Effectiveness (or lack of) of chemo...
To the people who are currently considering their treatment options - please read this article. It is not written by some alternative medicine fanatic , but by Australian oncologists no less...
"...it is clear that cytotoxic chemotherapy only makes a minor contribution to cancer survival. To justify the continued funding and availability of drugs used in cytotoxic chemotherapy, a rigorous evaluation of the cost effectiveness and impact on quality of life is urgently required".
Does anyone know of any more recent studies, or if this "rigorous evaluation" was ever done?
Overall benefit of 2.1% in the US and 2.3 % in Australia - the authors considered these results to be the upper limits of effectiveness... possible cardiotoxicity, neurotoxicity and impaired cognitive function; alopecia, neutropenia, possible leukemia, infertility.. worth it??
Seems a high price to pay to me but each to their own decisions.
.http://www.chimachine4u.com/chemo-Study.pdf
Comments
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This is a ten year old article, culling older research, lumping together adult malignancies.
In the perspective of increasingly individualized treatment plans even within diagnosis categories, its hard to find it fully relevant.
Not withstanding, yes, there is a lot to question about the toxicity of therapies, on that I do agree.
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lets be careful before convincing anyone not to do chemo based on this post. Of course it sucks, has SE short term and possibly long term, and is not fun. Also, sometimes it does not work. None of this is a secret, is it? Everything has risks, rewards, and potential outcomes.
bigmc, you do not post your dx, but arent you her-? It would be helpful to all if you would include your dx. It makes a difference. I am her+ and can tell you that seeing and feeling my tumors shrink after the first round of chemo was powerful. neither can even be detected by feel.
That being said, I nearly quit chemo due to the illness it caused. It is not for everyone. HOWEVER I feel great now, just 10 days after my last round. I am happy I did it, and regret nothing. I am a believer in science, and gave myself every opportunity to kill stray cancer cells. I made a big sacrifice in my temporary wellness to do it. These kinds of posts are insulting to others that have done the same, because we did not just skip into chemoland twirling our hair and giggling. We have google too and are not stupid. It takes alot of strength and courage to willingly submit yourself to it, believe me, and further to continue doing it when suffering SE. Right now, it is the only option
While natural living is fine, it does not necessarily prevent BC or cure it. This board is filled with women who lived extremely healthy lives and still get it. Chemo is not full proof, but neither is alternative medicine.
So...agree about SE, disagree about blanket mentality.
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Also we need to remember that we are not averages, we are individuals. My chemo worked so well I could see the results with my own eyes by the second infusion and after the first cycle the tumor had reduced by 50%. I am quite confident I would not be here to talk about it had I not done chemo.
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And here is a newly published study doing a careful comparison of patients treated 25 years ago vs 10 years ago. According to this study the patients treated more recently have half the recurrence risk, roughly, of those treated 25 years ago. The study notes, among other things, that chemo use was more wide-spread in the more recently treated group. In the earlier group 25% got chemo, whereas in the latter group just over 50% had some form of chemo. Also, in this study patients were carefully matched by stage, type etc, so the difference is not attributable to more DCIS DXs these days and the like.
http://jco.ascopubs.org/content/early/2014/11/20/JCO.2014.57.2461.short?rss=1
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I did not have to have chemo. I'm not sure what your agena is by pushing for alternative methods. There are many women in need of these treatments.in my opinion you should stay on the alternative forum and not jump around confusing women that a struggling with there DX. I do think adding some alternative medicine in with conventional treatments would not be a bad idea. BUT I think your message to not do any treatment is dangerous.just my opinion
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Bigmc, just wanted to tell you I LOVE your avatar. I get pretty happy when a new Liam neck-chopping movie gets released!
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Which reminds me, how do you all get those cool signature quotes in your profile?
Never mind...figured it out.
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Also found this (2005):
"For middle-aged women with ER-positive disease (the commonest type of breast cancer), the breast cancer mortality rate throughout the next 15 years would be approximately halved by 6 months of anthracycline-based chemotherapy (with a combination such as FAC or FEC) followed by 5 years of adjuvant tamoxifen. For, if mortality reductions of 38% (age <50 years) and 20% (age 50—69 years) from such chemotherapy were followed by a further reduction of 31% from tamoxifen in the risks that remain, the final mortality reductions would be 57% and 45%, respectively (and, the trial results could well have been somewhat stronger if there had been full compliance with the allocated treatments). Overall survival would be comparably improved, since these treatments have relatively small effects on mortality from the aggregate of all other causes."
http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(05)66544-0/fulltext
Study from 2012:
"These meta-analyses yield five main findings. First, standard CMF and standard 4AC were roughly equivalent: with either, 2-year recurrence rates were halved, recurrence rates during the next 8 years were reduced by one-third, and breast cancer mortality rates were reduced by 20—25%." http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(11)61625-5/fulltext
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Immunotherapy is really the new way of treatment. I hope they hurry up and get it on the market soon and replace chemo. Hopkins is working on a breast cancer vaccine too. Lots of new stuff on the horizon.
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Thanks Leggo! he's pretty awesome huh.
Susug - I'm not pushing alternative methods at all. I had surgery but then decided not to do anything else. Too bad if you don't agree with my point of view. I'm entitled to it. There are too many women out there who just do what they are told and don 't question doctors enough.
Can anyone provide me with a link to research that details how many people survive their cancer only to die from a treatment related disease? Bet there's no accurate numbers for that.
Momine - were those results relative or absolute percentages?
Bippy625 - I actually find it sort of creepy that people go into such detail in their signatures, it's kind of like "my cancer's worse than your cancer so I have much more credibility". I found the same thing in infertility forums I was on years ago. I fail to see how having a different opinion to someone else is insulting. If people want to expose themselves to these poisons, that's their decision, go right head. I didn't, and i was just saying have a think about it first and weigh up risks versus benefits. And what you say is true - natural living doesn't necessarily cure breast cancer. However, neither does chemo, radiation or hormonal treatment, as evidenced by people who undergo recommended therapy only to have recurrences/relapse down the track. Then they are faced not only with a cancer relapse, but injury/disease from prior treatment and the effects that has on subsequent treatment.
Thanks for the links Brettsie - interesting stuff!
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Bigmc, the quote I posted addresses the treatment-related mortality:
"Overall survival would be comparably improved, since these treatments have relatively small effects on mortality from the aggregate of all other causes."
When a study says the mortality rate is halved, for example, that is what you would call a "relative" percentage. However, it is relative to your total risk of mortality. That means that the greater your risk, the greater your benefit. If your total risk of dying of BC in the next 15 years is 5%, then halving that risk is no great advantage. If, on the other hand, your total risk is 50% (my risk, approximately), then halving that risk starts to make a whole lot of difference.
As for the stem cells left behind after treatment, that is what hormone treatment is for, assuming the cancer is ER+.
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I've reached the conclusion that most people see what they want to see, hear what they want to hear. When I was diagnosed with bc, I had to get numerous tests over about six weeks time and kept wondering when treatment would start. My brother had chemo in the late 70's for testicular cancer. He was told he had about one year to live and he's still kicking around today. So I knew chemo worked, I had faith in it.
The chemo I had was taxotere and cytoxin. It shrunk the mass in the breast almost to nothing and I was able to have a lumpectomy and not have my boob(s) cut off. That was important to me. I am on Arimidex since then and had my most recent scans last week. Still stable and it's been just about four years since I found the lump(see my signature). The chemo was worth it to me and effective. I know my loved ones agree.
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Bigmc, It is interesting that you see our signatures or profiles at the bottom of our posts as a competition. I check them to look for similarities. I want to see that someone is just like me or close to me so I don't feel so alone in this. I assumed that most people are sharing their information for the same reason...to help out the other members.
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bigmc,
I think you may be misinterpreting the intent and use of the dx line. Not creepy or a competition about whose cancer is worse. Simply a way to help others who may be in a similar boat find or relate to each other. Since bc comes in so many varieties with so many tx possibilities, it's pretty useful. I personally, have never seen it used for anything else.
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Wow! Also put my signature dx to find out where people are coming from and who is similar to me. It makes sense to me that people of very different stages/types have different experiences and it helps me to understand differing perspectives. I understand that not everyone is comfortable sharing their dx, but nothing about this is a competition for me except for with myself. I want to be the best I can to spend as many days as I get with my loved ones. I have done extensive research and I do believe that chemo improves my chances at a long life.
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Definitely not a competition. I can't begin to tell you how many times I've drawn hope and inspiration from reading a post and glancing down at the signature line of the post. I also know some of my issues with her2 negative will be different from the her2 positive diagnoses and those with triple negative diagnoses. It helps to have the basc info, it is a form of identification, a type of shorthand. To the average person, the signature lines might look confusing and not mean much. But to us dealing with bc, it's nice to come to a place where others 'get' it.
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bigmc, I "win". Yeah, I am creepy! And I have just loads of creepy sisters too. We compete on whose disease is more horrid, cause it is fun for us. If only we could contract Ebola too. Darn these travel restrictions.
You miss the point, repeatedly. Rather than argue with you, which could go on for years and in my opinion makes you happy, off I go to take out the trash. Enjoy!
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bigmc - What's 'creepy' about some one simply posting their DX and TX? That's what is listed to allow others to know something about the person they are posting to or something about who posted to you or others. Also gives an idea to others where we are along our journey - days/weeks/months/years without continually having to give that info in every post.
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Hi
Everyone. It's amazing how brave we are.
I cannot get my head around the whole recurrences.
No chemo the first time.
I was told I had a 4% of mine coming back in 2009. Oncotype was slightly left of the cusp I did Lumpectomy, RADS and Anastrozole. It was only 0.8cm. Since its been back twice.
Mine came back only two months after finishing chemo.
Has anyone ever been told why it changes receptors.
Estrogen+ progesterone+her2-
Estrogen+progesterone-her2+ 2013
Estrogen+progesterone-her2- 2014
I'm still doing herceptin until February. My fear is what happens when this ends. Will it escalate.
Pet Scan neg. But now I feel every pain? I stopped exercising.
I'm told it is local recurrence. I'm not sure what to think.
Can someone tell me if I should feel any relief.
It's a battle no matter what we do.
It helps to know there is a chance to beat the odds whichever treatment a individual takes.
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We certainly do need better treatment. We shouldn't have to suffer with temporary and permanent side effects. I worry about the effectiveness of chemo and the potential of making the cancer worse by having drug resistance cells take over. I wonder about the effectiveness of AI's. I can see the comfort of shrinking tumors, I firmly believe if you are convinced your treatment is working it probably will work. The power of the mind should not be underes
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