home
RSS
Some doctors unaware of long-term side effects of cancer care
May 19th, 2012
06:58 AM ET

Some doctors unaware of long-term side effects of cancer care

Doctors need to be better educated about the significant long-term side effects of chemotherapy that may affect their cancer survivor patients, according to new research published Wednesday in advance of the 47th annual meeting of the American Society of Clinical Oncology (ASCO).

Currently there are at least 12 million cancer survivors in the United States. Some may have undergone cancer treatment as children; others may be older and only recently completed their cancer therapy.

While advances in cancer care have successfully kept more cancer patients alive, this new study finds there's room for improvement in their follow-up care. Primary care physicians and even cancer specialists need to be aware of the long-term effects of the drugs patients have taken to beat cancer.

Researchers at Harvard University, the National Institute of Nursing Research and the American Cancer Society surveyed nearly 1,100 primary care physicians and 1,100 oncologists or cancer specialists. They asked these doctors to identify the long-term side effects of four of the most widely used chemotherapy drugs used to treat breast and colorectal cancer, two of the most common cancers.

Overall, only 6% of primary care physicians and 65% of oncologists were aware of all the long-term side effects that the four drugs could cause.

When asked about the drug Doxorubicin, 55% of primary care physicians knew patients are at risk for cardiac dysfunction, compared to 95% of oncologists.

In the case of Cyclophosphamide, only 14% of primary care physicians knew women are likely to suffer premature menopause, compared to 71% of cancer specialists.

Study author Dr. Larissa Nekhlyudov says these physicians need to be informed about the long-term side effects of cancer treatment, "so that they may be better prepared to recognize and address these among cancer survivors."

"This is a problem of our success," says ASCO's president, Dr. Michael Link.

Dr. Neal Meropol, chief of the division of hematology and oncology at University Hospitals Case Medical Center in Cleveland, Ohio, says he's not surprised by these findings.

He says that, in the past, medical training has not been focused on making sure physicians taking care of cancer survivors are adequately prepared to deal with long-term side effects.

In addition to chemotherapy drugs and radiation treatments affecting organs and tissues, Meropol also spoke about psychosocial problems patients can face, like fear of cancer recurrence. Problems with relationships also occur because patients are no longer functioning in crisis mode and reentry into a normal pattern is sometimes very difficult.

Experts agree that in the past, the emphasis has been to keep cancer patients alive, and that entire field of cancer survivorship is a pretty new one. But with the success of cancer care, more attention must be given to this area.

Meropol points out that it's now recommended by professional societies for doctors to provide a survivorship care and treatment plan when patients complete their cancer therapy. Such a plan will inform the patient of issues they may face and they can share this information with their physician.

However this doesn't help patients who had their cancer treated a long time ago. Link, who is a pediatric oncologist, says that data among people who survived childhood cancers may be even more alarming.

That's because pediatric patients are usually treated at an age when they are too young to remember exactly what type of cancer they had or how they were treated.

"Many don't even know how to spell it," says Link. By the time they see a regular doctor as adults, the likelihood that they know how they were treated and would give their physician accurate information is pretty low.

"This is a problem we've encountered for some time [in pediatric oncology] because we've had survivors for quite some time."

Not recognizing how a cancer survivor can develop treatment-related health problems is a concern. Link calls it a doctor-education problem and a patient-education problem, which he believes could be helped by better use of electronic medical records.


soundoff (114 Responses)
  1. FsfEncox

    executive cover letter conclusion to research paper college essay analysis

    December 1, 2020 at 01:38 | Report abuse | Reply
  2. FqfEncox

    essay skeleton order custom essays professional assignment writers

    December 1, 2020 at 04:29 | Report abuse | Reply
  3. JgscCrulk

    essay paper help essays for college applications thesis statement for argumentative essay

    December 1, 2020 at 22:52 | Report abuse | Reply
  4. use this link electricians san diego

    I haven’t checked in here for a while as I thought it was getting boring, but the last several posts are good quality so I guess I will add you back to my everyday bloglist. You deserve it my friend 🙂

    https://BobJohnsonblog398.com/

    December 4, 2020 at 19:05 | Report abuse | Reply
  5. FbsbEncox

    cialis dosage for women cialis buy without how much is cialis in canada

    December 9, 2020 at 19:39 | Report abuse | Reply
  6. FgnsZisse

    canadian cialis for sale cialis onine viagra / cialis

    December 10, 2020 at 00:04 | Report abuse | Reply
  7. KhedMile

    overnight delivery on viagra buy real viagra viagra cheap overnight

    December 10, 2020 at 00:50 | Report abuse | Reply
  8. DvncZisse

    cialis cheap generic cialis viagra cialis great price

    December 10, 2020 at 10:15 | Report abuse | Reply
  9. detectives privados sitges

    detectives privados en chiclana de la frontera

    https://www.argadetectives.com/detectives-velez-malaga.html

    December 10, 2020 at 12:45 | Report abuse | Reply
  10. FqbfEncox

    best price cialis buy cialis typical cialis prescription strength

    December 11, 2020 at 18:17 | Report abuse | Reply
  11. FsfgEncox

    female viagra acheter viagra a montreal viagra paypal

    December 12, 2020 at 00:17 | Report abuse | Reply
  12. FgrsEncox

    viagrafreesamples free brand viagra viagra levitra cialis offers

    December 12, 2020 at 07:18 | Report abuse | Reply
  13. JgsvCrulk

    viagra and alcohol consumption viagra/cialis black and gold 800 female viagra australia

    December 13, 2020 at 15:21 | Report abuse | Reply
  14. FhsnZisse

    viagra from uk canadian pharmacy generic viagra viagra 100mg pills

    December 14, 2020 at 21:32 | Report abuse | Reply
  15. DvnjZisse

    flavor viagra buy viagraa canada getting viagra in cape town

    December 15, 2020 at 07:47 | Report abuse | Reply
  16. bitcoin to paypal

    Transfer from bitcoin to paypal very fast and low cost.

    https://exchanger24.org/xchange_btc_to_ppusd/

    December 15, 2020 at 19:59 | Report abuse | Reply
  17. FwsxEncox

    canada drugs online rx pharmacy coupons india pharmacy

    January 8, 2021 at 21:29 | Report abuse | Reply
  18. JtmfEncox

    п»їviagra online canadian pharmacy pharmacy prices discount pharmacy

    January 9, 2021 at 06:45 | Report abuse | Reply
  19. NllpZisse

    pharmacy prices medicine for erectile best drugstore bronzer

    January 11, 2021 at 09:36 | Report abuse | Reply
  20. LokuEncox

    ed treatment 24 hr pharmacy near me people's pharmacy

    January 11, 2021 at 09:54 | Report abuse | Reply
  21. JlloCrulk

    pharmacy rx one 24 hour pharmacy pharma

    January 11, 2021 at 17:18 | Report abuse | Reply
  22. Jacquiline Pettet

    Excellent post. I was checking constantly this blog and I am impressed! Very helpful information particularly the last part I care for such information a lot. I was looking for this certain information for a very long time. Thank you and best of luck.

    http://yourmatrixcashmachine.com

    January 12, 2021 at 01:10 | Report abuse | Reply
  23. KhthMile

    medical pharmacy erectile dysfunction treatment pharmacy open near me

    January 12, 2021 at 11:43 | Report abuse | Reply
  24. NlbxZisse

    best viagra sites online legal viagra canada is viagra from canada safe? viagra trial pack overnight viagra ad on xm radio viagra tijuana mx buying viagra from canada cipla viagra review viagra gold 800 mg cheap brand viagra in usa viagra cheap viagra 100 viagra versus generic viagra viagra via paypal fast shipping on viagra au

    January 15, 2021 at 12:58 | Report abuse | Reply
  25. JvcxCrulk

    viagra for sale in uk viagra or cialis viagra in australia viagra no pascription if you have insurance how much does viagra cost viagra best pricve chinese viagra manufacturers viagra 30 tablets when does the patent on viagra end? viagras head office in toronto chip viagra pfizer viagra without presciption buy viagra by paypal australain oral jelly viagra viagra prescription filled online

    January 15, 2021 at 16:38 | Report abuse | Reply
  26. FgnhZisse

    next day delivery viagra brand viagra military viagra buying viagra online using pay pal viagra paypal to australia buy generic viagra online delivery fast viagra for sale without prescription 800 mg viagra discussion on viagra red viagra online viagra store in bangladesh generic viagra online canada buy viagra no prescription by cipro generic viagra overnight delivery viagra mail order recomendations

    January 17, 2021 at 15:39 | Report abuse | Reply
  27. Warren Varga

    Merely wanna input that you have a very decent website , I the layout it actually stands out.

    https://www.electricpercolatorcoffeepot.com/10-top-coffee-bloggers/

    January 18, 2021 at 00:20 | Report abuse | Reply
  28. JbdcEncox

    getting viagra in malaysia viagra 100mg gel red viagra onlen http://llviabest.com/ – generic viagra ’

    January 19, 2021 at 02:04 | Report abuse | Reply
  29. NlbxZisse

    generic cialis 200mg rhino laboratories cialis cialis professional 20 lowest price http://cialijomen.com/ – cialis super active real online store ’

    January 20, 2021 at 13:55 | Report abuse | Reply
  30. JvcbxCrulk

    cialis for daily use disount vigra and cialis cialis without prescription http://phrcialiled.com/ – female cialis no prescription ’

    January 20, 2021 at 16:21 | Report abuse | Reply
  31. LcxEncox

    buy viagra no prescription viagra without a prescription johnson pharmacy viagra with dapoxetine online http://genqpviag.com/ – viagra/cialis packs ’

    January 21, 2021 at 03:23 | Report abuse | Reply
  32. KbctMile

    cialis cost cialis no prescrition cialis delivered in 24 hours http://mycialedst.com/ – generic cialis india ’

    January 22, 2021 at 06:55 | Report abuse | Reply
  33. AqbvEncox

    authentic viagra buy viagra brand online best viagra prices http://acialaarx.com/ – where can i find generic viagra ’

    January 22, 2021 at 10:34 | Report abuse | Reply
  34. FbdhZisse

    cialis great price cialis cheapest price buy c5 cialis http://21cialismen.com/ – where to buy cialis cheap ’

    January 22, 2021 at 15:23 | Report abuse | Reply
  35. FmfvEncox

    cialis overnight delivery generic cialis buy generic cialis in canada http://sjcialis.com/ – which one is better viagra cialis or laverta ’

    January 23, 2021 at 12:02 | Report abuse | Reply
  36. JnhCrulk

    cialis without prescription cheap original cialis cialis generic dapoxetine http://loncialis.com/ – buy 36 hour cialis ’

    January 25, 2021 at 02:42 | Report abuse | Reply
  37. KbbtMile

    cialis at ВЈ2 per tablet safeway pharmacy cialis softabs online https://xz-pharmacyonline.com – canada drugs online ’

    January 26, 2021 at 15:26 | Report abuse | Reply
  38. AhmdEncox

    where to buy generic cialis ? cialis cheap free shipping cialis nova scotia http://cialmenshoprx.com/ – cheapest brand cialis 20mg ’

    January 27, 2021 at 05:20 | Report abuse | Reply
  39. FbgZisse

    were to buy viagra in edmonton viagra over night delivery buy viagra generic 100mg https://canadianpharmacy-usx.com/organic.htm – viagra onlie ’

    January 27, 2021 at 11:43 | Report abuse | Reply
1 2

Post a comment


 

CNN welcomes a lively and courteous discussion as long as you follow the Rules of Conduct set forth in our Terms of Service. Comments are not pre-screened before they post. You agree that anything you post may be used, along with your name and profile picture, in accordance with our Privacy Policy and the license you have granted pursuant to our Terms of Service.

Advertisement
About this blog

Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.