The OJC Episode 22: Disparity Special

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Special episode dedicated to Global Disparity in Cancer Care

Todays’s episode of The Oncology Journal Club is focused on Disparity. It’s jam-packed, featuring Craig Underhill’s in-depth interview with Diana Safarti, Chief Executive of the New Zealand Cancer Control Agency. Eva Segelov chats with Mark Lewis, Medical Oncologist, Patient and Advocate, about his editorial Disunited State of Cancer Care in America. We also hear from Derek Raghavan who updates us on his mobile lung screening van.

In Eva’s Quick Bite she talks to us about kissing and we’ve a few thoughts from Steve Vogl in New York too.

About The Oncology Journal Club:

We have taken an old concept and updated it with a new format. In each episode a team of expert contributors will review topical journal papers and interview special guests who are leaders in their fields to help keep you informed of the latest developments on the go.

With The Oncology Podcast – and The Oncology Journal Club in particular – we are aiming to deliver oncology news differently,” Rachael Babin, Editor-in-Chief, Oncology News.

The Oncology Journal Club is hosted by Professor Eva Segelov, from Monash University. Eva is joined by Dr Craig Underhill from Albury-Wodonga and Professor Hans Prenen from Antwerp, Belgium. We hope you enjoy listening and find this a valuable and entertaining resource.

This Week’s Papers:

  1. Lewis, M.A. Disunited State of Cancer Care in America. JCO Oncology Practice 17, no. 1 (January 01, 2021) 3-6. DOI: 10.1200/OP.20.00585. Access online here.
  2. The OJC Meets Mark Lewis
  3. The OJC Meets Dorothy Keefe
  4. Cancer control in small island nations: Series from the Lancet journals including:

    Safarti, D., et al. Cancer control in the Pacific: big challenges facing small island states. The Lancet Oncology. August 05, 2019. Access online here.

    Ekeroma, A., et al. Cancer management in the Pacific region: a report on innovation and good practice. The Lancet Oncology. August 05, 2019. Access online here.

    Spence, D., et al. Cancer control in the Caribbean island countries and territories: some progress but the journey continues. The Lancet Oncology. August 05, 2019. Access online here.

    Safarti, D., et al. Cancer control in small island nations: from local challenges to global action. The Lancet Oncology. August 05, 2019. Access online here.

    Sharples KJ, et al. The New Zealand PIPER Project: colorectal cancer survival according to rurality, ethnicity and socioeconomic deprivation-results from a retrospective cohort study. N Z Med J. 2018 Jun 8;131(1476):24-39. PMID: 29879724. Access online here.

  5. Ragahavan, D., et al. Effectiveness of mobile computerized tomographic (CT) lung scanning unit for early diagnosis of lung cancer in under-served populations. Journal of Clinical Oncology 37, no. 15_suppl (May 20, 2019) 6567-6567. DOI: 10.1200/JCO.2019.37.15_suppl.6567. Access online here.
  6. Watkins CD.,  et al. National income inequality predicts cultural variation in mouth to mouth kissing. Sci Rep. 2019;9(1):6698. Published 2019 Apr 30. doi:10.1038/s41598-019-43267-7. Access online here.

This Week’s Team:

Professor Eva Segelov

Eva Segelov

Professor Eva Segelov is a Medical Oncologist and is Director of Oncology at Monash University and Monash Health, Melbourne, Victoria, previously Senior Medical Oncologist at St Vincent’s Hospital, St Vincent’s Private Hospital and St Vincent’s Clinic and Associate Professor of Medicine, University of New South Wales.

Eva has an interest in academic clinical trials in GI and breast cancer and has been a member of the AGITG since 2003. She has clinical trials expertise, links with national and international trials groups, and extensive experience with adult medical education.


Dr Craig Underhill

Craig Underhill

Dr Craig Underhill completed his Bachelor of Medicine and Surgery in 1987 at Melbourne University. He completed medical oncology training in Melbourne and worked as the Senior Clinical Research Registrar at Guy’s Hospital, London.

In 1998 arrived in Albury-Wodonga and established a medical oncology practice and clinical trials unit which has developed expertise and infrastructure to ensure the initiation of high quality trials. The research Unit lead by Dr Underhill has twice been awarded NSW Premier’s Award for Innovation in Cancer Clinical Trials, the inaugural award in 2009 and then again in 2012.

Dr Underhill chaired a working party that was instrumental in securing $65 million in federal funding for The Albury Wodonga Regional Cancer Centre which opened in September 2016.

Dr Underhill is the VCCC Regional Oncology Lead and advocates for the increased access to clinical trials for regional Victorians and leads the VCCC teletrials program.

Professor Diana Safarti

Diana Safarti. Photograph by Virginia McMillan courtesy of New Zealand Doctor

Professor Diana Sarfati (MBChB, MPH, PhD, FNZCPHM) is National Director of Cancer Control and Chief Executive of Te Aho o Te Kahu, the Cancer Control Agency in New Zealand. Her role is to provide national leadership for, and oversight of cancer control, to provide policy advice to the Government, and to be accountable for ensuring progress towards the goals and outcomes in the New Zealand Cancer Action Plan.

Previously Diana was Head of the Department of Public Health and Director of the Cancer and Chronic Conditions (C3) research group at University of Otago, Wellington.  She has led a large body of research relating to disparities in cancer outcomes. This work has resulted in the identification of key patient and health system factors that influence cancer survival. It has been used extensively by health policy makers, clinicians and other researchers to develop policies and practices that aim to reduce inequities in cancer outcomes.

Dr Mark Lewis

Mark Lewis

Dr. Mark A. Lewis received his medical degree, completed his internal medicine residency, and served as chief resident at Baylor College of Medicine in Houston, Texas, USA. After completing a hematology/oncology fellowship at the Mayo Clinic in Rochester, Minnesota, where he served as chief fellow, he returned to Houston to work at the MD Anderson Cancer Center for four years, with a dual appointment in general & gastrointestinal medical oncology, before assuming the directorship of gastrointestinal oncology at Intermountain Healthcare in 2016. He is also the co-chair of adolescent & young adult (AYA) oncology in the SWOG cooperative group, currently serving a five-year term in that position.



Dr Steven Vogl

Steven Vogl

Steven Vogl is a medical oncologist in private practice in the Bronx, New York. He pays attention at meetings and occasionally asks a question.




Dr Derek Raghavan

Dr Derek Raghavan

Derek Raghavan is the President of the Levine Cancer Institute, Charlotte, North Carolina, USA.








Rachael Babin

Rachael Babin

Rachael Babin is Editor-in-Chief of The Oncology Newsletter and Publisher of For regular oncology updates for healthcare professionals, please subscribe to The Oncology Newsletter.

With thanks to Eva Segelov, Craig Underhill, Mark Lewis, Diana Safarti, Derek Raghavan, Steven Vogl and Graham Knowles.


About Author

The ONA Editor curates oncology news, views and reviews from Australia and around the world for our readers. In aggregated content, original sources will be acknowledged in the article footer.

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