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Cancer Treatment

Journal Article
Cancer Patients' Roles in Treatment Decisions: Do Characteristics of the Decision Influence Roles?
Better strategies for shared decision making between physicians and patients may be needed when there is no evidence to support benefit of a treatment or when patients have terminal illnesses that cannot be cured.
Jan 1, 2010
Journal Article
Prostate Cancer Treatment for Economically Disadvantaged Men: A Comparison of County Hospitals and Private
The authors compared the types of treatments prostate cancer patients received from county hospitals and private providers as part of a statewide public assistance program in a cohort study of 559 men enrolled in a state-funded program for low-income patients known as Improving Access, Counseling, and Treatment for Californians With Prostate Cancer (IMPACT).
Jan 1, 2010
Journal Article
Urinary Diversion and Morbidity After Radical Cystectomy for Bladder Cancer
The rate of continent urinary diversion after radical cystectomy for bladder cancer varies by patient and provider characteristics.
Jan 1, 2010
Journal Article
Wrestling with the High Price of Cancer Care: Should We Control Costs By Individuals' Ability to Pay or Society's Willingness to Pay?
Rising costs of cancer treatment raise questions about how to ensure that patients receive access to the best therapy that is a
Jan 1, 2010
Journal Article
The Role of Primary Care Physicians in Cancer Care
The demand for oncology services in the United States (US) is increasing, whereas a shortage of oncologists looms.
Sep 1, 2009
Journal Article
Survivorship Beyond Convalescence: 48-Month Quality-of-Life Outcomes After Treatment for Localized Prostate Cancer
Decision making for treatment of localized prostate cancer is often guided by therapeutic side-effect profiles. The authors sought to assess health-related quality-of-life outcomes for patients 48 months after treatment for localized prostate cancer. Men treated for localized prostate cancer were evaluated before treatment and at 11 intervals during the 48 months after intervention. Changes in mean health-related quality-of-life scores and the probability of regaining baseline levels of health-related quality of life were compared between treatment groups.
Jun 16, 2009
Journal Article
Cost Effectiveness, Chemotherapy, and the Clinician
Economic evaluations of health care can be used by policy makers and other decision makers to compare the cost effectiveness of different treatment strategies and to make decisions about the allocation of scarce resources, such as dollars spent on health care.
Apr 1, 2009
Journal Article
Surgeons' Volume of Colorectal Cancer Procedures and Collaborative Decision-Making About Adjuvant Therapies
Lower rates of lobectomy (resection of early-stage non-small-cell lung carcinomas) among older patients do not seem to be explained by age-related biases among surgeons for otherwise healthy patients.
Jan 1, 2009
Journal Article
The Pen and the Scalpel: Effect of Diffusion of Information on Nonclinical Variations in Surgical Treatment
The authors demonstrated that rates of a discretionary surgical procedure differ according to nonclinical factors, such as treatment site and type of insurance, and that such unwarranted variation decreases over time with diminishing uncertainty and in an era of diffusion of clinical guidelines.
Jan 1, 2009
Journal Article
Distress and Social Dysfunction Following Prostate Cancer Treatment: A Longitudinal Cross-Cultural Comparison of Japanese and American Men
The authors assessed the impact of bother with urinary and bowel dysfunction on social activities among men in Japan and the United States following primary therapy for localized prostate cancer.
Jan 1, 2009
Journal Article
External Validation of a Claims-Based Algorithm for Classifying Kidney-Cancer Surgeries
Unlike other malignancies, there is no literature supporting the accuracy of medical claims data for identifying surgical treatments among patients with kidney cancer. The authors sought to validate externally a previously published Medicare-claims-based algorithm for classifying surgical treatments among patients with early-stage kidney cancer.
Jan 1, 2009
Journal Article
Race and Sex Differences in the Receipt of Timely and Appropriate Lung Cancer Treatment
Evaluates the relationship of sex and race with the receipt of timely and clinically appropriate non-small-cell lung cancer (NSCLC) treatment for each stage of diagnosis using Surveillance Epidemiology and End Result data linked to Medicare claims for beneficiaries diagnosed with NSCLC between 1995 and 1999 while controlling for other demographic characteristics, comorbidities, socioeconomic status, and provider supply.
Jan 1, 2009
Journal Article
Quality of Care in Bladder Cancer: Trends in Urinary Diversion Following Radical Cystectomy
The authors identified substantial disparities in continent urinary diversion which, based on yearly trends, are unlikely to improve in the near future.
Jan 1, 2009
Journal Article
Adjuvant Chemotherapy for Stage III Colon Cancer: Do Physicians Agree About the Importance of Patient Age and Comorbidity?
The authors surveyed cancer physicians to understand how patients' age and comorbidity influence adjuvant chemotherapy recommendations and whether physician or practice characteristics also affect these recommendations.
Jan 1, 2008
Journal Article
Symptom Management After Breast Cancer Treatment: Is It Influenced By Patient Characteristics?
Studies how symptoms for women with incident breast cancer are addressed by physicians and how management varies with patient characteristics. Black and Spanish-speaking Hispanic women were significantly more likely to report an unmet need.
Jan 1, 2008
Journal Article
Symptoms After Breast Cancer Treatment: Are They Influenced by Patient Characteristics?
This study examines the burden of symptoms by treatment type and patient characteristics in a population-based sample of newly diagnosed breast cancer patients.
Jan 1, 2008
Journal Article
Pretreatment Predictors of Death from Other Causes in Men with Prostate Cancer
Most men diagnosed with prostate cancer will die of other causes. Accurate stratification by risk of other cause mortality may reduce needless treatment. Future studies should consider stratifying patients by or at least reporting these variables.
Jan 1, 2008
Journal Article
Symptom Clusters Related to Treatment for Prostate Cancer
Identifies symptom clusters that include urinary and erectile dysfunction among men treated for prostate cancer. Fatigue and emotional distress may be seen together or in combination with prostate cancer-specific symptoms.
Jan 1, 2008
Journal Article
Progress in Quality-of-Care Research and Hope for Supportive Cancer Care
Examines progress in supportive cancer care, which encompasses direct and treatment-related impacts of cancer, including management of pain and other symptoms, and the psychosocial context, including spirituality and challenges of caregiving.
Jan 1, 2008
Commercial Book
False Hope: Bone Marrow Transplantation for Breast Cancer
Details how the factors that drove clinical use of high-dose chemotherapy with autologous bone marrow transplantation (HDC/ABMT) converged to propel the procedure forward despite a lack of proven clinical effectiveness.
Feb 1, 2007

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RAND Health Care