Kidwai Memorial Institute of Oncology

Dr. M.H. Mari Gowda Road

Bangalore – 560 029

Karnataka, India

Brief History

1957: Initial establishment by the society

1970: Society taken over by Government of Karnataka

1973: Institute started to function (50 beds, Path. Lab, RT services)

1980 (November): Conferred “Autonomous” status

1975: Main block with Operation Theater constructed

Hospital Statistics: Capacity

50

190

252

375

525

0

100

200

300

400

500

600

1973 1980 1990 2000 2010

No. of beds

Only 475 more beds have been added in more than 3 decades

General Ward

Patient Load (Yearly)

4,201

10,588

12,326

17,238

1980 1990 2000 2010

New Patients

39,801

1,82,040

1,80,791

2,41,314

1980 1990 2000 2010

Follow-up Patients

2,128

4,868

9,925

17,497

1980 1990 2000 2010

Inpatients

Consistent year-on-year increase in new patients, follow-up patients & inpatients

Patient Load (Daily)

14

34

40

100

1980 1990 2000 2010

New Patients

128

587 584

800

1980 1990 2000 2010

Follow-up patients

New patient flow per day quadrupled; follow-up patient flow increased by >6 times

Infrastructure

• Multi-disciplinary Out-patient Block • Jindal Complex • Liner Accelerator Complex • Brachytherapy Complex • OT Complex (including Diagnostic and Laboratory Services) • Shanthidhama • Aniketana Building • Kapoor Ward • BARC, • SDM Block • Staff Quarters • Sri Venkataeshwara Dharmashala • Infosys Dharmashala • KCDF

Infrastructure

Multidisciplinary OPD Block

Radiation Therapy

Jindal Block Shanti Dhama

OT Complex Aniketana Building

Services Offered

Treatment (Medical, Surgical, Radio-

therapy)

Diagnostic & Laboratory

Services

Cancer Epidemiology & Prevention

Academics & Research

Plethora of services for patients, academia & Cancer research

Treatment Departments

Treatment Departments

Surgical Oncology (3 units)

Head & Neck Oncology (2 units)

Medical Oncology (2 units)

Gynecological Oncology (1 unit)

Oral Oncology (1 unit)

Radiation Oncology (3 units)

Anesthesia (1 unit)

Palliative Care (1 unit)

Pediatric Oncology (1 unit)

Other Departments

• Radio-diagnosis

• Nuclear Medicine

• Pathology

• Biochemistry

• Microbiology

• Epidemiology & Biostatistics:

HBCR & PBCR

• Community Oncology

• Social Welfare

• Public Relations

Diagnostic & Laboratory Services Cancer Epidemiology & Prevention

Diagnostic Infrastructure

Ultrasound MRI

CT Scanning

Diagnostic & Lab Facilities

• Radiodiagnosis:

• Nuclear Medicine: – Gamma camera – Thyroid Scan & uptake probe – Thyroid probe – Pre-operative probe – Multi-wall Gamma counter

Equipment Patients Investigated

X-ray Machine:4 21798

Ultrasound: 3 11770

Mammography: 1 729

CT Scan:2 5373

MRI:1 684

• Lab Services:

• State-of-the-art facilities available

• Facilities include:

– Histopathology

– Hematology

– Cytogenetics

– Cytology

– Microbiology

– Biochemistry

• International and National collaborative projects are undertaken by these departments

Treatment Facilities

• No. of Major OT: 7 – General: 5 – Laparoscopy:1 – Laser:1

• No. of Minor OT: 6

– Endoscopy room:1 – ICU (Surgical): 10 – Step-down ICU: 14

• Surgeries

– 1990: 1401 – 2000: 3150 – 2010: 4435

Equipment Patients treated (2010)

TeleCobalt-3 3000

Linear Accelerator-1+1 (3dcrt/imrt/Electrons/STP)

308

Manual Brachytherapy-1

589

Remote after-loading HDR brachytherapy-1

123

Stimulator-1, Treatment planning system-Eclipse/Helios/Brachyvision2

2995

Patients Treated

New Follow-

up

Adult 1430 15978

Pediatric 521 12120

Surgical Oncology Radiation Oncology Medical Oncology

Telecobalt Machine

Linear Accelerator

• 3DCRT / IMRT / Electrons

HDR Brachytherapy

Sri Kshetra Dharmasthala Manjunatheswara Block

• Donated by Sri Dharmasthala Manjunatheswara Medical Trust (Regd.) – Cost: Rs. 6 crores – Area: 44500 Sq. Ft. (Fully furnished) – Wards: 5 with 135 beds – OPD: 12 rooms, waiting hall with toilets – Minor O.T.: 4 – Seminar hall: 1 – Telemedicine: 1 room – Medical Gas Manifold Unit

Dedicated for the services of Poor patients on 28.05.2010 by Hon’ble Chief Minister and Hon’ble Minister for Medical Education

Other Facilities

New Case Registration

Post-operative Ward

OPD Waiting Area ICU

Children’s Playground CT Day Care

VAS for BPL

• Total patients registered:1600

• Total approval received and taken treatment:1350

• Districts covered: Bagalkot, Belgaum, Bellary, Bidar, Bijapur,

Dharwad, Gadag,

• Gulbarga, Haveri, Koppal, Raichur, Uttar Kannada, Yadagiri

Academic Activities

Post-graduate and Super-specialty Medical Degrees recognized by MCI

No. of seats prior to 2010 Increased by MCI from 2010

M.Ch. Surgical oncology 2 8

D.M. Medical Oncology 2 6

M.D: Radiotherapy 1 4

D.M Radiotherapy 3 3

D.N.B (National Board, New Delhi)

Radiology: 4 Pathology: 4 Anesthesiology: 4

Fellowship Programs (RGUHS)

Gynecological Oncology: 2 H&N Oncology: 2 Oral Oncology: 2 Oncopathology: 2 Pediatric Oncology: 2 Palliative Care: 2

B.Sc. (Paramedical)

Med. Lab. Tech.: 6 Imaging Tech.: 6 Radiotherapy: 6 O.T.: 5 A.T.: 5

Academic Activities

• Nursing

– Post-basic Diploma : 15 – M.Sc. (Oncology): 8

• M.sc.(Rad.Physics):15

• In addition, training for – WHO Fellows – P.G. students from all over

Karnataka / India – Medical Officers from DHFWS – Students from Nursing Colleges – Observers from India and abroad – Trainees from NGOs, Social Work

Organizations

• One of the oldest Cancer Registries in the country: both HCR & PBCR

• Ph.d Programme(Pathology,

• Microbiology,Biochemistry,

• Radiation physics)

• Research Projects in Basic Sciences

– (Collaborative projects with IISc., ICMR, DBT, NCBS and Global Cancer Clinical Trials)

Academic Activities Research Activities

Research

• Basic research

• Translational

• Epidemiological

• Applied

• Clinical

Recent Inclusions / Developments

• 135 General ward beds by donation

• MRI Scan grant in aid by Government of India

• Renovation of Infosys Dharmashala by donation

• New Seminar Hall by donation

• Upgradation of Auditorium by donation

• Step I post-operative ICU ward 14 beds by donation

• State-of-the-art Laparoscopy O.T.

• 500 KVA Generator

• Fully mechanized and automated laundry

• ETP: 300000 Liters / day capacity

• Linear Accelerator: 6 Mv for KMIO and one for HUBLI

Survey by “The Week”

• HANSA Research Survey

Ranked 5th Best Multi-specialty Oncology Care Center in the country

Summary

• 2nd Largest Regional Cancer Center

• Center of Excellence: Govt. of India

• Recognized for WHO Training

• Member of UICC

• 5th Best Oncology Care Center in the country

• Recognized as Tertiary Cancer Center by Govt. of India

• Onconet facility connecting all the Regional Cancer Centers

(A Govt. of India Project)

Major Issues

Disproportionate increase in patient load in every department; infrastructural & staff growth not in proportion with increase in patient load

• 500 beds for 18,000 patients

• 4-fold increase in new patients seen / day

• 6-fold increase in Followup patients seen / day

• Only 6 functional OT’s limiting the number of surgeries that can be performed (currently, 70 surgeries / week)

• 10-bed day care: limits chemotherapy to 30 patients/day

• Inadequate funds

Vision

• Our goal-To make KMIO one of the best cancer care facility in the world.