Patient-Centered Cancer Treatment Planning PDF Download

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309212731
Category : Medical
Languages : en
Pages : 78

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Book Description
Each year approximately 1.5 million people are diagnosed with cancer in the United States, most of whom inevitably face difficult decisions concerning their course of care. Recognizing challenges associated with cancer treatment, the National Coalition for Cancer Survivorship (NCCS) and the National Cancer Policy Forum (NCPF) of the Institute of Medicine (IOM) hosted a public workshop in Washington, DC on February 28 and March 1, 2011, entitled Patient-Centered Cancer Treatment Planning: Improving the Quality of Oncology Care. This workshop summary includes an overview of patient-centered care and cancer treatment planning, as well as subject areas on shared decision making, communication in the cancer care setting, and patient experiences with cancer treatment. Best practices, models of treatment planning, and tools to facilitate their use are also discussed, along with policy changes that may promote patient-centeredness by enhancing patient's understanding of and commitment to the goals of treatment through shared decision-making process with their healthcare team from the moment of diagnosis onward. Moreover, Patient-Centered Cancer Treatment Planning emphasizes treatment planning for patients with cancer at the time diagnosis.

Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309474574
Category : Medical
Languages : en
Pages : 115

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Book Description
Delivering high-quality cancer care to all patients presents numerous challenges, including difficulties with care coordination and access. Patient navigation is a community-based service delivery intervention designed to promote access to timely diagnosis and treatment of cancer and other chronic diseases by eliminating barriers to care, and has often been proposed and implemented to address these challenges. However, unresolved questions include where patient navigation programs should be deployed, and which patients should be prioritized to receive navigation services when resources are limited. To address these issues and facilitate discussion on how to improve navigation services for patients with cancer, the National Cancer Policy Forum of the National Academies of Sciences, Engineering, and Medicine held a workshop on November 13 and 14, 2017. At this workshop, a broad range of experts and stakeholders, including clinicians, navigators, researchers, and patients, explored which patients need navigation and who should serve as navigators, and the benefits of navigation and current gaps in the evidence base.

Author: The National Cancer Institute
Publisher: National Academies Press
ISBN: 0309103185
Category : Medical
Languages : en
Pages : 320

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Book Description
One of the key recommendations of the joint IOM and NRC book, From Cancer Patient to Cancer Survivor: Lost in Transition, is that patients completing their primary treatment for cancer be given a summary of their treatment and a comprehensive plan for follow-up. This book answers practical questions about how this "Survivorship Care Plan," including what exactly it should contain, who will be responsible for creating and discussing it, implementation strategies, and anticipated barriers and challenges.

Author: Antonio Macciò
Publisher: Frontiers Media SA
ISBN: 2889457710
Category :
Languages : en
Pages : 104

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Book Description
The lack of recovery prospects in advanced cancer patients has often led to neglect important achievable therapeutic objectives, such as Quality of Life (QL) improvement, aimed at preserving, for as long as possible, patient integration with their family and social environment. In fact, traditional antineoplastic therapy protocols have been for a long time designed to demonstrate an advantage in clinical response and survival but have ignored essential supportive therapies and psychological and social well-being safeguard programs. Recent research of early integrated palliative care, including supportive care, aimed to obtain patient-centered therapeutic objectives. Noteworthy, advanced cancer patients often present a multiplicity of signs and symptoms responsible for physical impairment and reduction of functional abilities with consequent impossibility of carrying out the common daily activities. Additionally, the psycho-emotional integrity, the maintenance of family and social relationships and the spiritual issues contribute substantially to the optimal patients’ QL. Then, in the care of cancer patients their physical, psychological, social and spiritual needs should be globally addressed. In this context, cancer-related symptoms, which often occur in advanced stage cancer patients and can be either improved or worsened by the antineoplastic therapy, should be treated simultaneously with the planning and implementation of the most appropriate antineoplastic therapy. Therefore, any therapeutic approach should ideally be introduced within a context of the “best supportive care”, which includes optimal symptom management. To obtain this scope, the knowledge and awareness of the biological specificity of the disease and patient psychosocial interactions can no longer be considered optional by the multidisciplinary medical team in charge. To date, many of the mechanisms at the basis of the pathogenesis of many cancer-related symptoms are far from being fully understood. Consequently, an effective treatment is yet lacking and represent an unmet need in oncology clinical practice. This Research Topic includes articles in the field of biochemical, and molecular investigations, physiological and clinical studies related to the pathogenesis and potential targeted approaches of some important cancer signs and symptoms. We focused on cachexia, anorexia, muscle wasting, osteopenia, cancer-related anemia, physical inactivity and fatigue. The Research Topic includes Original Research, Review and Perspective articles.

Author: Ping Xia, PhD
Publisher: Springer Publishing Company
ISBN: 0826122671
Category : Medical
Languages : en
Pages : 320

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Book Description
“This is a high quality book with directions and guidelines on how to generate valid treatment plans in the modern era of radiation oncology. It is very useful for any student (dosimetry, therapy, physicist, or physician) who is entering a practical treatment planning rotation...It is written as a companion to the Handbook of Treatment Planning in Radiation Oncology, 2nd edition, Videtic et al. (Demos Medical Publishing, 2015), and pairs very well with it.” Score: 88, 3 Stars, Doody’s Medical Reviews “Comparing with earlier published books about radiotherapy treatment planning, which are prone to the pedagogical side as textbooks, this new book serves an unmet need as a pocket-sized book with details and up to date information for user’s quick resource for treatment planning knowledge... “Strategies for Radiation Therapy Treatment Planning” is a handy and essential reference for modern treatment planning. It is therefore recommended as a valuable book for the bookshelf and pocket of everyone involved in radiotherapy treatment planning.” -- Dr. Chengyu Shi of Memorial Sloan Kettering Cancer Center for Journal of Applied Clinical Medical Physics published by Wiley Periodicals, Inc. Strategies for Radiation Therapy Treatment Planning provides radiation oncologists, physicists, and dosimetrists with a step-by-step guide to implementing external beam treatment plans that meet clinical requirements for each major disease site. As a companion book to the Handbook of Treatment Planning in Radiation Oncology Second Edition, this book focuses on the technical aspects of treatment planning and the major challenges in creating highly conformal dose distributions, referenced to as treatment plans, for external beam radiotherapy. To overcome challenges associated with each step, leading experts at the Cleveland Clinic have consolidated their knowledge and experience of treatment planning techniques, potential pitfalls, and other difficulties to develop quality plans across the gamut of clinical scenarios in radiation therapy. The book begins with an overview of external beam treatment planning principles, inverse planning and advanced planning tools, and descriptions of all components in simulation and verification. Following these introductory chapters are disease-site examples, including central nervous system, head and neck, breast, thoracic, gastrointestinal, genitourinary, gynecologic, lymphoma, and soft tissue sarcoma. The book concludes with expert guidance on planning for pediatric cancers and how to tailor palliative plans. Essential for all radiation therapy team members, including trainees, this book is for those who wish to learn or improve their treatment planning skills and understand the different treatment planning processes, plan evaluation, and patient setup. KEY FEATURES: Provides basic principles of treatment planning Contains step-by-step, illustrated descriptions of the treatment planning process Discusses the pros and cons of advanced treatment planning tools, such as auto-planning, knowledge-based planning, and multi-criteria based planning Describes each primary treatment site from simulation, patient immobilization, and creation of various treatment plans to plan evaluations Includes instructive sample plans to highlight best practices

Author: Aloysious Zziwa
Publisher:
ISBN:
Category :
Languages : en
Pages : 69

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Book Description
Developing a head and neck cancer treatment plan for a candidate of Intensity Modulated Radiation Therapy (IMRT) requires extensive domain knowledge and subjective experience. Therefore, it takes a cancer treatment team at least 2 to 3 days to develop such a plan from scratch. Many times the team may not use a reference plan. Sometimes, to reduce the amount of time taken to generate each treatment plan, these experts recall a patient, whose plan they recently prepared, and who had similar symptoms as the candidate. Using this recalled patient's plan as the starting point, the cancer treatment team modifies it based on the differences in the symptoms of the new candidate and those of the reference patient record. The resultant plan after modification is presented as the new treatment plan for the oncologist to evaluate its suitability for treatment of the candidate. This approach is heavily dependent on the team's choice of the reference patient record. Choosing a starting treatment plan where the patient's symptoms are not the closest to the new candidate implies that more time will be spent modifying the plan than is necessary and the resultant treatment plan may not be the best achievable under the same circumstances given a better starting plan. Therefore, the team's bias in choosing the starting plan may affect the quality of treatment plan that is finally produced for the candidate. This thesis proposes a system that behaves like an un-biased radiotherapy expert - following a similar process and standards as the human experts and which searches the entire IMRT patient database and returns the record (with patient symptoms and treatment plan) for a patient whose symptoms are most similar to the candidate's symptoms. It takes in the new candidate's information (from diagnosis, scans of the tumor and interviews with the candidate), searches the database and prints out a patient record showing another patient's treatment plan as the suggested starting point for generating the new plan. The system uses Case-Based Reasoning (CBR) because it mimics the experts' approach since it makes use of previous successes and shuns reasoning that has failed in the past. This occurs by considering only treatment plans that have been implemented successfully on patients in the hospital archive. For this thesis, CBR is applied using fuzzy IF-THEN rules to search the patient database. Fuzzy logic is used because it can handle imprecise expressions commonly used in natural language to determine the appropriate weight of the patient attributes in the search process. Filtering of patient records based on parameter value ranges is also used to reduce the number of records that have to be compared. The system code developed for this thesis was prepared in Java and C Language Integrated Production System (CLIPS) using the Java Expert System Shell (JESS). This system is part of a bigger expert system that is being prepared by the Intelligent Systems Applications Center (ISAC) for Thomas Jefferson University Hospital, expected to generate a radiotherapy plan for a patient designated for IMRT treatment. Initial results from the developed prototype prove the viability of selecting similar patients using CBR. It is important to note that the overall objective of the project is to build a system that effectively aids decision support by the IMRT team when generating a new treatment plan and not to replace them. The team is expected to use the generated plan as a starting point in determining a new treatment plan. If the generated plan is sufficient, the oncologist and their team will have to check this plan (in their various capacities) against expected standards for quality control before passing it on for implementation. This will save them time in planning and allow them to focus more on the patient's needs hence a higher quality of life for the patient after treatment.

Author: Committee on Improving the Quality of Cancer Care: Addressing the Challenges of an Aging Population
Publisher: National Academies Press
ISBN: 9780309286602
Category : Medical
Languages : en
Pages : 0

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Book Description
In the United States, approximately 14 million people have had cancer and more than 1.6 million new cases are diagnosed each year. However, more than a decade after the Institute of Medicine (IOM) first studied the quality of cancer care, the barriers to achieving excellent care for all cancer patients remain daunting. Care often is not patient-centered, many patients do not receive palliative care to manage their symptoms and side effects from treatment, and decisions about care often are not based on the latest scientific evidence. The cost of cancer care also is rising faster than many sectors of medicine--having increased to $125 billion in 2010 from $72 billion in 2004--and is projected to reach $173 billion by 2020. Rising costs are making cancer care less affordable for patients and their families and are creating disparities in patients' access to high-quality cancer care. There also are growing shortages of health professionals skilled in providing cancer care, and the number of adults age 65 and older--the group most susceptible to cancer--is expected to double by 2030, contributing to a 45 percent increase in the number of people developing cancer. The current care delivery system is poorly prepared to address the care needs of this population, which are complex due to altered physiology, functional and cognitive impairment, multiple coexisting diseases, increased side effects from treatment, and greater need for social support. Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis presents a conceptual framework for improving the quality of cancer care. This study proposes improvements to six interconnected components of care: (1) engaged patients; (2) an adequately staffed, trained, and coordinated workforce; (3) evidence-based care; (4) learning health care information technology (IT); (5) translation of evidence into clinical practice, quality measurement and performance improvement; and (6) accessible and affordable care. This report recommends changes across the board in these areas to improve the quality of care. Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis provides information for cancer care teams, patients and their families, researchers, quality metrics developers, and payers, as well as HHS, other federal agencies, and industry to reevaluate their current roles and responsibilities in cancer care and work together to develop a higher quality care delivery system. By working toward this shared goal, the cancer care community can improve the quality of life and outcomes for people facing a cancer diagnosis.

Author: Nancy Y. Lee
Publisher: Springer
ISBN: 3319424785
Category : Medical
Languages : en
Pages : 393

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Book Description
This handbook is designed to enable radiation oncologists to treat patients appropriately and confidently by means of particle therapy. The orientation and purpose are entirely practical, in that the focus is on the physics essentials of delivery and treatment planning , illustration of the clinical target volume (CTV) and associated treatment planning for each major malignancy when using particle therapy, proton therapy in particular. Disease-specific chapters provide guidelines and concise knowledge on CTV selection and delineation and identify aspects that require the exercise of caution during treatment planning. The treatment planning techniques unique to proton therapy for each disease site are clearly described, covering beam orientation, matching/patching field techniques, robustness planning, robustness plan evaluation, etc. The published data on the use of particle therapy for a given disease site are also concisely reported. In addition to fully meeting the needs of radiation oncologists, this "know why" and “know how” guide to particle therapy will be valuable for medical physicists, dosimetrists, and radiation therapists.

Author: Jessica L. Turgon
Publisher: Healthleaders Media, a Division of Blr
ISBN: 9781601468666
Category : Cancer
Languages : en
Pages : 0

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Book Description
Oncology: Strategies for Superior Service Line Performance ECG Management Consultants, Inc.; Matthew R. Sturm; Jessica L. Turgon The evolution of the oncology payment model and pressure to provide more patient-centered care are leading many healthcare organizations to transform the oncology care model in their communities by offering more coordinated and comprehensive services that provide high quality for patients and high value to payers. Hospitals and health systems are developing service line structures that improve clinical and financial performance, encourage physician involvement, and create a distinct brand in the marketâ "ultimately gaining a competitive advantage. Gain realistic strategies and business guidance from oncology leaders to develop the structures and processes for oncology service line success, including how to: Navigate the challenges of oncology reimbursement Achieve clinical integration in the oncology care model Create aligned physician relationships Simplify strategic planning for oncology services Capitalize on clinical research opportunities Establish multidisciplinary teams and support services that improve quality and access to care Table of contents Chapter 1: Strategic Planning for Oncology Services Step 1: Understanding the Content of an Oncology Strategic Plan Step 2: Planning to Plan: How to Get From Here to There Step 3: Learning About the Organizationâ (TM)s Capabilities and the Market Step 4: Identifying What the Organization Wants to Accomplish Step 5: Making It Happen Chapter 2: Creating a Successful Oncology Service Line Introduction to Service Line Principles Key Elements for Service Line Success Implementation Issues The Future for Oncology Service Line Chapter 3: The Importance of Governance and Leadership Oncology Governance Structures Oncology Service Line Leadership Managing Performance Chapter 4: Creating Aligned Physician Relationships Affiliation Models Physician Alignment Planning Proces Chapter 5: Key Elements of a Successful Oncology Transaction Definition of the Transaction Goals Business Planning Development of the Organizational Structure Development of Key Terms Implementation Chapter 6: Navigating the Challenges of Oncology Reimbursement Keys to Oncology Reimbursement: Legislation, Drugs, Professional Fees Implications for Hospitals Other Reimbursement Trends Chapter 7: Clinical Integration and the Oncology Care Model Coordinating Cancer Care: The Importance of the Navigator Role New Approach to Treatment Planning: Multidisciplinary Care Complementary and Alternative Medicin Chapter 8: Academic Cancer Centers Clinical Departments and Implications for Academic Cancer Centers Governance Models in AMCs Call for AMC-Wide Financial Integration Chapter 9: Maximizing Clinical Research Operations Research Overview Best Practices in Research Program Planning Why Billing for Clinical Trials Is So Complex The Nuts and Bolts of Billing for Clinical Trials The Last Step: Audit Process and Performance

Author: Mahmoud Aljurf
Publisher: Springer Nature
ISBN: 3030820521
Category : Medical
Languages : en
Pages : 192

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Book Description
This open access book provides a valuable resource for hospitals, institutions, and health authorities worldwide in their plans to set up and develop comprehensive cancer care centers. The development and implementation of a comprehensive cancer program allows for a systematic approach to evidence-based strategies of prevention, early detection, diagnosis, treatment, and palliation. Comprehensive cancer programs also provide a nexus for the running of clinical trials and implementation of novel cancer therapies with the overall aim of optimizing comprehensive and holistic care of cancer patients and providing them with the best opportunity to improve quality of life and overall survival. This book's self-contained chapter format aims to reinforce the critical importance of comprehensive cancer care centers while providing a practical guide for the essential components needed to achieve them, such as operational considerations, guidelines for best clinical inpatient and outpatient care, and research and quality management structures. Intended to be wide-ranging and applicable at a global level for both high and low income countries, this book is also instructive for regions with limited resources. The Comprehensive Cancer Center: Development, Integration, and Implementation is an essential resource for oncology physicians including hematologists, medical oncologists, radiation oncologists, surgical oncologists, and oncology nurses as well as hospitals, health departments, university authorities, governments and legislators.