Saltz on Progress in Cancer Care

[Guest guest]

Article by Leonard B. Saltz, “Progress in Cancer Care: The Hope, the Hype, and the Gap Between Reality and Perception.” This opinion piece was published in the Journal of Clinical Oncology online on September 15, 2008,

Many of the recent advances that have been made in cancer care have been, although arguably important, relatively modest. Sometimes, however, these modest, incremental advances have been presented, discussed, or at least perceived by medical and lay audiences alike, as major advances or so-called breakthroughs. Discussions of the actual data and frank delineation of the limits of the true contribution of a new agent are often met with responses such as “Is that all it does?” or “Why did I think it did so much more?” Why are perceptions and reality so frequently disparate? One important, and correctable, reason is a widely accepted use of terminology that inadvertently facilitates, and at times even encourages, an overly optimistic interpretation of stated results. Although adopted with the best of intentions to instill optimism into a difficult situation, to provide for gentle and compassionate communication of devastating news, or to provide statistical and technical accuracy, still the effect in too many cases has been, in the long run, exactly the opposite of what was originally intended. Under the guise of scientific or statistical rigor, the use of certain terms in fact serves to regularly permit us to hear, whether said or not, an overstatement of accomplishments. The terms are technically correct, and an expert in the field will have no problem accurately understanding what is being stated. However, when these terms are used to communicate the same information to a less specialized medical audience, or, even more so, to the public, misunderstandings frequently occur. We are not discussing here the objective results of the trials, nor the relative merits of various metrics used to report those trials but, rather, the subjective interpretations and common misinterpretations of those data, based not on what the numbers said, but on what was said about the numbers

To read the entire commentary you will have to go to the source document. It can be found in a medical library or some larger public library. Check with your librarian.

Kathy