Two Hundred Years of Cancer Research — NEJM
Two Hundred Years of Cancer Research — NEJM
Excellent article from NEJM; the full article available at above link.
"Be the change that you wish to see in the [oncology and palliative] world." -- Mahatma Gandhi [adapted]
Two Hundred Years of Cancer Research — NEJM
Excellent article from NEJM; the full article available at above link.
More Breast Cancer Treatments Hinted in Study - NYTimes.com: "In findings that are fundamentally reshaping the scientific understanding of breast cancer, researchers have identified four genetically distinct types of the cancer. And within those types, they found hallmark genetic changes that are driving many cancers.
These discoveries, published online on Sunday in the journal Nature, are expected to lead to new treatments with drugs already approved for cancers in other parts of the body and new ideas for more precise treatments aimed at genetic aberrations that now have no known treatment.
The study is the first comprehensive genetic analysis of breast cancer, which kills more than 35,000 women a year in the United States. The new paper, and several smaller recent studies, are electrifying the field.
“This is the road map for how we might cure breast cancer in the future,” said Dr. Matthew Ellis of Washington University, a researcher for the study."
| English: Mario Lemieux at the HSBC Arena in Buffalo. (Photo credit: Wikipedia) |
Pain Management - Oncology News Article | Onabotulinumtoxina for treatment of focal cancer pain after surgery and/or radiation |4134185
Excerpt:
Pain Medicine, 07/17/2012 Clinical Article
Mittal S et al. – Local treatment with onabotulinumtoxinA can significantly reduce pain and improve quality of life in cancer patients suffering from pain in the area of surgery and radiation and was well tolerated in cancer patients.
Methods
Authors studied the effect of onabotulinumtoxinA in seven cancer patients who suffered from severe focal pain (visual analog scale >5) at the site of local surgery or radiotherapy or both.
OnabotulinumtoxinA (20–100 units) was injected into the focal pain areas (skin or muscle or both).
Five of seven patients were followed beyond 1 year (1.5–5 years) with repeat treatment.
Results
All seven patients reported a significant improvement in pain (mean drop in visual analog scale score of 5.1).
They described their response on the patient global assessment as satisfactory (two patients) or very satisfactory (five patients).
Six of seven patients found the pain relief associated with significant improvement in quality of life.
One patient developed weakness of jaw muscles after bilateral masseter injection that was not observed during second injection (reduced dose).
Improvements with treatment persisted with repeat injections during long–term follow–up (five patients). "
| TEDatNewYork_0726_IMG_2149_1920 (Photo credit: TED Conference) |
| Leo Tolstoy 1848 (Photo credit: Wikipedia) |
Pain Medicine News - Is It Time To Change the Way We Report Pain?
Excerpt:
"A study by the Initiative on Methods, Measurement, and Pain Assessment in Clinical Trials (IMMPACT) found that, in addition to the importance of assessing pain relief and improvement in physical and emotional functioning, a comprehensive outcome measure must also consider changes in “fatigue, sleep, home and family care, social and recreational activities, interpersonal relationships, and sexual activities.”13 In 2005, IMMPACT recommended several core outcome measures to be used in clinical trials14; however, few of these measures were designed specifically to evaluate the efficacy of pain management treatments, or were normed on a pain population (e.g., Beck Depression Inventory, Profile of Mood States, etc.). Casarett et al15 found that in addition to the reduction of pain, patients commonly cited improvement in sleep and increased ability to function as meaningful clinical end points. Moreover, Robinson et al16 found patients considered decreased fatigue, distress and interference as indicators of treatment success.
In response to these concerns, the global pain scale (GPS) was created. The GPS was designed to capture the multidimensionality of pain but also to provide a single score that could be used to track changes (e.g., as the result of a clinical intervention).17 Rooted in the biopsychosocial model, the GPS assesses physical pain, affective effects of pain, specific clinical outcomes, and the degree to which the pain interferes with ADLs.
We believe the GPS can be used as a standardized measure of treatment efficacy. It uniquely tracks clinical outcomes after a pain-relieving treatment has been initiated. The GPS can be administered to the patient in the waiting room and scored by the support staff, thus resulting in a robust assessment of pain in one numerical score that the physician can employ to formulate treatment plans. For research, the GPS can be used to measure pain scores and to follow pain treatment efficacy. The GPS is available free for physicians’ use in their practices or research studies, at http://www.paindoctor.com/global-pain-scale .
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