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Prevention: Stop cancer before it starts
Medscape (login required)
Cardiologists have made preventive cardiology — treating hypertension, treating hypercholesterolemia, managing diabetes — the bread and butter of the general internal medicine family practice setting. Preventive oncology has been treated as something special — as if it required a referral to a specialized clinic to even consider using tamoxifen or raloxifene in a high-risk postmenopausal woman or genetic testing for a woman at high risk of developing breast or ovarian cancer. Separate clinics exist for smoking cessation, as if it takes special expertise.
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Cetuximab plus chemotherapy yielded worse outcomes in metastatic colorectal cancer
HemOnc Today
Patients with KRAS exon 2 wild-type resectable colorectal liver metastases treated with cetuximab plus chemotherapy experienced shorter PFS than those treated with chemotherapy alone, according to an interim analysis of the EPOC trial. “These results were unexpected,” John Primrose, MD, professor of surgery at the University of Southampton, said in a press release. “Our trial tested (the cetuximab and chemotherapy combination) in people who had cancer spread to the liver who were suitable for surgery from the outset … but for these patients, it seems to have an adverse effect. More research is needed to understand this surprising result.”
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Version 3 of the CP³R now available
ACS
The latest version of the Cancer Program Practice Profile Reports (CP³R) has been posted with the following features:
  • Data are displayed for diagnosis years 2009, 2010, and 2011.
  • Three new breast measures have been added (see more information at http://www.facs.org/cancer/qualitymeasures.html).
  • Registrars can edit codes that affect whether or not the case belongs in the denominator of the measures, replacing the function of the former "censor" button.
  • Navigation is simplified, and both facility and comparison performance rates update when changes are made.
  • Documentation is improved (see http://www.facs.org/cancer/ncdb/cp3r.html).

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PET imaging before surgery reduces unnecessary lung surgery by half
Oncology Nurse Advisor
New quantitative data suggests that 30 percent of the surgeries performed for non-small-cell lung cancer (NSCLC) patients in a community-wide clinical study were deemed unnecessary. Additionally, positron emission tomography (PET) was found to reduce unnecessary surgical procedures by 50 percent. PET imaging prior to surgery helps stage a patient's disease by providing functional images of tumors throughout the body, especially areas where cancer has spread, otherwise known as metastasis. Few studies have been able to pin down exactly what impact preoperative PET has on clinical decision-making and resulting treatment.
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Register now for the 2014 CoC workshop — Strengthening Your Cancer Program...Enriching the Coordinators' Role
Commission on Cancer
On June 19-20 in Chicago, the Commission on Cancer (CoC) will hold a new workshop entitled Strengthening Your Cancer Program…Enriching the Coordinators' Role. This program provides information and case studies on the roles and responsibilities of the various CoC-designated coordinators. The two-day program will cover what the various coordinators' roles are, what their roles on the cancer committee involve, and how to meet and improve the required responsibilities based on the CoC Standards. Register for the program. Program fees are $650 if registration is received on or before May 15 and $750 if registration is received after May 15.
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Teens who conform to gender norms 'more likely to engage in cancer-risk behaviors'
Medical News Today
For the first time, a study has linked cancer risk in teenagers to gendered behaviors. More precisely, the researchers behind the new study from Harvard School of Public Health (HSPH) in Boston, Mass., which was published the Journal of Adolescent Health, found that the most "feminine" girls and the most "masculine" boys were much more likely to take part in activities that are associated with cancer risk.
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Chemotherapy 'vastly underutilized' in bladder cancer
Medscape (login required)
A major weapon in the armamentarium against bladder cancer — neoadjuvant chemotherapy (NACT) — is rarely used in clinical practice, according to a large population study published online April 14 in Cancer. Researchers analyzed 2,944 patient records from the Ontario Cancer Registry and found that a mere 4 percent of patients, on average, received standard-of-care NACT prior to cystectomy for muscle-invasive bladder cancer from 1994 to 2008.
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Register now — Strengthening Your Cancer Program...Utilizing the Rapid Quality Reporting System to Comply with the New Commendation Standard
Commission on Cancer
Strengthening Your Cancer Program...Utilizing the Rapid Quality Reporting System to Comply with the New Commendation Standard will be held on June 18 in Chicago, the day before the 2014 CoC Workshop. This workshop will provide important information to help your program comply with the new commendation standard that requires programs, from initial enrollment and throughout the three-year accreditation period, to participate in the Rapid Quality Reporting System (RQRS). Register now for the program; registration fees are $250 if registration is received on or before May 15 and $300 if registration is received after May 15, 2014.
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More sensitive testing may better define prognosis and treatment for leukemia
Oncology Nurse Advisor
Nearly half of patients with the most common form of adult leukemia are said to have normal chromosomes but appear instead to have a distinct pattern of genetic abnormalities that could better define their prognosis and treatment. These findings were presented during the American College of Medical Genetics and Genomics Annual Clinical Genetics Meeting in Nashville, Tenn. Using microarray technology that probes millions of genes within chromosomes, researchers found the unique pattern in the leukemia cells of 22 patients with cytogenetically normal acute myelogenous leukemia, said Ravindra Kolhe, MD, PhD, molecular pathologist at the Medical College of Georgia at Georgia Regents University in Augusta.
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Avon Foundation grant to improve screening, patient navigation of underserved community
Baylor College of Medicine
The Lester and Sue Smith Breast Center at Baylor College of Medicine has received a $150,000 grant from the Avon Foundation for Women to provide breast cancer prevention and treatment and help patients better navigate their breast cancer care at Harris Health System’s Ben Taub Hospital and Smith Clinic. Ben Taub Hospital and Smith Clinic serves Houston’s medically underinsured and uninsured community. The funds support the Pink 4 Life program, which Baylor physicians started at Ben Taub 10 years ago to address strained resources for breast cancer screening and treatment.
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The Recovery Room Show — New episode available
ACS
You understand health, but do you understand medicine? Making sense of modern medicine, The Recovery Room, supported by the American College of Surgeons and hosted by Frederick L. Greene, MD, FACS, is an audio conversation with experts in surgery, medicine, ethics, and public health about the latest developments in medicine and health care. The latest episode, "Smoking Cessation and the Surgical Patient," is now available. It features Eric Skipper, MD, FACS, chief of adult cardiothoracic surgery at the Sanger Heart & Vascular Institute, Charlotte, N.C., and Michael Rosen, MD, FACS, professor of surgery and chief of GI and general surgery at Case Western Reserve University, Cleveland, Ohio.
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Chronic inflammation may increase prostate cancer risk, study finds
Fox News
Chronic inflammation — the body’s natural response to foreign substances in the body — may increase the risk of prostate cancer, Counsel & Heal reported. Typically, inflammation is a natural, healthy response by the body’s immune system to help to fight off infection and eliminate foreign agents. But prolonged inflammation that occurs when no infectious substances are present can actually be harmful to the body. In a new study published in Cancer Epidemiology, Biomarkers & Prevention, researchers analyzed the relationship between chronic inflammation and the risk of prostate cancer in a group of 400 men who were part of the Southwest Oncology Group’s Prostate Cancer trial.
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National Accreditation Program for Breast Centers presents the Pursuing Excellence through Accreditation Workshop
NAPBC
Plan now to attend the Pursuing Excellence through Accreditation Workshop May 23 in Chicago. Designed for centers seeking accreditation for the first time as well as centers due for re-accreditation, this program will increase your understanding of the National Accreditation Program for Breast Centers (NAPBC) accreditation process and help you prepare for the survey visit. Space is limited, so please make sure you register early.
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Colby Horton, Vice President of Publishing, 469.420.2601
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Disclaimer: The CoC Brief is a digest of the most important news selected for the American College of Surgeons Commission on Cancer from thousands of sources by the editors of MultiBriefs, an independent organization that also manages and sells advertising. The Commission on Cancer does not endorse any of the advertised products and services. Opinions expressed in the articles are those of the author and not of the American College of Surgeons and the Commission on Cancer.


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