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Cancer

News Release

Colon Cancer Treatment Often Is Less Aggressive Than Recommended by Research

New results from a major initiative on the quality of cancer care in the U.S. have found that patients with a common type of colon cancer—especially older patients—often are not treated as aggressively with chemotherapy as research shows is necessary to improve survival.

Mar 16, 2010
Journal Article

The Potential Impact of Comparative Effectiveness Research on U.S. Health Care Expenditures

Comparative effectiveness research (CER) has the potential to slow health care spending growth by focusing resources on health interventions that provide the most value.

Mar 1, 2010
Journal Article

Obesity and Angiolymphatic Invasion in Primary Breast Cancer

The purpose of this study was to investigate the relationships between obesity and the presence of angiolymphatic invasion as well as other features of invasive breast cancer, including stage at presentation, estrogen receptor (ER) status, triple-negative phenotype, and tumor grade.

Mar 1, 2010
Journal Article

An Economic Evaluation of the War on Cancer

For decades, the US public and private sectors have committed substantial resources towards cancer research, but the societal payoff has not been well-understood.

Jan 1, 2010
Journal Article

Colon Cancer Treatment Often Is Less Aggressive Than Recommended by Research

New results from a major initiative on the quality of cancer care in the U.S. have found that patients with a common type of colon cancer—especially older patients—often are not treated as aggressively with chemotherapy as research shows is necessary to improve survival.

Jan 1, 2010
Journal Article

Use of Interpreters By Physicians Treating Limited English Proficient Women with Breast Cancer: Results from the Provider Survey of the Los Angeles Women's Health Study

Physicians in solo practice and single-specialty medical groups were less likely than HMO physicians to report using trained medical interpreters or telephone interpreter services to communicate with breast cancer patients with limited English proficiency.

Jan 1, 2010
Journal Article

Use of Radical Cystectomy for Patients with Invasive Bladder Cancer

Radical cystectomy is the best treatment for patients with invasive bladder cancer.

Jan 1, 2010
Journal Article

Patients' Experiences with Care for Lung Cancer and Colorectal Cancer: Findings from the Cancer Care Outcomes Research and Surveillance Consortium

U.S. patients' reports and ratings of cancer care differed significantly by race, language, and health status. Asian/Pacific Islanders, Chinese speakers, and those in worse health reported worse interpersonal care, such as poor communication.

Jan 1, 2010
Journal Article

How Medicare's Payment Cuts for Cancer Chemotherapy Drugs Changed Patterns of Treatment

The Medicare Prescription Drug, Improvement, and Modernization Act reduced payment for certain chemotherapy drugs. The changes increased the likelihood that lung cancer patients received chemotherapy, but physicians switched to other high margin drugs.

Jan 1, 2010
Journal Article

Adverse Events Among the Elderly Receiving Chemotherapy for Advanced Non-Small-Cell Lung Cancer

Older patients receiving chemotherapy for advanced-stage, non-small-cell lung cancer had fewer pretherapy adverse events than younger patients and were less likely to receive platinum-based regimens. But they had more adverse events during chemotherapy.

Jan 1, 2010
Journal Article

Physician Factors Associated with Discussions About End-of-Life Care

Most physicians report they would not discuss end-of-life options with terminally ill patients who are feeling well, instead waiting for symptoms or until there are no more treatments to offer.

Jan 1, 2010
Journal Article

Quality of Cancer Care Among Foreign-Born and US-born Patients with Lung or Colorectal Cancer

Foreign-born cancer patients reported lower quality of care and were less likely to receive some cancer therapies than patients born in the U.S. Better coordination of care and communication regarding cancer treatments may lessen these disparities.

Jan 1, 2010
Journal Article

Variations in Surgeon Treatment Recommendations for Lobectomy in Early-Stage Non-Small-Cell Lung Cancer by Patient Age and Comorbidity

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, 2010
Journal Article

Usual Care Psychotherapy for Depression in a Large Managed Behavioral Health Organization

Many depressed patients are receiving recommended psychotherapy but better tools are needed to monitor and improve the quality of usual psychotherapeutic care.

Jan 1, 2010
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

Caring for the Uninsured with Prostate Cancer: A Comparison of Four Policy Alternatives in California

The objective of the current study was to compare the cost-effectiveness of four policy alternatives in treating this population.

Jan 1, 2010
Journal Article

Correlates of Bother Following Treatment for Clinically Localized Prostate Cancer

Findings of this study suggest that measurement of health related quality of life after prostate cancer treatment should incorporate the distress that patients experience from urinary, sexual, and bowel problems resulting from prostate cancer treatment.

Jan 1, 2010
Journal Article

Hospice Use and High-Intensity Care in Men Dying of Prostate Cancer

This study assessed hospice use by men dying of prostate cancer and compared the use of high-intensity care between those who did or did not enroll in hospice. Those who enroll in hospice are less likely to receive high-intensity end-of-life care.

Jan 1, 2010
Journal Article

Improving Decisions for Men with Prostate Cancer: Translational Outcomes Research

Grouping men with prostate cancer by their baseline function for sexual, urinary and bowel domains helps to discern their likely levels of both and function after treatment.

Jan 1, 2010
Journal Article

Quality of End-of-Life Care in Low-Income, Uninsured Men Dying of Prostate Cancer

The quality of end-of-life care was assessed in disadvantaged men prospectively enrolled in a public assistance program. That end-of-life care would be aggressive, moreso than recommended by quality-of-care guidelines, was hypothesized.

Jan 1, 2010

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RAND Topic:
Cancer

Topic Synonyms:
Carcinoma;
Neoplasms;
Oncology;
Sarcoma

Research conducted by

RAND Health Care