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


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

  1. 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. 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. 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. 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. 5. SCCA TASK FORCES 1. Advocacy and Policy 2. Early Detection 3. Prevention 4. Research 5. Survivor and Family Issues 6. Patient Care
  6. 6. SCCA TASK FORCES 6. Patient Care Goal: Reduce barriers to state of the art cancer care in South Carolina through educational efforts
  7. 7. National Comprehensive Cancer Network (NCCN) Guidelines A useful tool for primary care physicians
  8. 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. 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. 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. 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. 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 or 1.888.909.NCCN
  13. 13. NCCN guideline panels address: • Treatment • Cancer detection • Risk assessment and reduction • Supportive care /symptom management
  14. 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. 15. Gail model for risk assessment
  16. 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. 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. 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. 19. NCCN Clinical Practice Guidelines in Oncology Can be accessed at
  20. 20. Questions • Contact Drew Monitto, MD Department of Radiation Oncology Gibbs Regional Cancer Center Spartanburg Regional Healthcare System 864 560-6917
  21. 21. EXTRA SLIDES
  22. 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. 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