(The Wall Street Journal) For Some Cancers, Less Treatment Is a Better Bet
Cervical, rectal cancer patients responded as well to less aggressive care, studies show
https://www.wsj.com/articles/for-som...r-bet-ed94d8ef
Doctors are coalescing around the ironic idea that for some cancer treatment, less can be better.
Some patients with cervical and pancreatic cancer can do as well with less invasive surgery, according to research presented at the American Society of Clinical Oncology conference in Chicago over the weekend. Other studies at the annual meeting showed some patients with rectal cancer or Hodgkin lymphoma can safely get less radiation.
The findings expand a body of evidence doctors are using to design treatment plans that aim to reduce side effects and costs. They call the strategy de-escalation: cutting back on some therapies to improve a patient’s quality of life without hurting their odds of survival.
Newer treatments and tests are extending patients’ lives and moving cancer care away from a blunt, one-size-fits-all approach. On the strength of studies like those presented in Chicago, doctors are getting better at determining who needs the most aggressive care and who can get away with less treatment and less collateral damage.
“It’s time to look at less toxic approaches,” said Dr. Julie Gralow, chief medical officer and executive vice president of the American Society of Clinical Oncology.