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Old 10-18-2018, 09:30 AM   #1
Nguyen
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Join Date: Nov 2005
Posts: 503
Top breast cancer specialists

Hello,

Does anyone have any thought on this list or a recommendation for a "gifted" oncologist? Many thanks.

Nguyen

https://www.forbes.com/sites/matthew.../#6d0e5c0e3891


27 Top Breast Cancer Oncologists, Picked By Big Data
Matthew Herper

I cover science and medicine, and believe this is biology's century.



What's below is the result of a challenge: can a company that helps patients find the right doctor identify the best physicians over all, or at least come close? (You can also go here for a list of top cardiologists.)

Last year, I wrote a magazine profile of a company called Grand Rounds, which aims to meticulously comb through data on physicians – everything from what they prescribe to the wait times in their parking lots—to match patients with the right doctor for them. The company’s founder, Owen Tripp, even used the service himself when a type of tumor was found in his ear. “It's not that there aren't good doctors, and it's certainly not that there aren't enough of them,” Tripp said last week at the Forbes Healthcare Summit. The problem is measurement.

OK, smart guy, I said. If you can tell which doctors are better, give me a list of the best. Grand Rounds uses a computer model based on publicly available and proprietary data, including administrative claims data from insurers, practice affiliations, board certifications, disciplinary actions, and academic publications. These data don’t tell how a doctor’s patients do, but they do allow the company to look at how doctors were trained, who they work with, what they prescribe, and procedures they perform. For instance, in breast cancer oncology, better physicians are more likely to perform genomic tests. In contrast, in cardiology, ordering more tests is a sign of lower physician quality. The lists we’re publishing today, in breast cancer oncology and cardiology, are the result of using a machine learning algorithm on many such measures.

There are limitations to this analysis. Grand Rounds says it misses excellent doctors who belong on it. Efforts to find outside experts who could vet Grand Rounds’ algorithms were unsuccessful. Like many efforts in machine learning or artificial intelligence, the results emerge from a black box that’s hard for outsiders to evaluate. And Grand Rounds is a private company, with the skepticism it entails. But this list, and the other, are at the least thought-provoking. And I can confirm, based on years of reporting, that many of the physicians included are indeed the best in their fields.

Honor Roll
Foluso Ademuyiwa Washington University in St. Louis
Banu Arun MD Anderson Cancer Center
José Baselga Memorial Sloan Kettering
Harold Burstein Dana Farber Cancer Institute
Saundra Buys Huntsman Cancer Institute, University of Utah
Melody Cobleigh Rush University Medical Center
Gabriella D'Andrea Memorial Sloan Kettering
Elizabeth Claire Dees University of North Carolina
Susan Domchek University of Pennsylvania
Matthew Ellis Baylor College of Medicine
Monica Fornier Memorial Sloan Kettering
Kevin Fox University of Pennsylvania
Lori Goldstein Fox Chase Cancer Center (Temple University)
William Gradishar Northwestern
Julie Gralow University of Washington
Gabriel Hortobagyi MD Anderson Cancer Center
Clifford Hudis Memorial Sloan Kettering
Maryam Lustberg The Ohio State University
Ann Partridge Dana Farber Cancer Institute
Bhuvaneswari Ramaswamy The Ohio State University
George Raptis North Shore-LIJ Cancer Institute
Charles Shapiro Mount Sinai
George Sledge Jr. Stanford University Medical Center
George Somlo City of Hope
Vered Stearns Johns Hopkins University
Tiffany Traina Memorial Sloan Kettering
Eric Winer Dana Farber Cancer Institute
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Old 10-19-2018, 08:35 PM   #2
StephN
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Location: Misty woods of WA State
Posts: 4,128
Re: Top breast cancer specialists

Great list!
My medical oncologist is listed.
__________________
"When I hear music, I fear no danger. I am invulnerable. I see no foe. I am related to the earliest times, and to the latest." H.D. Thoreau
Live in the moment.

MY STORY SO FAR ~~~~
Found suspicious lump 9/2000
Lumpectomy, then node dissection and port placement
Stage IIB, 8 pos nodes of 18, Grade 3, ER & PR -
Adriamycin 12 weekly, taxotere 4 rounds
36 rads - very little burning
3 mos after rads liver full of tumors, Stage IV Jan 2002, one spot on sternum
Weekly Taxol, Navelbine, Herceptin for 27 rounds to NED!
2003 & 2004 no active disease - 3 weekly Herceptin + Zometa
Jan 2005 two mets to brain - Gamma Knife on Jan 18
All clear until treated cerebellum spot showing activity on Jan 2006 brain MRI & brain PET
Brain surgery on Feb 9, 2006 - no cancer, 100% radiation necrosis - tumor was still dying
Continue as NED while on Herceptin & quarterly Zometa
Fall-2006 - off Zometa - watching one small brain spot (scar?)
2007 - spot/scar in brain stable - finished anticoagulation therapy for clot along my port-a-catheter - 3 angioplasties to unblock vena cava
2008 - Brain and body still NED! Port removed and scans in Dec.
Dec 2008 - stop Herceptin - Vaccine Trial at U of W begun in Oct. of 2011
STILL NED everywhere in Feb 2014 - on wing & prayer
7/14 - Started twice yearly Zometa for my bones
Jan. 2015 checkup still shows NED
2015 Neuropathy in feet - otherwise all OK - still NED.
Same news for 2016 and all of 2017.
Nov of 2017 - had small skin cancer removed from my face. Will have Zometa end of Jan. 2018.
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