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    Hey Doc, If You Were in My Shoes …

    Most Cancer Doctors Recommend Same Treatment They Would Seek for Themselves
    By
    WebMD Health News
    Reviewed by Louise Chang, MD

    Jan. 28, 2008 (Orlando) -- If you're faced with a diagnosis of cancer, it may be worthwhile to ask your cancer doctor what he would do if he were in your shoes.

    A survey of 150 oncologists that treat colon cancer shows that nearly three-fourths would recommend the same course of therapy to their patients that they would choose for themselves.

    "Asked by a patient, 'What would you do, doctor?' Seventy percent of oncologists will flat out answer the question. And another 20% will answer if pressed," says researcher Neil Love, MD, president of the Miami-based medical education company Research To Practice.

    "In 73% of cases, their recommendations were identical to what their personal treatment choices would be if they were in the same situation," he tells WebMD.

    There were some exceptions, with the doctors favoring a more aggressive treatment course for themselves than for their patients.

    Only about 30% of the oncologists surveyed said they would recommend a course of chemotherapy drugs to a patient who had undergone surgery for early-stage colon cancer and was considered to be at very low risk of relapse. But 47% would take the drugs if they were that patient.

    Doctors Shy Away From 'Off-Label' Drug Use

    The other discrepancy was about Avastin, a targeted cancer therapy that starves tumors of their blood supply, curbing tumor growth. It's approved to treat colon cancer that has metastasized (spread) to other organs, including the liver or lungs.

    The survey showed that 24% of oncologists would take Avastin for colon cancer that had spread to many lymph nodes, but had not metastasized to other organs. That's called "off-label" use of a drug. Only 10% of the doctors would recommend Avastin to a patient in the same situation, a significant difference.

    Love says the disparity is relatively inconsequential. "Yes, slightly more physicians opted for Avastin [in this scenario], but still, 74% didn't want it," he says.

    Also, many doctors recommend that patients with a similar diagnosis take Avastin as part of a clinical trial, he adds.

    The findings were reported at the annual Gastrointestinal Cancers Symposium.

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