This is a time of unprecedented hope in the development of treatments for cancer. For many patients, it can also be a time of despair and economic hardship. New drugs and treatment regimens proliferate faster than most physicians can keep pace with. Communicating choices among the options in disseminated cancer—fraught with difficulty at the best of times—can become almost impossible in a context of month-by-month change in complex treatment strategies and new subgroup classifications. And faced with the urgency of the task, the traditional methodology of randomized clinical trials may seem too slow and cumbersome.
Identify all potential conflicts of interest that might be relevant to your comment.
Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.
Err on the side of full disclosure.
If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.
Not all submitted comments are published. Please see our commenting policy for details.
Lehman R, Gross CP. An International Perspective on Drugs for Cancer: The Best of Times, the Worst of Times. JAMA Intern Med. Published online May 28, 2019179(7):913–914. doi:10.1001/jamainternmed.2019.0458
Browse and subscribe to JAMA Network podcasts!
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: