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Patients at Childrens have access to the newest and best treatments because our physician-scientists are national leaders in the effort to make childhood cancer a thing of the past.
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Dr. Douglas Hawkins betters the odds for kids like Nick Wilson by developing clinical studies that improve cancer treatments and lead to higher survival rates.
F R O M L E F T:
Pediatric oncologists believe to our toenails that clinical trials are the best route to improve care, says Dr. Douglas Hawkins. Sara Muchinsky, who manages the Childrens oncology research program, started the We Keep SCORE Guild to raise funds for cancer research. The guild creates baseball-type cards to help families know whos who on their care team. Find out more at wekeepscore.org.
A child diagnosed with cancer in the 1950s had a mere 20% chance of surviving the next five years. Today, those numbers are reversed: On average, 76% of pediatric patients beat cancer.
Whats behind this dramatic turnaround, and why are the outcomes at Childrens among the best in the nation? The answer is clinical research trials. Childrens physician-scientists are creating and leading national clinical trials that test the effectiveness of new treatments for a range of cancers, including very rare ones. This means that patients treated here have access to the cures of tomorrow, today.
Though the news was shocking and scary, the Wilsons were relieved to finally have a definitive diagnosis. Once we were at Childrens and the diagnosis was so clear, we knew we were in the right place, says Ernie Wilson. They described his pain exactly, and knew just what needed to be done. A biopsy confirmed the diagnosis. Nicks oncologist, Dr. Douglas Hawkins, explained that the cure rate for cancers of that type was about 65%.
Unique expertise
In the middle of a soccer game, Nick Wilson developed excruciating back pain. Twelve years old at the time, Nick sat out the rest of the game, bewildered by the sudden pain. Mysteriously, the pain evaporated, only to reassert itself a month later. The pain increased in intensity and frequency, kept him from sleeping and defied diagnosis by his pediatrician. After six months of fruitless searching for the pains source, Nick had an MRI at a local community hospital in May 2005. He and his parents, Barb and Ernie Wilson, were alarmed to hear the MRI had found something on Nicks spine and that he needed to go to Childrens within the hour. After additional tests later that same afternoon, doctors at Childrens explained that Nick had Ewing sarcoma, a malignant tumor centered in the base of his spine.
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trial comparing the standard treatment of chemotherapy every three weeks with an accelerated regimen of chemo every two weeks. If Nick enrolled in the trial, he would be randomly selected to have either the standard or the experimental protocol. Nick liked the possibility of a quicker treatment plan and was immediately interested in participating in the trial. I just wanted to get it over with, pretty much, says Nick, now 15. But his parents were skeptical. Well, you know, you hear about experimental medications and some people ending up worse off, says Ernie Wilson. Hawkins explained that the treatment was part of a phase III trial meaning the drugs had already been proven to be safe and effective for this type of cancer. The clinical trial would determine whether giving chemo more frequently over a shorter period of time was more effective than the less-frequent dose. Dr. Hawkins was very clear that the medicine was the same and that Nick would receive the same level of care whether we joined the clinical trial or not; there was no pressure to participate at all, recalls Barb Wilson. Reassured, the Wilsons enrolled Nick in the trial, and he was selected for chemo every two weeks. Nicks treatment also included surgery to remove the tumor once the chemotherapy had shrunk it, and a month-long course of radiation. Now, two years later, Nick is cancer-free.
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