Locating Cancer Information for Your Clinicians and Patients Liz Brackeen Stephanie Fulton

1. Locating Cancer Information for Your Clinicians and Patients Liz Brackeen Stephanie Fulton

3. Survey Monkey Results

4. Wiki Navigation: http://mla09cancer.pbworks.com/

5. Class Objectives • Participants will acquire and apply cancer searching techniques through examples • Participants will gain knowledge of a variety resources for finding cancer information through discussions and examples

10. Cancer 101 Patient Question: How did this (cancer) happen to me?

11. Cancer 101 Patient Question: Understanding Cancer Series http://www.cancer.gov/cancertopics/UnderstandingCancer/ Fact Sheets: Risk Factors and Possible Causes      http://www.cancer.gov/cancertopics/factsheet Multiple Myeloma Research Foundation: Causes and Incidence http://myeloma.org/pdfs/ph08-eng_h3-web.pdf

12. Group Activity: How many cancer/oncology societies can you name?

14. Cancer 101 Clinical Question: What is searched when I use the cancer limit in PubMed?

15. Cancer 101 Clinical Question: PubMed - Cancer Hedge Details http://www.nlm.nih.gov/bsd/pubmed_subsets/cancer_strategy.html

18. Core Collection and Journals CA: A Cancer Journal for Clinicians Cancer Cancer Research Journal of Clinical Oncology Journal of the National Cancer Institute Oncology Nursing Forum Nature Reviews Cancer Lancet Oncology

19. Clinical Question: You have recently diagnosed a 50 year old male with early stage multiple myeloma. He wants to know if there is any benefit to starting therapy now versus waiting. He is otherwise healthy and not overly interested in starting treatment unless he can see a clear benefit.

20. What is our clinical question? Does therapy improve the outcome for the patient? Does starting chemotherapy immediately after diagnosis for early stage multiple myeloma increase overall survival?

21. Clinical Question: http://search.ebscohost.com/login.aspx?authtype=uid Username: scc Password: mla

22. Diagnosis Patient Question: I have these results from the lab and I need to figure out what they mean.

23. Diagnosis Patient Question: Lab Tests Online http://www.labtestsonline.org/ Books: A Manual of Laboratory and Diagnostic Tests Mosby's Manual of Diagnostic and Laboratory Tests Procedures http://www.nlm.nih.gov/medlineplus

26. http://www.labtestsonline.org

27. Diagnosis Clinical Question: Explain the differences in searching for diagnosis using keyword, MeSH, and Clinical Queries in PubMed.

28. Diagnosis Clinical Question: PubMed Clinical Queries http://www.ncbi.nlm.nih.gov/corehtml/query/static/clinical.shtml MeSH Subheadings Hierarchy http://www.nlm.nih.gov/mesh/2009/introduction/subhierarchy.html

29. Types of Treatment Surgery Prophylactic surgery Diagnostic surgery Staging surgery Curative surgery Debulking (cytoreductive) surgery Palliative surgery Supportive surgery Reconstructive surgery Laser surgery Electrosurgery Cryosurgery Mohs Chemotherapy (over 100 drugs) oral topical intravenous intramuscular subcutaneous intra-arterial intrathecal intrapleural intraperitoneal intravesical intralesional/intratumoral Radiation External Beam Brachytherapy Particle Beam IMRT Stereotactic radiosurgery 3–D conformal radiation Intraoperative radiation therapy (IORT) Prophylactic cranial irradiation Systemic radiation therapy Other Radiofrequency Ablation Hormone Therapy Angiogenesis Inhibitors Therapy Biological Therapy Peripheral Blood Stem Cell Transplantation Gene Therapy for Cancer Hyperthermia in Cancer Treatment Laser-induced interstitial thermotherapy Photodynamic Therapy for Cancer Targeted Cancer Therapies small-molecule drugs Apoptosis-inducing” drugs Monoclonal antibodies Interleukins Interferons Nonspecific immunomodulating agents Complementary and Alternative Medicine Cancer Vaccine

33. Treatment/Clinical Trial Patient Question: The treatment they have been giving me for my colon cancer has stopped working, I need to find out about my other options.

34. Treatment/Clinical Trial Patient Question: UT MD Anderson Guidelines http://www.mdanderson.org/education-and-research/resources-for-professionals/clinical-tools-and-resources/clinical-resources.html NCCN Guidelines http://www.nccn.org/ NCI Guidelines http://www.cancer.gov/cancertopics/pdq/ UpToDate http://www.uptodate.com/patients Clinical Trials http://clinicaltrials.gov http://www.cancer.gov/clinicaltrials http://www.centerwatch.com

35. Drug Information Clinical Question: What are the contraindications for tamoxifen? Should I be concerned if patient is taking Tamiflu? Letrozole?

36. Drug Information Clinical Question: https://online.epocrates.com/

37. Complementary/Integrative Medicine Group Activity: Brainstorm alternative complementary therapies that might be used for cancer by patients or practitioners?

38. Complementary/Integrative Medicine Patient Question: What herbs are good for pancreatic cancer?

39. Complementary/Integrative Medicine Patient Question: MD Anderson CIMER http://www.mdanderson.org/departments/CIMER/ Natural Standard http://naturalstandard.com login/pw: mdacc/mdacc National Center for Complementary and Alternative Medicine http://nccam.nih.gov/ CAMline http://www.camline.ca

40. Side Effects Patient Question: My wife’s Dr. wants her to do chemotherapy and radiation & I would like to find some information about the side effects.

41. Side Effects Patient Question: Chemotherapy and You http://www.cancer.gov/cancertopics/chemotherapy-and-you Radiation Therapy and You  http://www.cancer.gov/CANCERTOPICS/RADIATION-THERAPY-AND-YOU CancerCare Managing Side Effects  http://www.cancercare.org/reading_room/connect_booklets.php MedlinePlus Tutorial http://www.nlm.nih.gov/medlineplus/

43. Side Effects Clinical Question: What are long term side effects of Cisplatin in testicular cancer patients?

44. Side Effects Clinical Question: Scopus Safety Hedge (TITLE-ABS-KEY(injurious OR undesirable) AND TITLE-ABS-KEY(effect* OR reaction* OR event* OR incident*)) OR (TITLE-ABS-KEY("adverse effect*" OR "adverse reaction*" OR "adverse event*" OR "adverse incident*" OR "adverse outcome" toxic OR toxicity OR "chemically induced" OR injurious OR undesirable OR "bad reaction" OR poison* OR lethal OR "drug safety" OR "drug induced" OR "Drug Toxicity" OR "drug safety" OR "adverse drug reaction" OR intoxication OR "side effect*" OR "late effect*")) http://scopus.com/register Usernames: use from handout Password:

48. Nutrition Patient Question: What do I eat if I have pancreatic cancer?

49. Nutrition Patient Question: PanCan Diet and Nutrition http://www.pancan.org/section_facing_pancreatic_cancer/learn_about_pan_cancer/diet_and_nutrition/ Eating Hints for Cancer Patients – NCI http://www.cancer.gov/cancertopics/eatinghints AICR - American Institute for Cancer Research http://www.aicr.org/ Nutrition and Physical Activity During and After Cancer Treatment http://caonline.amcancersoc.org/cgi/content/full/56/6/323

50. Nutrition critical care x nutrition Nutrition in cancer survivors articles on nutrition and radiotherapy enteral or Parenteral feeding X early vs late X ICU Enteral feeding - height of bed Enteral feeding – residuals Enteral Feeding – flushing Benefit/harm of OG and NG tubes in the OR enteral parenteral tpn tube feeding