Tahlequah Daily Press

Get the scoop!

April 16, 2014

Doctors to rate cost effectiveness of expensive cancer drugs

NEW YORK — The world's largest organization of cancer doctors plans to rate the cost effectiveness of expensive oncology drugs, and will urge physicians to use the ratings to discuss the costs with their patients.

The American Society of Clinical Oncology is weighing efficacy, side effects and price using an algorithm to determine the relative value of drugs, focusing first on therapies for advanced cases of lung and prostate cancer and for multiple myeloma, said Richard Schilsky, the group's chief medical officer. The task force developing the system plans to present it for public comment later this year, he said.

With the price of many cancer regimens reaching $10,000 a month, doctors need to communicate the medical implications of their care and, increasingly, the cost so patients can make the best decisions for themselves and their families, panel members said.

"Cancer is one of the primary reasons families go bankrupt today," said Gary Lyman, an oncologist at the Fred Hutchinson Cancer Research Center in Seattle and a member of the task force. "Often families are mortgaging their houses to pay for these expensive drugs. We want to make sure families understand both the benefits of what we can do, and the financial impact."

Too often, those who can't afford a medicine "either go elsewhere and get inferior treatment, or they stop treatment altogether because they're embarrassed to be poor," he said.

While companies including London-based AstraZeneca, a maker of cancer drugs, and UnitedHealth Group Inc., the largest U.S. health insurer, have representatives working with the panel, the "sense" of the members is that the cancer physicians "need to be in the driver's seat here," Lyman said in a telephone interview.

The task force, set to meet Thursday, doesn't plan to publish long lists of value ratings, Schilsky said. Rather, the aim is to provide the framework for a scoring system that will give doctors and patients options to discuss in determining how to proceed with care.

"We realize this is an important and somewhat sensitive issue," Schilsky said in a telephone interview. "ASCO is not setting itself up to be some national agency that makes pronouncements" on pricing.

Lowell Schnipper, the task force chairman, said the value ratings may cause drugmakers to reassess their pricing policies.

"My guess is that something like this can have a modulating effect," Schnipper, who is also chief of hematology and oncology at Beth Israel Deaconess Medical Center in Boston, said in an interview. Such a system may keep companies whose drugs are "only a little bit better" from dramatically increasing the price.

ASCO "has been very active in defining guidelines for the appropriate management of problem x, y and z," Schnipper said. "But this is the first time it has ever approached the issue of the value of the treatments we offer."

Once the Alexandria, Va.-based cancer organization comes to a consensus on a rating system, "our hope is that we can expand the range of disease situations that can be included in this kind of analysis," he said.

The task force has been working on the value ratings for the past year, Schilsky said. Eventually, the rating system may be available online so doctors can access them on a hand-held device at the point of therapy, according to Lyman.

"By putting that information in front of the oncologist, we expect it will change behavior," Lyman said.

 

1
Text Only
Get the scoop!
  • 20140727-AMX-GUNS271.jpg Beretta, other gun makers heading to friendlier states

    In moving south and taking 160 jobs with it, Beretta joins several other prominent gunmakers abandoning liberal states that passed tough gun laws after the Newtown shooting.

    July 28, 2014 1 Photo

  • Fast food comes to standstill in China

    The shortage of meat is the result of China's latest food scandal, in which a Shanghai supplier allegedly tackled the problem of expired meat by putting it in new packaging and shipping it to fast-food restaurants around the country

    July 28, 2014

  • Dangerous Darkies Logo.png Redskins not the only nickname to cause a stir

    Daniel Snyder has come under fire for refusing to change the mascot of his NFL team, the Washington Redskins. The Redskins, however, are far from being the only controversial mascot in sports history.  Here is a sampling of athletic teams from all areas of the sports world that were outside the norm.

    July 28, 2014 3 Photos

  • CATS-DOGS281.jpg Where cats are more popular than dogs in the U.S.-and all over the world

    We all know there are only two types of people in the world: cat people and dog people. But data from market research firm Euromonitor suggest that these differences extend beyond individual preferences and to the realm of geopolitics: it turns out there are cat countries and dog countries, too.

    July 28, 2014 1 Photo

  • 'Rebel' mascot rising from the dead

    Students and alumni from a Richmond, Va.-area high school are seeking to revive the school's historic mascot, a Confederate soldier known as the "Rebel Man," spurring debate about the appropriateness of public school connections to the Civil War and its icons.

    July 28, 2014

  • HallofFameBraves.jpg Hall of Fame adds businesslike Braves, Frank Thomas, managers La Russa and Torre

    Atlanta Braves pitchers Greg Maddux and Tom Glavine, and their manager, Bobby Cox, dominated much of baseball during the 1990s. This weekend they went into the Hall of Fame together.

    July 28, 2014 1 Photo

  • wd saturday tobias .jpg Stranger’s generosity stuns Ohio veteran

    Vietnam War veteran David A. Tobias was overwhelmed recently when a fellow customer at an OfficeMax store near Ashtabula, Ohio paid for a computer he was purchasing.

    July 28, 2014 1 Photo

  • How spy agencies keep their 'toys' from law enforcement

    A little over a decade ago, federal prosecutors used keystroke logging software to steal the encryption password of an alleged New Jersey mobster, Nicodemo Scarfo Jr., so they could get evidence from his computer to be used at his trial.

    July 26, 2014

  • Brother sues W.Va. senator over business loan

    U.S. Sen. Joe Manchin's brother claims he's owed $1.7 million that he loaned to keep a family carpet out of bankruptcy in the 1980s.

    July 26, 2014

  • Lynette Rae Sampson.jpg Say what?: Woman arrested after calling EPD to complain her meth was ‘laced’

    A 54-year-old Enid woman is facing felony drug charges after allegedly calling police earlier in the week and telling them she thought her methamphetamine was laced with something. Woman to officer: "I'm glad you came."

    July 25, 2014 1 Photo

  • Facebook continues moneymaking trend

    Facebook seems to have figured out - for now at least - the holy grail for all media right now: how to make money selling mobile ads.

    July 25, 2014

  • Russia's war on McDonald's takes aim at the Filet-o-Fish

    Russia said earlier this week that it had no intention of answering Western sanctions by making it harder for Western companies to conduct business in Russia.
    But all bets are off, apparently, when you threaten the Russian waistline.

    July 25, 2014

  • taylor.armerding.jpg Inequality crisis shot with factual problems, hypocrisy

    President Obama, various media and political liberals say inequality, of all things, is the defining issue of our times. Yet this message is delivered by multimillionaires and a president who jets from tee time to stump speech on the taxpayer's dime.
     

    July 25, 2014 1 Photo

  • photo of oil tanks and fiberglass salt water tank.jpg Officials investigate oil-covered barn owls, dead birds

    “These birds got into a saltwater tank that was full. Most of it’s saltwater, but there’s the scum of oil on top of it. That’s the reason why the (Oklahoma) Corporation Commission and federal rules say that those tanks have to be covered." — Oklahoma Department of Wildlife Conservation Major County Game Warden Lt. Frank Huebert

    July 25, 2014 1 Photo

  • Arizona's prolonged lethal injection is fourth in U.S. this year

    Arizona's execution of double-murderer Joseph Wood marked the fourth time this year that a state failed to dispatch a convict efficiently, according to the Constitution Project, a bipartisan legal group.3

    July 25, 2014

Poll

Do you believe school administrators and college presidents in Oklahoma are paid too much?

Strongly agree.
Somewhat agree.
Somewhat disagree.
Strongly disagree.
Undecided.
     View Results
Tahlequah Daily Press Twitter
Follow us on twitter
AP Video
Two Women Narrowly Avoid Being Hit by Train In Virginia, the Rise of a New Space Coast New Sanctions on Key Sectors of Russian Economy Crayola Announces Family Attraction in Orlando US Ready to Slap New Sanctions on Russia Kerry: Not Worried About Israeli Criticism Boater Rescued From Edge of Kentucky Dam Girl Struck by Plane on Florida Beach Dies Rodents Rampant in Gardens Around Louvre House to Vote on Slimmed-down Bill for Border Looming Demand Could Undercut Flight Safety Raw: 2 Shells Hit Fuel Tank at Gaza Power Plant Raw: Massive Explosions From Airstrikes in Gaza Giant Ketchup Bottle Water Tower Up for Sale Easier Nuclear Construction Promises Fall Short Kerry: Humanitarian Cease-fire Efforts Continue Raw: Corruption Trial Begins for Former Va Gov. The Carbon Trap: US Exports Global Warming Traditional African Dishes Teach Healthy Eating
Stocks