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Old 01-01-2008, 12:46 PM   #1
Lani
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Join Date: Mar 2006
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disparity in Canadian provinces regarding use of AIs, small molecule drugs

Curr Oncol. 2007 Dec;14 Suppl 1:S3-S10.
Cancer therapy disparity: unequal access to breast cancer therapeutics and drug funding in Canada.

Verma S, Sehdev S, Joy AA.
Division of Medical Oncology, Toronto-Sunny-brook Regional Cancer Centre, Sunnybrook and Women's College Health Sciences Centre, Toronto, Ontario.
Adjuvant therapy has made a significant contribution in reducing breast cancer-specific mortality. Standard chemotherapeutics and tamoxifen have been the mainstay treatment for years, but recent clinical evidence supports the use of novel small-molecule therapy and aromatase inhibitor therapy in selected settings, challenging not only the traditional paradigm of breast cancer treatment, but also provincial funding of oncologic care across Canada. The disparity in access to aromatase inhibitor therapy for postmenopausal women with early-stage hormone-sensitive breast cancer across Canada is highlighted as an example.
PMID: 18087606 [PubMed - in process]
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Old 01-01-2008, 01:34 PM   #2
Cathya
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Location: Ontario, Canada
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Lani;

As previously discussed, this is a provincial issue and so I would have thought that differences in care and access would differ across the provinces. However, my mother (86 years of age) has a close friend (84 years of age) who has recently been diagnosed with bc in both breasts. She lives in Ontario (as do we) and I am amazed at the difference in treatment she is receiving as compared to mine. I have often felt that someone should sue our national government for access to the best medical services available nationally (using our Charter of Rights). It is the federal government who guarantees our health care and (from a pr point of view) receives, generally, the benefit of it.

Cathy
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Diagnosed Oct. 2004 3 cm ductal, lumpectomy Nov. 2004
Diagnosed Jan. 2005 tumor in supraclavicular node
Stage 3c, Grade 3, ER/PR+, Her2++
4 AC, 4 Taxol, Radiation, Arimidex, Actonel
Herceptin for 9 months until Muga dropped and heart enlarged
Restarting herceptin weekly after 4 months off
Stopped herceptin after four weekly treatments....score dropped to 41
Finished 6 years Arimidex
May 2015 diagnosed with ovarian cancer
Stage 1C
started 6 treatments of carboplatin/taxol
Genetic testing show BRCA1 VUS
Nice! My hair came back really curly. Hope it lasts lol. Well it didn't but I liked it so I'm now a perm lady
29 March 2018 Lung biopsy following chest CT showing tumours in pleura of left lung, waiting for results to the question bc or ovarian
April 20, 2018 BC mets confirmed, ER/PR+ now Her2-
Questions about the possibility of ovarian spread and mets to bones so will be tested and monitored for these.
To begin new drug Palbociclib (Ibrance) along with Letrozole May, 2018.
Genetic testing of ovarian tumour and this new lung met will take months.
To see geneticist to be retested for BRCA this week....still BRCA VUS
CA125 has declined from 359 to 12 as of Aug.23/18


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