Admission versus observation: clinically impactful or just a reimbursement shell game?
2015Journal of oncology practice
Marsland T
PubMedGAINESVILLE, FL
Dr. Marsland studies cancer treatment strategies, specifically looking at how combinations of drugs can affect patient outcomes in advanced lung and breast cancers. For example, he has researched therapies that combine bevacizumab, erlotinib, trastuzumab, and gemcitabine. His work also extends to understanding how circulating tumor cells in the bloodstream can help doctors track disease progression and adjust treatments accordingly. Overall, his goal is to find effective treatment protocols that can enhance patient survival and quality of life while managing side effects.
Journal of oncology practice
Marsland T
PubMedCase reports in oncology
Marsland T, Schuur ER
Plain English
This study looked at how measuring circulating tumor cells (CTCs) in the blood could help manage metastatic breast cancer in a 47-year-old woman. The researchers found that CTC levels provided valuable information that guided doctors in making timely treatment changes, such as switching therapies when the cancer worsened and stopping treatment to allow recovery when improvements were seen. This approach improved patient care by using CTC data alongside other tests to better understand the patient's condition and make informed decisions.
Who this helps: This helps breast cancer patients and their doctors make more effective treatment choices.
Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer
Kabbinavar F, Fehrenbacher L, Hainsworth J, Kasubhai S, Kressel B +9 more
Plain English
This study looked at whether a combination treatment of bevacizumab with erlotinib worked better than bevacizumab with a placebo for patients with advanced non-small-cell lung cancer after initial chemotherapy. The findings showed that patients receiving the combination therapy had a longer period without disease progression, averaging 4.4 months compared to 3.7 months for the placebo group. While the combination therapy showed benefits for certain patient groups, such as those with specific genetic markers, it did not improve overall survival.
Who this helps: This research benefits patients with advanced non-small-cell lung cancer, particularly those with certain genetic profiles.
American Society of Clinical Oncology educational book. American Society of Clinical Oncology. Annual Meeting
McCaskill-Stevens W, Lyss AP, Good M, Marsland T, Lilenbaum R
Plain English
The study looks at a new program called the NCI Community Oncology Research Program (NCORP), which aims to improve cancer care in local communities by combining existing programs to better support research on cancer treatment and prevention. The program will also focus on understanding and reducing differences in cancer care among different groups of people. By gathering insights from community cancer care experts, the program will help identify what resources are needed to improve cancer research and treatment in these settings.
Who this helps: This benefits patients and doctors in community settings, especially those facing disparities in cancer care.
Journal of clinical oncology : official journal of the American Society of Clinical Oncology
Johnson BE, Kabbinavar F, Fehrenbacher L, Hainsworth J, Kasubhai S +10 more
Plain English
This study looked at whether adding a drug called erlotinib to the existing treatment of bevacizumab improves outcomes for patients with advanced non-small-cell lung cancer after they finish chemotherapy. It involved 743 patients and found that the combination treatment led to a longer period without disease progression (4.8 months) compared to bevacizumab alone (3.7 months), but there was no significant difference in overall survival (14.4 months versus 13.3 months). Although the combined treatment showed some improvement in controlling the cancer, it also caused more side effects, so it won't become a new standard treatment.
Who this helps: This information helps doctors decide on the best treatment plans for lung cancer patients.
Oncology (Williston Park, N.Y.)
Marsland T, Arena F, Yeilding A, Glodé M, Ellis L +10 more
PubMedJournal of oncology practice
Marsland T, Robbins G, Marks A, Cassell R, Philips DG +1 more
Plain English
This study looked at how a collaboration between Florida's oncologists and insurance companies could lower cancer treatment costs while maintaining high-quality care for patients. The research highlighted concerns that a new spending reduction program by a major insurance provider could restrict the services and treatment options that cancer patients receive, potentially harming their care. It matters because if costs are cut without proper planning, patients may not get the best possible treatment.
Who this helps: This helps cancer patients in Florida.
Journal of oncology practice
McAneny B, Marsland T, King K
Plain English
This paper discusses a meeting where experts talked about important topics related to cancer treatment. They focused on whether insurance should cover anticancer drugs used in ways not officially approved (called off-label uses) and the need for oral anti-nausea medications compared to those given through an IV. These discussions are crucial because they can affect patient access to necessary treatments and how they manage side effects.
Who this helps: This helps cancer patients and their doctors.
Clinical breast cancer
O'Shaughnessy JA, Vukelja S, Marsland T, Kimmel G, Ratnam S +1 more
Plain English
In this study, researchers tested the combination of two drugs, trastuzumab and gemcitabine, in 64 women with HER2-positive metastatic breast cancer who had already undergone chemotherapy. They found that 38% of all participants responded positively to the treatment, with a higher response rate of 44% among those with strong HER2 expression. The average survival time for these patients was 14.7 months, and the treatment was generally well tolerated with no serious heart problems.
Who this helps: This benefits women with HER2-positive metastatic breast cancer who have already received chemotherapy.
Clinical breast cancer
O'Shaughnessy J, Vukelja SJ, Marsland T, Kimmel G, Ratnam S +1 more
Plain English
This study examined the effects of combining two drugs, gemcitabine and trastuzumab, in 38 women with advanced breast cancer who had already undergone up to three previous treatments. The results showed that 32% of the patients experienced a noticeable reduction in their tumors, with this improvement lasting for about 8.6 months on average. Additionally, patients lived for about 10.2 months after starting this treatment, which is promising given their difficult-to-treat condition.
Who this helps: This helps women with metastatic breast cancer who have limited treatment options.
The Journal of family practice
Marsland T, King V
PubMedThe Journal of family practice
Marsland T, Newton W
PubMedMammalian genome : official journal of the International Mammalian Genome Society
Arkell RM, Cadman M, Marsland T, Southwell A, Thaung C +7 more
Plain English
Researchers studied a specific genetic deletion in mice called Del(13)Svea36H to understand its effects on development and gene functions. They found that mouse embryos with this deletion do not survive past early development, while those that do survive show various serious health issues, such as being smaller in size, having eye problems, and facial deformities, with about 25% of carriers dying before they reach adulthood. This research helps scientists understand genetic disorders and the potential risks associated with similar deletions in humans.
Who this helps: Patients with genetic disorders and their doctors.
Nature genetics
Nusbaum C, Slonim DK, Harris KL, Birren BW, Steen RG +37 more
Plain English
Researchers created a detailed map of the mouse genome, identifying nearly 10,000 specific locations across the genome spaced about 300,000 base pairs apart. This map covers about 92% of the mouse genome and includes information from chromosome X, which has 619 specific locations. This mapping tool is important because it will make it easier to study and understand genetic mutations in mice, a key model for human health research.
Who this helps: This benefits scientists and researchers working in genetics and biomedical research.
Thrombosis and haemostasis
Marsland T, Griffin T, Ansell J, Hunter R
PubMedPhysician data sourced from the NPPES NPI Registry . Publication data from PubMed . Plain-English summaries generated by AI. Not medical advice.