![]() ![]() Beitler joined the US Army Reserves as a Lieutenant in 1983 as a field surgeon. He was also chair of the Department of Radiation Oncology at Staten Island University Hospital.ĭr. There, he held the position of residency director, vice chair and then interim chair of the Department of Radiation Oncology. After his radiation oncology residency at Memorial Sloan Kettering in NY, his medical career began at the University of Maryland followed by 14 years at Montefiore Medical Center in the Bronx. Beitler joined the faculty at Emory University School of Medicine in 2007. Beitler, MD, MBA, FACR, FASTRO, is a Professor in the Department of Radiation Oncology at Emory University School of Medicine.Ī Georgia Cancer Coalition Distinguished Scholar, Dr. ![]() All rights reserved.Titles and Roles Professor, Department of Radiation Oncology Emory University School of Medicine Research Program Discovery and Developmental Therapeutics Biography For inoperable patients, definitive CRT is a reasonable treatment option, though largely palliative.Ĭopyright © 2022 Wolters Kluwer Health, Inc. The addition of chemotherapy and/or radiation, either in the neoadjuvant, adjuvant, or perioperative setting, results in improved survival rates for patients compared with surgery alone. Finally, for medically inoperable gastric cancer patients, there was moderate consensus recommending definitive concurrent CRT. For patients with locally advanced disease who received preoperative chemotherapy without tumor regression, the group strongly recommended postoperative chemotherapy or postoperative CRT. For patients with upfront resection of stages I to III gastric cancer (no neoadjuvant therapy), the group strongly recommended adjuvant therapy with either chemotherapy alone or CRT, based on high-quality data. Acceptable alternatives included surgery followed by either chemotherapy or concurrent chemoradiotherapy (CRT). The expert panel then rated the appropriateness of various treatments in 5 representative clinical scenarios through a well-established consensus methodology (modified Delphi).įor patients with medically operable locally advanced gastric cancer, the strongest recommendation was for perioperative chemotherapy based on high-quality data. Preferred reporting items for systematic reviews and meta-analyses methodology was used to develop an extensive analysis of peer-reviewed phase 2/2R/3 trials, as well as meta-analyses found within the Ovid Medline database between 20. The objective of this study was to systematically evaluate the data regarding the use of neoadjuvant, perioperative, surgical, and adjuvant treatment options in localized gastric cancer patients and to develop Appropriate Use Criteria recommended by a panel of experts convened by the American Radium Society. 15 Panel Chair, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ.14 Ridley-Tree Cancer Center Santa Barbara at Sansum Clinic, Santa Barbara, CA.13 Department of Radiation Oncology, Stritch School of Medicine, Cardinal Bernardin Cancer Center, Loyola University Chicago, Maywood, IL.12 School of Medicine, University Hospitals, Case Western Reserve University, Cleveland, OH.11 The University of Texas MD Anderson Cancer Center, Houston, TX.10 Rutgers Cancer Institute of New Jersey.9 University of Maryland Greenbaum Cancer Center, Baltimore, MD.8 UT Health Cancer Center, University of Texas Health Science Center, San Antonio.7 Northwell Health Cancer Institute, Hyde Park, NY.6 Icahn School of Medicine at Mount Sinai.5 Henry Ford Cancer Institute, Henry Ford Hospital, Detroit, MI.4 University of Vermont, Dana Medical Library, Burlington, VT.3 University of Vermont, Larner College of Medicine.2 Northwell Health Cancer Institute, Mount Kisco.1 Banner MD Anderson Cancer Center, Gilbert, AZ. ![]()
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