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  • 1. 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
  • 2. 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.
  • 3. 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
  • 4. 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
  • 5. SCCA TASK FORCES 1. Advocacy and Policy 2. Early Detection 3. Prevention 4. Research 5. Survivor and Family Issues 6. Patient Care
  • 6. SCCA TASK FORCES 6. Patient Care Goal: Reduce barriers to state of the art cancer care in South Carolina through educational efforts
  • 7. National Comprehensive Cancer Network (NCCN) Guidelines A useful tool for primary care physicians
  • 8. 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
  • 9. 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
  • 10. 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
  • 11. 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
  • 12. 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
  • 13. NCCN guideline panels address: • Treatment • Cancer detection • Risk assessment and reduction • Supportive care /symptom management
  • 14. 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
  • 15. Gail model for risk assessment http://bcra.nci.nih.gov/brc/questions.htm
  • 16. 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
  • 17. 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
  • 18. 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
  • 19. NCCN Clinical Practice Guidelines in Oncology Can be accessed at www.nccn.org
  • 20. Questions • Contact Drew Monitto, MD Department of Radiation Oncology Gibbs Regional Cancer Center Spartanburg Regional Healthcare System dmonitto@srhs.com 864 560-6917
  • 21. EXTRA SLIDES
  • 22. • 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)
  • 23. 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