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Bishal Gyawali



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    ES05 - Value in Lung Cancer, from Screening to Treatment (ID 203)

    • Event: WCLC 2020
    • Type: Educational Session
    • Track: Health Services Research/Health Economics
    • Presentations: 1
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      ES05.07 - Defining Value and Common Sense in Lung Cancer (ID 4043)

      14:15 - 15:15  |  Presenting Author(s): Bishal Gyawali

      • Abstract
      • Presentation
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      Abstract

      Sometimes, in the enthusiasm for new technologies and drugs, we tend to forget the basic philosophy of cancer care- to help patients live longer and better lives. Common sense in oncology is a revolution that attempts to bring the fundamental philosophy of helping patients live longer and better lives back to oncology care, education, and policy. In my talk, I will discuss some key domains of the “common sense in oncology” philosophy with relevant examples from lung cancer. I will discuss issues primarily related to the hijacking of evidence-based medicine (statistical significance versus clinical meaning, suboptimal control arms, subgroup analyses, non-inferiority designs, spins, and biases) in the context of lung cancer. I will also discuss the concepts of avoiding wisely, financial toxicity, and "cancer groundshot". These discussions will make the audience aware of the need to critically appraise the lung cancer literature, think in terms of prioritization of resources, and apply these concepts in clinical practice, education of trainees and policy planning related to lung cancer.

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