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Fumiko Ladd Chino, MD FASCO

@fumikochino.bsky.social

3.6K followers 210 following 610 posts

#RadOnc. Reformed Artist. Cancer Widow. I study #FinancialToxicity #Access #Equity MD Anderson Cancer Center 📲me COI http://bit.ly/3OBu0Cn 🐦🪶🕊️ #medSky #oncSky migration

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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · Dec 8

"For both patients and providers, prior authorization can feel like an unfair game they are designed to lose."

Honored to work w/ Dr @nathangray.bsky.social on a graphic op-ed out now @usatoday.com on how #PriorAuth can leave some patients literally dying in pain.

www.usatoday.com/story/opinio...

For patients and doctors, insurance prior authorization can be a dangerous game | Opinion

Doctors trying to get patients necessary drugs and procedures stymied by health insurance prior authorization. It's not a game. It's life and death.

www.usatoday.com

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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 1h

“Cancer pts & their families are being pulled into the #priorauthorization process, at the expense of their time, health, & well-being”

#Priorauth isn’t just an administrative hurdle for clinicians; it’s a hidden 2nd job for patients. #ascoQLTY25

@ascocancer.bsky.social
@ascopost.bsky.social

Prior Authorization Is Burdensome for Patients, Resulting in Treatment Delays, Financial Strain, and Stress

“This study makes clear what many of us in oncology have suspected: Prior authorization isn’t just an administrative hurdle for clinicians; it’s a hidden second job for patients,” noted investigators....

ascopost.com

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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 2h

New in @medpagetoday.com: Financial side effects from #breastcancer treatment can create life-altering problems, including distress, debt, & employment disruptions #bcsm #financialToxicity

Proud of the work of @mdanderson.bsky.social PGY5 Dr Kamaria Lee in the @ascocancer.bsky.social
#ASCOEdBook

Kamaria Lee and Fumiko Chino on Financial Toxicity and Breast Cancer

Still needed: interventions at government, institutional, and provider levels

www.medpagetoday.com

Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 1d

#Priorauthorization #UtilizationManagement for costly 2nd-line 💊 is understandable but nearly one-half of plans have quantity limits for generic ondansetron, a cheap ($16 for 60 8mg tabs) & effective 1st-line drug

Make this make sense.

#fixPriorAuth
@michaelannica.bsky.social
@jamanetworkopen.com

Prior Authorization, Quantity Limits, and Step Therapy for Antiemetics

This cross-sectional study evaluates whether antiemetic drugs for patients with cancer who have Patient Protection and Affordable Care Act (ACA) Marketplace or Medicaid plans are subject to utilizatio...

jamanetwork.com

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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 1d

The 2025 @ascocancer.bsky.social Quality Care Symposium #ASCOQLTY25 will feature >600 abstract presentations covering the latest implementation science and the entire spectrum of health services research.

📖 Review abstracts today!
✈️ Join us this weekend in Chicago

meetings.asco.org/abstracts-pr...

#ASCOQLTY25
Abstracts Now
Available
Explore more than 600 abstracts spanning the entire spectrum of health services research from distinguished leaders in quality care.
View Abstracts

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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 2d

Kirby claw machine win 🏆 #weekendsinHouston

A woman holding a Kirby plushie who is wearing a bunny costume in a claw machine room with a man playing a game in the background.

Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 3d

Francis Bacon, Gary Larson, and Neil

#weekendsinHouston

Neil in front of a famous Francis Bacon of a blurry man struggling with a door. Neil is miming pushing a door

The famous Gary Larson Farside comic of a kid trying to push a door marked pull

Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 5d

Any day I get to talk to Dr Monty Pal is a good day... even better when we get to discuss the amazing science being presented at @ascocancer.bsky.social #ASCOQLTY25!

There is still time to register and join us in Chicago next weekend Oct 10-11, 2025.
👉 www.asco.org/quality/regi...

Two people with headsets recording a podcast

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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 6d

Great work by a @mdanderson.bsky.social fellow on this @ascocancer.bsky.social 📄:

Lutetium-177-PSMA-617 #Lu177 #PSMA is a targeted tx option for use in metastatic castration-resistant #prostatecancer #mCRPC #pcsm. Access to #Lu177PSMA is limited by financial, logistical, & geographic barriers.

Access to Lu177-PSMA for Prostate Cancer: From Clinical Trials to the Real World

Lutetium-177-PSMA-617 is a new therapeutic modality approved for select patients with advanced prostate cancer. Many patients face access barriers because of travel burden, cost, and other logistic co...

dailynews.ascopubs.org

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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 7d

🧦 🥰🥰🥰

Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 7d

Phenomenal #ASTRO25 session yesterday about #AYACSM dx, tx, and survivorship concerns. I was proud to be on stage with a community doc, academic researcher, psych-oncologist, and #AYAC survivor, caregiver, and Director of an oncosurvivorship PCP clinic. @astro-org.bsky.social

5 people standing in front of a screen, 4 physicians, one psyD

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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 8d

The engine and the caboose of the ROI 5k this morning! Great run walk along the bay for #ASTRO25 @astro-org.bsky.social @radoncology.bsky.social

Two people holding signs. One says 8 min mile the other says "walk"

Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 8d

#ASTRO25 is for cutting edge science, bold ideas, innovative tx paradigms, patient-centered frameworks, & translational work that advances future cures.

It is ALSO for fellowship, catching up with colleagues/friends, & fostering the growth of the next leaders in #radonc.

Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 8d

Rockstar #radonc @mskcancercenter.bsky.social resident Dr Kaitlyn Lapen presents at #ASTRO25 on quality of life improvements with early radiation for asymptomatic bone metastasis which may appear after 6 months. Optimal patient selection is key. @astro-org.bsky.social

Conclusions
• From phase Il primary study, early RT reduces SRE (30% vs. 2%)
• More work needed to better predict SRE
• Early RT may preserve self-care and functional ability compared to observation
• Benefits emerge after about six months
• Consider prognosis
• Patient-reported outcomes provide insightful and hypothesis-generating findings
• Confirmatory Phase Ill randomized controlled trial (NRG-CC014, PREEMPT) is ongoing
• Has enrolled 48/280 patients
ASTRO 67TH ANNUAL MEETING | September 27 - October 1, 2025

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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 9d

There is limited awareness of the unique concerns & disparities exp by the #AYAC pop during tx with radiation & in #survivorship. As #AYACSM incidence is ⬆️, addressing the high burden of tx toxicities & unique health-related QOL concerns is key.

See you at 5pm today! #ASTRO25 @astro-org.bsky.social

STORYTELLING
ST 02 - RADIATION CARE AND SURVIVORSHIP IN THE ADOLESCENT AND YOUNG
ADULT CANCER
POPULATION
• Room 20/21
• 05:00pm - 06:00pm PT
Pediatric Cancer
MODERATOR(S)
Fumiko Chino, MD - MD Anderson Cancer

Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 9d

Hanging with some of my phenomenal prior coworkers @mskcancercenter.bsky.social at #ASTRO25. ❤️🙌

Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 9d

Always amazing to see @coffeemommy.bsky.social... even better that it is at #ASTRO25 where we need to welcome even more patient advocates to the organization, stage, and committees.

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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 9d

Speed mentoring going strong at #ASTRO25. There are multiple sessions throughout the @astro-org.bsky.social meeting. 🙌

Location: Early Career and Mentoring Lounge, North Lobby, Moscone Center
• Sunday, September 28 | 9:30 a.m. - 10:30 a.m.
(Special Medical Student Session)
• Sunday, September 28 | 9:30 a.m. - 10:30 a.m.
(Special International Attendee Session)
• Sunday, September 28 | 3:00 p.m. - 4:00 p.m.
(Open to All Attendees)
• Monday, September 29 | 10:45 a.m. - 11:45 a.m.

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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 11d

a large rock is in the middle of the ocean .

ALT: a large rock is in the middle of the ocean .

media.tenor.com

Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 11d

Sent my med school BFF this photo and "Real talk should I get a 2nd one?" and he immediately responded, "Lol, you should definately get a second one" before the photo even loaded. #trueFriends

A 5 foot tall inflatable set of 4 purple and green tentacles

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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 11d

#ASTRO25 Storytelling Session Alert 🚨

Radiation Care and Survivorship in the Adolescent & Young Adult Cancer Population

We will be discussing how to best care for #AYACSM including addressing their unique #AYAC survivorship needs

📆 Monday Sep29
⏰5:00 - 6:00pm
📍Room 20/21

a neon sign says radiate positive vibes

ALT: a neon sign says radiate positive vibes

media.tenor.com

Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 14d

🚨 #ASCOQLTY25 Registration Alert‼️ (before rates go up this Friday)!

🗣️ Engage in meaningful discussions
🤝 Build lasting relationships
🔋 Leave feeling energized & inspired

➡️ Join us in Chicago Oct 10-11, 2025

@ascocancer.bsky.social

www.asco.org/quality/registration-hotels/registration-details

Two news articles:

2025 ASCO Quality Care Symposium
QUALITY
Sharing Decision-Making, Providing Cancer Care During Catastrophes, and More:
Sessions to Attend at the 2025 ASCO Quality Care Symposium
September 4, 2025
The 2025 ASCO Quality Care Symposium (QCS) will take place on October 10 and 11 and focus on the theme of "Driving Solutions, Implementing Change." The Symposium includes sessions on shared decision-making, cancer care during catastrophic events, palliative care, research funding, and new research.
QUALITY
Dr. Robin Yabroff Presented With Joseph Simone Quality Care Award
September 4, 2025
Robin Yabroff, PhD, MBA, FASCO, of the American Cancer Society, is the 2025 recipient of the Joseph Simone Quality Care Award and Lecture. The award recognizes extraordinary individuals who have made multiple, significant, and enduring contributions to the quality and safety

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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 15d

📝My highest number of ERAS letters of recommendation yet!

5️⃣ students are applying to #radonc, surgery, and internal medicine this year and I'm delighted to support them.

Fun fact, I have been working with one of them since 2019!! 💪

A list of letter of recommendations for 5 applicants with the names marked out

Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 15d

Many American families struggle to put food on the table ...but we won't know how many after this year.

🍎 Food insecurity is apolitical
🍎 The fight against hunger is not a 🔴 or 🔵 issue, it's a human issue

@hcwvshunger.bsky.social @tmprowell.bsky.social
@shematologist.medsky.social

USDA cancels survey tracking how many Americans struggle to get enough food

The Department of Agriculture said it will end a longstanding annual food insecurity survey. Experts say the move will obscure the effects of recent changes that will lead to people losing food aid.

www.npr.org

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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 16d

#WeekendsinHouston: 4️⃣ Chinos at brunch (flashback to last month when my sister and nibling visited)

Four people sitting a wood table outside with bright green foliage in front and behind

Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 18d

The mister and Artie, napping.

A man laying on a bed with a black and white cat. The duvet is also black and white (and covered in cat hair).

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