scholarly journals Role of Medical Oncologist in Local Medical Service and Medical Oncology Education

2012 ◽  
Vol 23 ◽  
pp. xi52
Author(s):  
C. Ishioka
2020 ◽  
Vol 9 (13) ◽  
pp. 945-957
Author(s):  
Abdalla Aly ◽  
Courtney Johnson ◽  
Yunes Doleh ◽  
Rahul Shenolikar ◽  
Marc F Botteman ◽  
...  

Aim: To understand physician visit patterns among patients with stage IV (including nonmetastatic [M0] and metastatic [M1] disease) urothelial carcinoma (UC) and understand factors associated with a timely referral to a medical oncologist and systemic treatment. Patients & methods: Retrospective analysis of Surveillance, Epidemiology and End Results-Medicare data. Results: First physician encounter was with a urologist (M0: 69%; M1: 53%) or primary care physician ([PCP]; M0: 19%, M1: 25%) for the majority of patients around UC diagnosis. After the index urologist encounter, most patients had a subsequent medical oncologist visit at a median of 52 days (M0: 69.5 days, M1: 33 days). In an adjusted model, older age, index PCP visit, higher comorbidities and M0 disease were negatively associated with a medical oncologist referral. Among those referred to a medical oncologist, older age, Hispanic or non-Hispanic Black race and not being married were negatively associated with subsequent chemotherapy receipt (p < 0.05). Conclusion: Many patients with advanced UC encounter multiple specialists during their disease course. Older patients or those with a first UC-related encounter with a PCP are less likely to be referred to medical oncology. Once referred to medical oncology, social determinants, including race and marital status, are relevant predictors of receiving chemotherapy.


Cancers ◽  
2021 ◽  
Vol 13 (4) ◽  
pp. 908
Author(s):  
Alexandre Delpla ◽  
Thierry de Baere ◽  
Eloi Varin ◽  
Frederic Deschamps ◽  
Charles Roux ◽  
...  

Background: Consensus guidelines of the European Society for Medical Oncology (ESMO) (2016) provided recommendations for the management of lung metastases. Thermal ablation appears as a tool in the management of these secondary pulmonary lesions, in the same manner as surgical resection or stereotactic ablative radiotherapy (SABR). Methods: Indications, technical considerations, oncological outcomes such as survival (OS) or local control (LC), prognostic factors and complications of thermal ablation in colorectal cancer lung metastases were reviewed and put into perspective with results of surgery and SABR. Results: LC rates varied from 62 to 91%, with size of the metastasis (<2 cm), proximity to the bronchi or vessels, and size of ablation margins (>5 mm) as predictive factors of LC. Median OS varied between 33 and 68 months. Pulmonary free disease interval <12 months, positive carcinoembryonic antigen, absence of neoadjuvant chemotherapy and uncontrolled extra-pulmonary metastases were poor prognostic factors for OS. While chest drainage for less than 48 h was required in 13 to 47% of treatments, major complications were rare. Conclusions: Thermal ablation of a selected subpopulation of patients with colorectal cancer lung metastases is safe and can provide excellent LC and delay systemic chemotherapy.


2021 ◽  
Vol 12 ◽  
pp. 215013272098771
Author(s):  
Heather Blue ◽  
Ashley Dahly ◽  
Susan Chhen ◽  
Julie Lee ◽  
Adam Shadiow ◽  
...  

Introduction: The continuing opioid crisis poses unique challenges to remote and often under-resourced rural communities. Emergency medical service (EMS) providers serve a critical role in responding to opioid overdose for individuals living in rural or remote areas who experience opioid overdoses. They are often first at the scene of an overdose and are sometimes the only health care provider in contact with an overdose patient who either did not survive or refused additional care. As such, EMS providers have valuable perspectives to share on the causes and consequences of the opioid crisis in rural communities. Methods: EMS providers attending a statewide EMS conference serving those from greater Minnesota and surrounding states were invited to take a 2-question survey asking them to reflect upon what they believed to be the causes of the opioid crisis and what they saw as the solutions to the opioid crisis. Results were coded and categorized using a Consensual Qualitative Research approach. Results: EMS providers’ perceptions on causes of the opioid crisis were categorized into 5 main domains: overprescribing, ease of access, socioeconomic vulnerability, mental health concerns, and lack of resources and education. Responses focused on solutions to address the opioid crisis were categorized into 5 main domains: need for increased education, enhanced opioid oversight, increased access to treatment programs, alternative therapies for pain management, and addressing socioeconomic vulnerabilities. Conclusion: Along with the recognition that the opioid crisis was at least partially caused by overprescribing, rural EMS providers who participated in this study recognized the critical role of social determinants of health in perpetuating opioid-related harm. Participants in this study reported that education and increased access to treatment facilities and appropriate pain management, along with recognition of the role of social determinants of health in opioid dependency, were necessary steps to address the opioid crisis.


Cancer ◽  
2007 ◽  
Vol 109 (5) ◽  
pp. 975-982 ◽  
Author(s):  
Ruili Luo ◽  
Sharon H. Giordano ◽  
Dong D. Zhang ◽  
Jean Freeman ◽  
James S. Goodwin

2015 ◽  
Vol 96 (3) ◽  
pp. 459-463
Author(s):  
R G Turaev ◽  
G R Khasanova ◽  
I V Klyushkin ◽  
O V Boykova

During the Great Patriotic War, work of health workers not only in frontline medical institutions of different levels, but also directly on the battlefield was invaluable. Sanitary losses, especially among combat medics taking the wounded from the battlefield, were the most crucial. During the war, military hospitals were established throughout the territory of the USSR where over 22 million of wounded were treated. 85% of them returned to the Army. The role of blood transfusion stations staff who supplied front and rear medical facilities by blood and its components is invaluable. The objective of the article - to illustrate the role and importance of medical service and its part - medical institutions dealing with blood and blood components collection, storage, processing and supply to military units, hospital, performing transfusions for the wounded. Archival materials and statistical data gained from various publications, wartime and postwar, were used. The gained data confirm the invaluable role of these services in providing medical aid to the wounded and the sick during the Great Patriotic War, as well as describe reorganization and flexible tactics of the blood service staff in accordance with the Great Patriotic War periods in supplying medical service with blood and its components. Blood service staff training and management measures allowed to uninterrupted supply front and rear medical institutions with blood. Blood service in different periods of the Great Patriotic War had undergone significant management changes in the section of the donation, processing and supply of medical facilities with blood, enabling to attract huge crowds of people in the USSR to donate blood, to ensure an uninterrupted, adequate supply of troops with blood.


2018 ◽  
Vol 61 (4) ◽  
pp. 223-225
Author(s):  
Christoph Zischek ◽  
Erhard Grunwald ◽  
Michael Engelhardt

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