It may be one of the first things that came to mind when you were diagnosed
with cancer: Is this hospital really the best choice for my cancer
But how can you find the answer? You may feel helpless. How would you -- who
may not know the first thing about treating this disease -- be able to tell a
good cancer treatment hospital from a bad one?
Take a deep breath. Choosing a cancer treatment hospital is not as scary as
it might seem. You’ve got more resources available to you than you might
realize. All it takes is a little research. The reward -- starting treatment
with real confidence in your doctors and your hospital -- is worth the
Here are some things to consider when choosing a cancer treatment hospital:
Recurrent disease indicates failure of prior chemotherapy unless initial therapy was surgery alone. One study found recurrence of disease in 2.5% of patients with nonmetastatic disease, 3.7% of patients with good-prognosis metastatic disease, and 13% of patients with poor-prognosis metastatic disease. Nearly all recurrences occur within 3 years of remission (85% before 18 months). A patient whose disease progresses after primary surgical therapy is generally treated with single-agent chemotherapy...
Ask around. Recommendations are key. Talk to friends and family and
see what their experiences have been like at local medical centers. Ask your
health care provider about the professional reputation of cancer treatment
hospitals, particularly in treating your type of cancer.
Focus on the doctor first. You could start by looking for a doctor,
not a hospital. “As a general rule of thumb, if an oncologist is good and
highly recommended, he or she is going to be practicing at a good hospital,”
says Terri Ades, MS, APRN-BC, AOCN, director of cancer information at the
American Cancer Society in Atlanta.
Is the hospital nearby? Though some people choose to go to a
specialized cancer center in another part of the country, that may not be
possible for everyone. Convenience is important, since during chemotherapy or
radiation you probably won't feel your best. You may need a friend to drive you
to the local hospital from time to time for treatment, so be sure and think
through the details. If you’re having surgery that does not require long-term
care, you may travel to a specialized cancer surgeon and then rely on a local
doctor for your long-term treatment.
Does your insurance cover care at this cancer treatment hospital?
This is an obvious but important question.
Is this a specialty cancer center? A large treatment center with
integrated care has advantages. “In a multi-specialty clinic, you’ve got
experts under one roof who are used to working with each other,” says Jan C.
Buckner, MD, chair of medical oncology at the Mayo Clinic in Rochester, Minn.
“There’s a common medical record that they can all use.”
However, a large cancer center may not be available nearby. That’s OK, says
Ades. “A lot of people assume that they have to go to a major cancer center to
get good care,” she tells WebMD. “But that’s not true. You can get the same
treatment and excellent care at many hospitals throughout the U.S.” On the
whole, cancer care is standardized, and doctors are generally following the
same guidelines wherever you go.
Are clinical trials available at this cancer treatment hospital? A
clinical trial is the study of a new type of treatment. "Clinical trials
are the engine by which progress is made in cancer care. For many
patients, treatment as part of a clinical trial may be an excellent option that
enhances aspects of their care,” Harold J. Burstein, MD, a staff
oncologist at the Dana-Farber Cancer Institute in Boston and an assistant
professor of medicine at Harvard Medical School, tells WebMD. So always ask if
a clinical trial might be right for you and whether a clinical trial for your
type of cancer is being offered at your cancer treatment hospital. If it isn't,
ask where such trials might be taking place.
Does the hospital offer education or social support? See if your
cancer treatment hospital offers support groups for people going through
treatment -- and their families. Buckner suggests that you also ask whether
there are support groups for after you recover. “There are more and more
longtime cancer survivors these days,” says Buckner, “and groups for them are
Terri Ades, MS, APRN-BC, AOCN, director of cancer information, the American
Cancer Society, Atlanta.
Jan C. Buckner, MD, chair of medical oncology, Mayo Clinic, Rochester, Minn.
Harold J. Burstein, MD, staff oncologist, Dana-Farber Cancer Institute;
assistant professor of medicine, Harvard Medical School, Boston.
National Cancer Institute web site: “How to find a doctor or treatment
facility if you have cancer.”