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An Update on Oncology Topics for the Primary Care ...

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    An Update on Oncology Topics for the Primary Care ... An Update on Oncology Topics for the Primary Care ... Presentation Transcript

    • An Update on Oncology Topics for the Primary Care Practitioner 5/5/07 SCMA Annual Meeting
      • Introduction to session/ S.C. Cancer Alliance- Dr Monitto
      • Benefits and use of National Comprehensive Cancer Network (NCCN) guidelines for primary care physicians- Dr Monitto
      • Medical issues primary care physicians may face caring for their patients with cancer- Dr Montero
      • Update on lung cancer- Dr Silvestri
      • Update on breast cancer- Dr Montero/Dr Baker
      • Update on colorectal cancer- Dr O’Brien
      • Update on head and neck cancer- Dr Sharma
      • Questions
    • S.C. Cancer Alliance
      • Founded in 2003, the SCCA is a statewide non-profit organization that is dedicated to reducing the impact of cancer on ALL people in South Carolina.
      • The SCCA is currently comprised of over 900 members.
    • PARTNER ORGANIZATIONS
      • American Cancer Society Blue Cross/Blue Shield of SC Medical University of S.C. (MUSC) National Black Leadership Initiative on Cancer (NBLIC), SC Chapter SC Congressional Nursing Network SC Dept. of Health & Environmental Control SC Dept. of Health & Human Services SC Hospital Association SC House of Representatives SC Medical Association SC Oncology Society SC Press Association SC Senate SC Women's Cancer Coalition State Hospice Organization
    • S.C. Cancer Alliance
      • Charged with implementing the state's first comprehensive cancer control plan
      • Task forces and project teams have been formed to address each cancer plan priority
    • SCCA TASK FORCES
      • Advocacy and Policy
      • Early Detection
      • Prevention
      • Research
      • Survivor and Family Issues
      • Patient Care
    • SCCA TASK FORCES
      • 6. Patient Care
      • Goal: Reduce barriers to state of the art cancer care in South Carolina through educational efforts
    • National Comprehensive Cancer Network (NCCN) Guidelines A useful tool for primary care physicians
    • About the National Comprehensive Cancer Network (NCCN)
      • A not-for-profit alliance of 20 of the world’s leading cancer centers
      • The primary goal of all NCCN initiatives is to improve the quality of oncology practice
    • The NCCN member institutions
      • City of Hope Cancer Center, Los Angeles, CA
      • Dana-Farber/Partners CancerCare, Boston, MA
      • Duke Comprehensive Cancer Center, Durham, NC
      • Fox Chase Cancer Center, Philadelphia, PA
      • Huntsman Cancer Institute at the University of Utah, Salt Lake City, UT
      • Fred Hutchinson Cancer Research Center/Seattle Cancer Care Alliance, Seattle, WA
      • Arthur G. James Cancer Hospital and Richard J. Solove Research Institute at The Ohio State University, Columbus, OH
      • The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, MD
      • Robert H. Lurie Comprehensive Cancer Center of Northwestern University, Chicago, IL
      • Memorial Sloan-Kettering Cancer Center, New York, NY
    • The NCCN member institutions
      • H. Lee Moffitt Cancer Center & Research Institute at the University of South Florida, Tampa, FL
      • Roswell Park Cancer Institute, Buffalo, NY
      • Siteman Cancer Center at Barnes Jewish Hospital and Washington University School of Medicine, St. Louis, MO
      • St. Jude Children's Research Hospital/University of Tennessee Cancer Institute, Memphis, TN
      • Stanford Hospital & Clinics, Stanford, CA
      • University of Alabama at Birmingham Comprehensive Cancer Center, Birmingham, AL
      • UCSF Comprehensive Cancer Center, San Francisco, CA
      • University of Michigan Comprehensive Cancer Center, Ann Arbor, MI
      • UNMC Eppley Cancer Center at The Nebraska Medical Center, Omaha, NE
      • The University of Texas M. D. Anderson Cancer Center, Houston, TX
    • NCCN Clinical Practice Guidelines in Oncology
      • Recognized standard for clinical guidelines in the oncology community
      • The most widely used in oncology practice
      • Updated at least annually in a consensus-driven process with explicit review of the evidence by multidisciplinary panels
      • Now covers more than 95% of all cancers
    • NCCN Treatment Guidelines for Patients
      • The NCCN translates Treatment Guidelines for all of the major cancers and supportive care issues into patient versions
      • Available in both English and Spanish in booklet form at www.nccn.org or 1.888.909.NCCN
    • NCCN guideline panels address:
      • Treatment
      • Cancer detection
      • Risk assessment and reduction
      • Supportive care /symptom management
    • Primary care physicians play a crucial role in oncology
      • Example: Breast cancer
        • Initial diagnosis
          • Making sure that diagnosis is prompt and therapy is instituted quickly
        • Identifying high risk patients for prevention strategies
        • Counseling patients regarding treatment options
        • Following breast cancer survivors
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    • Gail model for risk assessment
      • http://bcra.nci.nih.gov/brc/questions.htm
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    • Other guidelines that may be helpful to primary care physicians
      • Guidelines for Detection, Prevention, & Risk Reduction of Cancer
      • Breast Cancer Screening and Diagnosis
      • Cervical Cancer Screening
      • Colorectal Cancer Screening
      • Prostate Cancer Early Detection
      • Breast Cancer Risk Reduction
      • Genetic/Familial High-Risk Assessment: Breast and Ovarian
    • Other guidelines that may be helpful to primary care physicians
      • Guidelines for Supportive Care e.g.
      • Adult Cancer Pain
      • Nausea
      • Prevention/treatment of cancer related infections
      • Venous Thromboembolic Disease
    • Other guidelines that may be helpful to primary care physicians
      • Treatment Guidelines for 95% of all cancers can be accessed
      • Helpful for counseling patients who may look to primary MD for advice when treatment options are complex/confusing
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    • NCCN Clinical Practice Guidelines in Oncology
      • Can be accessed at
      • www.nccn.org
    • Questions
      • Contact
        • Drew Monitto, MD
        • Department of Radiation Oncology
        • Gibbs Regional Cancer Center
        • Spartanburg Regional Healthcare System
        • [email_address]
        • 864 560-6917
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    • EXTRA SLIDES
      • Introduction to session /Benefits and use of NCCN guidelines for primary care physicians Dr Monitto (10 minutes)
      • Medical issues primary care physicians may face caring for their patients with cancer Dr Montero (20 minutes)
      • Update on lung cancer Dr Silvestri (20 minutes)
      • Update on breast cancer Dr Megan Baker/ Dr. Montero (20 minutes)
      • Update on colorectal cancer Dr Esnaola (20 minutes)
      • Update on head and neck cancer Dr Sharma (20 minutes)
      • Questions (10 minutes)
    • NCCN’s complete spectrum of programs include:
      • NCCN Clinical Practice Guidelines in Oncology
      • Treatment Guidelines for Patients
      • Clinical Trials Network
      • Educational Conferences and Symposia for Clinicians
      • The Journal of the National Comprehensive Cancer Network
      • Other Educational Materials