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Doctors Lack Incentives to Use Best Ovarian Cancer Treatment



(p. 22) In 2006, the National Cancer Institute took the rare step of issuing a "clinical announcement," a special alert it holds in reserve for advances so important that they should change medical practice.

In this case, the subject was ovarian cancer. A major study had just proved that pumping chemotherapy directly into the abdomen, along with the usual intravenous method, could add 16 months or more to women's lives. Cancer experts agreed that medical practice should change -- immediately.

Nearly a decade later, doctors report that fewer than half of ovarian cancer patients at American hospitals are receiving the abdominal treatment.

"It's very unfortunate, but it's the real world," said Dr. Maurie Markman, the president of medicine and science at Cancer Treatment Centers of America. He added, "The word 'tragic' would be fair."

Experts suggest a variety of reasons that the treatment is so underused: It is harder to administer than intravenous therapy, and some doctors may still doubt its benefits or think it is too toxic. Some may also see it as a drain on their income, because it is time-consuming and uses generic drugs on which oncologists make little money.



For the full story, see:

DENISE GRADY. "Ovarian Cancer Treatment Is Found Underused." The New York Times (Tues., AUG. 4, 2015): A1 & A13.

(Note: the online version of the story has the date AUG. 3, 2015, and has the title "Effective Ovarian Cancer Treatment Is Underused, Study Finds.")






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