Partnerships with top research centers, along with advanced technology, may help local doctors offer patients the latest therapies
New treatments for cancer are being developed at a breathtaking pace. Novel drugs, immunotherapies that enhance the body’s ability to attack tumors, and other innovations have been approved at a rate of three or four a month. “Ten years ago it was 10 a year; today the pace is one a week,” marvels oncologist Tufia Haddad, a breast cancer specialist at the Mayo Clinic. These therapies are not the decisive triumphs in the “war on cancer” that politicians have promised since the 1970s.
Community oncologists—as opposed to subspecialists working at top cancer centers—provide about 80 percent of cancer care in the U.S., treating a wide variety of malignancies. “On any given day they might see 30 different patients with 30 different diagnoses,” says hematologist Joseph Alvarnas of the City of Hope Comprehensive Cancer Center in Duarte, Calif. “Incorporating this torrential evolution of knowledge is an impossible, Sisyphean task.
Two key avenues for spreading knowledge are through the National Cancer Institute’s PDQ Web site and guidelines maintained by the National Comprehensive Cancer Network, an alliance of 31 leading U.S. cancer centers. Expertise also expands through partnerships between oncologists at smaller practices and comprehensive cancer centers.
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