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Jun 13, 7:16 AM (ET)
WASHINGTON (AP) - Promising cancer research needs to be translated
more quickly into practical methods of diagnosis and treatment, a
presidential commission says.
Barriers exist at every step between the laboratory and a patient's
bed, according to the report being released Monday. Unless those
barriers are eased, "the national investment in cancer research will
be tragically squandered, for discoveries that do not lead to improved
patient outcomes are tantamount to no discovery at all," the
President's Cancer Panel said.
This year, some 1.37 million new cases of cancer will be diagnosed and
about 570,000 Americans will die from cancer, according to the
American Cancer Society.
Because the risk of cancer increases with age, cases are expected to
rise as the number of older people increases.
Yet the past two decades have produced "a biological revolution"
bringing new insights into how cancer forms, said one member of the
commission, Margaret Kripke of the M.D. Anderson Cancer Center in
Texas.
The challenge is to speed the translation of more of those insights
into something doctors and patients can use. Aside from scientific
challenges, one problem is that advances can take too long to reach
patient care, said the panel's chairman, Dr. LaSalle Leffall Jr. of
Howard University in Washington.
"If we don't get the information out, of what value is it to
patients?" he asked.
Among the panel's recommendations:
_The National Cancer Institute should require that hospitals it
designates as comprehensive cancer centers disseminate research
findings to local oncologists and other cancer organizations.
_The institute should redouble efforts to increase community-level
clinical trials. About 20 percent of cancer patients are medically
eligible for those studies, but just 3 percent enroll. One reason is
that trials are offered mainly in academic medical centers, while at
least 80 percent of cancer patients are treated by community
oncologists.
_Lack of trust is an additional reason for the low study enrollment.
To improve that, cancer researchers must do a better job sharing the
results of clinical trials with subjects and participating
communities.
_Medicare officials should consider collecting information about the
stages of cancer of patients treated under the program. This data
could be used to improve treatment decisions and see how quickly
research findings are translated into practice.
Federal cancer officials had no immediate comment on the recommendations.
The three-member commission, which also included cycling champion and
cancer survivor Lance Armstrong, provides periodic reports to the
president on issues surrounding cancer research, incidence and care.
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On the Net:
President's Cancer Panel: <http://deainfo.nci.nih.gov/advisory/pcp/pcp.htm>


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