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1
Rapid Response Radiotherapy Program (RRRP)
And Bone Metastases Site Group Clinic (BMC)
Annual Report
January–December 2009
Dr. Edward Chow Chair
Ms. Lori Holden Vice-Chair
Rapid Response Radiotherapy Program and Bone Metastases Site Group
2
Executive Summary
On behalf of the Rapid Response Radiotherapy Program and the Bone Metastases Site Group
(RRRP/BMC), we are pleased to send you our 2009 annual report.
1. Clinics a) RRRP clinics: The results indicated that we are meeting the initial goals of the RRPP to
provide timely palliative radiotherapy to patients in the terminal phase of their illness.
The number of patients seen annually in the five weekly half-day clinics has reached a
plateau of 500-600, eighty percent of which are new to OCC.
b) We successfully evaluated the role of an advanced practice radiation therapist with the
support of the Ministry of Health (MOH).
2. Education a) Newsletter - Our readers indicated they found our quarterly newsletter HOT SPOT
informative and educational.
b) We continue to offer electives to palliative health care professionals to visit our Centre
and learn about our programs.
3. Research a) We were successful in obtaining grant support to continue our research projects.
b) Research students from Waterloo’s co-op program have been extremely productive
and have also won numerous awards.
4. Our Quality Assurance rounds resulted in several published case reports.
This report summarizes our very successful year and the academic activities of the RRRP/BMC.
3
Odette Cancer Centre Rapid Response Radiotherapy Program (RRRP)
2009
The membership of the RRRP currently includes:
Radiation Oncologists
Edward Chow (Chair)
Toni Barnes
Cyril Danjoux
Arjun Sahgal
May Tsao
Radiation Therapists
Lori Holden (Vice-Chair)
Gunita Mitera
Nurses
Grace Chan
Michelle Daley-Martin
Ernest Dixon
Cathy Doyle
Michelle Ross
Pharmacists
Carlo DeAngelis
Mark Pasetka
Medical Physicist
Gordon Chan
4
Odette Cancer Centre Bone Metastases Site Group
2009
The membership of the BMC currently includes:
Radiation Oncologists Radiation Therapists
Edward Chow (Chair) Lori Holden (Vice-Chair)
Toni Barnes Gunita Mitera
Cyril Danjoux
Arjun Sahgal Nurses
May Tsao Macey Farhadian
Sima Farhangi-Manesh
Orthopedic Surgeons
Joel Finkelstein Pharmacists
Michael Ford Carlo DeAngelis
Albert Yee Mark Pasetka
Radiologists Medical Physicist
Monique Christakis Gordon Chan
Andrea Donovan
Linda Probyn
Robyn Pugash
Joel Rubenstein
Medical Oncologist
Urban Emmenegger
Palliative Care Physician
Paolo Mazzotta
5
EDUCATION
The RRRP organizes monthly Palliative Rounds, publishes a quarterly newsletter
“HOT SPOT” and provides educational electives for students and health care professionals
interested in palliative radiotherapy.
CME Monthly Rounds
The rounds are organized by Dr. E. Barnes and held on the last Tuesday of the Month from 12 - 1
p.m. in the R.D.T. Jenkin Auditorium. They are accredited for MOCERT credits.
The subjects discussed during 2009 were:
2009 Title Presenter
February 24 Outline Planning and Delivery Technique for
Radiotherapy of Spinal Metastases
Dr. Daniel Létourneau
April 28 Family Presences at Codes: Evidence, Ethics and Practice Mr. Blair Henry
June 30 Cancer and Our Culture of Healing: Social Work
Intervention Strategy
Ms. Elaine Rapp
September 29 Palliative Sedation Guidelines and Policy Development Dr. Dori Seccareccia
October 27 A Moving Experience: The Diagnosis and Management of
Constipation
Dr. Larry Librach
November 24 An Odd Couple. Technology and Patient Centered Care in
Palliative Radiotherapy
Dr. Rebecca Wong
*Rounds cancelled: January 27, March 31, May 26, July 28, August 25, and December 29
6
Hot Spot Newsletter
In response to a satisfaction survey from our referring physicians who wanted better
communication, we initiated a quarterly newsletter in 1999 called “HOT SPOT”.
HOT SPOT is the educational newsletter of the RRRP at OCC. It is published quarterly and
distributed to oncologists, palliative care specialists, family doctors and professional health care
workers in palliative medicine. Our readership has expanded to over 2,000 per issue and we
continue to expand our circulation to new readers. Survey results from our readers rated the
educational value of HOT SPOT as high and suggested that we add other topics of interest. We
increased the content of our newsletter from four to six pages with additional sections and
contributors. The newsletter has regular articles on the following topics:
ETHICS
RESEARCH
PSYCHOSOCIAL
ADVICE FROM PHARMACIST
EDUCATIONAL ACTIVITIES
EDUCATIONAL INSERT
Each issue also has a double-sided educational insert.
The Editorial Board of Hot Spot
Founders Drs. L. Andersson and C. Danjoux
Editor Dr. E. Chow
Associate Editor Dr. C. Danjoux
Consultant Dr. S. Wong
Advisers Dr. E. Barnes, Dr. R. Goldman, Dr. A. Husain, Dr. L. Librach,
Ms. G. Mitera, Dr. A. Sahgal, Ms. L. Holden, Dr. E. Szumacher,
Dr. M. Tsao
Editorial & Financial Manager Ms. S. Lue
The publication of the newsletter is made possible by the financial support of pharmaceutical &
radiotherapy equipment companies.
The newsletter is also available electronically on the OCC web site:
http://www.sunnybrook.ca/content/?page=2341.
[Appendix F provides the content of previous issues and inserts of HOT SPOT from
1999-2009.]
7
Educational Electives
As part of our undergraduate teaching, students from the co-op program at the University of
Waterloo have their electives working with the RRRP-BMC. This co-operative educational elective has
been extremely successful.
Awards
Candi Flynn (in clinic 2007 - 2008), Graduate student.
2009 – 2010 CIHR MSc Scholarship
2009 – 2010 Heart and Stroke Scholarship
2009 – 2010 Ontario Graduate Scholarship
Roseanna Presutti (2009), Second year undergraduate student.
2009 Marion J. Todd Memorial Award, Faculty of Applied Health Sciences, University of
Waterloo, Waterloo, Ontario.
[Appendix G – Undergraduate Teaching–Co-op Program]
8
Health Care Professionals Electives
The RRRP provides an orientation for other health care professionals to experience the activities of
the RRRP clinics. Dr. Fernado Rojas from Moncton, New Brunswick; Dr. Steve Lutz from Ohio, USA;
Professor Oyvind Bruland from Oslo, Norway; Drs. Yvette van der Linden and Juus Noteboom from
The Netherlands, Dr. Rico Liu from Hong Kong and Ms. Lynda Jackson from Kingston, Ontario spent a
couple of days with us as they plan to start a similar project in their Centre. They found the
experience valuable and recommend it for others planning to start a similar program.
RESEARCH
The RRRP/BMC team objective is to provide palliative radiotherapy in an academic environment.
We participate in local, national and international clinical trials, have regular research rounds and
have been successful in securing grants to fund our research projects.
Clinical Trials
We participate in several clinical trials. The research students have been an essential resource in
helping us to enroll, follow-up, analyze and publish our studies. Without the dedication of our
research students, it would have been difficult to successfully complete our research studies.
[Appendix H - A list of ongoing research studies in the RRRP and BMC]
CPROG (Canadian Palliative Radiation Oncology Group)
Our collaboration with Princess Margaret Hospital (PMH) and the Hamilton Regional Cancer Centre
Palliation Radiation Oncology Group, led to the formation of the Palliative Radiotherapy Oncology
Group Ontario (PROG-O) in 2000. Since then PROG-O has expanded to include Cancer Centres
from the Maritimes, Manitoba, Calgary and British Columbia. Currently, this group meets monthly
through videoconference. This has improved communication between the staff involved in the
palliative radiotherapy program in those Centres and offered the opportunity for collaboration in
research. At the last CARO meeting, more Cancer Centres expressed enthusiasm in participating in
PROG-O rounds.
PROG-O offers a national forum for monthly research discussion in palliative radiotherapy. Over the
past years the coordinators for the PROG-O rounds have been Drs. J. Wu, A. Bezjak, R. Wong and
T. Barnes. The rounds are scheduled for the first Tuesday of every month.
To represent the change in participation from Ontario to Cancer Centres across Canada we
renamed the group as Canadian Palliative Radiation Oncology Group (CPROG)
9
Videoconference Rounds (CPROG)
The subjects discussed during 2009 were:
2009 Title Presenter(s)
January 6 A Multi-Centred Assessment of Cancer Pain
Management Using the Pain Management Index (PMI)
Ms. Gunita Mitera &
Dr. Carlo DeAngelis,
OCC
February 3 Ordinary Days, Extraordinary People: Living the Caring
Ms. Corsita
Garraway, PMH March 3 Modern Approaches to Palliative Radiotherapy
Dr. Rajiv Samant,
Ottawa April 7 ISAAC BC: Adopting & Introducing New Technology to
Improve Patient Care
Mr. Jeff Barnett,
Dr. Ann Syme and
Ms. Kathleen Yue, BC
May 5 Modern Approaches to Palliative Radiotherapy
Dr. Rajiv Samant,
Ottawa
June 2 Prevalence of Neuropathic Pain Symptoms in Patients
with Cancer Bone Pain Referred for Palliative
Radiotherapy
Drs. Jackson Wu and
Marc Kerba,
TBCC Calgary
October 6 a) Difficult Cancer Pain Problems: Recent Research
Findings
b) Overview of Rapid Access Bone Pain Radiotherapy
Clinic – The Calgary Experience 2002 - 2009
a) Dr. Neil Hagen,
Calgary
b) Dr. Jackson Wu,
TBCC Calgary
November 10 Virtual Pain & Symptom Control / Palliative
Radiotherapy Clinic
Drs. Alysa Fairchild,
Sharon Watanabe,
and Ms. Edith
Pituskin, CCI
Edmonton
December 1 Case Review
Dr. Rebecca Wong
*Rounds cancelled: July 7, and August 4
RRRP and BMC Monthly Meetings
The subjects discussed during 2009 were:
2009 Title Presenter(s)
January 6 RRRP Presentation – BPI Survey Study
(Chaired by Ms. Gunita Mitera)
Ms. Emily Sinclair
January 20 Research/Education Round
a) Spinal Cord Compression QOL
b) ESAS Gender Difference
(Chaired by Dr. Toni Barnes)
a) Ms. Gunita Mitera
b) Ms. Rosie Presutti
February 3 RRRP Presentation – Bone Metastases: The Role of
Palliative Care in Symptom Management
(Chaired by Ms. Gunita Mitera)
Drs. Jeff Myers and
Anita Chakraborty
February 17 Business Meeting
(Chaired by Dr. Edward Chow) All
March 3 RRRP Presentation – Role of Palliative Radiotherapy in
GI Cancers
Dr. Hans Chung
10
(Chaired by Ms. Gunita Mitera)
April 7 RRRP Presentation – Interesting Case Presentations at
RRRP
(Chaired by Ms. Emily Sinclair)
Ms. Rosie Presutti,
Ms. Janet Nguyen,
Ms. Jocelyn Pang
April 14 RRRP Presentation – Bone Mets Clinic Model
(Chaired by Ms. Gunita Mitera)
Ms. Janet Nguyen
and Ms. Emily
Sinclair
May 5 RRRP Presentation – Palliation of Gynecological Cancers
(Chaired by Dr. Edward Chow)
Dr. Toni Barnes
May 19 RRRP Quality Assurance Round
a) Patient and Family Support Program
b) QA cases
(Chaired by Dr. M. Tsao)
a) Drs. Jeff Myer,
Margaret Fitch and
Ms. Pat Brown
b) Ms. Gunita Mitera,
Ms. Shaelyn Culleton
and Ms. Harleen Bedi
June 2 RRRP Presentation – Incurable Lung Cancer and
Pulmonary Metastases: Perspectives from a Lung Site
Radiation Oncologist
(Chaired by Ms. G. Mitera)
Dr. Patrick Cheung
June 16 Research/Education Round – Palliative Radiation
Therapy: A View from South of the Border
(Chaired by Dr. Edward Chow)
Dr. Steve Lutz
July 7 RRRP Presentation
a) Orthovoltage: Bones Friend or Foe?
b) Overview of the Sunnybrook Volunteer Program
(Chaired by Ms. Gunita Mitera)
a) Ms. Emily Sinclair
and Ms. Laura
D’Alimonte
b) Ms. Kathy Kwan
July 21 RRRP Presentation – Current Research Projects at the
RRRP
(Chaired by Ms. Gunita Mitera)
Ms. Shaelyn Culleton
and Ms. Gunita
Mitera
August 4 RRRP Presentation – Skeletal Care Initiative: Bone
Health in Cancer
(Chaired by Ms. Gunita Mitera)
Dr. Willena Talbot
August 18 Research Meeting
(Chaired by Ms. Gunita Mitera)
Dr. Gordon Chan
September 1 RRRP Presentation – A GU Rookie’s Take on Palliative RT
(Chaired by Ms. Gunita Mitera)
Dr. Danny Vesprini
September 15 Annual General Meeting
(Chaired by Dr. Edward Chow)
All
October 6 RRRP Research Projects
(Chaired by Ms. Gunita Mitera)
Ms. Rosie Presutti,
Ms. Janet Nguyen,
Ms. Lori Holden, Ms.
Gunita Mitera
October 20 RRRP Quality Assurance Round
(Chaired by Dr. May Tsao)
Dr. Gordon Chan, Ms.
Rosie Presutti, Ms.
Janet Nguyen
November 3 RRRP Research Meeting – Update on Research
(Chaired by Dr. Edward Chow)
Dr. Edward Chow
November 17 Research/Education Round – Journey of Patients with
Incurable Cancer and Palliative Care Services in Hong
Kong
(Chaired by Dr. Edward Chow)
Dr. Rico Liu
December 1 RRRP Presentation – Radiation Induced Nausea and
Vomiting
Ms. Rosie Presutti,
Ms. Janet Nguyen,
11
(Chaired by Ms. Gunita Mitera) Ms. Jocelyn Pang
December 16 Business Meeting
(Chaired by Dr. Edward Chow)
All
*Rounds cancelled: March 17
12
Grants A Phase I Trial on the use of PDT in the Treatment of Breast Cancer Vertebral Metastasis.
Canadian Breast Cancer Foundation $300,850 (2009 – 2012). Yee A, Whyne C, Akens M,
Sahgal A, Chow E, Wilson B, Bisland S, Clemons M.
A Phase II Study of Early Integration of Zoledronic Acid with Radiotherapy to Bone in the
Treatment of Painful Bone Metastases in Prostate Cancer. Novartis Pharmaceuticals Canada
Inc. $60,000 (2007 – 2009). Chow E, Ko Y, Emmenegger U, Danjoux C, Barnes E, Barbera L,
Tsao M, Sinclair E, Lemon S, Vieth R.
A Phase II Study of Maintenance Therapy with Temsirolimus in Androgen-Independent
Prostate Cancer After First-Line Chemotherapy with Docetaxel. Wyeth Pharmaceuticals
Canada Inc. $315,000 (2007 – 2009). Ko Y, Emmenegger U, Berry S, Kerbel R.
Biomechanical Implications of a Novel Cancer Treatment in the Spine for the Teachers'
Science and Technology Outreach Program (TSTOP). Ministry of Research and Innovation
(MRI) Ontario $9,270 (2008 - 2009). Whyne C.
Bone stability and tumor burden in the metastatic spine: implications of variable disease
patterns. Canadian Institute of Health Research $379,862 (2008 - 2012). Whyne C, Yee AJ,
Finkelstein JA.
Canadian-Led International Validation of the European Organization for Research and
Treatment of Cancer Brain Module (EORTC-QLQ-BN20) for Assessing Quality of Life in
Patients with Brain Metastases. Canadian Institutes of Health Research: Institute of Health
Services and Policy Research $98,958 (2009). Chow E, Clemons M, Kerba M.
Centre for Research in Image-Guided Therapeutics. Canada Foundation for Innovation,
Research Hospital Fund Large Scale Institutional Endeavours $14,337,919 (2008 - 2011).
Hynynen, K., multiple Collaborators including Whyne C.
Metastatic breast cancer genome anatomy. Canadian Breast Cancer Research Alliance,
Special Competition in New Approaches to Metastatic Disease in Breast Cancer Research
$750,000 (2005 - 2010). Seth A, Aubin J, Kahn H, Lyons-Weiler J, Yee AJ, Narod S.
Modeling thin bone structures of the human skeleton. Natural Sciences and Engineering
Research Council (NSERC) $165,000 (2006 - 2011). Whyne, C.
New Radiofrequency Device for Soft Tissue and Bone Malignant Tumor Ablation. Ontario
Centres of Excellence Grant $550,000 (2008 - 2009). Yee AJ, Whyne C, Akens M.
Pedicle Screw Insertion Simulator Study. St. Michael's Hospital Trauma/Neurosurgery
Program Internal Multi-Disciplinary Small Grant Program $2,000 (2008 - 2009). Ginsberg H,
Whyne C, Massicotte E, Martin A.
Predicting Acetabular Fracture Prognosis Through Quantitative Weight-Bearing Area Damage
Evaluation. Osteosynthesis & Trauma Care Foundation $10,000 (2009). Lubovsky O, Whyne
C, Kreder H, Beek M.
The impact of photodynamic therapy for the biomechanical stability of the metastatic spine:
characterization independent and combined treatment effects with bisphosphonates and
radiation therapy. Ontario Institute for Cancer Research $530,361 (2008 - 2011). Whyne C,
Yee AJ, Wilson BC, Burch S, Bisland S.
13
Publications
Amir E, Whyne CM, Freedman OC, Fralick M, Kumar R, Hardisty M, Clemons M. Radiological
changes following second-line Zoledronic acid treatment in breast cancer patients with bone
metastases. Clinical and Experimental Metastasis 26: 479-484, 2009.
Bedi H, Mitera G, Sahgal A, Pirouzmand F, Bilbao J, Sinclair E, Fitch A, Chow E. Neurosurgical
rescue of bradycardia induced by intracerebral hypertension: A case report and review of the
literature. Journal of Palliative Medicine 12 (6): 563-565, 2009.
Campos S, Davey P, Hird A, Pressnail B, Bilbao J, Aviv R, Symons, Pirouzmand F, Sinclair E,
Culleton E, DeSa E, Goh P, Chow E. Brain metastases from unknown primary or primary
brain tumor: a diagnostic dilemma. Current Oncology 16 (1): 71-75, 2009.
Campos S, Zhang L, Chow E. Determining reliability of patient perceptions of important bone
metastases quality of life issues. Journal of Pain Management 2 (4): 445-464, 2009.
Campos S, Zhang L, Salvo N, Hird A, Tsao M, Barnes E, Danjoux C, Sahgal A, Mitera G,
Sinclair E, Nguyen J, Napolskikh J, Chow E. Elderly patients with painful bone metastases
should be offered palliative radiotherapy. International Journal of Radiation Oncology,
Biology and Physics (published online June 17, 2009).
Campos S, Zhang L, Sinclair E, Tsao M, Barnes E, Danjoux C, Sahgal A, Goh P, Culleton S,
Mitera G, Chow E. The palliative performance scale: Examining its inter-rater reliability in an
outpatient palliative radiation oncology clinic. Supportive Care in Cancer 17 (6): 685-690,
2009.
Chow E, Abdolell M, Panzarella T, Harris K, Bezjak A, Warde P, Tannock I. Validation
predictive model for survival in metastatic cancer patients attending an outpatient palliative
radiotherapy clinic. International Journal of Radiation Oncology, Biology and Physics 73 (1):
280-287, 2009.
Chow E, Abdolell M, Panzarella T, Harris K, Bezjak A, Warde P, Tannock I. Recursive
partitioning analysis of prognostic factors for survival in patients with advanced cancer.
International Journal of Radiation Oncology, Biology and Physics 73 (4): 1169-1176, 2009.
Chow E, Bottomley A. Understanding the EORTC QLQ-BM22, the module for patients with
bone metastases. Expert Review of Pharmacoeconomics and Outcomes Research 9 (5): 461-
465, 2009.
Chow E, Hird A, Velikova G, Johnson C, Dewolf L, Bezjak A, Wu J, Shafiq J, Sezer O,
Kardamakis D, Linden Y, Ma B, Castro M, Foro Arnalot P, Ahmedzai S, Clemons M, Hoskin P,
Yee A, Brundage M, Bottomley A on behalf of the EORTC Quality of Life Group. The European
Organisation for Research and Treatment of Cancer Quality of Life questionnaire for patients
with bone metastases: The EORTC QLQ-BM22. European Journal of Cancer 45: 1146-1152,
2009.
Chow E, Hird A, Wong, R, Zhang L, Wu J, Barbera L, Tsao M, Barnes E, Danjoux C. Validation
of meaningful change in pain scores in the treatment of bone metastases. Journal of Pain
Management 2 (4): 407-412, 2009.
Chow E, Hird A, Zhang L, Sinclair E, Danjoux C, Barnes E, Tsao M, Barbera L, Wong S, Vieth
R. Change in urinary markers of osteoclast activity following palliative radiotherapy for bone
14
metastases. Clinical Oncology 21 (4): 336-42, 2009.
Chow E, James J, Barsevick A, Hartsell W, Ratcliffe S, Scarantino C, Ivker R, Roach M, Suh J,
Petersen I, Konski A, Demas W, Bruner D. Functional interference clusters in cancer patients
with bone metastases: A secondary analysis of RTOG 9714. International Journal of
Radiation Oncology, Biology and Physics (published online July 23, 2009).
Chow E, Makhani L, Culleton S, Makhani N, Davis L, Campos S, Sinclair E. Would larger
radiation fields lead to a faster onset of pain relief in the palliation of bone metastases?
International Journal of Radiation Oncology, Biology and Physics 74 (5):1563-1566, 2009.
Chow E, Tsao M, Sahgal A, Barnes E, Danjoux C, Mitera G, Sinclair E. Need for post
procedure radiation therapy after kyphoplasty or vertebroplasty/cementoplasty for bony
metastatic disease. Journal of Pain Management 2 (4): 501-502, 2009.
Culleton S, Hird A, Nguyen J, Emmenegger U, Verma S, Simmons C, Barnes E, Tsao M,
Sahgal A, Danjoux C, Mitera G, Sinclair E, Chow E. Bisphosphonates in combination with
radiotherapy for the treatment of bone metastases: A literature review. Journal of Pain
Management 2 (4): 375-386, 2009.
Culleton S, Pang J, Zhang L, Presutti R, Nguyen J, Mitera G, Sinclair E, Barnes E, Tsao M,
Danjoux C, Sahgal A, Chow E. Are baseline ESAS symptoms related to pain response in
patients treated with palliative radiotherapy for bone metastases? Journal of Pain
Management 2 (4): 387-392, 2009.
Culleton S, Zhang L, Sinclair E, Barnes E, Tsao M, Danjoux C, Campos S, Goh P, Chow E.
Improvement of ESAS symptoms following palliative radiation for bone metastases. Journal
of Pain Management 2 (4): 393-400, 2009.
de Sa E, Sinclair E, Wong J, Danjoux C, Hird A, Hadi S, Barnes E, Tsao M, Chow E. Continued
success of the Rapid Response Radiotherapy Program: A review of 2004 – 2008. Supportive
Care in Cancer 17 (7): 757-762, 2009.
Desa V, Danjoux C, Matyas Y, Fitch M, Husain A, Horvath N, Myers J, Clemons M, Hux J,
Barnes EA. An interdisciplinary and collaborative initiative in palliative care research. Journal
of Pain Research 2: 1-3, 2009.
Fairchild A, Barnes E, Ghosh S, Ben-Josef E, Roos D, Hartsell W, Holt T, Wu J, Janjan N, Chow
E. International patterns of practice in palliative radiotherapy for painful bone metastases:
Evidence-based practice? International Journal of Radiation Oncology, Biology and Physics 75
(5): 1501-1510, 2009.
Flynn C, Clemons M, Zhang L, Chow E. The test-retest reliability of the European
Organization for Research and Treatment of Cancer Quality-of-Life Group Bone Metastases
Module (EORTC QLQ-BM22) Questionnaire. Journal of Pain Management 2 (4): 445-452,
2009.
Hardisty M, Whyne CM. Whole bone strain quantification by image registration: A validation
study. Journal of Biomechanical Engineering 131: 064502, 2009.
Harris K, Chow E, Zhang L, Velikova G, Bezjak A, Wu J, Barton M, Sezer O, Eek R, Shafiq J,
Yee A, Clemons M, Brundage M, Hoskin P, van der Linden Y, Johnson C, Bottomley A.
Patients’ and Health Care Professionals’ evaluation of health-related quality of life issues in
bone metastases. European Journal of Cancer 45 (14): 2510-2518, 2009.
15
Hird A, Chow E, Zhang L, Wong R, Wu J, Sinclair E, Danjoux C, Tsao M, Barnes E, Loblaw A.
Determining the incidence of pain flare following palliative radiotherapy for symptomatic bone
metastases: results from three Canadian cancer centres. International Journal of Radiation
Oncology, Biology and Physics 75 (1): 193-197, 2009.
Hird A, Clemons M, Zhang L, Chow E. Skeletal related events in patients with metastatic
bone disease. Journal of Pain Management 2 (4): 371-374, 2009.
Hird A, Wong J, Zhang L, Tsao M, Barnes E, Danjoux C, Chow E. Exploration of symptoms
clusters with in cancer patients with brain metastases using the Spitzer Quality of Life Index.
Supportive Care in Cancer (published online May 31, 2009).
Hird A, Wong R, Flynn C, Hadi S, deSa E, Zhang L, DeAngelis C, Chow E. Impact of pain flare
on patients treated with palliative radiotherapy for symptomatic bone metastases. Journal of
Pain Management 2 (4): 401-406, 2009.
Hird A, Zhang L, Holt T, Fairchild F, DeAngelis C, Loblaw A, Wong R, Barnes E, Tsao M,
Danjoux C, Chow E. Dexamethasone for the prophylaxis of radiation-induced pain flare
following palliative radiotherapy for symptomatic bone metastases: A phase II study. Clinical
Oncology 21 (4): 329-335, 2009.
Kirou-Mauro AM, Hird A, Wong J, Sinclair E, Barnes EA, Tsao M, Danjoux C, Chow E. Has
pain management in cancer patients with bone metastases improved? A seven-year review
at an outpatient palliative radiotherapy clinic. Journal of Pain and Symptom Management 37
(1): 77-84, 2009.
Krema H, Somani S, Sahgal A, Heydarian M, McGowan H, Payne D, Xu W, Michaels H,
Laperriere N, Simpson RE. Stereotactic radiotherapy in the treatment of juxtapapillary
choroidal melanoma: 3 year follow-up. British Journal of Ophthalmology 93 (9): 1172-1176,
2009.
Leung ASO, Gordon LM, Skrinskas T, Szwedowski T, Whyne CM. Effects of bone density
alterations on strain patterns in the pelvis: Application of a finite element model. Proceedings
of the Institution of Mechanical Engineers-Part H: Journal of Engineering in Medicine 223:
965-979, 2009.
Li K, Sinclair E, Pope J, Farhadian M, Harris K, Napolskikh J, Yee A, Librach S, Wynnychuk L,
Danjoux C, Chow E. A multidisciplinary bone metastases clinic at Toronto Sunnybrook
Regional Cancer Centre - a review of the experience from 1999 to 2005. Journal of Pain
Research (published online December 2, 2008).
Lo SS, Sahgal A, Hartsell WF, Lutz ST, Kardamakis D, va der Linden Y, Hoskin P. The
treatment of bone metastasis with highly conformal radiation: a brave new world or a costly
mistake? Clinical Oncology 21 (9): 662-664, 2009.
Lutz S, Fairchild A, Chow E, Hoskin P. Background, rationale and goals for the 2010
international conference bone metastasis treatment workshop. Clinical Oncology 21 (9): 649-
651, 2009.
Lutz S, Hoskin P, Chow E. Update on palliative radiotherapy endpoints for bone metastasis
trials. Clinical Oncology 21 (9): 659-661, 2009.
Ma L, Sahgal A, Hossain S, Chuang C, Descovich M, Huang K, Gottschalk A, Larson DA. Non-
random intra-fraction target motions and general strategy of correction for spine stereotactic
16
body radiotherapy. International Journal of Radiation Oncology, Biology and Physics 75 (4):
1261-1265, 2009.
Mitera G, Roitman D, Pohani G, Brennan M. Fox A, Danjoux C, Sinclair E, Chow E.
Leptomeningeal carcinomatosis secondary to gastroesophageal adenocarcinoma: A case
report and literature review of a rare occurrence. Scholarly Research Exchange, vol. 2009,
Article ID 642154, 2009. doi:10.3814/2009/642154.
Mitera G, Rubenstein J, Finkelstein J, Davidson M, Chow E. Remineralization of an impending
fracture from an osteolytic metastasis in a breast cancer patient from palliative radiotherapy
and bisphosphonate. A case report. Journal of Pain Management 2 (4): 493-498, 2009.
Mitera G, Swaminath A, Wong S, Goh P, Robson S, Sinclair E, Danjoux C, Chow E.
Radiotherapy for oncological emergencies on weekends: Examining reasons for treatment
and patterns of practice at a Canadian Cancer Centre. Current Oncology 16 (4): 275, 2009.
Napolskikh J, Selby D, Bennett M, Chow E, Harris K, Sinclair E, Myers J. Demographic profile
and utilization statistics of a Canadian inpatient palliative care unit within a tertiary care
setting. Current Oncology 16 (1): 47-52, 2009.
Nguyen J, Chung M, Ford M, Goh P, Rubenstein J, Sinclair E, Mitera G, Chow E. Surgical
stabilization of severely destructive upper cervical lytic bone metastases. Journal of Pain
Management 2 (4): 474-480, 2009.
Nguyen J, Sinclair E, Yee A, Finkelstein J, Ford M, Chakraborty A, Farhadian M, Pugash R,
Mitera G, Danjoux C, Barnes E, Tsao M, Sahgal A, Chow E. A multidisciplinary bone
metastases clinic at Sunnybrook Odette Cancer Centre. A review of the experience from
2006-2008. Journal of Pain Management 2 (4): 435-444, 2009.
Pang J, Jenkinson R, Mitera G, Donovan A, Pugash R, Trudeau M, Quinton C, Sinclair E,
Nguyen J, Presutti R, Chow E. Cemented hemiarthroplasty, percutaneous acetabular
cementoplasty and post-operative radiation for a high risk lesion of the hip. Journal of Pain
Management 2 (4): 487-492, 2009.
Presutti R, Campos S, Finkelstein J, Rubenstein J, Sinclair E, Mitera G, Chow E. When all else
fails: Simple Bracing for the relief of intractable pain. Journal of Pain Management 2 (4):
481-486, 2009.
Presutti R, Zhang L, Hird A, Deyell M, Chow E. Exploring the optimal definitions of partial
response and pain progression in patients receiving radiation treatment for painful bone
metastases? A preliminary analysis. Journal of Pain Management 2 (4): 413-434, 2009.
Sahgal A, Chang E, Larson D, Basran P, Ma L. Spine Stereotactic Body Radiotherapy: Is this
the Safest Way? Interactions. The Canadian Organization of Medical Physicists Newsletter 55
(1): 3-8, 2009.
Sahgal A, Chou D, Ames C, Ma L, Huang K, Xu W, Chin C, Weinberg V, Chuang C, Weinstein
P, Larson D. Stereotactic body radiotherapy is effective salvage therapy for patients with prior
radiation of spinal metastases. International Journal of Radiation Oncology, Biology and
Physics 74 (3): 723-731, 2009.
Sahgal A, Ma L, Chang E, Shiu A, Larson DA, Laperriere N, Yin F, Tsao M, Menard C, Basran P,
Letourneau D, Heydarian M, Beachey D, Shukla V, Cusimano M, Hodaie M, Zadeh G,
Bernstein M, Schwartz M. Advances in Technology for Intracranial Radiosurgery. Technology
17
in Cancer Research and Treatment 8 (4): 271-280, 2009.
Sahgal A, Ma L, Gibbs I, Gerszten PC, Ryu S, Soltys S, Weinberg V, Wong S, Chang E, Fowler
J, Larson DA. Spinal cord tolerance for stereotactic body radiotherapy. International Journal
of Radiation Oncology, Biology and Physics (published online September 16, 2009).
Salvo N, Christakis M, Rubeinstein J, de Sa E, Napolskikh J, Sinclair E, Ford M, Goh P, Chow
E. The role of plain radiographs in management of bone metastases. Journal of Palliative
Medicine 12 (2): 195-198, 2009.
Salvo N, Hadi S, Napolskikh J, Goh P, Sinclair E, Chow E. Quality of life measurement in
cancer patients receiving palliative radiotherapy for symptomatic lung cancer: A literature
review. Current Oncology 16 (2): 1-13, 2009.
Selby D, Cascella A, Gardiner K, Do R, Moravan V, Myers J, Chow E. A single set of numerical
cutpoints to define moderate and severe symptoms for the Edmonton Symptom Assessment
System (ESAS). Journal of Pain and Symptom Management (published online December 4,
2009).
Sigal IA, Whyne CM. Mesh morphing and response surface analysis: Quantifying sensitivity of
vertebral mechanical behaviour. Annals of Biomedical Engineering 2009.
Somani S, Sahgal A, Heydarian M, McGowan H, Payne D, Xu W, Michaels H, Laperriere N,
Simpson RE. Stereotactic radiotherapy in the treatment of juxtapapillary choroidal
melanoma: 2 year follow-up. Canadian Journal of Ophthalmology 44 (1): 61-65, 2009.
Tharmalingam S, Chow E, Harris K, Hird A, Sinclair E. Quality of life measurement in bone
metastases: a literature review. Journal of Pain Research (published online December 2,
2008).
Warner E, Chow E, Fairchild A, Franssen E, Paszat L, Szumacher E. Canadian patterns of
practice in adjuvant radiotherapy for elderly women with stage I breast cancer. Clinical
Oncology (published online October 31, 2009).
Wong J, Chow E, De Sa E, Rowsell C, Probyn L, Christakis M, Sinclair E, Law C,
Finkelstein J. Immediate pain relief and improved structural stability following
percutaneous vertebroplasty for a severely destructive vertebral compression fracture.
Journal of Palliative Medicine 12 (1): 97-100, 2009.
Wong J, Hird A, Zhang L, Tsao M, Sinclair E, Barnes E, Danjoux C, Chow E. Symptoms and
quality of life in cancer patients with brain metastases following palliative radiotherapy.
International Journal of Radiation Oncology, Biology and Physics 75 (4): 1125-1131, 2009.
Zdero R, Olsen M, Elfatori S, Skrinskas T, Nourhosseini H, Whyne C, Schemitsch EH, Von
Schroeder H. Linear and Torsional Mechanical Characteristics of Intact and Reconstructed
Scapholunate Ligaments. Journal of Biomechanical Engineering 131: 041009, 2009.
Zhang L, Nguyen J, Hird A, Chow E. Shortening the bone metastases quality of life
instrument tool. Journal of Pain Management 2 (4): 465-474, 2009.
18
In Press
Akens MK, Hardisty MR, Wilson BC, Schwock J, Whyne CM, Burch S, Yee AJ. Defining the
therapeutic window of vertebral photodynamic therapy in a murine pre-clinical model of
breast cancer metastasis using the photosensitizer BPD-MA (Verteporfin). Breast Cancer
Research and Treatment.
Bederman SS, Omoto D, Yee AJ, Kreder HJ, Finkelstein JA. How do validated measures of
functional outcome compare with commonly used outcomesin administrative database
research for lumbar spinal surgery. European Spine Journal.
Chow E, James J, Barsevick A, Hartsell W, Ratcliffe S, Scarantino C, Ivker R, Suh J, Petersen
I, Konski A, Demas W, Bruner D. Confirmatory factor analysis of Brief Pain Inventory (BPI)
functional interference clusters in patients with bone metastases. Journal of Pain
Management.
Gardiner K, Harris K, Lilien T, Bennett M, Chow E, Selby D, Zhang L, Myers J. Evaluating
correlation and inter-rater reliability for four performance scales in the palliative care setting.
Journal of Pain and Symptom Management.
Hrabchak C, Rouleau J, Moss I, Woodhouse K, Akens M, Bellingham C, Keeley F, Yee AJ.
Evaluation of Genipin cross-linked elastin-like polypeptides in the treatment of osteochongral
defects of the knee in rabbits. Acta Biomaterialia.
Klein S, Whyne CM, Rush R, Ginsberg HJ. CT-based patient-specific simulation software for
pedicle screw insertion. Journal of Spinal Disorders and Techniques.
Ma L, Sahgal A, Chuang C, Descovich M, Petti P, Smith V, Verhey L, Barbaro N, McDermott M,
Huang K, Nakamura J, Sneed P, Larson D. Functional relationship between the volume of a
near-target peripheral isodose line and its isodose value for Gamma Knife radiosurgery.
Radiosurgery.
Ma L, Sahgal A, Descovich M, Cho Y, Chuang C, Huang K, Laperriere N, Shrieve D, Larson D.
Equivalence in dose fall-off for isocentric and non-isocentric intracranial treatment modalities
and its impact on dose fractionations schemes. International Journal of Radiation Oncology,
Biology and Physics.
Maloul A, Fialkov J, Hojjat SP, Whyne CM. A technique for the quantification of the 3D
connectivity of thin articulations in bony sutures. Journal of Biomechanics.
Mitera G, Fairchild A, DeAngelis C, Emmenegger U, Zurawel-Balaura L, Zhang L, Bezjak A,
Levin W, Mclean M, Zeiadin N, Pang J, Nguyen J, Sinclair E, Chow E, Wong R. A multi-centre
assessment of the adequacy of cancer pain treatment using the Pain Management Index.
Journal of Palliative Medicine.
Mitera G, Zeiadin N, Kirou-Mauro A, DeAngelis C, Wong J, Sanjeevan T, Sinclair E,
Danjoux C, Barnes E, Tsao M, Sahgal A, Chow E. Assessment of cancer pain management in
an outpatient palliative radiotherapy clinic using the pain management index. Journal of Pain
and Symptom Management.
Podolsky D, Martin A, Whyne CM, Massicote E, Hardisty MR, Ginsberg H. Exploring the role of
3D simulation in surgical training: Feedback from a pilot study. Journal of Spinal Disorders &
Techniques.
19
Ruschin M., Nayebi N., Carlsson P., Tamerou M., Li W., Laperriere N., Sahgal A., Menard C.,
Jaffray D. Performance of a novel repositioning head frame for gamma knife perfexion and
image guided linac-based intracranial stereotactic radiotherapy. International Journal of
Radiation Oncology, Biology and Physics.
Sahgal A, Ma L, Chuang C, Hossain S, Petti P, Larson D, Shrieve D. Comparisons of novalis
and cyberknife spinal stereotactic body radiotherapy treatment planning based on physical
and biologic modelling parameters. Radiosurgery.
Salvo N, Barnes E, van Draanen J, Stacey E, Mitera G, Breen D, Giotis A, Czarnota G, Pang J,
De Angelis C. The prophylaxis and management of acute radiation-induced skin reactions: a
systemic review of the literature. Current Oncology.
Sanghera P, Perry J, Sahgal A, Symons S, Aviv R, Morrison M, Lam K, Davey P, Tsao M.
Definition and significance of pseudoprogression following radiotherapy with concurrent
temozolomide for glioblastoma multiforme. Canadian Journal of Neuroscience.
Sdezowski T, Whyne CM, Fialkov J. Towards characterization of craniofacial biomechanics.
Journal of Craniofacial Surgery.
Won E, Aken M, Hardisty M, Burch S, Bisland SK, Yee AJM, Wilson BC, Whyne CM. Effects of
photodynamic therapy on the structural integrity of vertebral bone. Spine.
Won E, Wise-Milestone L, Akens MK, Burch S, Yee AJ, Wilson BC, Whyne CM. Beyond
bisphosphonates: Photodynamic therapy structurally augments metastatically involved
vertebrae and destroys tumor tissue. Breast Cancer Research and Treatment.
20
Books, Book Chapters
Bedi H, Hird A, Campos S, Chow E. Symptom Clusters in Metastatic Cancer- A Critical
Appraisal. Advanced cancer. Pain and quality of life. Chapter 12. Editors: Edward Chow
and Joav Merrick. Nova Science Publishers, Inc. (in press).
Bedi H, Kwong J, Chow E. Symptom cluster and gender differences research in patients
with metastatic cancer. Bone and brain metastases: Advances in research and treatment.
Chapter 24. Editors: Arjun Sahgal, Edward Chow and Joav Merrick. Nova Science
Publishers, Inc. (in press).
Bedi H, Presutti R, Hird A, Campos S, Zhang L, Mitera G, Sinclair E, Barnes E, Tsao M,
Sahgal A, Danjoux C, DeAngelis C, Chow E. Gender difference in the Edmonton Symptom
Assessment System (ESAS) scores in patients with advanced cancer. Advanced cancer.
Pain and quality of life. Chapter 15. Editors: Edward Chow and Joav Merrick. Nova
Science Publishers, Inc. (in press).
Braybrooke J, Yee A, Chow E. Palliative orthopedic surgery. Palliative Medicine. Chapter
242 Pages 1367-1372. Editor-in-Chief: Declan Walsh. Elsevier 2009.
Brown J. Chow E. Bone markers in research and clinical practice. Bone metastases: a
translational and clinical approach. Chapter 5 Pages 93-118. Editors: Dimitrios
Campos S, Zhang L, Chow E. Determining reliability of patient perceptions of important
bone metastases quality of life issues. Advanced cancer. Pain and quality of life. Chapter
21. Editors: Edward Chow and Joav Merrick. Nova Science Publishers, Inc. (in press).
Campos S, Zhang L, Sinclair E, Tsao M, Barnes E, Danjoux C, Sahgal A, Goh P, Culleton S,
Mitera G, Chow E. The palliative performance scale: Examining its correlation to Karnofsky
Performance Scale in an outpatient palliative radiation oncology clinic. Advanced cancer.
Pain and quality of life. Chapter 18. Editors: Edward Chow and Joav Merrick. Nova
Science Publishers, Inc. (in press).
Chow E, Hird A, Wong, R, Zhang L, Wu J, Barbera L, Tsao M, Barnes E, Danjoux C.
Validation of meaningful change in pain scores in the treatment of bone metastases.
Advanced cancer. Pain and quality of life. Chapter 13. Editors: Edward Chow and Joav
Merrick. Nova Science Publishers, Inc. (in press).
Chow E, Hruby G, Harris K, Enright K, Sinclair E, Chan G. Determining the accuracy of
health care professionals in predicting the survival of patients with advanced metastatic
cancer. Advanced cancer. Pain and quality of life. Chapter 16. Editors: Edward Chow and
Joav Merrick. Nova Science Publishers, Inc. (in press).
Chow E, Tsao M, Sahgal A, Barnes E, Danjoux C, Mitera G, Sinclair E. Need for post
procedure radiation therapy after kyphoplasty or vertebroplasty/cementoplasty for bony
metastatic disease. Advanced cancer. Pain and quality of life. Chapter 10. Editors:
Edward Chow and Joav Merrick. Nova Science Publishers, Inc. (in press).
Culleton S, Hird A, Nguyen J, Emmenegger U, Verma S, Simmons C, Barnes E, Tsao M,
Sahgal A, Danjoux C, Mitera G, Sinclair E, Chow E. Bisphosphonates in combination with
radiotherapy for the treatment of bone metastases: A literature review. Advanced cancer.
Pain and quality of life. Chapter 5. Editors: Edward Chow and Joav Merrick. Nova Science
Publishers, Inc. (in press).
21
Culleton S, Kwok S, Chow E. Conventional radiation treatment of bone metastases. Bone
and brain metastases: Advances in research and treatment. Chapter 2. Editors: Arjun
Sahgal, Edward Chow and Joav Merrick. Nova Science Publishers, Inc. (in press).
Culleton S, Pang J, Zhang L, Presutti R, Nguyen J, Mitera G, Sinclair E, Barnes E, Tsao M,
Danjoux C, Sahgal A, Chow E. Are baseline ESAS symptoms related to pain response in
patients treated with palliative radiotherapy for bone metastases? Advanced cancer. Pain
and quality of life. Chapter 6. Editors: Edward Chow and Joav Merrick. Nova Science
Publishers, Inc. (in press).
Culleton S, Zhang L, Sinclair E, Barnes E, Tsao M, Danjoux C, Campos S, Goh P, Chow E.
Improvement of ESAS symptoms following palliative radiation for bone metastases.
Advanced cancer. Pain and quality of life. Chapter 7. Editors: Edward Chow and Joav
Merrick. Nova Science Publishers, Inc. (in press).
Fairchild A, Chow E. Palliative radiation therapy. Palliative Medicine. Chapter 237 Pages
1337-1344. Editor-in-Chief: Declan Walsh. Elsevier 2009.
Fairchild A, Hird A, Chow E. Pain control with palliative radiotherapy in bone metastases.
Recent advances in bone cancer progression and therapeutic approaches. Editor:
Dominique Heymann. Research Signpost (in press).
Flynn C, Clemons M, Zhang L, Chow E. The test-retest reliability of the European
Organization for Research and Treatment of Cancer Quality-of-Life Group Bone Metastases
Module (EORTC QLQ-BM22) Questionnaire. Advanced cancer. Pain and quality of life.
Chapter 20. Editors: Edward Chow and Joav Merrick. Nova Science Publishers, Inc. (in
press).
Freedman O, Clemons M, Vassiliou V, Kardamakis D, Simmons C, Trinkaus M, Chow E.
Assessment of therapeutic response. Bone metastases: a translational and clinical
approach. Chapter 17 Pages 345-370. Editors: Dimitrios Kardamakis, Vassilios Vassiliou
and Edward Chow. Springer 2009.
Hird A, Chow E. Outcome measures in bone metastases clinical trials. Bone metastases: a
translational and clinical approach. Chapter 18 Pages 371-394. Editors: Dimitrios
Kardamakis, Vassilios Vassiliou and Edward Chow. Springer 2009.
Hird A, Clemons M, Zhang L, Chow E. Skeletal related events in patients with metastatic
bone disease. Advanced cancer. Pain and quality of life. Chapter 11. Editors: Edward
Chow and Joav Merrick. Nova Science Publishers, Inc. (in press).
Hird A, Culleton S, Chow E. Cancer-related bone pain. Editor: Andrew Davis. Oxford
University Press. European Journal of Cancer Care (published online October 14, 2009).
Hird A, Wong R, Flynn C, Hadi S, deSa E, Zhang L, DeAngelis C, Chow E. Impact of pain
flare on patients treated with palliative radiotherapy for symptomatic bone metastases.
Advanced cancer. Pain and quality of life. Chapter 8. Editors: Edward Chow and Joav
Merrick. Nova Science Publishers, Inc. (in press).
Kardamakis, Vassilios Vassiliou and Edward Chow. Springer.
Fairchild A, Chow E. Palliative radiotherapy. Cancer pain: assessment and management.
2nd edition. Editors: Eduardo Bruera and Russell Portenoy. Cambridge University Press
(in press).
22
Kwok S, Salvo N, Pang J, Chow E. Prognostic assessment of the cancer patient. Supportive
Oncology. Editors: Mellar P Davis, Petra Feyer, Petra Ortner, Camilla Zimmermann. Elsevier
(in press).
Mitera G and Fairchild A. Under-medication in cancer patients with pain. Bone and Brain
Metastases: Advances in research and treatment. Chapter 20. Editors: Arjun Sahgal,
Edward Chow and Joav Merrick. Nova Science Publishers, Inc. (in press).
Mitera G, Rubenstein J, Finkelstein J, Davidson M, Chow E. Remineralization of an
impending fracture from an osteolytic metastasis in a breast cancer patient from palliative
radiotherapy and bisphosphonate. A case report. Advanced cancer. Pain and quality of life.
Chapter 26. Editors: Edward Chow and Joav Merrick. Nova Science Publishers, Inc. (in
press).
Mitera G, Sahgal A, Loblaw DA. Management of malignant spinal cord compression. Bone
and Brain Metastases: Advances in research and treatment. Chapter 7. Editors: Arjun
Sahgal, Edward Chow and Joav Merrick. Nova Science Publishers, Inc. (in press).
Mitera G, Zeiadin N, Sahgal A, Finkelstein J, Chow E, Loblaw A. Quality of life measures
used in radiation therapy trials for patients with metastatic spinal cord compression
(MSCC): A literature review. Advanced cancer. Pain and quality of life. Chapter 19.
Editors: Edward Chow and Joav Merrick. Nova Science Publishers, Inc. (in press).
Nguyen J, Chung M, Ford M, Goh P, Rubenstein J, Sinclair E, Mitera G, Chow E. Surgical
stabilization of severely destructive upper cervical lytic bone metastases. Advanced cancer.
Pain and quality of life. Chapter 23. Editors: Edward Chow and Joav Merrick. Nova
Science Publishers, Inc. (in press).
Nguyen J, Leung M, Presutti R, Caporusso F, Holden L, Chow E. Position of appetite and
nausea in symptom clusters in palliative radiation therapy. Handbook of nutrition and diet
and in palliative care. Taylor & Francis Group (in press).
Nguyen J, Sahgal A, Chow E, Danielson B. Quality of life in brain metastases. Bone and
brain metastases: Advances in research and treatment. Chapter 16. Editors: Arjun
Sahgal, Edward Chow and Joav Merrick. Nova Science Publishers, Inc. (in press).
Nguyen J, Sahgal A, Sinclair E, Mitera G, Farhadian M, Danjoux C, Finkelstein J, Yee A, Ford
M, Pugash R, Emmenegger U, Chakraborty A, Chow E. Innovative palliative programs:
Rapid Response Radiotherapy Program and Multidisciplinary Bone Metastases Clinic. Bone
and brain metastases: Advances in research and treatment. Chapter 1. Editors: Arjun
Sahgal, Edward Chow and Joav Merrick. Nova Science Publishers, Inc. (in press).
Nguyen J, Sinclair E, Yee A, Finkelstein J, Ford M, Chakraborty A, Farhadian M, Pugash R,
Mitera G, Danjoux C, Barnes E, Tsao M, Sahgal A, Chow E. A multidisciplinary bone
metastases clinic at Sunnybrook Odette Cancer Centre. A review of the experience from
2006-2008. Advanced cancer. Pain and quality of life. Chapter 14. Editors: Edward Chow
and Joav Merrick. Nova Science Publishers, Inc. (in press).
Nousiainen M, Whyne CM, Yee AJ, Ford M. Surgical management of bone metastases.
Bone metastases: a translational and clinical approach. Editors: Dimitrios Kardamakis,
Vassilios Vassiliou and Edward Chow. Springer 2009.
23
Pang J, Jenkinson R, Mitera G, Donovan A, Pugash R, Trudeau M, Quinton C, Sinclair E,
Nguyen J, Presutti R, Chow E. Cemented hemiarthroplasty, percutaneous acetabular
cementoplasty and post-operative radiation for a high risk lesion of the hip. Advanced
cancer. Pain and quality of life. Chapter 25. Editors: Edward Chow and Joav Merrick.
Nova Science Publishers, Inc. (in press).
Pang J, Panzarella T, Chow E. Survival predication. Bone and brain metastases: Advances
in research and treatment. Chapter 26. Editors: Arjun Sahgal, Edward Chow and Joav
Merrick. Nova Science Publishers, Inc. (in press).
Presutti R, Campos S, Finkelstein J, Rubenstein J, Sinclair E, Mitera G, Chow E. When all
else fails: Simple Bracing for the relief of intractable pain. Advanced cancer. Pain and
quality of life. Chapter 24. Editors: Edward Chow and Joav Merrick. Nova Science
Publishers, Inc. (in press).
Presutti R, Hird A, DeAngelis C, Fairchild A, Holt T, Loblaw A, Chow E. Pain flare following
palliative radiotherapy of bone metastases. Bone and brain metastases: Advances in
research and treatment. Chapter 14. Editors: Arjun Sahgal, Edward Chow and Joav
Merrick. Nova Science Publishers, Inc. (in press).
Presutti R, Nguyen J, Hird A, Fairchild A, Clemons M, Kerba M, Sahgal A, Chow E. Quality
of life research in bone metastases. Bone and brain metastases: Advances in research and
treatment. Chapter 15. Editors: Arjun Sahgal, Edward Chow and Joav Merrick. Nova
Science Publishers, Inc. (in press).
Presutti R, Zhang L, Hird A, Deyell M, Chow E. Exploring the optimal definitions of partial
response and pain progression in patients receiving radiation treatment for painful bone
metastases? A preliminary analysis. Advanced cancer. Pain and quality of life. Chapter 9.
Editors: Edward Chow and Joav Merrick. Nova Science Publishers, Inc. (in press).
Presutti R, Zhang L, Tsao M, Barnes E, Danjoux C, Sahgal A, Mitera G, Sinclair E, Chow E.
Projected referral for health care services in an out-patient palliative radiotherapy clinic.
Advanced cancer. Pain and quality of life. Chapter 17. Editors: Edward Chow and Joav
Merrick. Nova Science Publishers, Inc. (in press).
Sahgal A, Ma L, Tsao M, Larson D. Gamma knife radiosurgery. Image guided therapy
systems. Chapter 9, pages 161-176. Editors: Shahram Vaezy and Vesna Redic. 2009.
Sahgal A, van der Kogel AJ, Wong CS. Spinal cord radiobiology. Spine radiosurgery. First
edition. Chapter 2, pages 9-22. Editors: Sam Ryu and Peter Gerszten. Thieme Medical
Publishers Inc, New York, NY, 2009.
Sahgal A. Stereotactic body radiotherapy. Bone metastases: Helping you to help yourself:
A guide for patients diagnosed with bone metastases. Chapter 25, pages 28-29. Editors:
Philiz Goh, Margaret Fitch, Edward Chow. Sunnybrook Odette Cancer Center. Toronto, ON,
2009.
Vassiliou V, Chow E, Kardamakis D. Natural history, prognosis, clinical features and
complications of metastatic bone disease. Bone metastases: a translational and clinical
approach. Chapter 4 Pages 77-92. Editors: Dimitrios Kardamakis, Vassilios Vassiliou and
Edward Chow. Springer 2009.
Zhang L, Nguyen J, Hird A, Chow E. Shortening the bone metastases quality of life
instrument tool. Advanced cancer. Pain and quality of life. Chapter 22. Editors: Edward
Chow and Joav Merrick. Nova Science Publishers, Inc. (in press).
24
Posters, Presentations and Published Abstracts
2009 Annual Hospice Palliative Care Conference. Toronto, Ontario, Canada, April
19 – 21, 2009.
Bedi H, Hird A, Campos S, Mitera G, Sinclair E, Zhang L, Chow E. Gender differences in
Edmonton Symptom Assessment System responses in patients treated with palliative
radiotherapy.
Bedi H, Hird A, Campos S, Mitera G, Sinclair E, Zhang L, Chow E. Symptom clusters in
metastatic cancer – A critical appraisal.
Chow E, Hird A, Zhang L, Mitera G, Sinclair E. Shortening the European Organization for
Research and Treatment of cancer bone metastases module (EORTC QLQ-BM22).
Chow E, Hird A, Zhang L, Sinclair E, Mitera G, Danjoux C, Barnes E, Tsao M, Barbera L,
Wong S, Vieth R. Change in urinary markers of osteoclast activity following palliative
radiotherapy for bone metastases.
Chow E. Determining the accuracy of health care professionals in predicting the survival
of patients with advanced metastatic cancer.
Chow E. Validation of meaningful change in pain scores in the treatment of bone
metastases.
Mitera G, Zeiadin N, Kirou-Mauro A, DeAngelis C, Wong J, Sanjeevan T, Sinclair E,
Danjoux C, Barnes E, Tsao M, Sahgal A, Chow E. Assessment of cancer pain
management in an outpatient palliative radiotherapy clinic using the pain management
index.
Mitera G, Zeiadin N, Sahgal A, Chow E, Finkelstein J, Loblaw A. Quality of life measures
used in radiation therapy trials for patients with metastatic spinal cord compression
(MSCC): A literature review.
Nguyen J, Hird A, Zhang L, Clemons M, Mitera G, Sinclair E, Chow E. Skeletal related
events in patients with metastatic bone disease.
Nguyen J, Presutti R, Campos S, Zhang L, Sinclair E, Tsao M, Barnes E, Danjoux C,
Sahgal A, Goh P, Culleton S, Mitera G, Chow E. The palliative performance scale:
Examining its inter-rater reliability in an outpatient palliative radiation oncology clinic.
Pang J, Culleton S, Hird A, Mitera G, Sinclair E, Barnes E, Tsao M, Danjoux C, Sahgal A,
Simmons C, Emmenegger U, Chow E. Bisphosphonates in combination with radiotherapy
for bone metastases: A literature review.
Pang J, Culleton S, Zhang L, Mitera G, Sinclair E, Barnes E, Tsao M, Danjoux C, Sahgal
A, Chow E. Are baseline ESAS symptoms related to pain response in patients treated
with palliative radiotherapy for bone metastases?
Presutti R, Nguyen J, Campos S, Zhang L, Mitera G, Sinclair E, Tsao M, Barnes E,
Danjoux C, Sahgal A, Chow E. Palliative radiotherapy for painful bone metastases in the
elderly: Not a trade off
Sinclair E, Ford M, Danjoux C, Chow E on behalf of the Bone Metastases Team. Minimally
invasive treatment of tumour related vertebral compression.
Zeiadin N, Mitera G, Sinclair E, Chow E, Hird A, Wong R, Zhang L, Wu J, Barbera L, Tsao
M, Barnes, Danjoux C. Validation of meaningful change in pain scores in the treatment
of bone metastases.
Zeiadin N, Sinclair E, Mitera G, Chow E, Hruby G, Harris K, Enright K, Chan G.
Determining the accuracy of health care professionals in predicting the survival of
patients with advanced metastatic cancer.
55th Annual Meeting of the Orthopaedic Research Society. Las Vegas, Nevada,
USA, February 2009.
Du W, Yang Burton B, Yang BL, Deng Z, Lee D, Yee AJ. The role of EGFR-mediated
signalling pathway in versican G3 induced apoptotic resistance and sensitivity to breast
cancer cells. Transactions of the Orthopaedic Research Society: pp 1608, 2009.
Maloul A, Fialkov J, Whyne CM. Accurate quantification of image blurring on thin bone
thickness and material properties by micro-CT.
25
Maloul A, Fialkov J, Whyne CM. Quantification of connectivity in thin bone articulations.
Martin AR, Whyne CM, Massicotte EM, Hardisty M, Ginsberg HJ. Exploring the role of 3D
simulation in surgical Training: Feedback from a pilot study.
Moss IL, Hrabchak, Rouleau J, Keeley F, Woodhouse KA, Yee AJ. Genepin-cross-linked
elastin-like polypeptide hydrogels for the repair of osteochondral defects. Transactions of
the Orthopaedic Research Society: pp 556, 2009.
Moss IL, Whyne CM, Yee AJ, Woodhouse KA. Initial feasibility of thiol-modified
hyaluronan and elastin-like polypeptide hydrogels for the treatment of early
degenerative disc disease. Transactions of the Orthopaedic Research Society: pp 1660,
2009.
Singh D, Ginsberg H, Whyne CM. An automated method for quantifying key
morphological elements of the posterior vertebral arch.
9th Princess Margaret Hospital Conference. Toronto, Ontario, Canada, October 29 -
31, 2009.
Myrehaug SD, Craig T, Chan G, Cheung P, Roach M, Weinberg V, Cheng C, Sahgal A.
Hypofractionated radiotherapy for high risk prostate cancer: Dosimetric comparison and
acute clinical toxicity of two pelvic nodal delineation strategies and evaluation radiation
delivery techniques.
Nguyen J, Danielson B, Presutti R, Pang J, Clemons M, Zhang L, Sahgal A, Da Costa L,
Chow E. International validation of the European organziation for Research and
Treatment of Cancer brain module (EORTC-QLQ-BN20-2) for assessing quality of life in
patients with brain metastases a preliminary analysis of Canadian Centres.
Nguyen J, Hayter C, Wong R, Danjoux C, Peltier J, Holden L. A survey to assess patients’
awareness and interest in hypnosis for cancer pain and distressing procedures.
Nguyen J, Hird A, Zhang L, Clemons M, Mitera G, Sinclair E, Chow E. Skeletal related
events in patients with metastatic bone disease.
Pang J, Culleton S, Hird A, Nguyen J, Emmenegger U, Verma S, Simmons C, Barnes T,
Tsao M, Sahgal A, Danjoux C, Mitera G, Sinclair E, Chow E. Bisphosphonates in
combination with radiotherapy for bone metastases: a literature review.
Pang J, Culleton S, Zhang L, Presutti R, Nguyen J, Mitera G, Sinclair E, Barnes T, Tsao
M, Danjoux C, Sahgal A, Chow E. Are baseline ESAS symptoms related to pain response
in patients treated with palliative radiotherapy for bone metastases.
Presutti R, Campos S, Zhang L, Sinclair E, Tsao M, Barnes EA, Danjoux C, Sahgal A,
Chow E. The palliative performance scale: Examining correlation to Karnofsky
performance scale in an outpatient palliative clinic.
Presutti R, Nguyen J, Pang J, Fairchild A, Mawani A, Clemons M, Kerba M, Yee A, Zhang
L, Sahgal A, Chow E. International cross-cultural field validation of an EORTC
questionnaire module for patients with bone metastases (EORTC QLQ-BM22): A
preliminary analysis.
Presutti R, Zhang L, Tsao M, Barnes E, Danjoux C, Sahgal A, Mitera G, Sinclair E, Chow
E. Projected referral for health care services in an out-patient palliative radiotherapy
clinic.
Wajstaub S, Laperriere N, Krema H, Payne D, Xu W, Heydarian M, Michaels H, Simpson
R, McGowan H, Sahgal A. Ocular tolerance to stereotactic high dose per fraction
radiotherapy.
American Association of Physics in Medicine. Anaheim, California, USA, July 26 –
30, 2009.
Lightstone AW, Tsao MN, Basran P, Chan G, Pang G, Ma L, Lochray F, Sahgal A. Cone
beam CT observations of intrafraction shifts during intracranal treatments for patients
held in a mask. Medical Physics 36: 2647, 2009.
Ma L, Sahgal A, Cho Y, Descovich M, Chuang C, Huang K, Laperriere N, Shrieve D,
Larson D. Effects of peripheral dose fall-off on biologically equivalent dose to normal
brain for intracranial stereotactic radiosurgery and radiotherapy. Medical Physics 36:
26
2647, 2009.
Ma L, Sahgal A, Hossain S, Chuang C, Descovich M, Huang K, Gottschalk A, Larson D.
Correction strategy to overcome non-random target motions for hypofracytionated spine
radiotherapy. Medical Physics 36: 2814, 2009.
American Society Therapeutic Radiation Oncology. Chicago, Illinois, USA,
September 2009.
Barani I, Sahgal A, Zhang B, Petti PL, Novotny J, Larson DA, Ma L. Guidelines for normal
brain tissue tolerance for multiple brain tumor targets treated with stereotactic
radiosurgery (SRS). International Journal of Radiation Oncology, Biology and Physics 75
(3): S239, 2009.
Follwell M, Davidson M, Tsao M, Davey P, Laperriere N, Perry J, Moseley D, Ma L, Larson
DA, Sahgal A. Is there an advantage to IMRT for hard to treat primary brain cancer?
International Journal of Radiation Oncology, Biology and Physics 75 (3): S250, 2009.
Letourneau D, Ivanovsky I, Keller H, Sharpe M, Sahgal A, Millar B-A, Chung P, Jaffray
DA. Risk and intervention assessment for rotational and translational setup errors on
spinal cord dose for stereotactic body radiotherapy (SBRT) of paraspinal tumors: An
automated planning study. International Journal of Radiation Oncology, Biology and
Physics 75 (3): S230, 2009.
Ma L, Cozzi L, Larson DA, Shiu A, Letourneau D, Yin F, Chang E, Sahgal A. Apparatus-
dependent differences in spine stereotactic body radiotherapy (SBRT) dosimetry.
International Journal of Radiation Oncology, Biology and Physics 75 (3): S676-677,
2009.
Marchand E, Sahgal A, Millar B, Publicover M, Sharpe M, Moseley D, Letourneau D.
Volumteric modulated arc therapy for stereotactic body radiotherapy (SBRT) of
spinal/paraspinal tumors. International Journal of Radiation Oncology, Biology and
Physics 75 (3): S722, 2009.
Mitera G, Fairchild A, DeAngelis C, Zurawel-Balaura L, Zhang L, Zeiadin N, Pang J,
Nguyen J, Emmenegger U, Sinclair E, Chow E, Wong R. Assessment of cancer pain
management using the Pain Management Index. International Journal of Radiation
Oncology Biology Physics 75 (3), Suppl 1: S502, Abstract 2712, 2009.
Myrehaug SD, Craig T, Chan G, Cheung P, Roach M, Weinberg V, Cheng C, Kaus M,
Sahgal A. Hypofractionated radiotherapy for high risk prostate cancer: dosimetric
comparison and acute clinical toxicity of two pelvic nodal delineation strategies and
evaluation radiation delivery techniques. International Journal of Radiation Oncology,
Biology and Physics 75 (3): S342, 2009.
Sahgal A, Ma L, Gibbs I, Chao S, Chang U, Weinberg V, Soltys S, Fowler J, Wong C,
Larson D. Re-treatment spinal cord tolerance for spine stereotactic body radiotherapy.
International Journal of Radiation Oncology, Biology and Physics 75 (3): S239, 2009.
Bonus 4. Toronto, Ontario, Canada, April 3, 2009.
Akens MK, Yee AJM, Whyne CM. Local minimally invasive techniques aimed at destroying
tumor and stabilizing bone in the metastatic spine.
Chow E, Hird A, Zhang L, Sinclair E, Mitera G, Danjoux C, Barnes E, Tsao M, Barbera L,
Wong S, Vieth R. Change in urinary markers of osteoclast activity following palliative
radiotherapy for bone metastases.
Mitera G, Zeiadin N, Kirou-Mauro A, DeAngelis C, Wong J, Sanjeevan T, Sinclair E,
Danjoux C, Barnes E, Tsao M, Sahgal A, Chow E. Assessment of cancer pain
management in an outpatient palliative radiotherapy clinic using the pain management
index.
Mitera G, Zeiadin N, Sahgal A, Chow E, Finkelstein J, Loblaw A. Quality of life measures
used in radiation therapy trials for patients with metastatic spinal cord compression
(MSCC): A literature review.
Nguyen J, Hird A, Zhang L, Clemons M, Mitera G, Sinclair E, Chow E. Skeletal related
events in patients with metastatic bone disease.
27
Nguyen J, Hird A, Zhang L, Mitera G, Sinclair E, Chow E. Shortening the European
Organization for Research and Treatment of Cancer Bone Metastases Module (EORTC
QLQ-BM22).
Pang J, Culleton S, Hird A, Mitera G, Sinclair E, Barnes E, Tsao M, Danjoux C, Sahgal A,
Simmons C, Emmenegger U, Chow E. Bisphosphonates in combination with radiotherapy
for bone metastases: A literature review.
Pang J, Culleton S, Zhang L, Mitera G, Sinclair E, Barnes E, Tsao M, Danjoux C, Sahgal
A, Chow E. Are baseline ESAS symptoms related to pain response in patients treated
with palliative radiotherapy for bone metastases?
Presutti R, Nguyen J, Campos S, Zhang L, Mitera G, Sinclair E, Tsao M, Barnes E,
Danjoux C, Sahgal A, Chow E. Palliative radiotherapy for painful bone metastases in the
elderly: Not a trade off
Sinclair E, Ford M, Danjoux C, Chow E on behalf of the Bone Metastases Team. Minimally
invasive treatment of tumour related vertebral compression.
Zeiadin N, Mitera G, Sinclair E, Chow E, Hird A, Wong R, Zhang L, Wu J, Barbera L, Tsao
M, Barnes, Danjoux C. Validation of meaningful change in pain scores in the treatment
of bone metastases.
Canadian Association of Radiation Oncology Annual Meeting. Quebec City, Quebec,
Canada, September 30 – October 3, 2009.
Barnes E. Five year review of the non melanoma skin cancer clinic at the Odette Cancer
Centre.
Barnes E. Symptom control and quality of life abstracts.
Follwell M, Davidson M, Moseley D, Tsao M, Davey P, Laperriere N, Perry J, Ma L, Larson
D, Sahgal A. Is there an advantage to IMRT for hard to treat primary brain cancer?
Radiotherapy and Oncology 92 (2): S172, 2009.
Marchand EL, Sahgal A, Millar BA, Publicover J, Sharpe M, Moseley D, Letourneau D.
Treatment planning with volumetric modulated arc therapy for stereotactic body
radiotherapy (SBRT) of spinal/paraspinal tumors. Radiotherapy and Oncology 92 (2):
S151, 2009.
Mitera G, Davidson M, Cardoso M, Rakovitch E, Pignol JP. Dosimetric comparison of
boost techniques for adjuvant breast radiotherapy. Radiotherapy & Oncology 88, Suppl
2: S16, Abstract 51, 2009.
Mitera G, Fairchild A, DeAngelis C, Zurawel-Balaura L, Zhang L, Zeiadin N, Pang J,
Nguyen J, Emmenegger U, Sinclair E, Chow E, Wong R A Canadian multi-centred
assessment of cancer pain management using the pain management index.
Radiotherapy & Oncology 88, Suppl 2: S43, Abstract 135, 2009.
Mitera G, Whitton A, Gutierrez E, Robson S. A preliminary investigation of total quality
culture in radiotherapy departments across Ontario, Canada: A provincial survey.
Radiotherapy & Oncology 88, Suppl 2: S53, Abstract 167, 2009.
Mitera G, Zeiadin A, Sahgal A, Finkelstein J, Chow E, Loblaw A. Quality of life measures
used in radiation therapy trials for metastatic spinal cord compression (MSCC) patients:
A literature review. Radiotherapy and Oncology 92 (2): S134, 2009.
Sahgal A, Ma L, Gibbs I, Gerszten P, Ryu S, Weinberg V, Wong S, Chang E, Fowler J,
Larson D. Spinal cord tolerance for stereotactic body radiotherapy. Radiotherapy and
Oncology 92 (2): S101, 2009.
Sahgal A, Somani S, Xu W, Krema H, Heydarian M, Michaels H, McGowan H, Payne D,
Simpson R, Laperriere N. Significant late toxicites associated with stereotactic
radiotherapy for juxtapapillary choroidal melanoma. Radiotherapy and Oncology 92 (2):
S21, 2009.
Canadian Orthopaedic Research Society. Whistler, British Columbia, Canada, July
2009.
Gorapalli D, Yee A, Seth A, Demcheva M, Vournakis J, Whyne C. The dynamic shear
28
behaviour of poly-N-acetyl glucosamine materials as compared to intervertebral nucleus
pulposus tissue.
Hojjat SP, Whyne CM. An automated micro-CT based quantitative analysis of healthy
and metastatically involved vertebral architecture.
Moss I, Hrabchak C, Rouleau J, Akens M, Keeley FW, Woodhouse KA, Yee A. Repair of
Osteochondral defects using genepin-cross-linked elastin-like polypeptide hydrogels.
Moss I, Whyne C, Yee AJM, Woodhouse KA. Thiol-modified hyaluronan and elastin-like
polypeptide hydrogels for the treatment of early degenerative disc disease.
EORTC QLG Semi-Annual Meeting. Brussels, Belgium, March 2009.
Chow E. Phase III and IV development of the EORTC QLQ-BM22.
Chow E. Validation of the EORTC brain cancer module (QLQ-BN20) in brain metastases
patients.
EORTC QLG Semi-Annual Meeting. Pamplona, Spain, September 2009.
Mitera G. Proposal to develop a malignant spinal cord compression quality of life module
along with the EORTC PAL-15 questionnaire.
Radiation Medicine Conference. Toronto, Ontario, Canada, March 2009.
Mitera G, Zeiadin Z, Kirou-Mauro A, DeAngelis C, Wong J, Sanjeevan T, Sinclair E,
Danjoux C, Barnes E, Tsao M, Sahgal A, Chow E. Assessment of cancer pain
management using the Pain Management Index. Journal of Medical Imaging and
Radiation Sciences 40: 77, 2009.
Mitera G, Davidson M, Cardoso M, Rakovitch E, Pignol JP Dosimetric comparison of boost
techniques for adjuvant breast radiotherapy. Journal of Medical Imaging and Radiation
Sciences 40: 83, 2009.
Mitera G, Zeiadin N, Sahgal A, Finkelstein J, Chow E. Quality of life measures used in
radiation therapy trials for metastatic spinal cord compression (MSCC) patients: A
literature review. Journal of Medical Imaging and Radiation Sciences 40: 83, 2009.
29
Abstracts, Poster and Peer-reviewed Presentations
Barnes E, Breen D, Culleton S, Pang J, Balogh J, Tsao M, Kamra J, Czarnota G, Antonyshyn
O, Fialkov J, Assad D. Five year review of the non melanoma skin cancer clinic at the Odette
Cancer Centre. Radiotherapy and Oncology 92 (2): S26, 80, 2009.
Breen D, Barnes E. Impact of RTT initiated booking guidelines on wait times for non
melanoma skin cancer patients. Radiotherapy and Oncology 92 (2): S49, 156, 2009.
Chow E. Bone metastases: Quality of life – whose perspectives. VU University Medical
Center, department of Neurology, Medical Center Haaglanden, The Hague, The Netherlands,
March 2009.
Crookshank M, Schemitsch E, Whyne C. Intraoperative cone-beam CT-based measurement of
femoral shaft fracture malalignment in six degrees of freedom. (Poster) 9th Annual Meeting
of the International Society for Computer Assisted Orthopaedic Surgery, Boston, MA, USA,
June 17, 2009 - June 29, 2009.
Crookshank MC, Schemitsch EH, Whyne CM. Intraoperative cone-beam CT-based
measurement of femoral shaft fracture malalignment in six degrees of freedom. (Poster)
CARS 2009 Computer Assisted Radiology and Surgery 23rd International Congress and
Exhibition, Berlin, Germany, June 23, 2009 - June 27, 2009.
Follwell M, Davidson M, Moseley D, Tsao M, Davey P, Laperriere N, Perry J, Ma L, Larson D,
Sahgal A. Is there an advantage to IMRT for hard to treat primary brain cancer. University of
Toronto Annual Research Day, Toronto, Ontario, 2009.
Hojjat SP, Hardisty MR, Whyne CM. An automated micro-CT based quantitative analysis of
healthy and metastatically involved vertebral architecture. (Poster) Gallie Day, Department of
Surgery, University of Toronto, Toronto, Ontario, May 8, 2009.
Hojjat SP, Hardisty MR, Whyne CM. An automated micro-CT based quantitative analysis of
healthy and metastatically involved vertebral architecture. (Poster) E. Llewelyn Thomas
Scientific Day, Institute of Biomaterials and Biomedical Engineering, University of Toronto,
Toronto, Ontario, May 14, 2009.
Hyde D, Basran PS, Pang G, Lochray F, Sahgal A. SBRT of spinal lesions utilizing the Elekta
beam modulator, hexapod couch and bodyfix systems. Medical Physics 36: 4303, 2009.
Canadian Organization of Medical Physics. Vancouver, BC, Canada, 2009.
Ma L, Sahgal A, Hossain S, Chuang C, Descovich M, Gottschalk A, Larson D. Non-random
intrafraction target motions and strategy of correction for spine stereotactic body
radiotherapy. Proceedings of International Stereotactic Radiosurgery Society, Seoul, Korea,
June 2009.
Ma L, Sahgal A, Hossain S, Chuang C, Descovich M, Gottschalk A, Larson D. Equivalence in
dose fall-off for isocentric and non-isocentric intracranial treatment modalities and its impact
on dose fractionation schemes. Proceedings of International Stereotactic Radiosurgery
Society, Seoul, Korea, June 2009.
Maloul A, Fialkov J, Whyne CM. Quantification of connectivity in thin bone articulations.
(Poster) Gallie Day, Department of Surgery, University of Toronto, Toronto, Ontario, May 8,
2009.
30
Maloul A, Fialkov J, Whyne CM. Quantification of connectivity in thin bone articulations.
Scientific Day, Institute of Biomaterials and Biomedical Engineering, University of Toronto,
Toronto, Ontario, May 14, 2009.
Myrehaug S, Chan G, Cheung P, Roach M, Weinberg V, Cheng C, Sahgal A. Hypofractionated
radiotherapy for high-risk prostate cancer: Dosimetric comparison and acute clinical toxicity
of two pelvic nodal volume delineation techniques. University of Toronto Annual Research
Day, Toronto, Ontario, 2009.
Myrehaug S, Craig T, Chan G, Cheung P, Roach M, Weinberg V, Cheng C, Kaus M, Sahgal A.
Hypofractionated radiotherapy for high-risk prostate cancer: Dosimetric comparison of
intensity modulated radiotherapy and volumetric modulated arc therapy. University of
Toronto Annual Research Day, Toronto, Ontario, 2009.
Olsen M, Whyne CM, Schemitsch EH. The accuracy and reliability of computer navigation data
in hip resurfacing arthroplasty. (Poster) Gallie Research Day, Department of Surgery, Faculty
of Medicine, University of Toronto, Toronto, Ontario, May 8, 2009.
Olsen M, Whyne CM, Schemitsch EH. The accuracy and reliability of computer navigation data
in hip resurfacing arthroplasty. (Poster) E. Llewelyn Thomas Scientific Day, Institute of
Biomaterials and Biomedical Engineering, University of Toronto, Toronto, Ontario, May 14,
2009.
Olsen M, Whyne CM, Schemitsch EH. The effect of component alignment on proximal femoral
strength with the Birmingham mid-head resection. (Poster) Gallie Research Day, Department
of Surgery, Faculty of Medicine, University of Toronto, Toronto, Ontario, May 8, 2009.
Olsen M, Whyne CM, Schemitsch EH. The effect of component alignment on proximal femoral
strength with the Birmingham mid-head resection. (Poster) E. Llewelyn Thomas Scientific
Day, Institute of Biomaterials and Biomedical Engineering, University of Toronto, Toronto,
Ontario, May 14, 2009.
Olsen M, Whyne CM, Schemitsch EH. The impact of femoral neck notching on proximal
femoral strength with the Birmingham mid-head resection. (Poster) Gallie Research Day,
Department of Surgery, Faculty of Medicine, University of Toronto, Toronto, Ontario, May 8,
2009.
Olsen M, Whyne CM, Schemitsch EH. The impact of femoral neck notching on proximal
femoral strength with the Birmingham mid-head resection. (Poster) E. Llewelyn Thomas
Scientific Day, Institute of Biomaterials and Biomedical Engineering, University of Toronto,
Toronto, Ontario, May 14, 2009.
Pang J, Nguyen J, Salvo N, Culleton S, Breen D, Giotis A, Barnes T, Deangelis C. Current
practice for the prophylaxis and management of radiation induced skin reactions.
Radiotherapy and Oncology 92 (2): S49, 155, 2009.
Sahgal A, Krema H, Somani S, McGowan H, Heydarian M, Michaels H, Xu W, Payne D,
Simpson R, Laperriere N. Stereotactic radiotherapy for juxtapapillary choroidal melanoma: 3
year follow-up Abstract S037. Proceedings of the 91st American Radium Society, Vancouver,
British Columbia, April 2009.
Sahgal A, Krema H, Somani S, Xu W, Heydarian M, Payne D, Michaels H, McGowan H,
Simpson R, Laperriere N. Stereotactic radiotherapy for juxtapapillary choroidal melanoma
International Stereotactic Radiosurgery Society, Seoul, Korea, 2009.
31
Sahgal A, Larson D, Gibbs I, Gerszten P, Ryu S, Soltys S, Weinberg V, Wong S, Chang E,
Fowler J, Ma L. The generalized BED model compared to the BED model considering doses
safe versus unsafe to the spinal cord following stereotactic body radiotherapy for spine
tumors. Proceedings of International Stereotactic Radiosurgery Society, Seoul, Korea, June
2009.
Sahgal A, Larson D, Gibbs I, Gerszten P, Ryu S, Soltys S, Weinberg V, Wong S, Chang E,
Fowler J, Ma L. Spinal cord tolerance guidelines for stereotactic body radiotherapy for spine
tumors. Canadian Association of Radiosurgery, St. John’s, Newfoundland, July 2009.
Sahgal A, Larson D, Gibbs I, Gerszten P, Ryu S, Soltys S, Weinberg V, Wong S, Chang E,
Fowler J, Ma L. The generalized BED model compared to the BED model considering doses
safe versus unsafe to the spinal cord following stereotactic body radiotherapy for spine
tumors. International Stereotactic Radiosurgery Society, Seoul, Korea, 2009.
Sahgal A, Ma L, Gibbs I, Gerszten P, Ryu S, Soltys S, Weinberg V, Wong S, Chang E, Fowler
J, Larson D. Spinal cord tolerance for stereotactic body radiotherapy. International
Stereotactic Radiosurgery Society, Seoul, Korea, 2009.
Sahgal A. Gamma knife therapy for choroidal melanoma. 2009 University of Toronto,
Department of Opthalmology, Walter Wright Course: A Vision for Opthalmology into the
Future, Toronto, Ontario, 2009.
Sahgal A. Implementing a spine stereotactic body radiotherapy program at the University of
Toronto. Department of Radiation Medicine Rounds, University of Toronto, Toronto, Ontario,
2009.
Sahgal A. Inter and intrafractional motion for spine stereotactic body radiotherapy and the
dosimetric impact. Third annual International Symposium on Stereotactic Body Radiation
Therapy and Stereotactic Radiosurgery, Orlando, Florida, 2009.
Sahgal A. Is radiation the best treatment for anaplastic oligodendroglioma or does it just melt
brains. Division of Neurology, J.C. Richardson Neurology Subspecialty Day, University of
Toronto, Toronto, Ontario, 2009.
Sahgal A. Overview of what is new in nonsurgical treatment of metastatic spinal disease -
when to consider radiosurgery. 4th Annual Canadian Contemporary Spinal Techniques
Course, University of Toronto, Toronto, Ontario 2009.
Sahgal A. Radiosurgery in Canada. International Stereotactic Radiosurgery Society, Seoul,
Korea, 2009.
Sahgal A. Radiosurgery of the spine. Fourth Annual Northwestern Radiosurgery Symposium,
Chicago, Illinois, 2009.
Sahgal A. Stereotactic body radiotherapy for spinal metastases and spinal cord tolerance to
SBRT fractionation. Department of Radiation Medicine Grand Rounds, University of Toronto.
Toronto, Ontario, 2009.
Sahgal A. Stereotactic body radiotherapy for spinal metastases. St. Michael’s Hospital
Neurosciences Grand Rounds, Toronto, Ontario, 2009.
Sahgal A. Stereotactic body radiotherapy for spinal metastases: Combined with new surgical
approaches. St. Michael’s Hospital Neurosciences Grand Rounds, Toronto, Ontario, 2009.
32
Sahgal A. Stereotactic radiosurgery for brain metastases. Odette Cancer Center Breast Site
Group Rounds. Sunnybrook Health Sciences Centre, Toronto, Ontario, 2009.
Sahgal A. Technical requirements for spine SBRT. International Stereotactic Radiosurgery
Society, Seoul, Korea, 2009.
Sahgal A. Technology and biology - finally a merging of the minds. University of Toronto
Glioma Day: Advances and Therapeutic Challenges, Toronto, Ontario, 2009.
Sahgal A. Technology for spine SBRT and dosimetric consequences of error. Elekta satellite
speaker: Canadian Association of Radiosurgery 2009, St. John’s, Newfoundland, 2009.
Sahgal A. The multidisciplinary management of spinal metastases. Kyphon Balloon
Kyphoplasty Clinical Update Symposium, Toronto, Ontario, 2009.
Shukla V, Kumar AJ, Chang EL, Maus E, Paulino A, Sahgal A. An analysis of patients who
developed spinal myelopathy as a consequence of radiation and their outcomes after
treatment with hyperbaric oxygen. Abstract P098. Proceedings of the American Radium
Socitey, Vancouver, British Columbia, April 2009.
Shukla V, Kumar AJ, Moss EK, Chang EL, Sahgal A. The treatment of radiation induced
myelopathy with hyperbaric oxygen. American Radium Society, Vancouver, British Columbia,
2009.
Singh D, Ginsberg H, Whyne CM. A less invasive design for posterior spinal fusion
instrumentation via exploitation of the spinous processes and laminae of the posterior
vertebral arch. (Poster) Gallie Day, Department of Surgery, University of Toronto, Toronto,
Ontario, May 8, 2009.
Won E, Aken M, Hardisty M, Burch S, Bisland SK, Yee AJM, Wilson BC, Whyne CM. Effects of
photodynamic therapy on the structural integrity of vertebral bone. (Poster) Gallie Day,
Department of Surgery, University of Toronto, Toronto, Ontario, May 8, 2009.
Won E, Aken M, Hardisty M, Burch S, Bisland SK, Yee AJM, Wilson BC, Whyne CM. Effects of
photodynamic therapy on the structural integrity of vertebral bone. (Poster) E. Llewelyn
Thomas Scientific Day, Institute of Biomaterials and Biomedical Engineering, University of
Toronto, Toronto, Ontario, May 14, 2009.
33
APPENDIX A [Back]
Rapid Response Radiotherapy Palliative Clinics
http://www.sunnybrook.ca/content/?page=2341
Staff: Dr. E. Chow (Rad Onc), Dr. C. Danjoux (Rad Onc), Dr. M. Tsao (Rad Onc),
Dr. T. Barnes (Rad Onc), Dr. A. Sahgal (Rad Onc), L. Holden (RT), G. Mitera (RT).
Objective:
Provide expedited access for symptom relief from incurable cancers in patients with limited life
expectancies.
Eligible Patients:
Symptomatic cancer (any disease site) where palliative radiotherapy may be indicated.
Patients with life expectancies of <6 months.
A “most responsible physician” available to provide follow-up and ongoing oncological care
upon completion of the RRRP consultations.
Ineligible Patients:
1. Candidates for potentially curative treatments.
2. Patients requiring further investigations before radiotherapy opinion can be rendered.
3. Patients who are currently actively being followed by a radiation oncologist at
OCC (unless otherwise specifically arranged).
4. Patients whose disease status is better served by a radiation oncologist who could provide
longitudinal follow-up.
5. Off-service in-patients who require transfer of care to radiation oncology for ongoing oncological
care.
Monday Dr. T. Barnes Sim 4
Tuesday Dr. M. Tsao Sim 4
Wednesday Dr. C. Danjoux Sim 4
Thursday Dr. E. Chow Sim 4
Friday Dr. M. Tsao Sim 4
To make a referral:
1. Contact the new patient booking office and request a referral to the RRRP clinic.
2. Contact the RRRP nurse.
3. Contact one of the RRRP physicians directly.
34
APPENDIX B [Back]
Decision Tree for Patients Referred to RRRP / BMC (January 2001)
Yes No
No
Yes No
Yes
Refer to his / her Rad Onc
To site group based on diagnosis
- lung
- breast - GU etc.
Emergency Urgent Elective < 24 h <1 week Book next available RRRP slot
(Cord Compression (Bleeding, Do not book beyond 2 weeks SVCO) SOB)
No Yes
YES YES
No
** RRRP Policy circulated as addendum to Minutes of Radiation Oncology staff meeting of March 2
nd 2000.
Is patient new to TSRCC?
Did patient see a TSRCC Rad Onc?
Is patient estimated
survival greater than 6 months?
What is the urgency of appointment?
Is RRRP slot available?
Discuss with RRRP Rad Onc who has a clinic for that day or next few days. Is RRRP Rad Onc able to see patient?
overbook patient to Rad Onc in RRRP inform ref MD and patient
Refer to Rad Onc on call
35
APPENDIX C [Back]
Jan 1999: Initiated Bone Metastases Clinic (BMC)
A bi-weekly Bone Metastasis Clinic (BMC) was initiated at the OCC on January 8, 1999. The clinic
is staffed by Orthopaedic Surgical Oncologists: Drs. T. Axelrod, J. Finkelstein, D. Stephen,
M. Ford and A. Yee; Radiation Oncologists: Drs. E. Chow, C. Danjoux, M. Tsao, T. Barnes;
Radiation Therapists.
The BMC is held on the 2nd and 4th Friday morning of each month in clinic C at the OCC.
The goals of the BMC are to:
Provide an elective orthopaedic consultation service for patients with bone metastasis
referred by OCC oncologists; provide elective radiation oncology consultations to patients
with bone metastasis referred by SWHSC physicians.
Provide elective orthopaedic and radiation oncology consultations to patients with bone
metastasis referred by community physicians.
Provide follow-up to oncology patients after orthopaedic interventions.
Bone Metastases Clinic – 2nd and 4th Friday (Clinic C)
To make a referral:
1. Contact the new patient booking office and request referral to the Bone Metastases Clinic.
2. Contact the RRRP nurse or Radiation Therapist.
3. Contact one of the RRRP physicians directly.
36
APPENDIX D [Back]
37
APPENDIX D
38
APPENDIX E [Back]
39
40
41
42
43
44
45
46
47
48
APPENDIX F [Back]
Content of HOT SPOT Newsletter
1999-2009
49
CONTENT AND INSERTS OF HOT SPOT 1999-2009
Vol 1, Issue 1 February 1999
Editor’s Corner Dr. Gillian Thomas
From the Chief Executive Officer Dr. Ken Shumak
The first RRRP newsletter Dr. Gillian Thomas
Palliative radiotherapy rounds Dr. Ewa Szumacher
New combined bone metastases clinic Drs. Joel Finkelstein, Edward Chow
A phase II trial of palliative radiotherapy for metastatic renal cell carcinoma
Drs. Edward Chow, Padraig Warde
Prospective assessment of symptom palliation for patients attending a rapid response radiotherapy program
Drs. Edward Chow, Cyril Danjoux, Rebecca Wong
The challenge of speedy delivery of pain relief met by the rapid response clinic at T-SRCC
Dr. Ewa Szumacher, Ms. Lou Andersson
The cancer pain and palliative care clinic at T-SRCC Dr. Larry Librach
Research Corner Dr. Rebecca Wong
Vol 1, Issue 2 May 1999
Message from the Chief Executive Officer Dr. Carol Sawka
A note of thanks
Ms. Ruth Connolly,
Dr. Edward Chow
Editor’s Corner
Differentiating normal grief from clinical depression Dr. Mary Vachon
Ontario Drug Benefit (ODB) Formulary Changes Ms. Trudi Schueller
Surgical management of metastatic spine disease Dr. Joel Finkelstein
Radiosurgery for brain metastases Dr. Phillip Davey
Surgical management of metastatic extremity lesions Dr. David Stephen
Highlights in the Multinational Association of Supportive Care Cancer Dr. Rebecca Wong
Insert May 1999
Cancer Related Pain Management (Sponsored by Janssen-Ortho Inc.) Dr. David Warr
Vol 1, Issue 3 August 1999 Referring physicians’ satisfaction with the RRRP
Ms. Ruth Connolly, Dr. Edward Chow
Preparing the community and health care professionals for new challenges
in palliative care – a new endeavour of the rapid response radiotherapy program
Ms. Lou Andersson, Dr. Ewa Szumacher
Editor’s Corner
Management of bone metastases with external beam radiotherapy Drs. Ewa Szumacher and Rebecca Wong
Single dose wide field radiotherapy Dr. Cyril Danjoux
Bisphosphonates in palliative care Dr. Sandeep Sehdev
Mitoxantrone and prednisone for hormone refractory prostate cancer Dr. Scott Berry
Research Corner Dr. Rebecca Wong
Insert August 1999
Malignant wound management (Sponsored by Convatec) Dr. Valerie Schultz
Vol 1, Issue 4 November 1999
Bayview Support Network: Ontario’s first on-site cancer support network Ms. Mridula Sood
Dope and cope: it is no longer enough Dr. Michele Chaban
Editor’s comment
Psychosocial issues with a cancer diagnosis Dr. Margaret Fitch
Cancer care at York Central Hospital Ms. Jane Anderson
Yee Hong palliative care services: A culturally sensitive approach Dr. Stanley Zheng
Hill House – A Richmond Hill hospice Ms. Ann Gold
50
Charles R.R. Hayter, MD, BA, MA, FRCPC joins T-SRCC
Interview with Russell Goldman, MD, CCFP, palliative care physician with
the Temmy Latner Centre for Palliative Care, Mount Sinai Hospital
Research Corner Dr. Rebecca Wong
Insert November 1999
Bowel Obstruction Dr. Larry Librach
Management of Radiotherapy-Induced Acute Gastrointestinal Toxicities Dr. Rebecca Wong
(Sponsored by Novartis Pharmaceuticals Canada, Inc.)
Vol 2, Issue 1 February 2000
Editor’s comments Dr. Cyril Danjoux
Advance care planning for people with cancer Dr. Scott Berry
The emotional needs of the person with advanced cancer Dr. Mary Vachon
Historical Vignette: The beginnings of palliative radiotherapy in Canada Dr. Charles Hayter
When does palliative care begin? Dr. Larry Librach
Palliative radiation oncology program at the Princess Margaret Hospital Dr. Andrea Bezjak
Ask the Experts Dr. Rebecca Wong
Research Corner Dr. Rebecca Wong
Insert February 2000
Prevention and treatment of radiation-induced emesis Dr. Rebecca Wong
Prevention and treatment of chemotherapy-induced nausea and vomiting (N&V) - (Sponsored by Glaxo-Wellcome) Mr. Carlo De Angelis
Vol 2, Issue 2 May 2000
From the associate editor’s desk Dr. Edward Chow
Enhancing culturally sensitive practice when caring for seriously ill patients and their families Dr. Elizabeth Latimer
Quality end-of-life care: What do patients think? Dr. Scott Berry
Family dealing with advanced cancer Dr. Mary Vachon
Percutaneous vertebroplasty / cementoplasty at bone metastases clinic, TSRCC Dr. Edward Chow
Historical Vignette: Dr. Joseph-Ernest Gendreau and the early use of radium Dr. Charles Hayter
Research Corner Dr. Rebecca Wong
Insert May 2000 Accessing palliative care in your community
Ms. Joan Pope,
Ms. Lou Andersson
Vol 2, Issue 3 August 2000 From the editorial board
Dr. Ewa Szumacher, Ms. Ruth Connolly
When the patient of a young child is seriously ill Dr. Mary Vachon
Disclosure Dr. Philip Hebert
Utilization of complementary therapies in palliative care Ms. Ruth Connolly
Historical Vignette: Private radiotherapy in Canada Dr. Charles Hayter
Research Corner - Summer research for the Rapid Response Radiotherapy Program Dr. Rebecca Wong
Andrew Loblaw, MD, FRCPC, joins T-SRCC
Insert August 2000
-Nutrition and cancer
-The ABCs of vitamins and minerals (Supported by Novartis Pharmaceuticals Canada, Inc.) Ms. Elaine Posluns
Vol 2, Issue 4 November 2000
Editor’s Corner Dr. Rebecca Wong
Report from the “tri-centre” meeting with Dr. William E. Powers Dr. Jackson Wu
Adolescents living with a parent with advanced illness Dr. Mary Vachon
Resources on the Internet for improving end-of-life care – How to get started Dr. Scott Berry
Historical Vignette: Vera Peters: Canadian pioneer in psychosocial oncology Dr. Charles Hayter
Research Corner – Informational needs assessment on patients receiving palliative radiotherapy Dr. Rebecca Wong
51
Seventh Annual Conference – The Science and Art of Pain and Symptom Management
Insert November 2000
Cancer-related fatigue -Supported by an educational grant from Janssen-Ortho Inc. Dr. Rebecca Wong
Vol 3, Issue 1
February 2001 From the associate editor’s desk Dr. Edward Chow
Dr. Maureen Trudeau Dr. Kathleen Pritchard
Staff stress and suffering Dr. Mary Vachon
Historical Vignette: Cancer care before medicare Dr. Charles Hayter
Pain and symptom management conference
Follow-up for breast cancer Dr. Eva Grunfeld
Research Corner – Shared treatment decision-making Dr. Rebecca Wong
Thank you…
Insert February 2001
-Hormones in Breast Cancer, Metastatic Breast Cancer (Supported by Astra-Zeneca Canada Inc.)
Dr. Maureen Trudeau
-Chemotherapy in Metastatic Breast Cancer Treatment, Treatment of
Systemic Recurrence with Chemotherapy (Supported by Aventis)
Dr. Maureen Trudeau
-Herceptin (Supported by Hoffman LaRoche) Dr. Maureen Trudeau
Vol 3, Issue 2 May 2001
From the guest editor's desk Dr. Charles Hayter
Addressing spiritual needs Dr. Sharon Grant
When the shrink gets cancer and gets spiritually transformed Dr. Mary Vachon
Historical Vignette: The history of hospices Dr. Charles Hayter
Ethics: Caring for patients with different faiths Dr. Scott Berry
Research Corner - Patient expectations Dr. Rebecca Wong
Notice regarding treatment delays...
Insert May 2001
A guide to spiritual care of the caregiver, A guide to spiritual assessment of cancer patients. (Supported by AstraZeneca Canada Inc. and Purdue Pharma)
Dr. Michele Chaban
Vol 3, Issue 3 August 2001
From the editor's desk Dr. Cyril Danjoux
Comfort and stress among cancer caregivers Dr. Eva Grunfeld
On suffering in terminal illness Dr. Mary Vachon
Historical Vignette: The history of morphine Dr. Charles Hayter
Research Corner Dr. Rebecca Wong
Insert August 2001 Palliation in lung cancer
(Supported by AstraZeneca Inc. and Purdue Pharma)
Drs. Andrea Bezjak, Dr. Catherine Heath, Ms. Jane Lea
Vol 3, Issue 4 November 2001
From the guest editor's desk Dr. Andrew Loblaw, Ms. Lori Holden
Survey shows 40% of RRRP patients arrive with missing info: A plea for help
Dr. Charles Hayter, Ms. Ruth Connolly
Finding meaning in life in the face of advancing cancer Dr. Mary Vachon
Historical Vignette: The 50th anniversary of cobalt treatment Dr. Charles Hayter
Tough decisions about funding for new palliative therapies: How do we decide? Dr. Scott Berry
Research Corner Dr. Rebecca Wong
Insert November 2001
Malignant Spinal Cord Compression (Partially supported by Purdue Pharma)
Dr. Andrew Loblaw, Ms. Lori Holden
Vol 4, Issue 1 February 2002 From the editor's desk
Dr. Ewa Szumacher, Ms. Joan Pope
52
Advance notice of the ninth annual conference on the science and art of pain and symptom management
Denial and minimization in advanced cancer Dr. Mary Vachon
Global health ethics and palliative care Dr. Scott Berry
Historical Vignette: The story of Essiac Dr. Charles Hayter
Research Corner Dr. Rebecca Wong
Insert February 2002
Oral health care in the patient with cancer Dr. Trey Petty
Mouth care for radiation patients Dr. Alex Hammond
(Supported by Biotene Canada, Division of Bolton Dental Mfg. Inc.)
Vol 4, Issue 2
May 2002 From the associate editor’s desk Dr. Edward Chow
New chiefs at TSRCC and University of Toronto Dr. Edward Chow, Dr. Cyril Danjoux
Depression in advanced cancer Dr. Mary Vachon
Historical Vignette: Blood and medicine Dr. Charles Hayter
Hope for a good death Dr. Monica Branigan
Research Corner Dr. Rebecca Wong
Insert May 2002
Anemia in hematology and medical/radiation oncology (Supported by Ortho Biotech)
Dr. Gerard Morton, Dr. Rena Buckstein
Vol 4, Issue 3 August 2002 From the associate editor’s desk
Ms. Lou Andersson, Dr. Cyril Danjoux
TSRCC pharmacy services Ms. Kim Stefaniuk
The transformation from tragedy into grace in terminal illness – part one Dr. Mary Vachon
Historical Vignette: Plants, poisons and potions: Drug treatments for cancer Dr. Charles Hayter
TSRCC pharmacy assists Third World countries Ms. Kim Stefaniuk
Informed decision-making in palliative care Dr. Scott Berry
Research Corner Dr. May Tsao, Dr. Rebecca Wong
Insert August 2002
Accessing medication
(Supported by Amgen Canada and Abbott Laboratories) Ms. Kim Stefaniuk
Vol 4, Issue 4 November 2002
From the associate editor’s desk Dr. Edward Chow
Palliative care is not euthanasia Dr. Monica Branigan
The transformation from tragedy into grace in terminal illness – part two Dr. Mary Vachon
Palliative care at the University of Texas M.D. Anderson Cancer Center Dr. Toni Barnes
Historical Vignette: Charles Huggins: The Canadian who discovered hormone therapy for prostate cancer Dr. Charles Hayter
Research Corner Dr. Rebecca Wong
Award of Excellence Dr. Cyril Danjoux
Insert November 2002
Expanded role of hormone therapy as neoadjuvant or adjuvant therapy in
prostate cancer patients undergoing definitive treatment. (Supported by Aventis)
Dr. Richard Choo
Vol 5, Issue 1 February 2003 From the editor’s desk
Drs. Cyril Danjoux,
Edward Chow
Congratulations on fifth year Dr. Carol Sawka
Congratulations on fifth year Dr. Peeter Poldre
Suffering, healing and the wounded healer Dr. Mary Vachon
More fifth year congratulations Dr. Shun Wong
Advance care planning – update and practical tips Dr. Scott Berry
Historical Vignette – A century of radiation therapy in Canada Dr. Charles Hayter
Research Corner Dr. Rebecca Wong
53
Insert February 2003
Pain in cancer: The CARE approach Dr. Larry Librach
Vol 5, Issue 2 May 2003 From the guest editor’s desk
Dr. Charles Hayter,
Ms. Lou Andersson
The role of the social worker in palliative oncology Ms. Magdalene Winterhoff
Reflections on anxiety in confronting advanced cancer Dr. Mary Vachon
Historical Vignette – Spring fever Dr. Charles Hayter
Research Corner Dr. Rebecca Wong
Insert May 2003
Advances and challenges in the management of febrile neutropenia. (Supported by Amgen Canada Inc.)
Dr. Elizabeth J. Phillips
Vol 5, Issue 3 August 2003
From the guest editor’s desk Dr. Toni Barnes
Lymphoma in the elderly Dr. Tom Kouroukis
Demorarlization in persons with advanced cancer Dr. Mary Vachon
Ethical issues in dealing with demands for “futile” treatment Dr. Scott Berry
Historical Vignette – The history of oxygen therapy Dr. Charles Hayter
Research Corner Dr. Rebecca Wong
Insert August 2003 Advances for end-of-life respiratory care (Supported by Vital Aire) Dr. Chin K. Chung
Vol 5, Issue 4 November 2003
From the guest editor’s desk Dr. Cyril Danjoux
Referral of patients to the rapid response radiotherapy clinic
Boredom in terminal illness Dr. Mary Vachon
Hot Spot Survey 2003
“No CPR” – Talking it over Dr. Scott Berry
Historical Vignette – The Radium Institute of Toronto Dr. Charles Hayter
Research Corner Dr. Andrea Bezjak
Insert November 2003 Androgen ablation for metastatic prostate cancer (Supported by Aventis)
Dr. Richard Choo
Vol 6, Issue 1 February 2004
From the guest editor’s desk Dr. May Tsao
Brain metastases: The magnitude of the problem and the struggle to improve outcomes Dr. May Tsao
Dignity-conserving care in palliative care Dr. Mary Vachon
When capacity fluctuates, what happens to consent? Ms. Karen Faith
Historical Vignette: The Montreal Neurological Institute Dr. Charles Hayter
Research Corner Dr. Alina Sturdza, Dr. Andrea Bezjak
Insert February 2004
Palliation in patients with metastatic cancer to the brain
Management of brain metastases (Supported by Aventis)
Dr. May Tsao
Vol 6, Issue 2 May 2004
From the guest editor’s desk Dr. Charles Hayter
Bisphosphonates in cancer Dr. Rebecca Wong
Anger in the person with advanced disease Dr. Mary Vachon
Ethics and SARS: Collateral damage and relationships in health care Ms. Karen Faith
Historical Vignette: Dr. Herbert Bruce: Ontario cancer visionary Dr. Charles Hayter
Research Corner Dr. Jackson Wu, Dr. Edward Chow
Insert May 2004
Use of bisphosphonates in men with hormone refractory prostate cancer Use of bisphosphonates in women with breast cancer
Dr. Scott Berry Dr. Mark Clemons
Vol 6, Issue 3 From the guest editor’s desk Dr. Cyril Danjoux
54
August 2004 Supportive Care in Cancer Symposium Dr. Cyril Danjoux
Forgiveness in palliative care Dr. Mary Vachon
Making decisions for others Ms. Karen Faith
Survey shows 40% of RRRP patients arrive with missing info: A plea for help
Dr. Charles Hayter, Ruth Connolly
Research Corner Dr. Laura Dawson
Insert August 2004
Rapid Response Radiotherapy Program (RRRP) Review 1996-2003 RRRP Referral Form
Dr. C. Danjoux
Vol 6, Issue 4 November 2004
From the guest editor’s desk Dr. Edward Chow
The effect of SARS on access to palliative radiotherapy in the RRRP
Dr. Justin Lee, L. Holden, K. Fung,
C. Danjoux, E. Chow, C. Gillies
Reflections on the life and death of Mary Peacock Dr. Mary Vachon
Quality end-of-life care: Role of economics and the moral climate Ms. Karen Faith
Historical Vignette: The Canadian Society for the History of Medicine Dr. Charles Hayter
Research Corner
Dr. Jackson Wu,
Dr. Edward Chow
Insert November 2004
Cannabinoids in medical practice Dr. Vincent Maida
Vol 7, Issue 1 February 2005
From the guest editor’s desk Dr. Toni Barnes
Treatment of bone metastases with palliative radiotherapy: Patients’ treatment preferences
Dr. Ewa Szumacher
Parenting teens during a cancer experience Dr. Mary Vachon
Hospital CPR policy: Solution, prevention or band-aid? Ms. Karen Faith
Historical Vignette: Alfred Hardisty: Ontario’s pioneer in cancer statistics Dr. Charles Hayter
Research Corner Dr. Rebecca Wong
Insert February 2005
Methadone for cancer pain: An analgesic with a difference Dr. Larry Librach
Vol 7, Issue2 May 2005
From the guest editor’s desk Dr. Edward Chow
The do-not-resuscitate (DNR) order – incidence of documentation in patient charts of patients referred for palliative radiotherapy
Ms. Lou Andersson, Ms. Nicole Bradley
Caught in the middle – mid-life adults with cancer Dr. Mary Vachon
Does culture influence patients’ and families’ DNR decision-making?
Ms. L. Andersson,
S. Mary Williams, N. Bradley
Lessons from my dad Ms. Karen Faith
Temmy Latner Centre Update on Palliative Care – Palliative care and children
Mr. Stephen Jenkinson
PROG Rounds Dr. Tanya Berrang
Farewell to Dr. Charles Hayter Dr. Cyril Danjoux
Insert #1 May 2005
Latest advances in antiemetics for radiation therapy and chemotherapy
(Supported by an educational grant from Solvay) Dr. David Warr
Insert #2 May 2005
Novel therapeutics for management for multiple myeloma (Supported by an educational grant from Ortho Biotech)
Dr. Keith Stewart
Vol 7, Issue 3 August 2005
From the guest editor’s desk Dr. Cyril Danjoux
A survey to asses cancer patients’ awareness and interest in hypnosis for pain and distressing procedures – A synopsis
Mrs. Lori Holden, Dr. Charles Hayter
Are we making any progress? Reflections on stressors in the Ontario oncology system over the past 30 years Dr. Mary Vachon
Organizational ethics in the eye of the storm: Woodside Hospice and Terri Ms. Karen Faith
55
Schiavo
Temmy Latner Centre Update on Palliative Care – End-of-life care distance
education: An innovative approach to helping physicians to care for palliative patients
Dr. Anita Singh, Ms. Deborah Adams
TSRCC investigates advanced practice radiation therapy roles! Ms. S. Robson, R. Barker, L. Holden
Insert August 2005
A more minimally invasive approach to the treatment of metastatic spine lesions. (Supported by an educational grant from Kyphon)
Dr. Michael Ford
Vol 7, Issue 4 November 2005
From the guest editor’s desk Dr. May Tsao
What keeps us going in our work? Dr. Mary Vachon
Research ethics and the importance of determining risk Ms. Karen Faith
Temmy Latner Centre Update on Palliative Care – Is terminal sedation ethical?
Dr. Victor Cellarius
Research Corner – Results of three important randomized studies and their clinical implications. Dr. Jackson Wu
Insert November 2005
Management of hormone refractory prostate cancer / Prostate bone
metastases multidisciplinary clinic. (Supported by an educational grant from Novartis)
Dr. Yoo-Joung Ko
Vol 8, Issue 1 February 2006
From the guest editor’s desk Dr. Edward Chow
Greetings from Cancer Care Ontario Dr. Linda Rabeneck, Dr. Deb Dudgeon
Hope in advanced disease Dr. Mary Vachon
Temmy Latner Centre Update on Palliative Care – Palliative care grand rounds Ms. Deborah Adams
Private clinics providing palliative IV therapies – What are the ethical
issues? Dr. Scott Berry
Helping children and caregivers in fighting cancer – Truth telling in paediatric palliative care. Dr. Christine Newman
Research Corner Dr. Toni Barnes
Insert February 2006
Venous thromboembolism in cancer patients (Supported by an educational grant from Pfizer Canada) Dr. Agnes Y.Y. Lee
Vol 8, Issue 2 May 2006
From the guest editor’s desk Dr. Cyril Danjoux
Truth-telling at the end of life Dr. Monica Branigan
What students think: Undergraduate students in palliative health care setting Ms. Hannah H. Chiu
Temmy Latner Centre Update on Palliative Care – The educating future physicians for palliative and end-of-life care project (EFPPEC): Developing competencies in medical undergraduates and postgraduates Dr. Larry Librach
Help no wanted? Dr. Margaret Fitch
If symptom clusters exist, how are they relevant to patient care? Dr. Amna Husain
Forgoing nutrition and hydration in children at the end of life: Is it ever justified? Dr. Adam Rapoport
Insert May 2006
Radioimmunotherapies
(Supported by an educational grant from GlaxoSmithKline) Dr. Rena Buckstein
Vol 8, Issue 3 August 2006
From the guest editor’s desk Ms. Emily Sinclair
Hope, denial and ethics of care Ms. Karen Faith
The role of a child life specialist at the MBWC-CGPC Ms. Ceilidh Eaton Russell
Quality indicators of end-of-life care in Ontario cancer patients Dr. Lisa Barbera
Palliative care consult team: Moving forward Dr. Jeff Myers
16th Annual provincial conference on palliative and end-of-life care Ms. Emily Sinclair
56
Patients’ and health care professionals’ perspectives on the most important quality of life issues in bone metastases
Ms. S.Tharmalingam and Ms. Kristin Harris
Interprofessionalism: A culture of caring Dr. Michele Chaban
Insert August 2006
Video/teleconference as a tool to facilitate research and development in palliative radiotherapy – the Canadian model
Kathryn Burrows, Rebecca Wong,
Andrea Bezjak, Jackson Wu, Graeme Duncan, Rajiv Samant, Jim Wright, Frances Wong, and Cyril Danjoux
Vol 8, Issue 4 November 2006
From the guest editor’s desk Dr. Toni Barnes
Ethics and preparing for pandemic influenza Ms. Karen Faith
Research Column – Symptom control abstracts presented at the annual Canadian Association of Radiation Oncologist (CARO) meeting
Dr. Toni Barnes
Demanding to live Mr. Stephen Jenkinson
Temmy Latner Centre Update on Palliative Care –Tariro (hope) Dr. Sandy Buchman
Communicating with children about dying Ms. Jennifer B. Pond, Ms. Ceilidh E. Russell
Exploring occupational therapy’s role – Working with palliative clients and their families
Ms. Amy Tymchuk
Insert November 2006
New developments in the treatment of advanced renal cell carcinoma (RCC) (Supported by an educational grant from Pfizer) Dr. Yoo-Joung Ko
Vol 9, Issue 1 February 2007
From the guest editor’s desk Dr. Lisa Barbera
The alchemy of healing: Are we wired for compassion? Dr. Mary Vachon
Provincial Palliative Care Integration Project (PPCIP): Enhancing the quality of palliative care services
Dr. Deborah Dudgeon and Raquel Shaw
Moxam
Issues in the measurement and management of dyspnea in home
palliative care patients: Who might benefit from oxygen therapy and how should they qualify?
Ms. Erica Moran and
Dr. Amna Husain
Redirecting hope Dr. Christopher
Church
Capacity and consent: Separating fact from fiction Mr. Blair Henry
Temmy Latner Centre Update on Palliative Care – Computerization in palliative care
Dr. Albert Kirshen
Insert Nov 2006
Advances in iron chelation for myelodysplastic syndromes (Supported by an educational grant from Novartis)
Dr. Rena Buckstein
Vol 9, Issue 2 May 2007
From the associate editor’s desk Dr. Cyril Danjoux
…on the truth of the matter!?! Mr. Blair Henry
Living after cancer: Challenges in being a survivor Dr. Margaret Fitch
Improving communication during the palliative care of children with brain
tumours – learning from experience
Ms. Ceilidh Eaton
Russell
Symptom clusters in cancer patients with bone metastases Ms. Stephanie Hadi, Grace Fan, Linda
Filipczak
New imaging studies in locally advance breast cancer Drs. Gregory Czarnota, Rebecca Dent, Jacqueline Spayne, Maureen Trudeau, Kathleen
Pitchard, Martin Yaffe,
57
Don Plewes, and Peter Burns
The Rapid Access Palliative Radiotherapy Program: New kid in town Dr. Alysa Fairchild
Insert May 2007
Emerging role of chemotherapy in early prostate cancer (Supported by an educational grant from Sanofi-Aventis)
Dr. Rena Buckstein
Vol 9, Issue 3 August 2007
From the editor’s desk Dr. Edward Chow
Error in health care Dr. Philip Hebert
Edmond and Gloria Odette make landmark investment at Sunnybrook to help fight cancer
Ms. Natalie Chung-Sayers
Suffering, taboos and interventions Dr. Michele Chaban
New initiatives in advance care planning in Canada Dr. Larry Librach
Review of the Rapid Response Radiotherapy Program (RRRP) at the Odette Cancer Centre (OCC)
Dr. Toni Barnes
Insert August 2007
New options for the treatment of moderate pain (Supported by an educational grant from Purdue Pharma)
Dr. Sol Stern
Vol 9, Issue 4 November 2007
From the guest editor’s desk Dr. May Tsao
What hope can mask: Talking to children about life-threatening illness and death
Ms. Lysa Toye
The role of experience and meaning in clinical ethics Ms. Karen Faith
The role of the therapeutic clown in the care of children with progressive
life-limiting conditions
Ms. Camilla Gryski
Provincial integration project moving forward at Odette Cancer Centre Ms. Martha Wyatt
Update: New options for the treatment of moderate pain Dr. Sol Stern
New research in palliative care Ms. Shannon Ellis, Ms. Linda Wood, Dr. Lorraine Wood
Health care professionals’ perception of what defines “meaningful palliative care” in a palliative care unit
Ms. Julie Napolskikh, Drs. Jeff Myers, Debbie Selby
Insert #1 November 2007
Update in the management of colorectal cancer (Supported by an educational grant from Sanofi-Aventis)
Dr. Yoo-Joung Ko
Insert #2 November 2007
The evolving role of cannabinoids in supportive oncology (Supported by and educational grant from Bayer Inc.
Dr. Vincent Maida
Vol 10, Issue 1 February 2008
From the guest editor’s desk Dr. Toni Barnes
Talking to dying patients Dr. Scott Berry
Being ready for pediatric palliative care – a person reflection Dr. Christine Newman
Involvement of family physicians in the care of patients seen in the Rapid Response Radiotherapy Program
Dr. Toni Barnes
Resilience in palliative care Dr. Mary Vachon
The WHO analgesic ladder and new concepts in our understanding of cancer pain – building on the legacy
Dr. Carlo DeAngelis
Development of the Bone Metastases Module to accompany the EORTC
core questionnaire to assess quality of life in patients with bone metastases in future clinical trials
Ms. Amanda Hird
Insert February 2008
Management of invasive fungal infections (IFIs) in immunocompromised patients (Supported by an educational grant from Astellas Pharma Canada, Inc.)
Dr. Jeffrey H. Lipton
Vol 10, Issue 2 May 2008
From the associate editor’s desk Dr. Cyril Danjoux
Resilience in professional caregivers Dr. Mary Vachon
Are some GIM patients missing a palliative medicine consult when they Drs. Leah Steinberg,
58
might benefit from it? Anita Chakraborty, Niren Shetty
Advanced directives or advanced troubles? Mr. Blair Henry
Advance care planning in pediatric palliative care: Dr we really know what they are asking?
Ms. Maria Rugg
Improving cancer pain control: Helping patients to gain the most benefit
from their medication
Dr. Carlo DeAngelis
Insert May 2008
Sorafenib in the treatment of advanced heptocellular cancer (Supported by an educational grant from Bayer)
Ms. Anne Horgan, Dr. Jennifer Knox
Vol 10, Issue 3 August 2008
From the editor’s desk Dr. Edward Chow
Only talk about positive things! Dr. Monica Branigan
Decision-making in a family dyad in the context of advanced cancer Ms. Susanna Edwards
Screening for emotional distress: The sixth vital sign Dr. Margaret Fitch
Opioid Dose Equivalency: Part 1 – General Overview Dr. Carlo DeAngelis
Insert #1 August 2008
Secondary prophylaxis of venous thromboembolism (VTE) in cancer patients (Supported by an educational grant from Pfizer)
Dr. Richard Jay
Insert #2 August 2008
Prostate bone metastases clinic (PBMC): A multidisciplinary approach (Supported by an educational grant from Novartis)
Dr. Urban Emmenegger
Vol 10, Issue 4 November 2008
From the guest editor’s desk Dr. May Tsao
Spine stereotactic body radiotherapy Dr. Arjun Sahgal
Stereotactic body radiation therapy for lung tumours Dr. Patrick Cheung
Disclosure and palliative chemotherapy Dr. Philip Hebert
Determining outcomes for patients with metastatic epidural spinal cord
compression (MESCC): A quality of life and cost-effectiveness study
Dr. Arjun Sahgal, Ms.
Aimee Gallant, Drs. Michael Fehlings, Edward Chow, Joel Finkelstein
Bringing about change Dr. Michele Chaban
Insert November 2008
Smoking cessation and reduction in patients with cancers (Supported by
an educational grant from Pfizer)
Dr. Peter Selby
Vol 11, Issue 1
February 2009 From the guest editor’s desk Dr. Toni Barnes
Maintaining Ontario’s blood supply: A fine balancing act Ms. Debbie Lauzon De Moto Sanquinas (on the movement of blood) Ethics across the
spectrum of transfusion Mr. Blair Henry
Psychosocial aspects of the use of blood products Dr. Mary Vachon Insert February 2009
Myelodysplastic syndromes (Supported by an education grant from Celgene)
Dr. Rena Buckstein
Vol 11, Issue 2 May 2009
From the editor’s desk Dr. Edward Chow
“Be patient”: Ethical considerations regarding wait times Ms. Karen Faith Dying-centred care for the dying Mr. Stephen
Jenkinson Opioid dose equivalency: Part 2 – Changes in opioid route or mode of
administration Dr. Carlo DeAngelis
Integrating continuous quality improvement in a home palliative care
program
Ms. Ceilidh Eaton
Russell, Mr. Christopher Obwanga, Ms. Natalie Parry, Dr. Amna Husain
Nursing escort for patients attending Rapid Response Radiotherapy Ms. Lynn Faltl and
59
Program (RRRP) Pager Office Nursing Staff
Insert May 2009
Individualizing a cancer pain management strategy: Beyond the basics Drs. Carlo DeAngelis, Jeff Myers
Vol 11, Issue 3 August 2009
From the associate editor’s desk Dr. Cyril Danjoux
Limits of the duty of care: Lessons from the Golubchuk case Dr. Monica Branigan A multicentre assessment of the adequacy of cancer pain treatment using
the Pain Management Index Ms. Gunita Mitera, Drs. Alysa Fairchild,
Rebecca Wong Opioid dose equivalency: Part 3 – Opioid switching with morphine-like
opioids Dr. Carlo DeAngelis
2009 Annual Hospice Palliative Care Conference Ms. Gunita Mitera Insert #1 August 2009
Chronic lymphocytic leukemia (CLL) Dr. Rena Buckstein
Insert #2 August 2009
Treatment of chemotherapy- and radiotherapy-induced nausea and
vomiting (CINV/RINV)
Drs. Mark Pasetka,
Carlo DeAngelis Vol 11, Issue 4 November 2009
From the guest editor’s desk Dr. Arjun Sahgal
A brief primer on scarcity and fairness Dr. Philip Hébert Are family caregivers an essential component of our health care system? Dr. Michele Chaban Ethics Centre launches new on-line consult request on Sunnynet! Dr. Sally Bean Improving data capture and standardization in a home palliative care
program Mr. Christopher Obwanga
Opioid dose equivalency: Part 4 – Dose conversion for transdermal fentanyl and methadone
Dr. Carlo DeAngelis
Insert #1 November 2009
Anti-epidermal growth factors in colorectal cancer Dr. Yoo-Joung Ko
Insert #2 November 2009
Management of symptomatic side effects of anti-hormonal therapy in breast cancer survivors
Dr. Christine Simmons
60
APPENDIX G [Back]
Undergraduate Teaching – Co-op Program
Programme Student Period
PhD student
McMaster University Kathy Li 2004 - 2009
Fourth year student
University of Toronto
Harleen Bedi 2008 – 2009
Third year student
University of Waterloo
Shaelyn Culleton 2008 - 2009
Fourth year student
University of Waterloo
Nadia Salvo 2008 - 2009
First year student
Columbia University
Sheldon Kwok 2009
Fourth year student
University of Western Ontario
Martin Leung 2009
Second year student
University of Waterloo
Janet Nguyen 2009
Second year student
University of Waterloo
Jocelyn Pang 2009
Second year student
University of Waterloo
Roseanna Presutti 2009
61
APPENDIX H
Ongoing Research Studies in the Rapid Response Radiotherapy
Program and the Bone Metastases Clinic
Study Titles
Examining Urinary Markers for Dexamethasone Metabolism, Inflammatory Cytokines and Bone Marker Turnover Following the Decadron Prophylaxis of
Pain Flare
Assessing quality of life in cancer patients receiving palliative radiotherapy for symptomatic lung cancer or lung metastases using the European
Organization for Research and Treatment of Cancer Lung Cancer Module (EORTC QLQ-LC13)
SC-20 A Phase III International Randomized Trial of Single Versus Multiple
Fractions for Re-irradiation of painful bone metastases (NCIC Clinical Trials Group)
SC-20U Effect of Re-Irradiation for bone pain on Urinary Markers of
Osteoclast Activity --A companion study to SC 20
International Cross-Cultural Field Validation of an EORTC Questionnaire
Module for Patients with Bone Metastases (EORTC QLQ-BM22)
Examining Urinary Markers of Pain Flare in Patients Undergoing External Beam Radiotherapy in the Treatment of Bone Metastases
International Validation of the European Organization for Research and
Treatment of Cancer Brain Module (EORTC-QLQ-BN20) for Assessing Quality of Life in Patients with Brain Metastases
Assessing Quality of Life in Patients with Bone Metastases Using the
European Organization for Research and Treatment of Cancer Bone Metastases Module (EORTC QLQ-BM22)
Prospective Analysis of Antiemetic Medication Prescribed for Radiation Induced Emesis for Patients seen in the Rapid Response Radiotherapy
Program (RRRP)
Assessing Quality of Life in Patients with Brain Metastases Using the European Organization for Research and Treatment of Cancer Brain Module
(EORTC QLQ-BN20)
62
Correlating Radiotherapy Response with Tumour Related Factors in Cancer Patients with Bone Metastases to the Spine
Patient Expectation and Understanding of Palliative Radiotherapy Treatment
at the RRRP: A Quantitative Survey