Hey Friends,

Interesting article in today's New York Times Science section.  I wonder if
it pertains to leukemia survivors.

Richard R

__________
Disparities: For Cancer Survivors, Worse Care
By JOHN O'NEIL

People who survive cancer appear to get worse care than the general
population when it comes to other diseases, a study released last week
concluded. 

According to the study, published in the online version of the journal
Cancer, the number of cancer survivors, which is over eight million in the
United States today, is increasing as treatments improve.

The study focused on a group of about 14,000 Medicare patients who had been
treated for colon cancer, which is regarded as highly curable in its early
stages. Their care over the course of two years after cancer treatment was
compared with that of 14,000 Medicare patients who had never had cancer.

The study's lead author, Dr. Craig C. Earle of the Dana Farber Cancer
Institute in Boston, said the review showed that the cancer patients were
less likely to receive a number of preventive measures or adequate follow-up
care for other conditions.

"Monitoring cholesterol, especially in patients with heart disease, and
diabetes follow-up are two areas that seem to consistently fall through the
cracks a bit," Dr. Earle said.

The cancer patients were also treated less aggressively for heart failure.

The gaps were larger for patients who were older, black or poor, and
smallest for patients who continued to see both an oncologist and a primary
care physician.

Dr. Earle said the disparities could reflect a tendency to focus exclusively
on the threat of cancer recurrence, a sense of fatalism on the part of
patients or confusion about whether an oncologist overseeing cancer
aftercare was handling a patient's other needs as well.

"We need to do a better job of making sure that the patients we cure of
cancer don't lose track of their other physicians," Dr. Earle said.



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