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POGO > Blog > Education for Health Professionals > 2013 Symposium - Innovation in Pediatric Oncology
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2013 Symposium – Innovation in Pediatric Oncology


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POGO Programs Update – From Innovation to Application

Posted on March 4, 2014 by admin

Presentation Description: The umbrella that POGO provides to ensure the equity of care for children with cancer across the province encompasses a wide range of programs and activities. These commonly engage numerous stakeholders in the hospitals, other institutions, government and the community. While it is not possible to highlight all the programs that POGO has engaged in over the last 30 years, this session  focused on four innovative activities that POGO has led, and that have left indelible marks on the enhancement of care for children both in Ontario as well as beyond its borders.  1) Guidelines for supportive care have been developed, adopted and implemented throughout the pediatric oncology community; 2) the POGO satellite system has enhanced the quality of care close to home and enhanced the quality of life for families across the province; 3) a new initiative of a centralized ethics review will lead to improved efficiencies and comprehensive engagement of all treating centres for children eligible for enrollment on clinical trials; 4) development of a set of benchmarks (quality indicators) has provided a unique framework to evaluate the quality of systems for the delivery of care for children with cancer.  These efforts showcase the impact that POGO has had on the pediatric cancer community.

Guidelines for Supportive Care

Carol Portwine, MD, FRCPC, PhD
Pediatric Oncologist, McMaster Children’s Hospital
Associate Professor, Department of Pediatrics
McMaster University, Hamilton

Satellite system

Childhood cancer care is definitionally intense, arduous and takes place over elongated time frames. Since care is typically centralized in tertiary centers, this pattern of care imposes enormous stress on families and patients. In an attempt to address this disruption of lives, POGO developed a system of devolved designated care centers in which defined components of care can be delivered. This presentation briefly described that system.

Mark Greenberg, OC, MB, ChB, FRCPC
Senior Adviser, Policy & Clinical Affairs
Pediatric Oncology Group of Ontario (POGO), Toronto, ON

Centralized Ethics Review

Ronald M. Grant, MD, FRCPC
Pediatric Oncologist
The Hospital for Sick Children, Toronto

Quality Indicators

Nicole Bradley, MHSc (Epidemiology)
Senior Healthcare Analyst & Project Manager
Pediatric Oncology Group of Ontario (POGO), Toronto

 

Posted in 2013 Symposium - Innovation in Pediatric Oncology, Education for Health Professionals | Tagged 2013 Symposium, ethics, OCREB, patient care, Provincial Pediatric Oncology Satellite Program, quality indicators, satellite clinic, supportive care guidelines

Diagnostic Imaging and New Surgical Techniques

Posted on March 4, 2014 by admin

POGO was not granted permission to post this presentation.  We apologize for the inconvenience. 

Posted in 2013 Symposium - Innovation in Pediatric Oncology | Tagged 2013 Symposium

Future Directions in the Delivery of Pediatric Cancer Care

Posted on March 4, 2014 by admin


Presentation Description:
Chemotherapy, Supportive Care, Full Treatment Protocols…. all deliverable in the community and satellite setting.

This panel discussion focused on the growing demand to provide increasingly complex levels of care in the community and satellite setting. The panel members spoke specifically to where we should be going with pediatric cancer care delivery. What current opportunities exist? What future opportunities can be realized? What support services will be required for patients and families to enable us to deliver the best care possible?

Speaker:
Vicky Wilton, BPHE, RN
POGO Pediatric Interlink Nurse
Health Sciences North/Horizon Santé Nord, Sudbury

Speaker:
Jennifer Vincelli, MN, CPHON, RN
Outreach Clinical Program Coordinator
Division of Haematology/Oncology
The Hospital for Sick Children, Toronto

Speaker:
Charmaine van Schaik, MD, FRCPC
Pediatrician & Chief of Pediatrics
Southlake Regional Health Centre, Newmarket
Lecturer, Department of Pediatrics, Faculty of Medicine
University of Toronto, Toronto, ON; McMaster University, Hamilton

Posted in 2013 Symposium - Innovation in Pediatric Oncology, Education for Health Professionals | Tagged 2013 Symposium, patient care, Provincial Pediatric Oncology Satellite Program, satellite clinic

The Canadian Cancer Landscape – Where Are We Headed?

Posted on March 4, 2014 by admin


Presentation Description:
The theme of the 2013 Symposium was Innovation in pediatric oncology. In this final session, national leaders in medical, nursing, psychology and research disciplines opened their imagination and provided their own perspectives as to how their respective fields may look in the short and long-term future. What transformative changes will patients, families and practitioners experience? How will the delivery of care look in 10 or 20 years? How will the evolution of basic research inform changes in the prevention and treatment of childhood cancers? Will survival rates continue to increase – and what will the consequences of further success be? It was anticipated that by the end of this session, the audience would be left with many more questions than answers, engendering lively discussion to close out the Symposium.

Speaker:
Ronald Barr, MB, ChB, MD, FRCP (Glasg), FRCP (Lond), FRCPC, FACP, FRCPath, FRCPHCH
Professor of Pediatrics, Pathology and Medicine
McMaster Children’s Hospital, Hamilton Health Sciences, Hamilton

Speaker:
Esther Green, RN, BScN, MSc (T)
Provincial Head
Nursing and Psychosocial Oncology
Cancer Care Ontario

Speaker:
Brenda Spiegler, PhD, C.Psych, ABPP(CN)
Board Certified in Clinical Neuropsychology
The Hospital for Sick Children, Toronto
Associate Professor, Department of Pediatrics
University of Toronto, Toronto

Speaker:
David Malkin, MD, FRCPC
Chair, 2013 POGO Symposium Planning Committee
Medical Director and POGO Chair in Childhood Cancer Control, Pediatric Oncology Group of Ontario (POGO)
Professor of Pediatrics and Medical Biophysics, University of Toronto
Director, Cancer Genetics Program and Staff Oncologist, Division of Haematology/Oncology
Senior Scientist, Genetics & Genomic Biology Program, Research Institute, The Hospital for Sick Children

Posted in 2013 Symposium - Innovation in Pediatric Oncology, Education for Health Professionals | Tagged 2013 Symposium

Workshop A – Innovations in Neurocognition: Using Cogmed and Cogstate with Children with Cancer within the Children’s Oncology Group

Posted on March 4, 2014 by admin


Presentation Description:
The Children’s Oncology Group (COG) is the largest pediatric clinical trials organization in the world including over 200 sites internationally. The Behavioral Science Committee within COG emerged from the Psychology Discipline Committee in 2006 to include greater standardization; integration of psychometrically robust measures; more involvement of behavioral scientists; and inclusion within more clinical trials. This presentation emphasized the importance of methodological rigor and standardization for behavioral science within COG. Following these basic principles, the use of social networks to leverage scientific gains, and examples of how behavioral science can inform clinical trials research were highlighted. After the development of a solid foundation of involved behavioral scientists using traditional neurocognitive measures, behavioral scientists have begun to use technology to maximize feasibility and accrual, and to answer targeted research questions about psychosocial or neuropsychological outcomes that are emerging as primary endpoints in clinical trials.

With increasing rates of cure, attention has increasingly focused on addressing late effects of pediatric cancer and its treatment for survivors. One devastating late effect that occurs for a significant number of survivors of pediatric cancers, particularly those that involve diseases of the central nervous system, is neurocognitive late effects. Several pharmacological and neuro-rehabilitative (behavioral) treatment strategies have been evaluated to ameliorate cognitive functioning in this group, but to date, no single approach has been associated with full restoration of abilities. Moreover, our ability to define and predict the severity and scope of neurocognitive difficulties in children who are at-risk remains limited. This presentation also reviewed the rationale and emerging evidence for innovative use of computer-based assessment and interventional approaches in survivors of pediatric cancer, with an emphasis on how technology may be effectively utilized within multi-center trials and cooperative groups.

Speakers:
Robert B. Noll, PhD
Pediatric Psychologist
Children’s Hospital of Pittsburgh, Pittsburgh
Professor, Pediatrics, Psychiatry and Psychology
University of Pittsburgh Medical Center, Pittsburgh

Kristina K. Hardy, PhD
Pediatric Neuropsychologist, Division of Neuropsychology
Children’s National Medical Center, Washington
Assistant Professor of Psychiatry and Behavioral Science
The George Washington University School of Medicine, Washington

Posted in 2013 Symposium - Innovation in Pediatric Oncology, Education for Health Professionals | Tagged 2013 Symposium, behavioral science, COG, late effects, neurocognitive

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