This document discusses the challenges in managing colon cancer. It outlines how the management of colon cancer has improved over the decades due to better staging, evaluation of lymph nodes, and interventions such as laparoscopic colectomy and metastasectomy for liver and lung metastases. A multidisciplinary team approach is important for colon cancer care, involving specialists from surgery, medical oncology, pathology, radiology, palliative care and others. Outcomes have also improved due to chemotherapy, biologic agents, and understanding the role of KRAS in determining colon cancer treatment.
Cancer Health Disparities: A Literature Review Regarding Cancer-Related Fatig...Cesar Arcasi Matta
This literature review identifies the existence of cancer health disparities among African-American men. These disparities are believed to influence cancer, affecting health maintenance and recovery from the disease. Factors contributing to the development of cancer disparities in African-American men span from their low socioeconomic backgrounds. Fatigue is commonly reported sequelae of cancer and treatment and has been correlated with men’s capacity to cope with and recover from cancer, and has only recently been studied.
Poster presentation at the 2016-2017 International Cancer Education Conference in Bethesda, Maryland, USA.
Obesity, Outcomes and Quality of Care: BMI Increases the Risk of Wound-Relate...Ramzi Amri
Abstract, Academic Surgical Congress 2013:
See also paper: http://www.ncbi.nlm.nih.gov/pubmed/24139555
Introduction:
Hospitals and surgeons are constantly striving to improve their outcomes. SCIP measures and guidelines to improve the quality of care are now commonplace. However, factors that are beyond the control of the medical community play an important role in outcomes. The United States continues to struggle with obesity. Obesity increases resection difficulty and could be predictive of a complicated postoperative course. Body Mass Index (BMI) is a continuous numeric expression of body habitus and allows for a quantification of the effect of body habitus on postsurgical complications. The aim of this study is therefore to measure the effect of BMI on the risk of wound-related postoperative complications.
Methods:
851 patients were operated on for colonic adenocarcinoma at our tertiary care center between 2004 and 2011. Binomial logistic regression was used to assess for relationships between complications and incremental increases in BMI. We controlled in a separate univariate analysis for possibly significant predictive covariates, including age, gender, Charlson comorbidity score, approach, and intersurgeon variation.
Results:
After correction for statistically significant covariates, BMI proved to be a significant predictor of several wound-related complications. Using the same approach, all other major and minor complications within 30 days postoperatively did not show a significant relationship with BMI.
In wound-related complications, the risk increase was independent on whether the approach was laparoscopic or open. Figure 1 shows the p-values for each complication that was significantly related to BMI and the Odds Ratio for each increase of one BMI unit (1 kg/m2).
Conclusions:
Obesity has a direct effect on wound complications in both open and laparoscopic procedures. Furthermore, BMI-related risk of wound-related complications increases exponentially with increasing weight. This incremental effect illustrates how an increasingly obese US population relates to an independently growing risk of surgical complications. As the surgical community strives to improve the quality of care, patient controllable factors will clearly play an increasingly important role in cost containment and quality improvement.
Turning up the volume on a silent killer: Pancreatic CancerPadraig Doolan
Shannon Nelson is a PhD student at NICB and her project focuses on analysing the genetic basis of Pancreatic Cancer.
Shannon recently produced this slidedeck to explain her research for the 2018 DCU "Tell It Straight" competition.
"Tell it Straight" is an annual DCU-run competition that challenges post-graduate PhD students to communicate their research to a general audience and panel of judges that have no prior knowledge of their research, using either a presentation or a video.
Cancer Survivorship: longer term issues and the role of primary care - Prof E...Irish Cancer Society
A presentation given at the Irish Cancer Society's Survivorship Research Day at the Aviva Stadium, Dublin on Thursday, September 20th, 2013.
Cancer Survivorship: longer term issues and the role of primary care - Prof Eila Watson (Oxford Brookes University).
Cancer patients’ physical activity levels are thought to decline by at least one third following diagnosis and are often not recovered several years post treatment. Only 29.6% of cancer survivors are meeting the American Cancer Society’s and Public Health’s guidelines of 150 min of moderate intensity exercise per week. Previous research suggested that adherence to physical activity recommendations might be the most important lifestyle behavior associated with lower mortality and higher quality of life in cancer survivors.
CATCH ESR2 Gabriel Signorelli
Dr. Grant Williams talks about considerations for those who are older with colorectal cancer. He discusses adjuvant treatment options for older adults, management of existing comorbidities, potential risks of new morbidities related to treatment, and more.
Gastroenterologist Dr. Patricia Raymond takes medicine seriously, and herself lightly. As a female gastroenterologist, she is, in fact, a “Chick who checks cheeks”. Dr. Raymond’s mission is to decrease the fright and ‘ick’ that keep about 50% of Americans from getting their screening colonoscopy at age 50—using laughter and knowledge to combat the fear. You can enjoy some of that humor at her website ColonJoke.com. And you can watch her music parody videos on YouTube at www.ButtMeddler.com. Please give a warm welcome to Dr. Pat Raymond’s alter ego, the divine….Ms Butt Meddler!
Have you or someone you love recently been diagnosed with stage III or stage IV colorectal cancer? Feeling overwhelmed? Learn where to go from here.
We’ll talk about every leg of the journey from understanding your diagnosis to tips on building your treatment team.
Join Dr. Edward Crane to better understand your options for treatment and know that you are not alone in your diagnosis.
Cancer Health Disparities: A Literature Review Regarding Cancer-Related Fatig...Cesar Arcasi Matta
This literature review identifies the existence of cancer health disparities among African-American men. These disparities are believed to influence cancer, affecting health maintenance and recovery from the disease. Factors contributing to the development of cancer disparities in African-American men span from their low socioeconomic backgrounds. Fatigue is commonly reported sequelae of cancer and treatment and has been correlated with men’s capacity to cope with and recover from cancer, and has only recently been studied.
Poster presentation at the 2016-2017 International Cancer Education Conference in Bethesda, Maryland, USA.
Obesity, Outcomes and Quality of Care: BMI Increases the Risk of Wound-Relate...Ramzi Amri
Abstract, Academic Surgical Congress 2013:
See also paper: http://www.ncbi.nlm.nih.gov/pubmed/24139555
Introduction:
Hospitals and surgeons are constantly striving to improve their outcomes. SCIP measures and guidelines to improve the quality of care are now commonplace. However, factors that are beyond the control of the medical community play an important role in outcomes. The United States continues to struggle with obesity. Obesity increases resection difficulty and could be predictive of a complicated postoperative course. Body Mass Index (BMI) is a continuous numeric expression of body habitus and allows for a quantification of the effect of body habitus on postsurgical complications. The aim of this study is therefore to measure the effect of BMI on the risk of wound-related postoperative complications.
Methods:
851 patients were operated on for colonic adenocarcinoma at our tertiary care center between 2004 and 2011. Binomial logistic regression was used to assess for relationships between complications and incremental increases in BMI. We controlled in a separate univariate analysis for possibly significant predictive covariates, including age, gender, Charlson comorbidity score, approach, and intersurgeon variation.
Results:
After correction for statistically significant covariates, BMI proved to be a significant predictor of several wound-related complications. Using the same approach, all other major and minor complications within 30 days postoperatively did not show a significant relationship with BMI.
In wound-related complications, the risk increase was independent on whether the approach was laparoscopic or open. Figure 1 shows the p-values for each complication that was significantly related to BMI and the Odds Ratio for each increase of one BMI unit (1 kg/m2).
Conclusions:
Obesity has a direct effect on wound complications in both open and laparoscopic procedures. Furthermore, BMI-related risk of wound-related complications increases exponentially with increasing weight. This incremental effect illustrates how an increasingly obese US population relates to an independently growing risk of surgical complications. As the surgical community strives to improve the quality of care, patient controllable factors will clearly play an increasingly important role in cost containment and quality improvement.
Turning up the volume on a silent killer: Pancreatic CancerPadraig Doolan
Shannon Nelson is a PhD student at NICB and her project focuses on analysing the genetic basis of Pancreatic Cancer.
Shannon recently produced this slidedeck to explain her research for the 2018 DCU "Tell It Straight" competition.
"Tell it Straight" is an annual DCU-run competition that challenges post-graduate PhD students to communicate their research to a general audience and panel of judges that have no prior knowledge of their research, using either a presentation or a video.
Cancer Survivorship: longer term issues and the role of primary care - Prof E...Irish Cancer Society
A presentation given at the Irish Cancer Society's Survivorship Research Day at the Aviva Stadium, Dublin on Thursday, September 20th, 2013.
Cancer Survivorship: longer term issues and the role of primary care - Prof Eila Watson (Oxford Brookes University).
Cancer patients’ physical activity levels are thought to decline by at least one third following diagnosis and are often not recovered several years post treatment. Only 29.6% of cancer survivors are meeting the American Cancer Society’s and Public Health’s guidelines of 150 min of moderate intensity exercise per week. Previous research suggested that adherence to physical activity recommendations might be the most important lifestyle behavior associated with lower mortality and higher quality of life in cancer survivors.
CATCH ESR2 Gabriel Signorelli
Dr. Grant Williams talks about considerations for those who are older with colorectal cancer. He discusses adjuvant treatment options for older adults, management of existing comorbidities, potential risks of new morbidities related to treatment, and more.
Gastroenterologist Dr. Patricia Raymond takes medicine seriously, and herself lightly. As a female gastroenterologist, she is, in fact, a “Chick who checks cheeks”. Dr. Raymond’s mission is to decrease the fright and ‘ick’ that keep about 50% of Americans from getting their screening colonoscopy at age 50—using laughter and knowledge to combat the fear. You can enjoy some of that humor at her website ColonJoke.com. And you can watch her music parody videos on YouTube at www.ButtMeddler.com. Please give a warm welcome to Dr. Pat Raymond’s alter ego, the divine….Ms Butt Meddler!
Have you or someone you love recently been diagnosed with stage III or stage IV colorectal cancer? Feeling overwhelmed? Learn where to go from here.
We’ll talk about every leg of the journey from understanding your diagnosis to tips on building your treatment team.
Join Dr. Edward Crane to better understand your options for treatment and know that you are not alone in your diagnosis.
Introduction to Cancer: Focus on Solid Tumors Course, organized by Healthcare...James Prudhomme
Delegates attending this course will benefit from an introductory overview of the terminology and classification of cancer and the principle issues in its treatment. Commonly available anti-cancer drugs will be reviewed, including immunotherapies. The range of side-effects of cancer treatments will be studied in detail. Quality-of-life issues in terms of overall assessment and result interpretation will also be discussed.
Detailed consideration will be given to the treatment of major tumor types: breast, lung, upper gastrointestinal (GI), colorectal, melanoma, ovarian and prostate cancer.
Evidence-based guidelines for the nutritional management of adult oncology pa...milfamln
Webinar Objectives
1. The participant will be able to discuss the validity of malnutrition screening and nutrition assessment tools and their utilization in clinical oncology settings
2. The participant will be able to better utilize the Nutrition Care Process to provide appropriate and high-quality nutrition care to oncology patients
3. The participant will be able to describe the evidencebased relationships between nutritional status and morbidity and mortality outcomes in oncology
Cancer Survivorship Care: Global Perspectives and Opportunities for Nurse-Le...Carevive
The 18th CNSA Annual Winter Congress, held Perth, Australia will featured On Q Health’s co-founder Dr. Carrie Stricker as a keynote speaker. The theme for this year’s edition is “Cancer Nursing: Expanding the Possibilities” and will focus on exploring the opportunities that exist in cancer nursing in 2015 and beyond.
On-line presentation via Zoom application catering to the public of Miri. Presentation delivered in layman terms, encompassing occurrence, risk factors and symptoms that suggest colon cancer. Also covered on methods to be adopted to reduce risks of colon cancer, screening tools and principles of managing colon cancer patients.
Dr. Stephanie Blank and Dr. Melissa Frey update us on the latest developments in ovarian cancer research and treatment from the annual conference of the Society of Gynecologic Oncology. Dr. Blank is a gynecologic oncologist at Perlmutter Cancer Center at NYU Langone Medical Center and an associate professor at NYU School of Medicine. Dr. Frey is a Gynecological Oncology Fellow at NYU Langone Medical Center.
Developing a national strategy for research into cancer survivorship in the U...Irish Cancer Society
A presentation given at the Irish Cancer Society's Survivorship Research Day at the Aviva Stadium, Dublin on Thursday, September 20th, 2013.
Developing a national strategy for research into cancer survivorship in the UK - Dr Jim Elliott (UK NCRI)
Impact of Multidisciplinary Discussion on Treatment Outcome For Gynecologic C...Emad Shash
Tumor conferences are multidisciplinary meetings at which the
management of cancer patients is discussed. They have been
an integral part of oncology services and are regarded
as an essential component of quality control and continuing
medical education. There are data to suggest that the tumor conference enhances patient care. Many studies of effectiveness have been conducted. Reported benefits include improved patient management and treatment. In this presentation, I'll try to assess the role of the multidisciplinary tumor conference in patient management in gynecologic oncology services.
ROI of Colorectal Cancer Screening - Colorado Cancer Coalition - Colorado Bus...Ryan Kerr
The Colorado Cancer Coalition presented to the Colorado Business Group on Health.
The aim of the presentation was to inform Colorado Businesses of the clinical and financial improvement opportunity that exists within the Colorectal Cancer space.
Please share this webinar with anyone who may be interested!
Watch all our webinars: https://www.youtube.com/playlist?list=PL4dDQscmFYu_ezxuxnAE61hx4JlqAKXpR
Cancer care is increasingly tailored to individual patients, who can undergo genetic or biomarker testing soon after diagnosis, to determine which treatments have the best chance of shrinking or eliminating tumours.
In this webinar, a pathologist and clinical oncologist discuss:
● how they are using these new tests,
● how they communicate results and treatment options to patients and caregivers, and
● how patients can be better informed on the kinds of tests that are in development or in use across Canada
View the video: https://youtu.be/_Wai_uMQKEQ
Follow our social media accounts:
Twitter - https://twitter.com/survivornetca
Facebook - https://www.facebook.com/CanadianSurvivorNet
Pinterest - https://www.pinterest.com/survivornetwork
YouTube - https://www.youtube.com/user/Survivornetca
Osisko Development - Investor Presentation - June 24
Challenges in management of colon cancer by f. chite asirwa
1. Challenges in Management of Colon
Cancer
F. Chite Asirwa, MB ChB. MD.
Asst. Professor of Medicine
Division of Hematology/Oncology
Indiana University
Email: fasirwa@iu.edu
Director, AMPATH Oncology and Hematology @ MTRH &
Beacon Health Services, Nairobi
Visiting Faculty Moi University School Of Medicine
Beacon Health Services 1
13. Conclusions
• Screening
• Diagnostics/Pathology
• Surgery
• Chemotherapy and Biologic agents
• Radiotherapy
• Survivorship care
• Palliative care
• Colostomy bags/Patient support groups
• Clinical Trials Beacon Health Services 13
14. Thanks to Novartis for facilitating my
attendance to this KESHO conference.
To All the attendees and Organizers
Beacon Health Services 14
