OBR Daily Commentary

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Smokers Who Quit Have Less Aggressive Kidney Cancer

(Reuters) Apr 19, 2011 - Researchers have found that kidney cancer is not only more common among heavy smokers, it also appears to be more aggressive.

Robert A. Figlin, MD., FACP (Posted: April 20, 2011)

quotesRenal Cell Carcinoma is a smoking-related disease as one of its risk factors for development. The authors support the observation as seen in other smoking- related diseases (i.e., lung cancer) that patients who do not smoke, or, have stopped smoking, when compared to those who continue to smoke have a better prognosis. The relationship of smoking and the relative aggressiveness of kidney cancer will require further study but this report points out the potential importance of smoking cessation strategies for resected RCCa as is recommended for early-stage lung cancer after resection. Whether these observations apply to all RCCa pathologies or predominantly clear cell RCCa will require additional follow-up.quotes

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Florida Comprehensive Care Network (FCCN) and ITA Partners Enter into a Long-Term Strategic Relationship -- FCCN Network Physicians toAdopt eviti®

(CNBC) Apr 13, 2011 - The Florida Comprehensive Care Network (FCCN) and ITA Partners, Inc. (ITA) have signed a long-term strategic agreement under which FCCN will use eviti®, ITA's oncology decision-support platform, across its network of oncologists. ITA is an independent, third-party expert with nearly a decade of experience supporting oncology treatment decisions and patient care.

Thomas Marsland, MD (Posted: April 15, 2011)

quotesFCCN gets it. Clinical integration and coordination of care is critical to the delivery of high quality cost effective medical care. Many programs rely on the use of "pathways" to standardized care which improves quality and cost control. The true key to making these networks successful is the ability to monitor and exchange data and outcomes. It is encouraging to see high tech programs being used to do this. Many other networks rely on lesser programs and systems based only on claims data that really limit the ability of the group to monitor compliance with pathways and therefore assure persistent quality care and cost effectiveness. quotes

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What ‘Big Medicine’ Means for Doctors and Patients

(NYT/Well Blog) Apr 14, 2011 - A colleague described a recent meeting at his hospital by saying that five years ago, most of the physicians in the room had been like him, independent owners of small group practices. Now a majority were employees of the hospital

Thomas Marsland, MD (Posted: April 14, 2011)

quotesHospital owned practices are potentially a problem. Providing care in the hospital generally is more expensive than providing care in the private practice setting. Mayo Clinic and the Kaiser programs are NOT hospital owned. So to use them as models of hospital owned systems is not valid. Kaiser and Mayo are out-patient practices that have hospitals as part of their integrated healthcare delivery systems. THIS model may indeed be more cost effective but it is no question out-patient driven. True hospital owned physicians and hospital driven programs are not cost effective because they use hospital systems to provide ancillary services which cost more than similar services provided by out-patient private practices. quotes

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Meet the Editorial Board

Prostate Cancer
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Tomasz M. Beer, MD, FACP

Professor of Medicine, Division of Hematology/Medical O...

Community Oncology
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Dean Gesme, MD

FACP FACPE FASCO President, Minnesota Oncology...

Breast Cancer
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Debu Tripathy, MD

Professor and Chair, Department of Breast Medical Oncol...

Lung Cancer
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H. Jack West, MD

Medical Director, Thoracic Oncology Program, Swedish Ca...

Gastrointestinal Cancers
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Howard S. Hochster, MD

Distinguished Professor of Medicine, Rutgers Robert Woo...

Radiation Oncology
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Howard Sandler, MD, MS, FASTRO

Ronald H. Bloom Chair in Cancer Therapeutics
Pr...

Community Oncology
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Jeff Patton, M.D.

CEO Tennessee Oncology...

Precision Medicine Section Editor
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Jennifer Levin Carter, MD, MPH

Chief Medical Officer and Founder, N-of-One...

Financial Sector
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Michael G. King Jr.

Managing Director and Senior Biotechnology Analyst...

Gastrointestinal Cancers
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Richard Goldberg, MD

Director WVU Cancer Institute Director of Cancer Signa...

Editor-In-Chief
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Robert A. Figlin, MD., FACP

Professor and Director, Division of Hematology Oncology...

Health Policy
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Ted Okon

Executive Director Community Oncology Alliance...

Community Oncology
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Thomas Marsland, MD

Vice President Integrated Community Oncology Network ...

Community Oncology
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William Harwin MD

Florida Cancer Specialists President and Managing Part...

Health Policy
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William McGivney, PhD

National Health Policy Expert...

Payer
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Winston Wong, PharmD

President, W-Squared Group...