Are you having back pain with any of the following?

  • Severe pain, weakness or tingling in your leg(s).
  • Difficulty stopping urination or loss of control of bladder or bowels.
  • Unexplained fever, nausea or vomiting.
  • A history of cancer or unexplained weight loss.

We understand that you are experiencing one or more of the health issues that might be impacting your back pain.

We recommend that you discuss these health issues with your doctor before proceeding with this program.

Once you are cleared by your doctor to do this program, we hope it helps you find relief from your back pain.

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Specialized care in Ovarian Cancer - Commentary on The New York Times article

Apr 01, 2013

by Dr. John Tatman
Chief, Gynecologic Oncology
Kaiser Permanente Medical Center – Santa Clara

Below is an excerpt from an article that appeared in The New York Times Health Section about care of women with ovarian cancer in the United States. Direct quotes from the article are italicized.

Widespread flaws found in ovarian cancer treatment 

The New York Times, March 11, 2013 

Most women with ovarian cancer receive inadequate care and miss out on treatments that could add a year or more to their lives, a new study has found. 

The results highlight what many experts say is a neglected problem: widespread, persistent flaws in the care of women with this disease, which kills 15,000 a year in the United States. About 22,000 new cases are diagnosed annually, most of them discovered at an advanced stage and needing aggressive treatment. Worldwide, there are about 200,000 new cases a year. Cancer specialists around the country say the main reason for the poor care is that most women are treated by doctors and hospitals that see few cases of the disease and lack expertise in the complex surgery and chemotherapy that can prolong life. “If we could just make sure that women get to the people who are trained to take care of them, the impact would be much greater than that of any new chemotherapy drug or biological agent,” said Dr. Robert E. Bristow, the director of gynecologic oncology at the University of California, Irvine, and lead author of the new study presented on Monday at a meeting of the Society of Gynecologic Oncology in Los Angeles. [Operations] should be done by gynecologic oncologists, said Dr. Deborah Armstrong of Johns Hopkins University.

In Kaiser Permanente Northern California, over 90% of patients with advanced ovarian cancer have their initial surgery performed by a gynecologic oncologist, a subspecialty-trained surgeon.

The article suggests that hospitals that treat 20 or more cases a year were more successful and their patients lived longer. At Kaiser Permanente Santa Clara Medical Center, our gynecologic oncologists see 30 to 40 new ovarian cancer cases each year.

The article also noted that women with advanced ovarian cancer do not typically receive intraperitoneal chemotherapy, which has been shown to prolong survival. At Kaiser Permanente Santa Clara Medical Center, intraperitoneal chemotherapy has been the standard chemotherapy for patients with advanced ovarian cancer for several years and is routinely offered to all candidates.

Kaiser Permanente prides itself on excellent, seamless care, highly qualified doctors, and advanced technology. Members with ovarian and other gynecologic cancers and their families should feel assured that our regional referral system, practice of evidence-based care, and dedicated oncologists and staff are part of our commitment to making sure you have the best care possible.

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