|
Cancer Centre Ambulatory Oncology Services
Cancer Centre Ambulatory Oncology services are comprised of Medical Oncology,
Hematological Oncology, Prevention and Screening, Pediatric Oncology,
Palliative Medicine, Radiation Oncology, Surgical Oncology, Gynecological
Oncology, Urological Oncology and ENT.
Medical Oncology
The Division of Medical Oncology (DMO) is housed within the Cancer Centre of
Southeastern Ontario at Kingston General Hospital and is responsible for the
provision of complex comprehensive care to patients from South Eastern Ontario
with a primary or recurrent diagnosis of malignancy. Most of the clinical
activities of the DMO are in the ambulatory care setting at the Cancer Centre,
with patients requiring inpatient care being admitted to the
Hematology/Oncology service of Kingston General Hospital. This is a unit
jointly operated with the Division of Hematology/Oncology, Palliative Care and
Ethics (HOPE), and is described under separate cover in the Hematology
document.
Multiple aspects of cancer care are provided by the members of the DMO and
include, but are not limited to: medical oncology consultation, delivery and
supervision of systemic therapy, and delivery and supervision of well follow-up
care, provision of a 24-hour emergency coverage system, provision of the
medical oncology elements of supportive care, counselling and palliation in the
context of general cancer management, provision of telephone support and
consultation to other physicians and allied health care providers, as well as
the delivery and supervision of outreach programs of community oncology.
Together with the Division of HOPE (department of Medicine described under
separate cover), the DMO provides 24-hour tertiary inpatient services for
Southeastern Ontario.
Prevention & Screening
The division of Prevention and Screening is comprised of the Ontario Breast
Screening Program-Southeast region (OBSP-SE) and the Familial Oncology Program
(FOP).
The OBSP-SE
OBSP is one of CCSEO's off-site clinical services. It provides services
to 8000 women a year. These include both biennial or annual clinical breast
examination and mammography. In addition, instruction in Breast Self
Examination is provided for those women who request it.
The centre at the Blackburn Mews acts as a regional hub site for the program,
supporting 9 screening affiliate sites and 2 multidisciplinary breast
assessment affiliates within the Southeast Region of Ontario. Current screening
affiliates are located in Peterborough, Lindsay, Port Perry, Campbellford,
Brockville, Belleville, Trenton and Picton. Current assessment affiliates are
located in Port Perry and in Kingston at the Hotel Dieu Hospital for the
multidisciplinary diagnostic work-up of screen-detected abnormalities.
The Familial Oncology Program (FOP)
The FOP is responsible for the screening and surveillance of the population
that is at highest risk of developing cancer. Individuals are referred to the
FOP by the Cancer Centre physicians, family physicians, surgeons, other
physicians and nurse practitioners and the OBSP. These referred clients must
meet strict criteria set by the MOHLTC and the Ontario Cancer Genetic Network
(OCGN).
Individuals and their families receive genetic counselling and, where
appropriate, testing for genetic mutations is done at the KGH DNA Laboratory.
Genetic counselling is offered to all referred individuals and their families
to interpret the test results, to discuss prevention trials and generally to
support the clients.
Paediatric Oncology
The Paediatric Oncology program at the Cancer Centre provides outpatient
tertiary services for childhood cancer patients in Southeastern Ontario.
This activity encompasses chemotherapy and follow-up clinics as well as the
Paediatric and Young Adult Aftercare clinics for survivors of childhood cancer.
(POGO Paediatric Oncology Group of Ontario Initiative.)
Palliative Care
The Palliative Care Medicine Service addresses issues of pain and
symptom management, psychosocial distress, and end-of-life care for the
population of Southeastern Ontario. In-patient consultative services are
provided at the Kingston General and St. Marys of the Lake Hospitals.
Out-patient consultative services for cancer patients are available through the
Cancer Centre. The Service also offers telephone consultative services for
community physicians throughout the region. The Service provides primary
palliative care for six designated beds at St. Marys of the Lake and community
patients requiring enhanced palliative skills. Primary care for palliative care
patients in the community is provided if the family physician is unable to
provide the service and requests our assistance. Palliative care medicine
physicians are on call 24 hours a day and 7 days a week.
Radiation Oncology
The Division provides multi-disciplinary tertiary care for all
patients in the region referred for an opinion and treatment recommendations by
a radiation oncologist for all major cancer sites. Approximately 1,800 new
cases are seen annually, with about 11,000 ambulatory visits yearly. Radiation
Oncologists either chair, or are members of, all multidisciplinary site groups
or tumour boards in the Department. The Division interacts with many other
services including Medical Oncology, Surgical Oncology, General Surgery and
Surgical Sub-specialties, Supportive Care, Medicine, Pathology, Emergency
Department, General and Interventional Radiology. In-patient care takes place
on Kidd 6 predominantly and the division provides consultative services to
other services as required.
Surgical Oncology
The division of Surgical Oncology within the Cancer Centre of Southeastern
Ontario at Kingston General Hospital consists of 6 surgeons encompassing the
fields of general, head & neck, gynecologic, plastic/reconstructive and
urologic surgery. These surgeons participate within the cancer center clinics
and actively see patients in solo and multidisciplinary clinics within the
cancer centre itself as well as regular outpatient clinics at both the Kingston
General and Hotel Dieu Hospitals. An additional 7 surgeons participate
regularly in the Cancer Centre's disease site group but do not perform clinics
in the facility.
Gynecological Oncology
The Division provides multi-disciplinary tertiary care for all women
in the region with pre-invasive and invasive gynecologic cancer. In addition,
surgical expertise for difficult benign conditions is provided. In-patient care
takes place on KD5. Consultative services are also provided for off-service
patients with suspected Gyn malignancy. The Division interacts with many other
services including Radiation and Medical Oncology, Surgical Oncology,
Pathology, Urology, Cardiology, Emergency Department, General and
Interventional Radiology, Palliative Care, and the intensive care unit.
Urological Oncology
The Division of Urology provides multidisciplinary care in surgery,
radiation oncology and medical oncology. New consultations, repeat and
post-operative clinics are held at the Cancer Centre, involving small
procedures such as node biopsies.
Oncology Services at KGH outside of CCSEO
From KGH perspective, Oncology services are currently described only
for Radiation Oncology. Medical Oncology and Hematological Oncology, are
described under the Haematology-Oncology services; surgical oncology under the
relevant surgical discipline (Ob/Gyn, General surgery, Urology, ENT, Thoracic
surgery).
Palliative medicine is a consult service in the hospital. Pediatric Oncology is
described under Pediatrics. Apart from surgical services, most of oncology care
is provided on an ambulatory basis and delivered at the Cancer Centre.
Radiation Oncology service at KGH provides consultation and treatment for
oncology patients in the region. All associates have attending privileges at
the regional hospitals and admit to inpatient beds on Kidd 6, designated as
Radiation Oncology beds.
The Radiation Oncology service relies on clinical lab, diagnostic imaging,
physiotherapy, occupational therapy, pharmacy, audiology and speech/language
pathology, intensive care, OR, PARR, and consultation from other services
including palliative care and medical oncology, chronic care and complex
continuing care, emergency services, endoscopy care, clinical nutrition, social
work and respiratory therapy.
Research
The research role of the Department of Oncology is to conduct research and
clinical trials related to care of patients with cancer. The research is
conducted at the Cancer Centre at KGH and Queens, through the Divisions that
form the Cancer Research Institute: Cancer Care and Epidemiology (previously
Radiation Oncology Research Unit (RORU)), Clinical Cancer Research (NCIC-CTG),
Cancer Biology and Genetics (previously the Cancer Research Laboratories); the
Palliative Medicine program; the Medical Physics groups; and the Prevention and
Screening program. The research focus for the Department of Oncology is in the
area of health services, clinical trials, translational research, palliative
medicine, physics and prevention and screening. Prior to the establishment of
the Division of Cancer Care and Epidemiology, a significant proportion of
research conducted by members of the Department of Oncology was in RORU, a
multidisciplinary health services research group that focused primarily on
Radiation Oncology. This continues to be a strong research group. It is further
developed to include other cancer related disciplines resulting in the name
change to the Division of Cancer Care and Epidemiology. Translational research
is now being undertaken by Department of Oncology members in the Division of
Cancer Biology and Genetics.
Clinical Trials are integral to the activities of the Cancer Centre. A clinical
research associate based clinical trials program is in place with a full
spectrum of clinical trials (Phase I, II and III).
Research efforts of the Medical Physics group focus on radiation dosimetry
techniques and on clinical development in radiotherapy. The Palliative Medicine
and Supportive Care program is involved in a multi-institutional palliative
care integration project. The Prevention and Screening program is involved in a
number of research activities funded from both US and Canadian granting
agencies.
Surgical Oncologist associated with the Surgical Oncology program undertake
research with particular initiativees in prostate cancer and health services
research.
Nursing research is a recent addition with projects in assessing aspects of
primary nursing and supportive care.
|
Outstanding care, always.
