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Pediatric Oncology Services
Introduction
The
The pediatric oncologists at UNMC Eppley and Children's Hospital have expertise in the management of all childhood cancers and have special interest in the treatment of the following childhood malignancies and treatment strategies.
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Special Expertise |
· Acute Leukemias · Bone Marrow/Hematopoietic Stem Cell Transplantation (BMT) · Bone Tumors (osteogenic sarcoma, · Brain Tumors · Lymphomas · Neuroblastoma · Rhabdomyosarcoma · Wilms' Tumor |
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General Information
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Pediatric Hot Line |
402.559.7257 |
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General Information |
800.999.5465 |
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Referring Physician Hot Line |
402.559.7257 |
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Fax |
402.559.6782 |
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Location |
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Outreach Clinic |
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Facilities |
Pediatric Oncology services are provided at both The Nebraska Medical Center and at the Children's Hospital, about four miles away. The Pediatric BMT program is located at The Nebraska Medical Center. The Pediatric Oncology Program hospitalizes general pediatric oncology patients on the 20-bed pediatric ward and eight-bed pediatric intensive care unit. The same multidisciplinary team that spearheads care for pediatric stem cell transplant patients also cares for general pediatric oncology patients. This team consists of nurse case managers, a pediatric nurse practitioner, a social worker, child life specialists, teachers, a dietician, and OT/PT. The Oncology/Hematology Special Care Unit (OHSCU) is a 25-bed inpatient oncology unit housed on the seventh floor of The Nebraska Medical Center University Tower. This area consists of 20 private, HEPA-filtered rooms used for the inpatient care of both pediatric and adult transplant patients and complex oncology patients. Each room has intensive care capabilities for monitoring ventilator management, hemodynamic capabilities, and dialysis. All nurses working on this unit are specially trained in oncology, ICU nursing, and complications of bone marrow transplantation. There are 22 Cooperative Care Suites located on each of the fourth through seventh floors of the Lied Transplant Center for patients to utilize during their recovery once they are ambulatory. These suites 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. |
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Travel Assistance |
Volunteer services and social services can be arranged to pick up family at the airport and assist with housing reservations. |
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Lodging |
A Ronald McDonald House is located adjacent to the UNMC campus. Potter's House, a restored mansion, is available and both are served by shuttle service to the hospital. Restrictions apply. Nebraska House, a dormitory-style facility, is located on campus. Social workers assist families with lodging arrangements. At Children's Hospital, The Carolyn Scott Rainbow House offers lodging to patients and families receiving treatment at Children's Hospital and associated clinics. |
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Social Support |
Social workers are available for consultation for all pediatric oncology patients to meet their needs. Child Life and Educational Support Services are also available. Patients are invited to participate in summer camps. |
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Home Health Care |
UNMC uses home health care services with trained and experienced pediatric oncology nurses to provide medical services at home. Children's Hospital also uses home health care services with specially trained pediatric nurses. |
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Ages Treated |
Children of all ages are treated. |
Clinical and Research Information
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Pediatric Oncology Directors |
Peter F. Coccia, MD, UNMC Eppley Minnie Abromowitch, MD, Children's Hospital |
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Operate Multidisciplinary Teams |
Each patient is assigned a primary pediatric oncologist, nurse, and social worker who will work with the family from diagnosis through long-term follow-up. |
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Cooperative Group Membership |
· Children's Oncology Group (COG) · Pediatric Blood & Marrow Transplant Consortium |
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Activities in Cooperative Group |
Oncologists are Principal Investigators on numerous studies. |
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Average Number of Pediatric Clinical Trials |
39 |
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Pediatric Clinical Trial Coordinator |
Sheree Gilmore - 402.559.8864 |
Research Efforts
Multiple collaborative projects with cancer researchers, physicians, and scientists of the Eppley Cancer Institute include research in areas of hematopoiesis (blood cell formation), tumor cell detection, and positive cell selection.
Special Expertise
Acute Leukemias
UNMC actively participates in Children's Oncology Group protocols for newly diagnosed patients and offers local rescue hematopoietic stem cell transplant and other rescue protocols.
Bone Marrow Transplantation
The Pediatric Oncology Program offers a full range of transplant services including autologous, related and unrelated allogeneic, peripheral blood stem cell, and cord blood stem cell transplantation. UNMC is a National Marrow Donor Program designated search and marrow-harvesting center. Our transplant physicians have special expertise in transplant strategies for treatment of acute leukemias, Hodgkin's disease, non-Hodgkin's lymphomas, Wilms' tumor, aplastic anemia, and a variety of inherited disorders.
Bone Tumors (osteogenic sarcoma,
UNMC's program consists of a multidisciplinary approach, and includes leading physicians in orthopedic surgery, radiation therapy, chemotherapy, prosthetics, and pathology of bone sarcomas. The program specializes in limb-sparing surgical approaches.
Brain Tumors
At Children's Hospital, a multidisciplinary brain tumor program is in operation.
Lymphomas
By utilizing innovative local and national cooperative group treatment protocols, UNMC has demonstrated excellent results in cases of disease refractory to conventional chemotherapy.
Neuroblastoma
UNMC participates in Children's Oncology Group protocols for newly diagnosed patients. The program offers peripheral blood stem cell transplantation with local and national cooperative group protocols.
Rhabdomyosarcoma
Some of the leading experts in the diagnosis and treatment of childhood sarcomas are at UNMC.
Wilms' Tumor
UNMC participates in the Children's Oncology Group and National Wilms' Tumor Study Group protocols for newly diagnosed patients and offers peripheral blood stem cell transplantation with local protocols.
Statistics
Percent of children treated in each age range at UNMC
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0-1 |
2-5 |
6-12 |
13+ |
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Percent Treated |
2% |
24% |
38% |
16% |
Percent of children treated in each age range at Children's Hospital
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0-1 |
2-5 |
6-12 |
13+ |
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Percent Treated |
14% |
22% |
39% |
25% |
Pediatric Oncology Program, 2007: UNMC
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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 |
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20 |
144 |
9.04 |
127 |
1124 |
8 |
6 |
Pediatric Oncology Program, 2007: Children's Hospital
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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 |
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88 |
332 |
6.5 |
160 |
3,024 |
0 |
3 |
*3 faculty members cover both facilities.
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