The War on Cancer: An Anatomy of Failure, A Blueprint for the Future

Forsideomslag
Springer Science & Business Media, 1. dec. 2005 - 227 sider

The National Cancer Act of 1971 propelled the War on Cancer, mainly by tapping the vast resources of the Federal government to confront the growing cancer challenge. As a result, all cancer initiatives funded by Federal dollars were channeled through a restructured National Cancer Institute and some predicted the conquest of cancer by the nation’s bicentennial. Yet, over the ensuing three decades progress in the clinical setting has been slow, and cancer remains a largely incurable disease.

After reviewing the history of cancer and its impact on the population, Dr. Faguet exposes the antiquated notions that have driven cancer drug development, documents the stagnation in treatment outcomes despite major advances in cancer genomics and growing NCI budgets, and identifies the multiple factors that sustain the status quo. He shows that, contrary to frequent announcements of breakthroughs, our current cancer control model cannot eradicate most cancers and the reasons why. Significantly, this book also delineates a way forward via a shift from the discredited cell-kill approach of the past to an integrated, evidence-driven cancer control paradigm based on prevention, early diagnosis, and pharmacogenomics. The author's views are based on data published in mainstream scientific journals and other reliable references, 432 of which are cited.

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Indhold

Assessing the magnitude of the problem
5
Cancer through the ages
25
Our current understanding
37
The cancer cellkill paradigm and its corollaries
63
Chemotherapy drugs
69
Table of Contents
85
The role of the National Cancer Institute
95
The facts and nothing but the facts?
109
From the doctors perspective
115
From the patients perspective
127
A vision for the future
145
Shifting from the cellkill paradigm to pharmacogenomics
171
CONCLUSIONS
181
GLOSSARY
209
INDEX
221
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Om forfatteren (2005)

After receiving his MD degree from the Pontificia Universidad Javeriana in Bogota, Colombia where his parents resided, Dr. Faguet pursued postgraduate studies in Internal Medicine at the University of Texas Medical Branch and in Hematology/Oncology at Ohio State University, leading to an academic career at the Medical College of Georgia. His clinical and "bench" research, much of it in cell biology and leukemia, was funded by the National Institutes of Health and the Department of Veterans Affairs for 28 years, leading to the publication of 140 peer-reviewed articles, 7 book chapters, and two previous books on cancer. Dr. Faguet was a member of numerous medical societies and an ad hoc reviewer for a number of prestigious medical journals. Since retiring, he devotes more time to his hobbies: book writing, classical music, jogging, portraiture, and traveling.

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