the future of cancer care the future of cancer care stephen c. schimpff executive vice president,...
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The Future of Cancer CareThe Future of Cancer Care
Stephen C. SchimpffExecutive Vice President, UMMC
Interim Director, University of Maryland Greenebaum Cancer Center
The Future of Cancer CareThe Future of Cancer Care
Key ElementsKey Elements
• Genomics• New Technologies• Information Management• Pharmaceuticals• Complementary Medicine• Supportive Care
– Multidisciplinary Care– Palliative Care
The Future of Cancer CareThe Future of Cancer Care
GenomicsGenomics
• Improved Diagnostics• Prognostication• Gene Therapy• Pharmacogenomics
The Future of Cancer CareThe Future of Cancer Care
GenomicsGenomics
The human genome now known - “We have the parts list”
ProteomicsProteomics
Understanding the functions of genomic change
The Future of Cancer CareThe Future of Cancer Care
New TechnologiesNew Technologies
- Imaging
- Surgery
- Radiation
The Future of Cancer CareThe Future of Cancer Care
Information Systems/Electronic Medical RecordInformation Systems/Electronic Medical Record
• Patient Safety - Error Detection • Improved Quality - “Knowledge” Incorporated
The Future of Cancer CareThe Future of Cancer Care
PharmaceuticalsPharmaceuticals
• Drug Discovery Process– Currently - 10-12 year process– Future - < 5 year process
• Targeted, less toxic drug therapy
• Traditional chemotherapy will become obsolete
The Future of Cancer CareThe Future of Cancer Care
Lance Armstrong & The War on Cancer
1960’s - Testicular cancer generally fatal Radiation by cobalt was new
Combination CT developed (HD & AL)
1971 - Armstrong born War on cancer declared
Today - Armstrong cured
Incredibly determined, competitive
A national champion for clinical trials
The Future of Cancer CareThe Future of Cancer Care
Complementary Medicine Complementary Medicine for Supportive Carefor Supportive Care
• Support groups for support/understanding• Massage for stress• Meditation/prayer• Acupuncture for pain
The Future of Cancer CareThe Future of Cancer Care
Multidisciplinary Approach Multidisciplinary Approach
To Care For The Patient With CancerTo Care For The Patient With Cancer
Typical Approach to Cancer CareTypical Approach to Cancer Care
Patient Diagnosed with Cancer
SurgeonRadiation Oncologist
Medical OncologistPrimary Care Physician
Multidisciplinary ApproachMultidisciplinary Approach
Patient Diagnosed Team Evaluation & Treatment Planning
Surgeon
Medical Oncologist
Palliative/ Supportive Care
Palliative/ Supportive Care Palliative/
Supportive Care
Primary Care Physician Radiation
Oncologist
PatientAdvocate
PatientAdvocate
PatientAdvocate
The Future of Cancer CareThe Future of Cancer Care
Palliative / Supportive Care
The Future of Cancer CareThe Future of Cancer Care
Palliative / Supportive Care
Standard Approach
Diagnosis Death
Care
The Future of Cancer Care
Palliative / Support Care
Standard Approach
Diagnosis Death
Care
End of Curative Attempts
The Future of Cancer Care
Palliative Care Approach
Diagnosis Death
Care
Palliative CareCurative Approach
The Future of Cancer Care
Palliative Care Approach
Diagnosis Death
Care
Palliative CareCurative Approach
Bereavement Counseling for Family
The Future of Cancer CareThe Future of Cancer Care
National Cancer Institute - 20 Year GoalNational Cancer Institute - 20 Year Goal
“No one suffers, no one dies”