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CANCER: Merits of active surveillance – watchful waiting

The approach of active surveillance, which is increasingly common with prostate cancer patients, is becoming more frequently discussed as an option for selected patients with other types of slow-growing, early-stage cancers also.  The author, who himself opted for active surveillance, reviews reasons why watchful waiting may be becoming more often chosen – primarily due to therapy side effects and cost.  Considerations for insurers in framing their positions about active surveillance are covered.

Source: Kirkner, R.M. (2016, Oct.). Don’t just do something, stand there: How more types of cancer are lending themselves to active surveillance. Managed Care, 25(10), 25-28.  Click here: http://www.managedcaremag.com/archives/2016/10/don-t-just-do-something-stand-there-how-more-types-cancer-are-lending-themselves   Posted by AHA Resource Center (312) 422.2050, rc@aha.org

CANCER: Childhood and adolescent death rate declining

The cancer death rate among children and adolescents declined between 1999 and 2014, according to this data release from the U.S. National Center for Health Statistics.  The mortality rate for cancer patients (aged between 1 and 19 years) was 2.28 deaths per 100,000 persons in 2014, which was 20 percent lower than in 1999.

What types of cancer are the major causes of death for this age group?

  1. Brain (30 percent)
  2. Leukemia (25 percent)
  3. Bone and related (10 percent)

Source: Curtin, S.C., Minino, A.M., and Anderson, R.N. (2016, Sept.). Declines in cancer death rates among children and adolescents in the United States, 1999-2014. NCHS data brief, 257. Click here for free full text: https://www.cdc.gov/nchs/data/databriefs/db257.pdf  Posted by AHA Resource Center (312) 422-2050, rc@aha.org

New cancer pavilion: designed for healing

In March 2011, Baylor Health Care System (Dallas, TX, www.baylorhealth.com) opened a 467,000 square foot outpatient cancer center as the newest component of the Sammons Cancer Center, more than tripling the space devoted to caring for patients with cancer.  The outpatient pavilion was designed and constructed with the specific objective of reducing carcinogens in both the building materials and internal furnishings to create a truly healing environment.  Among the amenities provided to patients and visitors are an education center, a meditation room, a nondenominational chapel, a gift shop that caters to cancer patients, and both indoor and outdoor eating areas.  A bridge to the original Sammons Cancer Center, which has been converted into an inpatient tower, provides an interior link between the two patient care spaces, along with a substantial area devoted to clinical research, including the Innovative Clinical Trials Center. 


Eagle, A.  Beating cancer.  Baylor’s new outpatient center reflects advances in treatment.  Health Facilities Management.  November 2011.  http://www.hfmmagazine.com/hfmmagazine_app/jsp/articledisplay.jsp?dcrpath=HFMMAGAZINE/Article/data/11NOV2011/1111HFM_FEA_CoverStory&domain=HFMMAGAZINE