Martina N Strack, Barbara Poole, Frances Lasser, Simon Sutcliffe
{"title":"Where there is a will, there is a way: networks as a means of cancer control.","authors":"Martina N Strack, Barbara Poole, Frances Lasser, Simon Sutcliffe","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A key challenge in cancer control is the need for translational research to link discovery research with improved health outcomes. In British Columbia, we have built upon the idea of communities of practice to develop networks that will meet our cancer-control mandate.</p>","PeriodicalId":80217,"journal":{"name":"The Journal of oncology management : the official journal of the American College of Oncology Administrators","volume":"14 4","pages":"20-8"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25835169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Formulating strategies.","authors":"Joseph M Spallina","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80217,"journal":{"name":"The Journal of oncology management : the official journal of the American College of Oncology Administrators","volume":"14 3","pages":"63"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25301431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Medical House Call Program: extending frail elderly medical care into the home.","authors":"J D Gammel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The current US healthcare system, focused mostly on acute and episodic care, has difficulty meeting the needs of ill, frail elderly and their families or other caregivers. Because of their low mobility and complex medical conditions, these \"oldest old\" patients and their families or caregivers must make frequent, difficult, and expensive trips to multiple physicians to receive care. The result is that the frail elderly most often receive delayed or crisis care rather than timely primary care. To address these and other needs, a coordinated approach to the care of the oldest old requires a new model that includes primary medical care in the home. This article discusses how the Medical House Call Program (MHCP) model can provide high-quality primary healthcare to the frail elderly at home, improve the continuity of care between the home and the hospital, provide support and education to families or caregivers, and provide linkage to a broad range of social and supportive services in the community. The MHCP model is one of a number of evolving for-profit and nonprofit approaches that seek to provide medical care in the home. This article also discusses how the MHCP model, working with oncology physicians and programs, can have similar benefits and applications for the growing number of elderly cancer patients and their families or caregivers.</p>","PeriodicalId":80217,"journal":{"name":"The Journal of oncology management : the official journal of the American College of Oncology Administrators","volume":"14 2","pages":"39-46"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24898517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Integrating market data into your physician compensation plan.","authors":"Alex Hunter","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80217,"journal":{"name":"The Journal of oncology management : the official journal of the American College of Oncology Administrators","volume":"14 1","pages":"18-21"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25010374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Follow-up to the revised Cancer Program Standards 2004.","authors":"Jeannie O'Leary","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80217,"journal":{"name":"The Journal of oncology management : the official journal of the American College of Oncology Administrators","volume":"14 1","pages":"5"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25011572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The daily moment: a stress reduction program for cancer center staff.","authors":"Jeff Kendall, Cindy Waddington, Colleen Kendall","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Keeping members of the oncology team from being overwhelmed by the stress of their jobs is a major concern at the Helen E. Graham Cancer Center and every cancer center around the country. The impact of stressors experienced as a result of caring for people is felt heavily not only by physicians and nurses, but also by each staff member in a cancer center. In addition to caregiving stressors, all cancer center staff experience corporation-style stressors such as staffing shortages, long hours, tight schedules, and limited resources. Therefore, the importance of finding innovative mechanisms for all staff to reduce their stress levels and develop stronger bonds with their coworkers is paramount. Given the stressors mentioned above, the Daily Moment program was developed. This involves staff gathering before morning rounds to listen to a staff member read an inspirational quote or an appropriate joke. The Daily Moment was developed with the following goals: (1) occur daily but not require much time, (2) energize staff for the day, (3) be effective for all levels of staffing, and (4) improve coworker relationships and interactions. Participation in the Daily Moment was voluntary. After 6 weeks of implementation, a survey was administered to all staff. Results indicated that all goals for the program were accomplished, and they demonstrated that innovative stress reduction programs may require little time and still generate positive influences on a cancer center staff. Finally, the simplicity of this program allows it to be instituted at any facility at any time with no cost.</p>","PeriodicalId":80217,"journal":{"name":"The Journal of oncology management : the official journal of the American College of Oncology Administrators","volume":"14 3","pages":"68-71"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25301433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Modifications and revisions to program standards.","authors":"Jeannie O'Leary","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80217,"journal":{"name":"The Journal of oncology management : the official journal of the American College of Oncology Administrators","volume":"14 4","pages":"6-7"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25835165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comprehensive care plus creative architecture.","authors":"James G Easter","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The delivery of high-quality, comprehensive cancer care and the treatment environment go hand in hand with the patient's recovery. When the planning and design of a comprehensive cancer care program runs parallel to the operational expectations and functional standards, the building users (patients, staff, and physicians) benefit significantly. This behavioral response requires a sensitive interface during the campus master planning, architectural programming, and design phases. Each building component and user functioning along the \"continuum of care\" will have different expectations, programmatic needs, and design responses. This article addresses the community- and hospital-based elements of this continuum. The environment does affect the patient care and the care-giving team members. It may be a positive or, unfortunately, a negative response.</p>","PeriodicalId":80217,"journal":{"name":"The Journal of oncology management : the official journal of the American College of Oncology Administrators","volume":"14 4","pages":"11-9"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25835168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"IMRT: why is coding IMRT so hard?","authors":"Deborah I Churchill","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80217,"journal":{"name":"The Journal of oncology management : the official journal of the American College of Oncology Administrators","volume":"14 1","pages":"15-7"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25010372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
John Nemunaitis, Ned Adams, Casey Cunningham, Neil Senzer, Sue Graham, David Barrera, John Nugent, Clinton Stewart
{"title":"Phase I trial of an all-oral combination chemotherapy regimen: topotecan and capecitabine in solid tumor patients.","authors":"John Nemunaitis, Ned Adams, Casey Cunningham, Neil Senzer, Sue Graham, David Barrera, John Nugent, Clinton Stewart","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The objective of this phase I study was to investigate the safety of an all-oral combination chemotherapy regimen: topotecan and capecitabine. Topotecan was administered once a day for 5 consecutive days followed by 2 days of rest and was administered again for 5 consecutive days. The starting dose of topotecan was 0.5 mg/m2/d(-1). Capecitabine was administered concurrently at an oral dose of 1800 mg/m2/d(-1) divided twice daily for 14 concurrent consecutive days. Each cycle of treatment was 21 days. Topotecan pharmacokinetic studies were performed on day 1 of cycles 1 and 2. Nineteen patients with refractory cancer were treated. Dose-limiting toxicity (thrombocytopenia, diarrhea) was observed in 2 of 3 patients at a topotecan dose of 2.0 mg/m2/d(-1). A total of 10 patients were treated at the maximum-tolerated dose of topotecan (1.5 mg/m2/d(-1)) and only 1 treatment-related grade 3 nonhematologic toxic event was demonstrated; however, grade 3 hematologic toxicity was observed in 8 of 10 patients at the maximum-tolerated dose, although no correlated clinical sequela resulted. One patient achieved a partial response and 7 achieved stable disease for 4 months or longer. Measurement of plasma topotecan showed pharmacokinetics consistent with no alteration by capecitabine. In conclusion, we recommend further investigation of oral topotecan (1.5 mg/m2/d(-1)) on days 1 to 5 of each week for 2 weeks in combination with capecitabine (180 mg/m2 twice daily) on days 1 to 14 within a 21-day cycle.</p>","PeriodicalId":80217,"journal":{"name":"The Journal of oncology management : the official journal of the American College of Oncology Administrators","volume":"14 3","pages":"77-90"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25299508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}