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Delivering High-Quality Cancer Care
  • Language: en

Delivering High-Quality Cancer Care

In the United States, approximately 14 million people have had cancer and more than 1.6 million new cases are diagnosed each year. However, more than a decade after the Institute of Medicine (IOM) first studied the quality of cancer care, the barriers to achieving excellent care for all cancer patients remain daunting. Care often is not patient-centered, many patients do not receive palliative care to manage their symptoms and side effects from treatment, and decisions about care often are not based on the latest scientific evidence. The cost of cancer care also is rising faster than many sectors of medicine--having increased to $125 billion in 2010 from $72 billion in 2004--and is projected...

Cancer in Adolescents and Young Adults
  • Language: en
  • Pages: 831

Cancer in Adolescents and Young Adults

  • Type: Book
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  • Published: 2016-11-17
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  • Publisher: Springer

This is the second edition of the only book to be devoted exclusively to the total cancer picture in adolescents and young adults (AYA), now expanded from the age range 15-29 to that of 15–39 years. For each of the diverse spectrum of cancers encountered in the AYA group, the epidemiology, natural progression, diagnostic approaches, and treatment options are described, with special emphasis on strategies for early detection and prevention. Comparison is made with management of both younger and older patients, and model programs are presented that address common diagnostic, staging, treatment, and psychosocial shortcomings in the AYA group. Detailed attention is also paid to principles and ...

Cancer in Adolescents and Young Adults
  • Language: en
  • Pages: 538

Cancer in Adolescents and Young Adults

This is the first comprehensive book devoted exclusively to cancer in adolescents and young adults. It compiles medical, epidemiological, biological, psychological, and emotional issues of young adults’ oncology. The emphasis is on the differences of the "same" cancer in younger and older patients. Model programs specially designed to care for patients in the age group and surveillance of long-term adverse effects are reviewed.

Textbook of Oncofertility Research and Practice
  • Language: en
  • Pages: 552

Textbook of Oncofertility Research and Practice

  • Type: Book
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  • Published: 2019-04-23
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  • Publisher: Springer

Bringing together more than a decade of dedicated investigation and clinical work, this unique textbook is a unified, comprehensive source for oncofertility research and medical practice that is both authoritative and up-to-date. It will serve as the primary oncofertility reference for the various medical disciplines that must be coordinated to provide care for young cancer patients. Moreover, it contains case studies that are prismatic for new entrants into the field. The book is organized around the major themes of the discipline and includes current research, clinical practice, emerging technologies and didactic questions and is divided into six thematic sections: Fertility implications i...

Palliative Care in Hematologic Malignancies and Serious Blood Disorders
  • Language: en
  • Pages: 352

Palliative Care in Hematologic Malignancies and Serious Blood Disorders

This book provides a comprehensive, state-of-the-art overview on palliative care for patients with hematologic malignancies and other serious blood disorders. The text reviews the unique needs of this patient population, management strategies for hematologists/oncologists and palliative care clinician collaboration, and issues salient to the provision of palliative care, including communication, decision-making, advance care planning, symptom management, ethics, and nursing considerations. The book also spotlights special hematology populations, such as pediatric and older adult patients, and issues pertaining to the care of patients with blood disorders at the end of life. Divided into four sections, this book provides a comprehensive, state-of-the-art overview on palliative care for patients with hematologic malignancies and other serious blood disorders. Written by experts in the field, Palliative Care for Hematologic Malignancies and Serious Blood Disorders: A Clinical Guide is a valuable resource that will support and guide clinicians as they care for this patient population and address their particular needs.

Implementing a National Cancer Clinical Trials System for the 21st Century
  • Language: en
  • Pages: 111

Implementing a National Cancer Clinical Trials System for the 21st Century

The National Clinical Trials Network (NCTN) supported by the National Cancer Institute (NCI) has played an integral role in cancer research and in establishing the standard of care for cancer patients for more than 50 years. Formerly known as the NCI Clinical Trials Cooperative Group Program, the NCTN is comprised of more than 2,100 institutions and 14,000 investigators, who enroll more than 20,000 cancer patients in clinical trials each year across the United States and internationally. Recognizing the recent transformative advances in cancer research that necessitate modernization in how cancer clinical trials are run, as well as inefficiencies and other challenges impeding the national ca...

Direct-to-Consumer Genetic Testing
  • Language: en
  • Pages: 107

Direct-to-Consumer Genetic Testing

Today, scores of companies, primarily in the United States and Europe, are offering whole genome scanning services directly to the public. The proliferation of these companies and the services they offer demonstrate a public appetite for this information and where the future of genetics may be headed; they also demonstrate the need for serious discussion about the regulatory environment, patient privacy, and other policy implications of direct-to-consumer (DTC) genetic testing. Rapid advances in genetic research already have begun to transform clinical practice and our understanding of disease progression. Existing research has revealed a genetic basis or component for numerous diseases, inc...

The Role of Clinical Studies for Pets with Naturally Occurring Tumors in Translational Cancer Research
  • Language: en
  • Pages: 83

The Role of Clinical Studies for Pets with Naturally Occurring Tumors in Translational Cancer Research

Traditional preclinical mouse models of cancer have been very useful for studying the biology of cancer, however they often lack key characteristics of human cancers. As a result, many novel drug candidates fail in human clinical trials despite evidence of drug efficacy in those preclinical models. Thus, researchers are seeking new approaches to augment preclinical knowledge before undertaking clinical trials for human patients. Recently, there has been renewed interest in comparative oncology - the study of naturally developing cancers in animals as models for human disease - as one way to improve cancer drug development and reduce attrition of investigational agents. Tumors that spontaneou...

Establishing Effective Patient Navigation Programs in Oncology
  • Language: en
  • Pages: 115

Establishing Effective Patient Navigation Programs in Oncology

Delivering high-quality cancer care to all patients presents numerous challenges, including difficulties with care coordination and access. Patient navigation is a community-based service delivery intervention designed to promote access to timely diagnosis and treatment of cancer and other chronic diseases by eliminating barriers to care, and has often been proposed and implemented to address these challenges. However, unresolved questions include where patient navigation programs should be deployed, and which patients should be prioritized to receive navigation services when resources are limited. To address these issues and facilitate discussion on how to improve navigation services for patients with cancer, the National Cancer Policy Forum of the National Academies of Sciences, Engineering, and Medicine held a workshop on November 13 and 14, 2017. At this workshop, a broad range of experts and stakeholders, including clinicians, navigators, researchers, and patients, explored which patients need navigation and who should serve as navigators, and the benefits of navigation and current gaps in the evidence base.