Guest Editorial

How not to develop a medical intervention: Learning from the prostate screening debacle
Guest Editorial

How not to develop a medical intervention: Learning from the prostate screening debacle

This week, the USPSTF issued its draft guidelines for prostate cancer screening. They propose shifting from task force's recommendation against routine prostate cancer screening to a recommendation for informed and shared decision-making in which the physician and patient discuss the real risks of harm and the potential for life saving benefit before deciding on screening.
Oregon’s Death with Dignity Act: Learning from 18 years of data on physician-aided dying
FreeGuest Editorial

Oregon’s Death with Dignity Act: Learning from 18 years of data on physician-aided dying

Oncologists must confront end-of-life issues on a nearly daily basis. Our approach to the potential death of a patient may change over time, however, depending on the patients' diagnosis and stage, where those patients are in their treatment plan, and, of course, what the patients' wishes are. When feasible, our primary goal is to prevent death from cancer, and when we cannot achieve that, we try to delay death as long as we can. When dying seems inevitable, we do our best to make it as comfortable as possible.