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Lewis Foxhall, MD, a member of the


Texas Cancer Plan Workgroup and the vice president of health policy at M.D. Anderson Cancer Center, says the revised plan now includes 16 goals; measure- able objectives, baselines, and targets for change; strategic actions; a research and commercialization section; and a call to action for physicians and other stakeholders. “Many cancer control strategies in-


volve practicing clinicians. Knowledge of these interventions and the critically important role of physicians in cancer prevention, screening, and delivery of treatment, as well as follow-up of can- cer survivors, are extremely important. Only through partnering with Texas phy- sicians can the battle against cancer be successful,” Dr. Foxhall said. The plan will aid physicians in access-


ing current best practices in risk reduc- tion and early detection. “Many cancer survivors do not receive optimum follow-up and don’t make use of recognized approaches to detect recurrences, avoid second cancer, and maximize their quality of life,” Dr. Fox- hall said. The plan directs physicians to coop-


erate and collaborate with stakeholders across the state to:


• Provide culturally relevant counseling, information, and referrals for cancer screening tests;


• Adhere to guidelines and best prac- tices for prevention, treatment, and supportive care;


• Refer patients to smoking cessation, physical activity, and nutrition pro- grams;


• Report cancer cases in a timely man- ner;


• Find out how to enroll patients in clinical trials; and


• Make appropriate referrals to hospice for end-of-life care.


TMA’s Physician Oncology Education


Program (POEP) offers physicians many educational programs and resources for cancer prevention and treatment. (A poster on colorectal cancer for physi- cians’ offices is included in this issue of Texas Medicine between pages 48 and


49.) For more information about POEP, visit www.texmed.org/POEP or email poep@texmed.org.


among passengers. They prevent 13 per- cent of serious injuries and 8 percent of minor injuries to riders and passengers. CDC researchers analyzed data from


Study: Motorcycle helmet laws increase use, save money


Annual cost savings in states with uni- versal motorcycle helmet laws were nearly four times greater (per registered motorcycle) than in states without these comprehensive laws, according to a Mor- bidity and Mortality Weekly Report study released by the Centers for Disease Con- trol and Prevention (CDC). Universal helmet laws require motorcycle riders and passengers to wear a helmet every time they ride. Annual costs saved from helmet use,


in terms of medical, productivity, and other costs, ranged from $394 million in California (which has a universal hel- met law) to $2.6 million in New Mexico (which has a partial law). Partial helmet laws require that only certain riders, such as those younger than 21, wear a helmet.


Universal helmet laws result in cost


savings by increasing helmet use among riders and passengers, which reduces crash-related injuries and deaths. Ac- cording to a CDC analysis of fatal crash data from 2008 to 2010, 12 percent of motorcyclists in states with universal helmet laws were not wearing helmets. In comparison, 64 percent of riders were not wearing helmets in states with par- tial helmet laws, and 79 percent of rid- ers were not wearing helmets in states without helmet laws. “Increasing motorcycle helmet use can


save lives and money,” said CDC Director Thomas R. Frieden, MD. “In 2010, more than $3 billion in economic costs were saved due to helmet use in the United States. Another $1.4 billion could have been saved if all motorcyclists had worn helmets.” Helmets prevent 37 percent of crash deaths among riders and 41 percent


two national sources: 2008–10 Fatal- ity Analysis Reporting System data and 2010 data on economic costs saved by motorcycle helmet use, both from the National Highway Traffic Safety Admin- istration. Cost-savings estimates includ- ed medical and emergency services costs, work-related and household productiv- ity losses, insurance administration costs, and legal costs resulting from deaths and injuries from motorcycle crashes. As of May 2012, 19 states and the


District of Columbia had universal hel- met laws, 28 states had partial helmet laws, and 3 states had no helmet law. n


Crystal Conde is associate editor of Texas Medicine. You can reach her by telephone at (800) 880-1300, ext. 1385, or (512) 370-1385; by fax at (512) 370-1629; or by email at crystal.conde@texmed.org.


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September 2012 TEXAS MEDICINE 33


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