ONCOLOGY News North East Launch of Redesigned ONCOLOGY Cancer Care Ontario Website! News
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North East ONCOLOGY News North East Launch of Redesigned ONCOLOGY Cancer Care Ontario Website! News CCO recently launched their updated Cancer Volume 7 Issue 3 December 2017 Care Ontario website. The site is designed to be mobile-friendly and accessible to everyone, with IN THIS ISSUE improvements to make it easy to search, and New Cancer Care Ontario Website quickly find information you are looking for. New Cancer Care Ontario Website .........................1 The Resources for Primary Care Providers I am pleased to introduce the new Cancer Care Ontario website, designed to has a more integrated approach to tools and make it easier to find what you are looking for. The website is organized in a way that considers the different types of information that providers or patients and resources across the cancer continuum and can Breast Cancer Weight families most commonly seek. There is a specific section dedicated to primary be accessed at https://www.cancercareontario. Loss Trial ......................1 ca/en/resources-primary-care-providers care categorized by guideline-based tools, diagnostic assessment, resources for patients, education and news, and quality improvement. This includes information on cancer screening, Genetic Testing - New referral on suspicion, disease pathways, symptom management, follow-up care and palliative care. A Cancer Panels and significant enhancement to the search engine organizes results into categories so that you can find Accessing Genetic what you are looking for quickly to help inform and support your practice. Please take a few minutes www.cancercareontario.ca Services in Northern to go to www.cancercareontario.ca to check out these resources. Ontario ..........................2 Mark Hartman Vice President, Regional Cancer & Clinical Support Services Health Sciences North, Northeast Cancer Centre Regional Vice President, Cancer Care Ontario Post-Mastectomy Breast Reconstruction ..............3 New Regional Radiation Oncology Lead Launch of Redesigned Breast Cancer Weight Loss Trial I am very pleased to be appointed to the role Prior to that, I grew up in Sudbury completing my Bachelor and CCO Website ................4 of Regional Radiation Oncology Lead for the Masters degree in Biochemistry at Laurentian University. I have A novel study titled Breast Cancer Weight Loss (BWEL), also called MAC.20, was North East LHIN. My role in this position is been working as a radiation oncologist at HSN for eight years and I opened for accrual at the Northeast Cancer Centre (NECC) in October 2017. This to ensure that patients in North East Ontario feel very privileged to now have the opportunity to serve my home New Regional Radiation study, coordinated by the Alliance for Clinical Trials in Oncology and the Canadian have access to timely radiotherapy services of community in this new capacity. Oncology Lead ..............4 Cancer Trials Group, is looking at the impact of a weight loss intervention upon the highest possible quality. We deliver this therapy via our unified invasive breast cancer disease-free survival. program operating out of two northern hospitals (Sudbury and Sault I certainly look forward to working with the medical leaders and Ste. Marie). We strive to minimize patient travel and coordinate providers throughout the North East to ensure that all patients INSERTS: Pre or post-menopausal women with a BMI ≥27 who have been care with northern communities with both OTN consultations as well receive the best possible integration of care through their cancer diagnosed with invasive breast cancer within the past 12 months as follow up care via telemedicine. journey from diagnosis to treatment, ultimately to follow-up care with are eligible to take part in the study. Patients must have completed the primary care provider. • CCO’s Breast chemotherapy and/or radiation therapy and could be on hormonal I obtained my MD from the University of Toronto in 2004 and Reconstruction treatment or bisphosphonates. Women who meet the eligibility criteria will completed my specialty training in radiation oncology in Calgary, Dr. Andrew Pearce Patient Education Tool be randomized to either: Regional Radiation Oncology Lead Alberta in 2009. Head of Service, Radiation Oncology • Quick Reference Northeast Cancer Centre • Arm A- A detailed package of health promotion information, webinars, a newsletter and a health Guide: Post- magazine. Mastectomy Breast Reconstruction • Arm B- The above materials and a two year telephone-based intervention program from the Dana- NORTH EAST ONCOLOGY NEWS Farber Cancer Institute in Boston to promote weight loss; which includes goal setting along with PRODUCTION TEAM North East Oncology News is a triannual publication from the Northeast Cancer Centre providing calorie control supported by structured menus, cookbooks, food scale and protein meal replacements. evidence-based guidance, and clinical and operational updates of interest with a focus on primary Exercise goals are also set and patients receive a Fitbit and wireless scale, lifestyle workbook, exercise Editor: Mark Hartman care in North East Ontario. Assistant Editor: Dr. Amanda Hey DVDs and/or You-Tube videos. Production Coordinator: Merci Miron-Black References used for this issue of North East Oncology News are available upon request from the Production Assistant: Jody Donivan As site principal investigator, I am excited that the NECC can offer this trial to eligible breast cancer editor. Articles may be reprinted without permission, provided the source is acknowledged. survivors in North East Ontario. This study has been advertised in the media. If you are approached by a patient or family member who may have heard about the study and is interested in knowing more, please 41 Ramsey Lake Road - Sudbury, ON P3E 5J1 Available online at www.hsnsudbury.ca/NECCprimarycareresources Phone: 705-522-6237 - Fax: 705-671-5496 direct them to the NECC Clinical Research office at 1-866-469-0822 ext. 2257. [email protected] Dr. Lacey Pitre Medical Oncologist Northeast Cancer Centre North East ONCOLOGY News Genetic Testing - New Cancer Panels and Accessing Genetic Post-Mastectomy Breast Reconstruction Services in Northern Ontario It is estimated that 39% of Canadian women Genetic testing technology is a rapidly advancing field. cancer development. There may also be a lack of diagnosed with breast cancer undergo mastectomy. While genetic testing for individual genes associated established management guidelines or screening Quality of life is often adversely affected. with hereditary cancer predisposition syndromes options available to individuals who are found to has been available for many years, many institutions carry pathogenic variants in genes that are currently are now offering gene panel tests, in which multiple less well-studied. Patient-Centred Care genes are analyzed simultaneously. These panels With improving five-year survival rates for breast cancer, for Education about breast reconstruction is ideally provided may include anywhere from a handful to hundreds Further, because of our incomplete scientific those women undergoing mastectomy, it is important to consider prior to surgery, however if this opportunity didn’t arise, a of genes, and are able to identify sequence changes knowledge and the sheer number of genes included post-mastectomy breast reconstruction (PMBR); to alleviate woman could still benefit from a referral to a plastic surgeon in genes that are associated with increased risks for on such panels, there is a higher likelihood of both practical considerations such as avoiding a prosthesis and with an interest in breast reconstruction after completion of one or more types of cancer. identifying variants of unknown significance (VUS). clothing limitation and improve quality of life (QoL). Importantly, her active treatment to discuss delayed post-mastectomy These variants are changes in the genetic code that while some women undergoing mastectomy have an excellent breast reconstruction (PMBR) options. Primary care Gene panels have a number of advantages. Because are not clearly pathogenic or benign; is the variant QoL; others have adverse effects on psychological well-being providers with knowledge of timing and types of PMBR and many genes are tested at once, the number of follow- expected to alter the function of the gene and result including anxiety, depression and negative effects on body image surveillance recommendations are well positioned to support up tests that are required for a given patient may be in an increased risk for cancer, or is it simply a and sexual function. a breast cancer patient when she is deciding on the optimal minimized. There is also a wide variety of panels to benign genetic variation? For patients receiving this management strategy with her treating oncology team. choose from; health care providers can offer large type of result, many questions remain unanswered, Health Care Provider Education In 2016, Cancer Care Ontario’s (CCO) Program in Evidence- pan-cancer panels that include dozens of genes that but further research over time may provide a clearer Types of Post-Mastectomy Breast Reconstruction are associated with increased risks for a variety of understanding of their individual cancer risks and the Based Care issued a guideline: Breast Cancer Reconstruction There are currently two major surgical approaches to breast cancer types, or targeted panels that focus on genes medical management options available to them. Surgery (Immediate and Delayed) Across Ontario: