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Chemotherapy Used Too Often

At End of Life

Chemotherapy Used Too Often at End of Life [05/14/2001; Reuters Health]

SAN FRANCISCO (Reuters Health) - Chemotherapy is used in approximately one third of patients who have cancers that are not likely to respond to the treatment during the last 6 months of their life, according to results of a new study.

The finding ``strongly suggests overuse of chemotherapy at the end of life,'' lead author Dr. Ezekiel J. Emanuel told attendees here at the annual meeting of the American Society of Clinical Oncology (news - web sites). ``Many are concerned with the quality of end-of-life care and specifically that patients should not be overtreated with ineffective therapies that won't improve their quality of life,'' Emanuel told Reuters Health.

Chemotherapy can have a number of side effects, including nausea, vomiting, fatigue and hair loss. Emanuel, of the National Institutes of Health (news - web sites), and his team looked at the billing records of nearly 8,000 patients who died from cancer in the state of Massachusetts in 1996.

``What we found is that in the last year of life, 41% of patients received chemotherapy, 33% had chemotherapy in the last 6 months of life and 25% received chemotherapy in the last 3 months of life,'' he said.


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padPre-treatment: Dietary Supplements/Cisplatin
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#311 beta-carotene,retinoic acid, quercetin & genistein
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Altered Nutritional/Inflammatory Status:Increased Toxicity Risk
Supplement w/Magnesium, Potassium: Cisplatin
Dietary Enhancement of Mitomycin C
Multivitamin/Vit E Helped: Breast Ca Chemo
Metab Abnormalities w/weight loss & Chemo/RTx Head/Neck
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padValue of Anthracyclines Questioned
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ABC News, December 2007 as presented at the San Antonio Breast Cancer Symposium
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padEarly Stage Colon Cancer/Chemo (Patient perspective)
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Patient perspective from Jean about Fred's colon cancer experience
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padPrognostic Disclosure: Near End of Life
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Annals of Internal Medicine, 7/01
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Older Adults Receive Intensive Chemo at End of Life
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padProtective effect of hawthorn extract:cyclophosphamide (Mice)
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Environmental Toxicology and Pharmacology January 2008
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padSecond & Next Chemo: What do we KNOW?
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Annals of Oncology, 1/02
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Optimal Duration of CMF-Treatment Failure/Overall Survival
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padChemo-induced Toxicities Reviewed
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Source: Bionumerik Pharmaceuticals 6/04
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PK Analysis of 5-FU Predicts Life-threatening Toxicities
Warfarin (Coumadin ) & Some Chemotherapies CLASH
Hiccups: Adverse Reaction to Chemo
Unusual Complication: Herpes Simplex...
Severe Nail Changes From Docetaxel
Risk Factors: Chemo-associated Venous Thromboembolism
Hearing Loss: Cisplatin (Esp Every Two Weeks)
Anthracyclines: Children's Arteries Damaged
Serious Adverse Events GREATER Than Prior Reporting
'Side' Effects of Chemotherapeutic Agents
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padAntioxidants in Cancer Therapy-Review of Literature
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Alternative Medicine Reviews, 1999 and more articles, IMPORTANT stuff
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Introduction and Conflicting Views
Antioxidant Supplementation on Chemotherapeutic Efficacy:systematic review
Antioxidant Supplementations in Men Reduces Incidence CA
References
Use of Antioxidants & Cytotoxic Treatments
Dietary Antioxidants & Chemotherapy
Antioxidants Resolve Rtx Adverse Effects
Review of Italian Studies on Veg/Fruit/Antioxidants
Multiple Antioxidants Improve Efficacy
Systemic Screening of Total Antioxidants in Dietary Plants
High Oxidation/Low Antioxidant Levels...
Herbs, Vitamins & Antioxidants w/Cancer Treatments:TCM
Garlic (Allium sativum) & Pharmacokinetics of Docetaxel
Article References
Molec targets of dietary agents 4 prvntn & thrpy of cancer.
High Doses of Antioxidants Do NOT decrease efficacy of Chemo
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padLung Ca Chemo MORE Costly, No Diff in Survival
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MEDSCAPE 3/02
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padOral Oncology Products
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Oncology Issues, 2/02
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Lower Dose Capecitabine Better in Mets BCa
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padLancet: Comparison of Chemo for Colon Ca
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Ralph Moss, Weekly CancerDecisions.com #36 5/14/02
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padLess Cycles of CMF (adj chemo)
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Br J Cancer, 6/02
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Discussion: Adj Therapy Postmenopausal Women
Editorial:Adjno Chemo Postmeno Lymph-Node Neg
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padOpening Line of this Paper tells a Sad Tale
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Br J Cancer, 5/02 "Cancer Chemotherapy is Limited"
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padCancer Medicine's Dark Corners
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Written and submitted by Gregory D. Pawelski
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Letter re Ethics/Conflicts of Interest Oncology
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padCarcinomatous Menigitis:Taxane Induced?
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Oncology, 12/02
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Acral Erythrodysesthesia Syndrome:Docetaxel
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padAcute Myeloid Leukemia:Doxi & RTx
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J Clin Oncol, 4/03
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Therapy-related Acute Promyelocytic Leukemia
Synergistic Effects: Grape Seed Extract & Doxorubicin
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padCircadian Timing of Cancer Chemotherapy
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12/84
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padTaxanes in Adj Early Stage Bca
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Breast Cancer Res Treat, 7/03
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padExcessive Tearing & Canalicular Blockage:Docetaxel
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ASCO Abstract #45
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Weekly Docetaxel Causes Eye Problems
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padEffects of Black Cohosh on Chemotherapies
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AACR Abstract #2721, 2003
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Vit E & Paclitaxel w/Various Cancers
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padChemo for Brain Mets Based on Chemosensitivity of Tumor
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Eur J Cancer, 10/03
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padSevere Hepatic Sinusoidal Obstruction W/ Oxaliplatin
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Abstract # 3541 ASCO, 2004
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padBowel Perforation & Fistula Formation W/Bevacizumab
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Abstract # 3017 ASCO, 2004
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padChemo-induced Diarrhea & Dosing Intensity
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Abstract #6128 ASCO, 2004
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padPABA Enhances Conventional Cancer Therapies
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Intl Conf on Molecular Targets & Cancer Therapies, 11/04
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Heated Chemotherapy w/Surgery More Effective
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padHigh-dose Chemo and Cell Support
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Bone Marrow Transplant, 6/06
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Patient Perspective on High-dose Chemo
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padHER2 &  Response to Paclitaxel in Node-Positive Breast Cancer
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New England Journal of Medicine, Oct, 2007
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