting across two large, integrated health networks. METHODS: Cetuximab and panitumumab were determined to have equal efficacy in the treatment of mCRC with no significant difference in toxicity based on recent data from key clinical studies...
April 5, 2017: Journal of Oncology Practice
https://www.readbyqxmd.com/read/28350514/brachytherapy-for-patients-with-prostate-cancer-american-society-of-clinical-oncology-cancer-care-ontario-joint-guideline-update-summary
#8
Joseph Chin, R Bryan Rumble, D Andrew Loblaw
No abstract text is available yet for this article.
March 28, 2017: Journal of Oncology Practice
https://www.readbyqxmd.com/read/28350513/molecular-biomarkers-for-the-evaluation-of-colorectal-cancer-guideline-summary-from-the-american-society-for-clinical-pathology-college-of-american-pathologists-association-for-molecular-pathology-and-american-society-of-clinical-oncology
#9
Antonia R Sepulveda, Stanley R Hamilton, Carmen J Allegra, Wayne Grody, Allison M Cushman-Vokoun, William K Funkhouser, Scott E Kopetz, Christopher Lieu, Noralane M Lindor, Bruce D Minsky, Federico A Monzon, Daniel J Sargent, Veena M Singh, Joseph Willis, Jennifer Clark, Carol Colasacco, R Bryan Rumble, Robyn Temple-Smolkin, Christina B Ventura, Jan A Nowak
No abstract text is available yet for this article.
March 28, 2017: Journal of Oncology Practice
https://www.readbyqxmd.com/read/28339307/testing-for-clostridium-difficile-in-patients-with-cancer
#10
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/28306372/standardized-criteria-for-palliative-care-consultation-on-a-solid-tumor-oncology-service-reduces-downstream-health-care-use
#11
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/28301278/comparison-of-onsite-versus-online-chart-reviews-as-part-of-the-american-college-of-radiation-oncology-accreditation-program
#12
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
#13
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/28287854/polypharmacy-and-adherence-to-adjuvant-endocrine-therapy-for-breast-cancer
#14
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/28267392/bone-density-screening-in-postmenopausal-women-with-early-stage-breast-cancer-treated-with-aromatase-inhibitors
#15
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/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/28221897/variations-among-physicians-in-hospice-referrals-of-patients-with-advanced-cancer
#17
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
#18
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
#19
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
https://www.readbyqxmd.com/read/28195812/survival-with-persistent-metastatic-alveolar-rhabdomyosarcoma
#20
Ronald R Louie, Michael Harris, Kathleen Shields
No abstract text is available yet for this article.
February 14, 2017: Journal of Oncology Practice
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