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The OhioHealth Lung Cancer Screening Program is a high quality multi-disciplinary program that was launched in July 2013 at OhioHealth Riverside Methodist Hospital, OhioHealth Doctors Hospital, and OhioHealth Grant Medical Center in Columbus, Ohio. With the assistance of the AHRA & Toshiba Putting Patients First grant, we were able to expand community access for people at high risk of developing lung cancer by opening several more programs at OhioHealth Marion General and OhioHealth Grady Memorial Hospitals. A subsequent patient educational video was developed to highlight the comprehensive program, nurse navigational involvement, potential risks, benefits, and tobacco cessation. The tobacco cessation educational skills of the OhioHealth Lung Nurse Navigators were enhanced with the completion of the Tobacco Treatment Specialist certification.

Infliximab, a chimeric monoclonal antibody (mAb) against tumor necrosis factor (TNF)-alpha, has shown activity against steroid refractory acute graft-versus-host disease (aGVHD). We conducted a prospective trial of infliximab for the prophylaxis of aGVHD. Patients older than 20 years undergoing myeloablative allogeneic stem cell transplantation (SCT) for hematologic malignancies were eligible. GVHD prophylaxis consisted of infliximab given 1 day prior to conditioning and then on days 0, +7, +14, +28, and +42, together with standard cyclosporine (CSA) and methotrexate (MTX). Nineteen patients with a median age of 53 years were enrolled. All patients received peripheral blood allografts from matched sibling (n = 14) or unrelated donors (n = 5). Results were compared with a matched historic control group (n = 30) treated contemporaneously at our institution. The cumulative incidences of grades II-IV aGVHD in the infliximab and control groups were 36.8% and 36.6%, respectively (P = .77). Rates of chronic GVHD were 78% and 61%, respectively (P = .22). Significantly more bacterial and invasive fungal infections were observed in the infliximab group (P = .01 and P = .02, respectively). Kaplan-Meier estimates of 2-year overall survival (OS) and progression free survival (PFS) for patients receiving infliximab were 42% and 36%, respectively. The corresponding numbers for patients in the control group were 46% and 43%, respectively. The addition of infliximab to standard GVHD prophylaxis did not lower the risk of GVHD and was associated with an increased risk of bacterial and invasive fungal infections.