This report of the proceedings of a symposium held in conjunction
with the release of the IOM report, From Cancer Patient to Cancer
Survivor: Lost in Transition, represents an effort on the part of the
American Society of Clinical Oncology (ASCO), the National Coalition for
Cancer Survivorship (NCCS), and the Institute of Medicine (IOM) to further
disseminate the findings and recommendations of the IOM report and
to take the next step toward implementation of those recommendations.
Arather startling statistic opened the eyes of many on our committee
when they were invited to undertake a study for the Institute of
Medicine (IOM) on cancer survivorship. The eye-opening statistic
describes a burgeoning population of cancer survivors who live among us
today and who are more than 10 million strong. Cancer survivors swell the
ranks of the many places where we live, work, and play, yet, as our committee
concluded, they remain largely understudied and lost to follow-up by
our scientific research and health services delivery communities, respectively.
The constraints of limited infrastructure and resources in most developing countries and the low
level of awareness of opportunities for preventing the disease stimulated the formation in 1999 of
the international Alliance for Cervical Cancer Prevention (ACCP), with funding from the Bill &
Melinda Gates Foundation. The purposes of the ACCP are to develop and evaluate innovative
approaches in order to reach more women at high risk of cervical cancer with effective and
feasible screening and treatment services and to persuade policymakers and program managers to
make it a priority.
The idea of this book grew out of the awareness of the need for a better answer to the frequent query: "Where can I learn about the psychological problems of cancer patients and how to treat them?" . . . There were many books and journals that an interested reader could turn to, but no summary of the broad range of issues that one needed to know to be informed was available. We began to conceive of a small book that would serve as an introduction to this emerging area of oncology. Using a developmental model, we sought to understand...
Strengthening functioning systems to improve health outcomes will, in some cases, require new ways of thinking about
health investments and greater dialogue with partner countries about constraints and opportunities.
With advances in the management of acute myocardial infarction (AMI) the incidence of
mechanical complications continues to decline. Nevertheless, when they occur,
unfortunately, despite similar advances and growing experiences in the surgical
management of these problems, morbidity and mortality remain high. Post-myocardial
infarction ventricular septal defects (PI-VSD) have fascinated and challenged clinicians for
Previous data has shown the need for better cancer pain management. UK Cancer Deaths numbered 153,397 in
2004 (UK National audit Office reports 2000, 2004). A conservative estimate has suggested that 10% fail to receive
effective relief by WHO guidelines; however, this is an underestimation given recent surveys (EPIC 2007, Valeberg,
2008) which show that, in reality, upwards of 30% of patients receive poor pain control, especially in the last year
of their lives.. Thirty percent represents 46,020 patients “failing per year”.