National Comprehensive Cancer Network

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For Patients

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Duke Comprehensive Cancer Center
Durham, North Carolina
888.275.3853 (888.ASK.DUKE)
www.cancer.duke.edu

Pediatric Oncology Services

Introduction

The Division of Pediatric Hematology-Oncology at Duke offers a comprehensive range of medical services for children, adolescents, and young adults with malignant diseases. Patients are cared for in modern inpatient and outpatient facilities in which the most up-to-date therapies are employed by a coordinated team consisting of physicians, nurses, nurse practitioners, physician assistants, psychologists, social workers, activities therapists, and pharmacists. Members of the Division are actively engaged in cutting-edge research at both the bedside and the laboratory, and are constantly searching for new and novel treatments for these serious and often life-threatening diseases. As a full institutional member of the Children's Oncology Group (COG), members of the Division actively participate in national clinical trials.

Special Expertise

Special expertise is available in:

· Bone Marrow Transplantation

· Therapy for Neuroblastoma

· Treatment of Pediatric Brain Tumors

· Sarcoma Therapy in Young Adults

There is a multidisciplinary clinic for long-term survivors of childhood and young adult cancer. The Musculoskeletal Oncology Program offers cutting edge research and care for children, adolescents, and young adults with bone and muscle tumors. The Division trains young physicians in the subspecialty of Pediatric Hematology and Oncology for which we receive training grant funding from the National Institutes of Health.

General Information

General Information

888.ASK.DUKE (888.275.3853)

Referring Physician Line

800.MED.DUKE (800.633.3853)

Location

The Duke Children's Hospital & Health Center are located on Erwin Road in Durham, NC.

Travel assistance

Social workers and patient resource managers provide assistance in locating transportation resources. They will also help families to locate financial assistance for transportation

Lodging

The Ronald McDonald House is located less than one mile from Duke Children's Hospital. The first reservation must be made by a social worker or patient resource manager. There is van service available. The address is:

The Ronald McDonald House of Durham

506 Alexander Avenue

Durham, NC 27705

Telephone: 919.286.9305

www.ronaldhousedurham.org

There are several hotels (some within walking distance) with medical rates. Social workers help families to locate financial assistance for lodging that is required by medical treatment.

Social Support

Psychosocial support services are tailored to each family's needs. Each family meets with a social worker who provides support throughout treatment. In addition, psychologists, child life specialists, and chaplains are available. Duke has a hospital school for preschool through 12th grade.

Home Health Care

Our outpatient and inpatient home care planning teams coordinate home health care services throughout North Carolina and the adjacent states in which our patients live.

Ages Treated

Birth through age 35

Clinical and Research Information

Program Chairman

Daniel Wechsler, MD, PhD

Operate Multidisciplinary Teams

Patients have available a multidisciplinary team of physicians, nurses, nurse practitioners, physician assistants and other health care professionals who specialize in the pediatric patient population. Patients with sarcomas and brain tumors are cared for by specialized multidisciplinary teams comprised of surgeons, pediatric oncologists, radiation therapists and physical therapists. Tumor boards are held on a regular basis and clinical case conferences are held weekly. Psychosocial rounds are also a regular feature of our conference schedule. Twice weekly didactic conferences are a major part of our formal course work for fellow trainees and are open to all.

Cooperative Group Membership

Children's Oncology Group

Activities in Cooperative Group

Members of the Division serve in major leadership roles on a number of different disease and discipline committees in the Children's Oncology Group.

Average Number of Pediatric Clinical Trials

65

Research Efforts

Both clinical and basic research is ongoing in the areas of molecular biology of rhabdomyosarcoma, neuroblastoma, myeloid leukemia, and hematopoietic transplantation biology. The program fully participates in clinical research trials within the Children's Oncology Group.

Special Expertise

Special expertise is available in bone marrow transplantation, neuroblastoma, young adult sarcoma, and brain tumors. There is also a multidisciplinary clinic for long-term survivors of childhood cancer.

Statistics

Percent of children treated in each age range

Age Range

0-1

2-5

6-12

13+

Percent Treated

10%

25%

30%

35%

Pediatric Hematology-Oncology, Neuro-Oncology and Transplant Programs, 2007-8

No. of Inpatient Beds

No. of Admissions

Average Length of Stay (days)

No. of New Outpatients

Total Outpatient Visits

No. of Bone Marrow Transplants

No. of Oncologists

131 Intermediate Care;
16 Transplant

639

4.5 Excluding BMT

327

12,764

100

9 hematology-oncology;
2 neuro-oncology;
6 transplant