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S P Colombano

Publications and source records attributed to S P Colombano.

3 recordsLinked to original sources

GOG meets RPMIS. Experience with computerized data management in a cooperative group setting.

The Gynecologic Oncology Group (GOG) is a multiinstitutional, multidisciplinary cooperative group. Its clinical trials encompass the planning, initiation, execution, analysis, and presentation of results of management and treatment of patients with gynecologic cancer. The GOG Statistical Office, located at Roswell Park Memorial Institute, is responsible for data management and analysis of all patients entered into GOG protocols. Present annual accrual is approximately 1,600 patients; 37 protocols are active, while follow-up continues on 9 studies that are closed to patient entry. RPMIS is a formatted video-based system of programs for file creation, data entry, editing, updating, retrieval, and report generation. It has been utilized in more than 500 intrainstitutional research studies at Roswell Park. In the past, data management for the GOG had been based on computer entry via punched cards, and on hand-filled reports. The switch to RPMIS used required major reorganization of the data-handling process and was first attempted on a limited basis. As the advantages of RPMIS became evident, the whole data management operation was gradually converted to the new system. In this paper, batch processing and RPMIS utilization are compared and contrasted in terms of time saved, human engineering, quality control, and satisfaction of information requests.

Antineoplastic Agents↗

The cascade theory of metastatic spread: are there generalizing sites?

The term "cascade spread," with regard to metastases, is being used ambiguously. some workers take it to mean that cancers metastasize along preferred pathways, others infer that some sites are seeded first and that further metastases proceed from these sites rather than from the primary tumor. It is our opinion that the statistical arguments used to support the second approach have serious flaws. Given our present understanding of the metastatic process, a spread along preferred pathways is supported both by physiologic as well as statistical considerations. However, the contribution "generalizing sites" to the spread of metastases remains unproven.

Humans↗

A computerized follow-up system for hemoccult screening programs.

Prior to the development of the CSFS, the logistics of hemoccult stool screening required many hours of clerical and secretarial time. In order to conduct multiple county, multiple location screening programs, the CSFS has been developed as a specialized application of the Roswell Park Management System (RPMIS). CSFS uses the RPMIS for formatted video data entry and editing and for report production. This system makes it possible to generate forms and letters for all patients and physicians by typing a single command. The computer output also includes cross checks for errors and updating reminders. Using non-computerized methods, 363 patients required 157 hours. The most recent 74 patients screened required less than two hours. This significant streamlining of the workload will allow for more effective utilization of this currently available screening test.

Colonic Neoplasms↗