Trials to send referrings

[grenz]

I thought it might be good to have a running thread of recent trials or papers you’ve sent or will send to your referrings to create new referral patterns.

I’ll start:

Prophylactic Radiation Therapy Versus Standard of Care for Patients With High-Risk Asymptomatic Bone Metastases: A Multicenter, Randomized Phase II Clinical Trial - PubMed

Radiation delivered prophylactically to asymptomatic, high-risk bone metastases reduced SRE and hospitalizations. We also observed an improvement in OS with prophylactic radiation, although a confirmatory phase III trial is warranted.

pubmed.ncbi.nlm.nih.gov

Impact of Short-Course Palliative Radiation Therapy on Pancreatic Cancer-Related Pain: Prospective Phase 2 Nonrandomized PAINPANC Trial - PubMed

Short-course palliative radiation therapy for pancreatic cancer-related pain was associated with rapid, clinically relevant reduction in pain severity, and clinically relevant improvement in global QoL, with mostly mild toxicity.

pubmed.ncbi.nlm.nih.gov

Radiotherapy for Ledderhose disease: Results of the LedRad-study, a prospective multicentre randomised double-blind phase 3 trial - PubMed

Radiotherapy for symptomatic Ledderhose disease is an effective treatment resulting in a significant pain reduction, improvement of QoL scores and bare feet walking abilities, in comparison to sham-radiotherapy.

pubmed.ncbi.nlm.nih.gov

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[Brim]

I can't imagine sending referring doctors papers unsolicited.

Am I missing sarcasm?

 

[madchemist89]

We don't send papers, but we send 1 page letters summarizing evidence for controversial issues, like proton therapy for prostate and breast cancer.

 

[medgator]

I can't imagine sending referring doctors papers unsolicited.

Am I missing sarcasm?

I send big papers via email sometimes to surgeons or med oncs i work with. More like an FYI

 

[metallica81788]

I just tell everyone else they are stupid at tumor board, that I am the true oncologist, throw down my coffee, and storm out angrily

Always a good bump in referrals the next week

 

[grenz]

I can't imagine sending referring doctors papers unsolicited.

Am I missing sarcasm?

I use “send” broadly. It could be discussing over lunch or drinks. Do you not do any practice building?

 

[Palex80]

We don't send papers, but we send 1 page letters summarizing evidence for controversial issues, like proton therapy for prostate and breast cancer.

I do not see any controversial issues here.
Proton therapy for prostate and breast cancer is... waste of energy.

 

[OTN]

I can't imagine sending referring doctors papers unsolicited.

Am I missing sarcasm?

I do it ALLLLLLLLL the time to my referring Medoncs in our practice. Just sent an email out this am with the asymptomatic bone met data. Highly recommend doing it. Great way to disseminate data to referrings. They know I do it and have always expressed happiness that I'm keeping them updated.

Edit: Just sent the PAINPANC data to our palliative medicine docs and surgical oncologists

 

[drowsy12]

yeah, you can't expect to be locally valued if you don't show your value to your referrings

 

[mheat3]

We don't send papers, but we send 1 page letters summarizing evidence for controversial issues, like proton therapy for prostate and breast cancer.

Mind sharing?

 

[evilbooyaa]

I just tell everyone else they are stupid at tumor board, that I am the true oncologist, throw down my coffee, and storm out angrily

Always a good bump in referrals the next week

Repeat ad infinitum = infinity patients? Good business model.

On a more serious note, I think the high-risk but asymptomatic bone met is a relevant one. I guess pancreatic cancer pain to the GI Med Oncs not unreasonable. The Lederhose one I'm not sure who I'd even send that to....

 

[grenz]

Repeat ad infinitum = infinity patients? Good business model.

On a more serious note, I think the high-risk but asymptomatic bone met is a relevant one. I guess pancreatic cancer pain to the GI Med Oncs not unreasonable. The Lederhose one I'm not sure who I'd even send that to....

Podiatrists for lederhose. At this time I’d pitch the asymptomatic met approach for patients who aren’t good candidates for bone modifying agents. I think broad adoption would be a hard sell initially

 

[TheWallnerus]

I do it ALLLLLLLLL the time to my referring Medoncs in our practice. Just sent an email out this am with the asymptomatic bone met data. Highly recommend doing it. Great way to disseminate data to referrings. They know I do it and have always expressed happiness that I'm keeping them updated.

Edit: Just sent the PAINPANC data to our palliative medicine docs and surgical oncologists

I am and always have been a perpetual paper pusher too

 

[dieABRdie]

For sure; especially for those things which I might be offering that others aren't.

Most other centers here aren't comfortable (or equipped...) for single iso multi-lesion SRS.

For definitive treatment of locally advanced cholangios or unresectable/non-surgical pancreas I usually offer the 15 fraction IMRT SIB dose escalation approach:

Dose-Escalated Radiation Therapy for Pancreatic Cancer: A Simultaneous Integrated Boost Approach

To provide a detailed description of practical approaches to dose escalation in pancreatic cancer.The current paper represents an international collaborative effort of radiation oncologists from the MR-linac consortium with expertise in pancreatic dose ...

www.ncbi.nlm.nih.gov

I'm pretty sure I'm the only one offering FLAME like regimens for prostate cancer, and not many here doing 5 fraction APBI. I've definitely had a patient or two who got treatment elsewhere get pissed off they weren't offered it.

I shrug...... "All I can do is pass it on to the referring doctors.... they make the referral."

 

[DrZap]

I am and always have been a perpetual paper pusher too