Your SlideShare is downloading. ×
Dr. Jack West Oncology 2.0, to WA AG's Office
Dr. Jack West Oncology 2.0, to WA AG's Office
Dr. Jack West Oncology 2.0, to WA AG's Office
Dr. Jack West Oncology 2.0, to WA AG's Office
Dr. Jack West Oncology 2.0, to WA AG's Office
Dr. Jack West Oncology 2.0, to WA AG's Office
Dr. Jack West Oncology 2.0, to WA AG's Office
Dr. Jack West Oncology 2.0, to WA AG's Office
Dr. Jack West Oncology 2.0, to WA AG's Office
Dr. Jack West Oncology 2.0, to WA AG's Office
Dr. Jack West Oncology 2.0, to WA AG's Office
Dr. Jack West Oncology 2.0, to WA AG's Office
Dr. Jack West Oncology 2.0, to WA AG's Office
Dr. Jack West Oncology 2.0, to WA AG's Office
Dr. Jack West Oncology 2.0, to WA AG's Office
Dr. Jack West Oncology 2.0, to WA AG's Office
Dr. Jack West Oncology 2.0, to WA AG's Office
Dr. Jack West Oncology 2.0, to WA AG's Office
Dr. Jack West Oncology 2.0, to WA AG's Office
Dr. Jack West Oncology 2.0, to WA AG's Office
Dr. Jack West Oncology 2.0, to WA AG's Office
Dr. Jack West Oncology 2.0, to WA AG's Office
Dr. Jack West Oncology 2.0, to WA AG's Office
Dr. Jack West Oncology 2.0, to WA AG's Office
Dr. Jack West Oncology 2.0, to WA AG's Office
Dr. Jack West Oncology 2.0, to WA AG's Office
Dr. Jack West Oncology 2.0, to WA AG's Office
Dr. Jack West Oncology 2.0, to WA AG's Office
Dr. Jack West Oncology 2.0, to WA AG's Office
Dr. Jack West Oncology 2.0, to WA AG's Office
Dr. Jack West Oncology 2.0, to WA AG's Office
Dr. Jack West Oncology 2.0, to WA AG's Office
Dr. Jack West Oncology 2.0, to WA AG's Office
Dr. Jack West Oncology 2.0, to WA AG's Office
Dr. Jack West Oncology 2.0, to WA AG's Office
Upcoming SlideShare
Loading in...5
×

Thanks for flagging this SlideShare!

Oops! An error has occurred.

×
Saving this for later? Get the SlideShare app to save on your phone or tablet. Read anywhere, anytime – even offline.
Text the download link to your phone
Standard text messaging rates apply

Dr. Jack West Oncology 2.0, to WA AG's Office

632

Published on

Dr. H. Jack West, medical oncologist and Founder/CEO of Global Resource for Advancing Cancer Education (GRACE, www.CancerGRACE.org), spoke to WA state Attorney General's office about the changing …

Dr. H. Jack West, medical oncologist and Founder/CEO of Global Resource for Advancing Cancer Education (GRACE, www.CancerGRACE.org), spoke to WA state Attorney General's office about the changing landscape of cancer care and how the internet and specifically online patient communities and education will become disruptive in changing the patient/physician dynamic.

Published in: Health & Medicine
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total Views
632
On Slideshare
0
From Embeds
0
Number of Embeds
0
Actions
Shares
0
Downloads
2
Comments
0
Likes
0
Embeds 0
No embeds

Report content
Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
No notes for slide

Transcript

  • 1. Oncology 2.0: Integrating Cancer Patients andCaregivers to Improve Cancer Care Howard (Jack) West, MD Swedish Cancer Institute Seattle, WA Founder & CEO GRACE October 14, 2011
  • 2. Many Patients are Woefully Underserved
  • 3. Most Oncologists are Too Busy
  • 4. These Problems Will Only Get Worse
  • 5. Major Breakthroughs are Hard to Come By
  • 6. EML4-ALK Translocations in NSCLCSoda et al., Nature 448: 561-566, 2007 EML4-ALK frequency: ~4% (64/1709) Primarily adenoCa, minimial or no smoking historyBang, ASCO 2010 #2 (Plenary)
  • 7. 48 yo Female Never Smoker with Stage IV NSCLC Positive for EML4-ALK Target Pre-Treatment After 2 cycles PF-02341066
  • 8. Lung Cancer Mutation Consortiumhttp://www.golcmc.com
  • 9. Lung Cancer Mutation Consortium:Incidence of Single Driver Mutations At least 1 mutation was found in 54% (280/516) of tumors completely tested (CI 50%–59%) CI = confidence interval. Kris et al, 2011.
  • 10. Misalignment of GoalsOncologists are not always incentivized to give what is best for patients •  Time to learn best Rx •  Time, effort to give best Rx •  Financial rewards greater for alternative Rx
  • 11. BOTTOM LINE(S) 1) We could do much better vs.cancer today if people received thebest treatments available now. 2) Nobody is better incentivized tolearn best treatment than the patient.
  • 12. We All Need toAdapt to Social Media
  • 13. Is the Internet a Force of Goodor Evil for Delivery of Cancer Care*? (*The answer is YES)
  • 14. If Good Information isn’t Available,There’s Plenty of BAD Information Online
  • 15. Internet Also Provides Easy Amplification of Poor Quality Information
  • 16. The Internet Makes it Easy to Propogate Poor Quality Information•  Case studies of unusually good or bad outcomes•  Fears about clinical research•  Conspiracy theories about cure for cancer “Don’t let your doctor tell you NO”
  • 17. Overcoming Increasing Specialization/Low Geographic Density of Patient Groups
  • 18. Putting Out Good Information and aThoughtful Perspective, to Reach Many PeopleLay out the evidence, accept or refute in open forum
  • 19. www.CancerGRACE.orga 501(c)3 nonprofit
  • 20. Leveraging the Internet to Convey High Quality Information•  Not time-limited •  Not limited by geography •  25-30K visits/mo •  15-20K absolute unique visitors/mo
  • 21. Posts of New, Timely Content
  • 22. Similar to CME Lectures, but for Lay Public
  • 23. GRACE Question/Answer Forum
  • 24. Smart Consumers Can Help Convey High Quality Messages Credibly
  • 25. Dr. George Demetri, Medical Director of Center for Sarcoma & Bone Oncology, DFCIThe new research model pioneered by the Life Raft Group is making it possible for patients and family members to contribute to clinical research for their diseases in unprecedented ways. - Dr. George Demetri, DFCI
  • 26. Patients Can Aggregate to RevealUnknown/Underappreciated Adverse Effects•  Tips for managing EGFR inhibitor toxicities•  Runny nose with erlotinib•  Muscle aches with bevacizumab•  Swelling/irritation around eyes with pemetrexed•  ?Serious but rare adverse effects
  • 27. Final Thoughts•  Medicine, especially cancer, is becoming more complex, requiring more expertise•  The genie isn’t going back into the bottle•  Integration of patients/caregivers into their care will be disruptive, potentially good or bad, depending on quality of information available•  Telemedicine is likely to fill this space as a means of providing specialized care across a broader geography
  • 28. www.CancerGRACE.org west@CancerGRACE.orga 501(c)3 nonprofit Twitter: @JackWestMD

×