treatment – Oral Cancer News

Race can affect outcomes in head-and-neck cancers

Source: www.usnews.com Author: Cara Murez HealthDay Reporter Black patients with head-and-neck cancers have twice the death rates of white patients, and a new study suggests race itself underlies those differences. “What is unique about our study is it strongly supports the conclusion that black patients seem to respond to therapy differently than white patients,” said study author Dr. Jeffrey Liu. He is an associate professor in the division of head and neck surgery at Fox Chase Cancer Center and the Lewis Katz School of Medicine at Temple University, in Philadelphia. Past research has found that factors such as economic status and access to health care also contribute to these issues. For this study, the researchers used data from a clinical trial by the nonprofit Radiation Therapy Oncology Group. Patients in such a trial are by design similar for factors such as age, health status and cancer stage. Once enrolled, they also receive largely the same cancer care, which is not true in the general population where access and quality of care can vary. For this study, 468 black head-and-neck cancer patients were compared with white patients who received the same treatment. While researchers expected similar outcomes for both groups, in 60% of the matched pairs, white patients had better survival than black patients, the study found. “Using self-reported race, we see a difference in how these groups respond to the same treatment,” Liu said in a cancer center news release. Race is a social construct rather than biological, he noted, [...]

Oral Cancer Foundation News Team - A2022-12-19T11:19:56-07:00December, 2022|Oral Cancer News|

Parking fees at cancer treatment centers can substantially impact costs of care

Source: www.healio.com Author: John DeRosier Parking costs at cancer treatment centers — including those with the highest standard of care — can be a source of financial toxicity for patients and caregivers, according to a research letter published in JAMA Oncology. “When my husband was treated for cancer, we paid over $15 a day for parking,” Fumiko Chino, MD, radiation oncologist at Memorial Sloan Kettering Cancer Center, told Healio. “These costs were just a small fraction of our total costs for his care, but they seemed unusually cruel. I felt like we were being nickeled-and-dimed when we were at our most vulnerable. “Many of my patients have told me similar stories; for some of them, parking costs can determine whether they will participate in a clinical trial or will get the recommended treatment for their cancer,” Chino added. Chino and colleagues obtained parking fees from the 63 NCI-designated cancer treatment centers through online searches or phone calls between September and December 2019 to determine parking costs for the treatment duration of certain cancers. Researchers documented city cost-of-living score — with New York City as the base city with a score of 100 — median city household income, center address transit score (0-24 = minimal transit options; 90-100 = world-class public transportation) and discount availability. They used a zero-inflated negative binomial model to evaluate associations between parking costs and city variables, and Pearson correlation for binary variables. Researchers estimated parking costs for treatment of node-positive breast cancer (12 daily rates plus [...]

Oral Cancer Foundation News Team - A2020-07-17T06:12:37-07:00July, 2020|Oral Cancer News|

Tackling side effects in head and neck cancer treatment – the end of the road for hyperbaric oxygen?

Source: Cancer Research UK Date: May 2, 2019 Author: Katie Roberts Some side effects appear years after cancer treatment. That’s the case for one side effect of radiotherapy for head and neck cancer, called osteoradionecrosis. This painful condition results from damage to the jaw bone, which often doesn’t heal properly and can cause bone fractures or even bone death. It can develop without an obvious trigger, but it’s often linked to dental work like tooth extractions or implants. And it can happen even if the dental work is carried out 20 years after radiotherapy. Professor Richard Shaw, a Cancer Research UK-funded head and neck surgeon at the University of Liverpool, treats the difficult condition quite frequently through reconstructive surgery. Shaw says that these procedures are often bigger and harder than patients’ original cancer surgery, because they’ve already had so much treatment in that area. For that reason, researchers have looked for ways to prevent osteoradionecrosis from developing. And that’s where hyperbaric oxygen comes in. It started with a small trial in the 80s, which has influenced the way doctors prepare patients for dental surgery ever since. But new Stand Up To Cancer trial data, led by Shaw and published in the International Journal of Radiation Oncology, shows the hyperbaric oxygen hype may have been a bit premature. The trial of hyperbaric oxygen Back in the 1980s, a small trial in the US showed that giving hyperbaric oxygen before dental surgery could reduce the risk of osteoradionecrosis developing. What is hyperbaric oxygen therapy? Hyperbaric oxygen treatment involves [...]

Charlotte Parker2019-05-06T10:21:09-07:00May, 2019|Oral Cancer News|

When Is Insurance Not Really Insurance? When You Need Pricey Dental Care.

May 21, 2018 By: David Tuller Source: https://khn.org I’m 61 years old and a San Francisco homeowner with an academic position at the University of California-Berkeley, which provides me with comprehensive health insurance. Yet, to afford the more than $50,000 in out-of-pocket expenses required for the restorative dental work I’ve needed in the past 20 years, I’ve had to rely on handouts — from my mom. This was how I learned all about the Great Divide between medicine and dentistry — especially in how treatment is paid for, or mostly not paid for, by insurers. Many Americans with serious dental illness find out the same way: sticker shock. For millions of Americans — blessed in some measure with good genes and good luck — dental insurance works pretty well, and they don’t think much about it. But people like me learn the hard way that dental insurance isn’t insurance at all — not in the sense of providing significant protection against unexpected or unaffordable costs. My dental coverage from UC-Berkeley, where I have been on the public health and journalism faculties, tops out at $1,500 a year — and that’s considered a decent plan. Dental policies are more like prepayment plans for a basic level of care. They generally provide full coverage for routine preventive services and charge a small copay for fillings. But coverage is reduced as treatment intensifies. Major work like a crown or a bridge is often covered only at 50 percent; implants generally aren’t covered at all. [...]

Charlotte Parker2018-05-21T09:32:46-07:00May, 2018|Oral Cancer News|

Cancer survivors are transforming their radiation masks into art

Source: www.artsy.net Author: Ryan Leahey Photos by Ulf Wallin Photography In a Baltimore basement, behind foot-thick walls, there is a room, and in that room there is a table. Every morning, Monday through Friday for seven weeks, my dad entered the room at 7:40 a.m. sharp. I accompanied him there on a few occasions, sitting outside in the waiting room as the door closed behind him. A minute or two would pass, followed by a barely audible buzz, then the door would slide open again and he’d walk out, another radiation treatment X’d off the calendar. My dad’s experience in that room, one of many in the Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins University, will be familiar to other throat cancer patients. A radiation technician bolted him down to the table with the help of a white mesh mask perfectly molded to the contours of his face. Wrapped tightly around his head and neck, the bizarre-looking armature ensured that powerful radiation beams targeted his cancer in the exact same position each session, even as his skin deteriorated and his body mass dropped. Before his first treatment, he had been measured and fitted for his own custom mask. Plastic mesh was draped over his face until it hardened, forming a new face—what some patients call their second skin. For my dad, the object came to symbolize something, just as it symbolizes something for me, our family, and for the countless other people who have survived or helped [...]

Oral Cancer Foundation News Team - A2018-01-23T07:43:41-07:00January, 2018|Oral Cancer News|

The Journey of a “Doctor” Who Joined the Cult of Alternative Medicine and Then Broke Out of It

Source: flipboard.com Author: Akshat Rathi Date: September 30, 2017 One Friday afternoon in May 2014, Britt Hermes was scheduled to treat one of her cancer patients with an injection of Ukrain. This wasn’t especially unusual; people often came to Hermes, a naturopath in Arizona, for the treatment. That day, though, an expected shipment of the drug hadn’t arrived, and Hermes’s patients weren’t happy. They had been promised that Ukrain given on a strict schedule would help them when nothing else was working. So she asked her boss what was going on. “In response, he made an off-hand remark: ‘Oh don’t worry. Most likely the FDA [Food and Drug Administration] confiscated it. It’ll just arrive late,’” Hermes recalls today. When she asked him what he meant, he fumbled. “He realized that he may have said something he shouldn’t have.” Complementary medicine therapies drawn from traditional practices, ranging from massage and vitamin supplements to acupuncture and meditation, are today becoming broadly incorporated into mainstream medicine as more scientific studies validate their efficacy. But naturopathy, a belief system built on the concept that “nature knows best” when it comes to healing, takes it a step further. Practitioners use a host of pseudoscientific techniques including energy healing and homeopathy that can be not only ineffective, but dangerous. Instead of thinking about the techniques as adjunct therapies to proven modern medicine, many naturopaths will reject the pharmaceuticals and other treatments that we know save lives. Over her seven years of training and practice, Hermes had [...]

Charlotte Parker2017-10-29T20:11:46-07:00October, 2017|Oral Cancer News|

Treatment That’s Easy to Swallow in HPV+ Throat Cancer

Source: Medscape.com Author: Nick Mulcahy Date: September 27, 2017 SAN DIEGO, California ― Daniel Ma, MD, of the Mayo Clinic in Rochester, Minnesota, treats a lot of relatively young patients with human papillomavirus (HPV)-related oropharyngeal cancers who are cured by various standard combinations of surgery, radiation therapy and chemotherapy and then have "another 30 to 40 years of life ahead of them." But that life expectancy can be marred by the "potentially life-altering side effects" of standard treatment, including dry mouth, loss of taste, and, in about one half of patients, difficulty swallowing, he said. These patients inspired the genesis of Dr. Ma's phase 2 study of an "aggressive dose de-escalation" of adjuvant radiation in this setting, he said. The investigators evaluated experimental radiation doses of 30 to 36 Gy, which is a 50% reduction from the current standard of 60 to 66 Gy. At a median of 2 years' follow-up among 80 patients, the treatment de-escalation has resulted in locoregional control rates comparable to historical controls, low toxicity, and, perhaps most notably, no decrement in swallowing function or quality of life, Dr. Ma reported here at the American Society for Radiation Oncology (ASTRO) 2016 Annual Meeting. The toxicity and swallowing results are "the most exciting data," Dr. Ma told a standing-room-only crowd at a meeting session today. "It's the first clinical trial in head and neck cancer to demonstrate no injury to swallowing function after radiation," he told Medscape Medical News. In other words, patients' ability to swallow was no [...]

Charlotte Parker2017-10-29T20:12:22-07:00September, 2017|Oral Cancer News|

Suicide: A Major Threat to Head and Neck Cancer Survivorship

Source: www.jco.ascopubs.comAuthors: Nosayaba Osazuwa-Peters, Eric Adjei Boakye, and Ronald J. Walker , Mark A. Varvares TO THE EDITOR: The article by Ringash that was recently published in Journal of Clinical Oncology provided a compelling narrative of both the improvements made in head and neck cancer survivorship, as well as the challenges created by longer-term treatment and associated toxicities. There are currently at least 280,000 head and neck cancer survivors in the United States. As the article by Ringash stated, the upturn in head and neck cancer survivorship in the last three decades has coincided with the emergence of human papilloma virus-positive oropharyngeal cancer, as well as a decrease in tobacco use in the general population. These make it a challenge to isolate survival gains as a function of improved therapy from the natural prognostic value of a diagnosis of human papilloma virus-positive oropharyngeal cancer. Whatever the case, the fact that more than one-quarter million Americans are currently alive after a diagnosis of head and neck cancer means there needs to be a more deliberate effort in longer-term management of treatment-related toxicities, some of which are lifelong. We agree with Ringash’s conclusion that new models of care need to be developed in response to the significant quality-of-life issues faced by patients with head and neck cancer. The Institute of Medicine publication From Cancer Patient to Cancer Survivor: Lost in Transition, also cited by Ringash, called for a clear individualized survivorship plan for cancer patients. There is a serious need for this model to [...]

Charlotte Parker2016-03-24T15:06:02-07:00March, 2016|Oral Cancer News|

Patient Support in Oral Cancer: From Sydney to New York to London, survivors and patients interact through an important portal to get through difficult times

Source: www.prnewswire.comAuthor: Press Release NEWPORT BEACH, Calif., Sept. 28, 2015 -- The word "cancer" will incite fear in anyone. When that word comes at the end of a sentence that began with your name, the impact can be life changing. "I had a great job, a beautiful house and a happy family life," recalls oral cancer survivor and Oral Cancer Foundation (OCF) Director of Patient Support Services, Christine Brader. "All that changed once I got sick." Those affected by oral cancer, like Christine, are saddled not only with the physical challenges of treating and surviving the disease, but they must also live with the emotional uncertainty and anxiety that accompanies a diagnosis. OCF's Patient Support Forum (oralcancersupport.org) was created specifically to provide patients with the information, guidance, and support they need to face a cancer diagnosis. Now in its 15th year, it has helped tens of thousands navigate a difficult path. It was nearly 16 years ago that oral cancer survivor and OCF founder Brian Hill began his search for answers. "When I was first diagnosed," Hill recalls, "I was scrambling for the right information. Once inside the treatment world I was faced with decisions about which treatment path was right for me, uncertainties of what would lay ahead, the arrival of complications unexpected, pain, and ultimately a sense of the loss of control and a resulting fear." While hospital support groups and some online chat rooms existed at the time, they fell short of providing the insights, guidance and accessibility necessary [...]

Charlotte Parker2015-09-29T10:04:16-07:00September, 2015|OCF In The News, Oral Cancer News|

Marathoner Harriette Thompson, 92, runs to her own inspiring rhythm

Source: http://espn.go.com/ Author: Lynn Olszowy Harriette Thompson has found a clever way to pass the time when she runs marathons. The classically trained concert pianist imagines her favorite pieces of music. "When I'm in a place that might be pretty boring, I run to some music in my mind," she explained. "I hardly know I'm running when I'm thinking about that." Over the weekend, musical thoughts helped Thompson run into the history books for the second year in a row. Last year, she broke the marathon record by a woman over 90 by more than two hours. On Sunday, she became the oldest woman to ever complete a marathon at the age of 92 years, 65 days. Two days later, she had a spring in her step. "I feel like a million dollars right now," Thompson said Tuesday from her home in a Charlotte, North Carolina, retirement community. "I think it must do something to your life system or something that makes you feel up on top of the world after you've done a marathon." Throughout her 7 hours, 24 minutes and 36 seconds of running, she had Russian composer Sergei Rachmaninoff and his Prelude in D Major keeping her company. "It's fun to just think about it because I think it's one of his most beautiful preludes," she said over the phone Tuesday. But there was something else that occupied Thompson's mind while she ran the 26.2 miles of Sunday's San Diego Rock 'n' Roll Marathon. "I also think [...]

Oral Cancer Foundation News Team - A2015-06-03T06:48:53-07:00June, 2015|Oral Cancer News|