ASH Clinical News ACN_4.13_full issue_Web | Page 26

Data Stream Relative Risk False Starts Relatives of patients with myeloid malignancies have a 2-fold higher risk of developing a myeloid malignancy, compared with individuals with no family history, according to research published in Blood. Researchers are tirelessly working to understand the causes of cancer, but they may need to debunk some of the fake causes of cancer. In a survey asking people to identify an “actual” or “mythical” cause of cancer: The analysis included more than 93,000 first-degree relatives of more than 35,000 patients diagnosed with myeloid malignancies between 1958 and 2015. Compared with those without a family history, relatives’ overall risk and risks for specific diseases were higher: 36 % 52 % 800% 700% 600% 500% 400% identified an actual cause identified a mythical cause (e.g., smoking, alcohol consumption, lack of physical activity, reduced fruit and vegetable consumption, overweight status) The most popular mythical causes included: exposure to stress (43%), food additives (42%), and electromagnetic frequencies (35%). Greater education about actual causes of cancer is needed, the authors concluded, particularly because “only knowledge of established risk factors is associated with adherence to behavioral recommendations for reducing cancer risk.” Source: Shahab L, McGowan JA, Waller J, Smith SG. Prevalence of beliefs about actual and mythical causes of cancer and their association with socio-demographic and health-related characteristics: Findings from a cross-sectional survey in England. Eur J Cancer. 2018 April 26. [Epub ahead of print] 300% A Forward March Against Cancer 200% 100% The agency highlighted several areas of progress, including a 26% drop in the U.S. cancer mortality rate from 1991 to 2015 – which translates to almost 2.4 million lives saved. Cancer still poses a tremendous challenge: Researchers predicted that the number of new cancer cases will rise from 1.7 million in 2018 to 2.4 million by 2035, due in part to an aging population. 3.00 0% Investment in cancer research has led to “unprecedented” progress in its prevention and treatment, according to the American Association for Cancer Research’s (AACR’s) recently released annual progress report for 2018. 2.25 New Cancer Cases 1.50 (in millions) The risk is passed on through families via inherited genetic traits, the authors concluded, adding that “our data suggest there are individuals, such as patients diagnosed at a young age and those with multiple affected first-degree relatives, for whom counseling, gene testing, and surveillance may be appropriate.” Source: Sud A, Chattopadhyay S, Thomsen H, et al. Familial risks of primary myeloid leukemia, myelodysplasia and myeloproliferative neoplasms. Blood. 2018;132:973-6. 0.75 0 2018 2026 2035 “A continued increase in federal funding for … basic, translational, and clinical research will allow us to make major headway moving forward,” said Elizabeth M. Jaffee, MD, president of the AACR. Source: AACR, “AACR Cancer Progress Report 2018.” 24 ASH Clinical News November 2018