Guest guest Posted October 29, 2010 Report Share Posted October 29, 2010 October 26, 2010......... " An updated joint guideline by the American Society of Hematology (ASH) and the American Society of Clinical Oncology (ASCO) advises physicians about the appropriate use of erythropoiesis-stimulating agents (ESAs), a class of drugs that stimulate the bone marrow to produce more red blood cells, to treat cancer patients with chemotherapy-induced anemia. While the guideline cautions that ESAs are associated with shorter survival and increased risk of thromboembolism - blood clots - and tumor progression, it also recognizes their major benefit of reducing the need for red blood cell transfusions, which can potentially cause serious infections and adverse reactions in the immune system. " This updated guideline offers clinicians the latest synthesis of the medical evidence surrounding use of ESAs in patients with cancer, including appropriate cautions where evidence is lacking or where risks may outweigh the use of ESAs, " said J. Rizzo, MD, MS, Co-Chair of the guideline panel and Professor of Medicine at the Medical College of Wisconsin. " Those risks may include thromboembolism or even death, according to new data cited in the guideline, which suggests that physicians avoid the use of ESAs in cancer patients who are not receiving chemotherapy, except for those with myelodysplastic syndrome (MDS). At the same time, the guideline confirms the effectiveness of ESAs in sparing patients the need for transfusions, which can substantially impact quality of life. By recommending that physicians discuss individual risks and benefits of ESAs and blood transfusion with patients prior to therapy, the guideline recognizes the critical role of shared decision-making between the patient and the physician. " http://www.medicalnewstoday.com/articles/205761.php _____________________________ October 21, 2010 " Only about one-third of hospitals in the Chicago area that offer breast cancer screenings and treatment could demonstrate that they met two important quality care standards -- detecting cancer early and providing treatment for at least 80% of patients within 30 days of diagnosis -- according to a report by the Metropolitan Chicago Breast Cancer Task Force, the Chicago Tribune reports. The report analyzed screening data from 37 Chicago-area hospitals and treatment data from 19 hospitals (Shelton, Chicago Tribune, 10/21). " http://www.medicalnewstoday.com/articles/205805.php ______________________ October 21, 2010 " Inflammatory breast cancer (IBC), an aggressive and rare malignancy, is often initially misdiagnosed as an infection or rash. However, getting the correct diagnosis quickly is critical for patients because the disease spreads beyond the breast in a matter of just days or weeks. With that in mind, leading specialists from The University of Texas MD Cancer Center and Fox Chase Cancer Center have written a review of the current scientific and medical understanding of IBC, which includes key information on diagnosis, imaging, treatment, and cutting-edge research. " Inflammatory breast cancer is a disease that needs more attention, and more education for physicians and patients, " says Massimo Cristofanilli, M.D., F.A.C.P., chair of the department of medical oncology at Fox Chase Cancer Center and senior author of the review, which will appear in the Nov/Dec issue of CA: A Cancer Journal for Clinicians. " http://www.medicalnewstoday.com/articles/205235.php FYI, Lottie Duthu Quote Link to comment Share on other sites More sharing options...
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