#LCSM Chat Topic 1/26: Education and Shared Decision Making for Cancer Patients in the Era of Fake News and Post-Truths

Though there are many terrific features of social media and sharing of information among patients and caregivers, the last year has also reminded us of the potential harms of easy sharing of misinformation.  “Fake news” may have always been a potential threat, but the decentralization of information sources and “hyper-partisanship” makes it very easy for people to seek information primarily if not exclusively from sources that feed our own biases rather than challenging them with new perspectives. Though the media have largely focused the concept of fake news and post-truths through the… Read More

#LCSM Chat 07/14: The Spectrum of Progression: What Would YOU Do?

The Many Faces of PD: Should We Consider Progression in a More Nuanced Way? Historically, cancer treatments have been graded in large part by the “response rate” they produce, the reflection of the proportion of patients whose cancers demonstrate significant tumor shrinkage on imaging scans. While stable disease, which at least reflects no disease growth, is considered a reasonable, relative victory compared to evidence of the cancer growing, we consider a treatment as failing when the cancer grows. At the same time, in patients who are being monitored off of therapy, evidence… Read More

#LCSM Chat topic 2/25: Communicating patient goals and values for #lungcancer treatment

    The best lung cancer care considers the patient’s goals and values when choosing a treatment. However, identifying and communicating those goals is not always a straightforward process for either the care provider or the patient.   This week’s #LCSM Chat explores the process of communicating patient goals and values. Care providers need to know how to elicit them. Patients (even those who want to leave treatment decisions entirely to their doctors) must be able to identify and express them, and, if need be, initiate a conversation about them.   Choosing the right… Read More