The University of Nebraska Medical Center Adult Oncology program offers comprehensive services in the diagnosis, treatment and research of all malignancies that occur in adults. Treatment may include chemotherapy and immunotherapy, including vaccines and immunoconjugates. High dose therapy with autologous or allogeneic stem cell transplantation is also a strong program at UNMC. All of the adult oncologists are board certified and well published in professional peer-reviewed literature. The program participates as full members in national cooperative groups - Cancer and Leukemia Group B (CALGB) and the Bone Marrow Transplant Clinical Trials Network (BMT/CTN).

Multi-disciplinary clinics and case conferences are held in many of the tumor types including lung, gastrointestinal, head and neck, leukemia, and lymphoma. The adult oncologists at UNMC/Eppley Cancer Center have expertise in the management of all adult malignancies and have special expertise in the following areas:

� Acute Leukemias

� Bone Marrow/Peripheral Stem Cell Transplantation

� Breast Cancer

� Hematologic Malignancies

� Lung Cancer

� Lymphomas

� Myelodysplastic Syndromes

� Gastrointestinal Malignancies

� Genitourinary Malignancies

General Information

General Information	Cancer Center HelpLine 800.999.5465
Referring Physician Line	402.559.5600
Location	Omaha, NE
Facility	The Peggy D. Cowdery Patient Care Center is an ambulatory outpatient hematology/oncology facility. It is located on the third floor of the Lied Transplant Center. It has 26 adult exam rooms, two treatment rooms with 26 chairs, one procedure room in the treatment area with a bed, six leukapheresis chairs, and two photopheresis chairs. The outpatient cancer center has opened a five room-one consult room clinic and a 11 chair infusion center at Clarkson West Medical Center to meet the needs of the growing population. These outpatient care facility are convenient for the patient and is a cost-saving alternative to inpatient care. Private ambulatory exam rooms are available for patients receiving radioimmunoconjugates with no restrictions on use. The Oncology/Hematology Special Care Unit (OHSCU) is a 35- bed inpatient transplant facility housed on the seventh floor of The Nebraska Medical Center. This area consists of 35 private hepafiltered rooms used for the inpatient care of transplant patients. Each room has intensive care capabilities for monitoring ventilator management, Swan-ganz capabilities and dialysis. All nurses working on this unit are specialty trained in Oncology, ICU nursing, and complications of bone marrow transplantation. There are 17 Cooperative Care Suites located on the fifth floor of the Lied Transplant Center for patients to utilize during their recovery once they are ambulatory. These rooms provide a home-like environment, featuring a private bedroom, bathroom, living room, and kitchenette for the patient and their care provider. A patient resource center is located on the second floor of the Lied Transplant center and provides traditional library offerings, current medical information available in the form of books, magazines and videos, computer terminals with Internet and e-mail access, fax machine, and copy machines.
Travel Assistance	The Nebraska Medical Center Guests and Volunteer Service department is available to assist in any way. Our volunteers can provide transportation to and from Eppley Airport, the Amtrack Train Station and the bus terminal between 6 a.m. and midnight, seven days a week. The volunteers also plan weekly shopping trips to a local grocery store and department store.
Lodging	Nebraska House, a dormitory style facility, is located adjacent to the Lied Transplant Center. Hospitality Services personnel and social workers assist families with lodging arrangements.

Treatment

Multidisciplinary Clinics

Disease Center	Contact Number
Lung	Contact the CALGB Coordinator at 402.559.6745

Stem Cell Transplant Program:

The diseases most treated using stem cell transplantation are non-Hodgkin's lymphoma, Hodgkin's lymphoma, leukemia, multiple myeloma, solid tumors (including breast cancer or testicular cancer). Various other hematological and non-hematological diseases are treated on a case by case basis. Autologous, related and unrelated myeloablative allogeneic, related and unrelated non-myeloablative, and cord blood transplants are provided.

Survivorship Clinic:

A cancer survivorship multidisciplinary clinic and general medical care for cancer survivors is provided by an integrated survivorship program. A survivorship care plan is outlined for each patient once their active cancer therapy is completed which can be followed by their own primary care physician or our survivorship clinic. This clinic will address the non-cancer issues for the survivors such as health care maintenance, immunizations, and the psychological aspects associated with being a cancer survivor.

Cancer Prevention and Screening

Adult Oncology has established a program aimed at a long-term, community-based approach towards education, screening and treatment of prostate cancer specifically, and cancer in general. The program intends to increase health awareness by providing health screening activities, materials, demonstrations and information. Mini-health fairs are being held approximately 10 times per month at locations throughout the community such as supermarkets, barber shops, and beauty salons, to name a few. The tests and screenings are free to the participants.

Support Services

Social workers, psychiatrists and clinical nurse specialists are available for consultation with all adult oncology patients to meet their needs. Nurse case managers and social workers are available to address employment issues, childcare issues and any other problems/questions.

Weekly and monthly support groups are available for bone marrow transplant patients and their families. The groups, facilitated by The Nebraska Medical Center social workers, are designed to provide support in coping with the stresses involved in the transplant process. Through the sharing of feelings and experiences, patients and families may gain the support and information they need during the transplant evaluation and hospitalization. Call 402.559.4420 for more information about the hospital support groups.

Supportive Care

Pain Management specialists staff a Pain Clinic on campus offering regular and spinal block clinics as well as acupuncture services. Outpatient Services offered include psychology - pain management, physical therapy - cranio-sacral therapy, visceral manipulation, myofascial release, massage, exercise therapy, TENS unit placement and education. The Pain Management Program 402.559.4364 offers a four-week outpatient behavioral program for patients with chronic, stable pain. Patients are referred from a Pain Clinic physician for evaluation for admittance.

The Pain Management Consultation Team is a resource for doctors, staff, patients and their family members regarding pain identification and appropriate interventions for chronic and acute pain patients. Team members include a medical director, pharmacist, RN, social worker, psychologist, and staff from the departments of anesthesia, neurology, neurosurgery, interventional radiology and surgery. Additional information can be obtained through the hospital operator at 402.559.4000.

Home Care/Hospice Service:

Home care services are provided for cancer patients by the Visiting Nurses Association. Nurse case managers and social workers are available to coordinate the home care services needed. Nurse case managers and social workers also coordinate necessary hospice services.

Nutrition Service:

Registered dietitians are available to consult with patients about special dietary needs.

Rehabilitation Service:

People who have survived cancer may have physical, emotional, and social issues that affect their quality of life, no matter what kind of cancer they have been treated for. Various resources are available on campus to help with rehabilitation of cancer patients including psychologists/psychiatrists, dietitians, physical therapists, occupational therapists, social workers, nurse case managers and chaplains.

Special Expertise

Adult Oncology offers a new model of care delivery, Cooperative Care, which invites patients and their families to participate as partners in the patient's care. It is a revolutionary approach that allows patients and their care partners to play an active role in the treatment and recovery process following transplantation, cancer care and treatment of other illnesses.

Care partners, usually a family member or friend, assist in all aspects of the recovery process including administering medications, monitoring health changes, attending informational classes and more. The Cooperative Care environment allows patients and care partners to learn the skills they will need when they return home.

Care partners and patients stay in a comfortable home-like setting that includes a private bedroom, bathroom, living room, kitchenette and two TV/VCRs.

Cooperative Group Membership

Adult Oncology has been a main member of the Cancer and Leukemia Group B (CALGB) Cooperative Group since 1996. CALGB is one of three multidisciplinary cooperative treatment groups funded by the National Cancer Institute. Each cooperative group focuses on particular areas of cancer research, often collaborating in large-scale clinical trials. Adult Oncology maintains a wide variety of open CALGB protocols addressing a variety of malignancies. In addition, we participate in the BMT/CTN network with several clinical trials open which address issues in transplantation such as the optimum therapy for acute leukemia, lymphoma, and graft-versus-host disease.

Clinical Research Efforts

The adult oncologists are involved in many investigator-initiated and industry-sponsored clinical research studies. By collaborating with researchers in the UNMC Eppley Cancer center, the adult oncology physicians can offer patients the latest treatment options and comprehensive care. Focused working groups consist of basic scientists and clinical investigators collaborating on specific cancers including breast cancer, lymphoma, pancreatic cancer, prostate cancer, and allogeneic stem cell transplantation.

Adult Oncology Program

No. of Inpatient Beds (Medical/Surgical)	No. of Admissions	Average Length of Stay (days)	No. of New Outpatients	Total Outpatient Visits	No. of Bone Marrow Transplants	No. of Oncologists (Medical and Surgical)
40	2081	8.08	3500	52,848	140	25

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