January December 2009 - Sunnybrook Hospitalsunnybrook.ca/uploads/RRRPBMC_2009.pdf · 2010. 7. 27. · Therapy: A View from South of the Border (Chaired by Dr. Edward Chow) Dr. Steve

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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

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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.

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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

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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

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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

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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.]

http://www.sunnybrook.ca/content/?page=2341

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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]

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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)

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Videoconference Rounds (CPROG)


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


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


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

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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


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


Dr. Steve Lutz

July 7 RRRP Presentation

a) Orthovoltage: Bones Friend or Foe?

b) Overview of the Sunnybrook Volunteer Program


a) Ms. Emily Sinclair

and Ms. Laura

D’Alimonte

b) Ms. Kathy Kwan

July 21 RRRP Presentation – Current Research Projects at the

RRRP


Ms. Shaelyn Culleton

and Ms. Gunita

Mitera

August 4 RRRP Presentation – Skeletal Care Initiative: Bone

Health in Cancer


Dr. Willena Talbot

August 18 Research Meeting


Dr. Gordon Chan

September 1 RRRP Presentation – A GU Rookie’s Take on Palliative RT


Dr. Danny Vesprini

September 15 Annual General Meeting


All

October 6 RRRP Research Projects


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


Dr. Edward Chow

November 17 Research/Education Round – Journey of Patients with

Incurable Cancer and Palliative Care Services in Hong

Kong


Dr. Rico Liu

December 1 RRRP Presentation – Radiation Induced Nausea and

Vomiting

Ms. Rosie Presutti,

Ms. Janet Nguyen,

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(Chaired by Ms. Gunita Mitera) Ms. Jocelyn Pang

December 16 Business Meeting


All

*Rounds cancelled: March 17

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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.

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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

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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.

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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

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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.



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


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


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.



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.



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


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.



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


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


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


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


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


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


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.



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.


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


(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.



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.



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


(MSCC): A literature review.



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,


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.


(Poster) Gallie Day, Department of Surgery, University of Toronto, Toronto, Ontario, May 8,

2009.

30




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



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.


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.


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.


photodynamic therapy on the structural integrity of vertebral bone. (Poster) Gallie Day,

Department of Surgery, University of Toronto, Toronto, Ontario, May 8, 2009.


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


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


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


Insert November 1999

Bowel Obstruction Dr. Larry Librach

Management of Radiotherapy-Induced Acute Gastrointestinal Toxicities Dr. Rebecca Wong

(Sponsored by Novartis Pharmaceuticals Canada, Inc.)


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


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


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


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


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


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…


-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


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


Insert August 2001 Palliation in lung cancer

(Supported by AstraZeneca Inc. and Purdue Pharma)

Drs. Andrea Bezjak, Dr. Catherine Heath, Ms. Jane Lea


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



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



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


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


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


Award of Excellence Dr. Cyril Danjoux


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


53


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


Insert May 2003

Advances and challenges in the management of febrile neutropenia. (Supported by Amgen Canada Inc.)

Dr. Elizabeth J. Phillips


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


Insert August 2003 Advances for end-of-life respiratory care (Supported by Vital Aire) Dr. Chin K. Chung


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


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


Palliation in patients with metastatic cancer to the brain

Management of brain metastases (Supported by Aventis)

Dr. May Tsao


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


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


Cannabinoids in medical practice Dr. Vincent Maida



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



Methadone for cancer pain: An analgesic with a difference Dr. Larry Librach

Vol 7, Issue2 May 2005


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



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



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


Management of hormone refractory prostate cancer / Prostate bone

metastases multidisciplinary clinic. (Supported by an educational grant from Novartis)

Dr. Yoo-Joung Ko



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


Venous thromboembolism in cancer patients (Supported by an educational grant from Pfizer Canada) Dr. Agnes Y.Y. Lee



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


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



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


New developments in the treatment of advanced renal cell carcinoma (RCC) (Supported by an educational grant from Pfizer) Dr. Yoo-Joung Ko


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


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


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



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


The evolving role of cannabinoids in supportive oncology (Supported by and educational grant from Bayer Inc.

Dr. Vincent Maida



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


Management of invasive fungal infections (IFIs) in immunocompromised patients (Supported by an educational grant from Astellas Pharma Canada, Inc.)

Dr. Jeffrey H. Lipton



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



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


Prostate bone metastases clinic (PBMC): A multidisciplinary approach (Supported by an educational grant from Novartis)

Dr. Urban Emmenegger



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


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



“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



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


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


Anti-epidermal growth factors in colorectal cancer Dr. Yoo-Joung Ko


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


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


Janet Nguyen 2009

Second year student


Jocelyn Pang 2009

Second year student


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

Documents

January December 2009 - Sunnybrook Hospitalsunnybrook.ca/uploads/RRRPBMC_2009.pdf · 2010. 7. 27. · Therapy: A View from South of the Border (Chaired by Dr. Edward Chow) Dr. Steve