New options for breast cancer radiation

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A great resource for those who want to keep up with the latest in cancer findings is to sign up for the National Cancer Institute Bulletin. The current issue leads with a story about radiation treatment for women with breast cancer. The study, which appeared in Lancet Oncology, reported on data from more than 2,000 women who were randomly assigned to receive the international standard regimen of adjuvant radiation or one of two hypofractionated regimens, either less radiation over the same five-week period as standard, or more radiation over a three-week period. Women who received lower doses of radiation had better skin appearance after five years than either of the two groups who got the higher doses. And patients who received hypofractionated radiation reported a similar quality of life to those who had received the standard regimen.Other stories in the bulletin look at new findings for advanced kidney cancer, personalizing biomarkers for cancer, chemotherapy-induced peripheral neuropathy, and the issues around preventing childhood cancer by reducing childhood obesity. Every issue has the latest findings from major scientific journals, in-depth articles, special reports, clinical trial information, legislative updates, and federal agency news.

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For patients with cancer, the ongoing chemotherapy shortage may cause some anxiety as they wonder how they will receive their drugs. However, measuring drugs “down to the minutiae of the milligrams” helped patients receive the drugs they needed, said Alison Tray. Tray is an advanced oncology certified nurse practitioner and current vice president of ambulatory operations at Rutgers Cancer Institute in New Jersey.  If patients are concerned about getting their cancer drugs, Tray noted that having “an open conversation” between patients and providers is key.  “As a provider and a nurse myself, having that conversation, that reassurance and sharing the information is a two-way conversation,” she said. “So just knowing that we're taking care of you, we're going to make sure that you receive the care that you need is the key takeaway.” In June 2023, many patients were unable to receive certain chemotherapy drugs, such as carboplatin and cisplatin because of an ongoing shortage. By October 2023, experts saw an improvement, although the “ongoing crisis” remained.  READ MORE: Patients With Lung Cancer Face Unmet Needs During Drug Shortages “We’re really proud of the work that we could do and achieve that through a critical drug shortage,” Tray said. “None of our patients missed a dose of chemotherapy and we were able to provide that for them.” Tray sat down with CURE® during the 49th Annual Oncology Nursing Society Annual Congress to discuss the ongoing chemo shortage and how patients and care teams approached these challenges. Transcript: Particularly at Hartford HealthCare, when we established this infrastructure, our goal was to make sure that every patient would get the treatment that they need and require, utilizing the data that we have from ASCO guidelines to ensure that we're getting the optimal high-quality standard of care in a timely fashion that we didn't have to delay therapies. So, we were able to do that by going down to the minutiae of the milligrams on hand, particularly when we had a lot of critical drug shortages. So it was really creating that process to really ensure that every patient would get the treatment that they needed. For more news on cancer updates, research and education, don’t forget to subscribe to CURE®’s newsletters here.
Yuliya P.L Linhares, MD, an expert on CLL
Yuliya P.L Linhares, MD, and Josie Montegaard, MSN, AGPCNP-BC, experts on CLL
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