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ACS CANCER PROGRAMS UPDATES |
Cancer articles featured in the Bulletin of the American College of Surgeons
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An article in this month’s issue of the Bulletin explores the ramifications of the growing burden of “financial toxicity” for both cancer patients and surgeons. Cancer is now the second most expensive disease in the U.S., with an estimated health care cost of $124 billion in 2010 that is expected to rise to $157 billion in 2020.
A second article explores minimally invasive approaches to diagnostic lymph node biopsy in melanoma patients. Authors from the American College of Surgeons Clinical Research Program highlight the widespread variation in clinicians’ approaches to treatment.
Wall Street Journal cites CoC Standards
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In the article “You’ve Survived Cancer. What Comes Next?” Wall Street Journal reporter Laura Landro reviews the approaches health care professionals and institutions are taking to support cancer survivors. She cites Commission on Cancer (CoC) accreditation survivorship standards and quotes CoC Chair Lawrence Shulman, MD, FACP:
“The health care industry is facing increasing pressure to adapt to such success (increasing rates of survivorship). In 2015, the Commission on Cancer, a program of the American College of Surgeons, began requiring that as a condition of accreditation, hospitals provide patients with a survivorship-care plan.
But studies have since concluded that outcomes aren’t improved by just offering patients a one-time survivorship-care plan when they end treatment. Starting next year, hospitals will be encouraged but not required to provide the plans, and instead will have a new, broader mandate to create formal long-term follow-up programs that provide ongoing assessments and interventions to manage survivor issues,” according to Lawrence Shulman, Chair of the Commission on Cancer and deputy director for clinical services at the University of Pennsylvania’s Abramson Cancer Center.
“We continue to learn more about the short- and long-term effects and complications of therapy, and patients’ problems today may be very different in a year or in five years,” Dr. Shulman says.
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SERVICE SHOWCASE | Advertisement
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Doctors Without Borders/Médecins Sans Frontières (MSF) is actively recruiting general and trauma surgeons with experience in emergency obstetrics for international missions in developing countries. Learn more
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Focus Groups make progress on ideas for implementing Operative Standards
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A call for focus group participants for operative standards implementation went out five weeks ago and 400 of you replied and 18 have participated in the first two calls. Thank you!
Two groups composed of diverse stakeholders including cancer surgeons, registrars, surveyors, cancer care coordinators and administrators reviewed the six new operative standards and identified potential barriers, as well as ideas for overcoming these barriers, to implementation of the standards. Early results suggest that the technical requirements are clearly written, but there may be some clinical practice gaps to be addressed in order for surgeons to meet the technical standards and adapt their operative reports to include synoptic documentation of critical elements.
The focus groups next identified ways to make the standards more widely available, such as through downloadable PDFs in the public domain, websites with bookmarks and/or APPs and ways to make the content more clearly understood through short, 10-minute webinars. Creating options for how surgeons could document surgical standards in their electronic health record, with dot phrases or templates, would likely be well received and will help with review and abstraction of the records for compliance. The groups also encouraged dissemination of the standards through other societies and organizations to help get the word out. For next steps, the expert panels will build educational and dissemination content and review the materials with the focus groups.
Stay tuned, and plan to attend the Commission on Cancer Plenary Session during ACS Clinical Congress in San Francisco on October 27, 2019 where you can bring your questions to the expert panels. Contact ACScancerprograms@facs.org with any questions.
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Download Breast Cancer Awareness Month poster
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 October is Breast Cancer Awareness Month. The National Accreditation Program for Breast Centers (NAPBC) and the Commission on Cancer (CoC) encourage your program to promote Breast Cancer Awareness Month and use it as an opportunity to display and publicize your accreditation status. To help you promote this event within your program, to your patients, and to your community, the NAPBC and CoC have created a poster that you can download and print to display.
Let your patients and community know of your commitment to the delivery of high-quality care by accessing your poster (and other materials) as follows:
Centers solely accredited by the NAPBC
- Log in to the NAPBC Portal.
- Open the Resources Tab.
- Scroll to the bottom of the page and click on the NAPBC Marketing Resources link.
- Download and print the Breast Cancer Awareness Month Poster.
- Download the artwork for a poster and banner stand to help you promote your NAPBC accreditation.
Programs that are accredited by the CoC solely and/or by both the CoC and NAPBC:
- Log in to CoC Datalinks.
- Click on the CoC-Accredited Cancer Program Marketing Materials link.
- Download and print the Breast Cancer Awareness Month Poster.
- Download the artwork for a poster and banner stand to help you promote your CoC accreditation.
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The VTI 8 MHz Surgical Doppler is FDA cleared for intraoperative evaluation of vasculature, unlike some other Doppler systems. The sterile, single-use probes help to ensure your patient's safety, offer reliability with every use, and can be itemized as a billable supply.
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Update your CAnswer Forum e-mail address and notification settings
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In order to make sure you are receiving the latest CAnswer Forum information, please take a few minutes to verify the accuracy of your e-mail address and notification settings in CAnswer Forum.
1. Log in to CAnswer Forum.
2. Click the downward arrow by your name.
3. Click on User Settings.
4. Click on the Account tab to review and update your information as needed. Save your changes.
5. Click on the Notifications tab and update your settings. Save your changes.
Detailed instructions are available on the CAnswer Forum website. If you have additional questions, please contact the Cancer Programs staff via e-mail.
Lean about the latest advances in cancer care at Clinical Congress 2019
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American College of Surgeons (ACS) Cancer Programs will offer a range of educational sessions at the Clinical Congress 2019. Scheduled programming is as follows:
Monday
- Panel Session: Multidisciplinary Management of Breast Cancer
- Panel Session: Clinical Trials in Personalized Medicine in Oncology
Tuesday
- Special Interest Session: Cracking the Code to Clinical Trial Enrollment: How to Start and Who Can Help
- Panel Session: Optimizing Outcomes of Rectal Cancer in 2019
- Panel Session: Gastric and Gastroesophageal Junction Cancer: Latest Advances
- Panel Session: Management of the Nodal Basin in the Melanoma Patient
- Panel Session: Management of Peritoneal Malignancies: Emerging Data in Heated Intraperitoneal Chemotherapy (HIPEC) and Other Strategies
Wednesday
- Panel Session: Immunotherapy in the Treatment of Solid Tumors: Emerging Roles of the Surgeon
- Special Session: Cancer Surgery and Quality of Care Standards
- Meet-the-Expert Session: Improving Outcomes in Bladder Cancer Surgery: Important Advances in Care
- Commission on Cancer Oncology Lecture: Pancreatic Cancer: Progress and Prospects
- Panel Session: What's New in the Management of Pancreatic Cancer?
To learn more about ACS Cancer Programs, visit ACS Central in the Moscone Center Exhibit Hall.
The NCDB PUF application is now open
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The National Cancer Database’s (NCDB) Participant User File (PUF) application process is now open. The NCDB will accept submissions for site-specific files, which include cases diagnosed between 2004 and 2016. The application period will now be open year-round, except for brief scheduled maintenance or brief updates. The 2017 PUF data is anticipated to be available in early 2020.
One change of note in this release of the PUF is that applicants will have the option of requesting a technical review of proposals for feasibility. Although it is not required to request a technical review, applicants are encouraged to do so, especially if they are new PUF users.
More information on the PUF submission process is available on the Cancer Programs website or by e-mailing the NCDB technical staff at NCDB_PUF@facs.org.
HEALTH CARE NEWS AND UPDATES |
Medscape
Obesity has been linked to an increased risk for at least 13 types of cancers. A new study has found that these types of cancers may be increasing disproportionately among younger people in the United States.
During the past 17 years, new diagnoses of obesity-associated cancers increased particularly among those aged 50–64 years, while rates of new diagnoses decreased among those aged 65 years or older. In the past, obesity-associated cancer developed more commonly among older individuals.
READ MORE
Medical Xpress
In early test tube and mouse studies, investigators at Johns Hopkins Medicine and the Johns Hopkins Kimmel Cancer Center have found that nonmuscle myosin IIC (MYH14), a protein activated in response to mechanical stress, helps promote metastatic behavior in pancreatic cancer cells, and that the compound 4-hydroxyacetophenone (4-HAP), known to stiffen myosin IIC-containing cells, can send it into overdrive, overwhelming the ability of cells to invade nearby tissue.
READ MORE
Medpage Today
At the recent 2019 ASCO annual meeting in Chicago, Daniel McFarland, DO, of Memorial Sloan Kettering Cancer Center, discusses some simple maneuvers that can give the physician more free time to explore their own interests, in hopes to prevent burnout and depression that can lead to suicide.
READ MORE
Medscape
The US Food and Drug Administration (FDA) issued a warning today that the commonly prescribed breast cancer therapies known as cyclin-dependent kinase 4/6 (CDK 4/6) inhibitors may cause rare but severe inflammation of the lungs.
READ MORE
Cancer Network
The Early CDT-Lung test of several blood biomarkers was able to reduce the number of late-stage lung cancers compared to standard care in a screening trial of more than 12,000 high-risk individuals in Scotland.
READ MORE
Medical News Today
Researchers keep on developing new drugs to fight cancer, and while some are indeed effective, others never fulfill their promise. A new study now explains why many cancer drugs may not work in the way their developers think they do. But within the problem also lies the solution.
READ MORE
Yale Insights
Prostate cancer is one of the biggest killers of men in the U.S., and early screening by blood test can identify potentially life-threatening disease — but the current biopsy procedures that follow positive blood tests can also lead to frequent overtreatment. A new study led by Yale SOM’s Arthur J. Swersey, using decision analysis techniques, finds that increasing the number of biopsy needles and using probability modeling to analyze the results can help prevent unnecessary treatment while identifying dangerous cancers.
READ MORE
Science
Despite recent successes in the treatment of solid tumors using highly promising immunotherapeutic agents, the prognosis for most cancer patients remains dire. Only a small subset of patients responds well to PD(L)-1 immune checkpoint inhibitors, while the majority either fail to respond, experience rapid tumor recurrence after initial treatment success, or are overcome by severe toxicities that restrict further treatment options.
READ MORE
IMPORTANT DATES AND DEADLINES |
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| The Brief
Connect with AJCC

Connect with CoC

Connect with NAPBC

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Colby Horton, Vice President of Publishing, 469-420-2601 | Download media kit Ashley Harrington, Senior Content Editor, 469-420-2642 | Contribute news
Disclaimer: The Brief is a digest of news selected for the American College of Surgeons Cancer Programs from thousands of sources by the editors of MultiBriefs, an independent organization that also manages and sells advertising. The American College of Surgeons and Cancer Programs do not endorse any of the advertised products and services. Opinions expressed in the articles are those of the authors and not of the American College of Surgeons, and the Cancer Programs.
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