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Adult Oncology

Introduction

More than 180 clinicians from a number of cancer-related fields work collaboratively to care for cancer patients and their families, with an emphasis on providing the very best treatment for each patient, with compassion and in a specialized, multidisciplinary way. Collaboration is a hallmark of our cancer center, in our clinical care delivery as well as our research.

Patients, family members and referring clinicians may learn more about our services, our clinical trials and second opinion consultations through the Vanderbilt-Ingram Service for Timely Access (V-ISTA) program, staffed by full-time, experienced oncology nurses. This service, established in 1997, handles more than 3,000 new inquiries (phone calls, e-mails, letters) annually and approximately 700 to 800 follow-up communications each month. For more information, call 800.811.8480.

 

Multidisciplinary Teams

Weekly tumor conferences are held for most major tumor sites:

  • Bone, connective tissue, and muscle
  • Breast
  • Gastrointestinal
  • Genitourinary
  • Gynecologic oncology
  • Head and neck
  • Leukemia and lymphoma
  • Melanoma
  • Neuro-oncology
  • Thoracic

These teams include all disciplines involved in the care of these patients, including medical oncologists and hematologists; surgeons and surgical oncologists; radiation oncologists, radiologists and interventional radiologists; pathologists; nurses and nurse practitioners; social workers and psychologists; and specialists in pulmonology and various other disciplines.

More formal multidisciplinary clinics have been developed for newly diagnosed breast cancer patients and women at high risk for breast cancer. More info at vanderbilthealth.com/breastcenter/

Special Expertise

  • Bone marrow/stem cell transplantation
  • Breast cancer
  • Breast MRI
  • Breast tomosynthesis
  • Cancer survivorship and wellness after treatment
  • Clinical proteomics
  • Experimental therapeutics including Phase I clinical trials
  • Genitourinary cancers (prostate and renal in particular)
  • Head and neck cancers
  • High-dose brachytherapy for prostate and breast cancer (XOFT for breast cancer)
  • IMRT/IGRT
  • Imaging including PET, functional MRI, spectroscopy, fluorescence imaging in brain and other tumors
  • Inherited cancer risk
  • Laparoscopic colorectal cancer surgery
  • Lung cancers
  • Melanomas
  • Orthopedic cancers and sarcomas
  • Robotic surgery for prostate cancer
  • Stereotactic Radiosurgery


General Information

General Information

877.936.8422

Referring Physician Line

800.811.8480 (M-F 8:00 AM - 4:30 PM Central time)
877.936.8422 (evenings, weekends)

Location

Nashville, Tennessee

Facility

  • Henry-Joyce Cancer Clinic and Chemotherapy Infusion Center (116,000 square feet and 45 infusion rooms)
  • Outpatient Stem Cell Transplant Unit
  • A 34-bed myelosuppression unit and 27-bed hematology/oncology unit
  • The Center for Radiation Oncology
  • Various surgical clinics, all located within Vanderbilt Hospital and Clinic on the main Vanderbilt University Medical Center campus
  • The Vanderbilt Breast Center at Vanderbilt Health One Hundred Oaks
  • Freestanding radiation therapy centers in Maury, Montgomery and Williamson counties
  • Satellite oncology clinics in Maury, Robertson and Williamson counties 

Travel
Assistance

Vanderbilt-Ingram has an American Cancer Society Transportation Grant and also works with ACS and other providers of transportation. Contact: 1.800.227.2345 ext. 1 or http://www.vanderbilthealth.com/cancer/33668

Lodging

Several non-profit organizations offer housing options, some requiring referral from the clinic. These include the American Cancer Society's Hope Lodge, Hospital Hospitality House, and nearby apartments with arrangements to provide housing for bone marrow transplant patients and caregivers. Contact the Lodging Coordinator: 615.322.2278 or http://www.vanderbilthealth.com/cancer/44962

 

Stem Cell Transplant Program
The Blood and Bone Marrow Transplant (BMT) Program at Vanderbilt-Ingram Cancer Center offers the full spectrum of transplant types (autologous, related and unrelated allogeneic, reduced-intensity and umbilical cord transplant). These transplants may be conducted in an inpatient setting or in our Outpatient Transplant Unit (OTU) depending on the needs of the individual patient.
 
The program offers BMT for patients with myeloma, non-Hodgkin's lymphoma, acute leukemias, Hodgkin's disease, chronic leukemias, myelodysplastic syndrome, severe aplastic anemia, germ cell tumors and myeloproliferative disorders. Services include a 27-bed inpatient, HEPA-filtered transplant unit on the 11th floor of Vanderbilt University Hospital, a 13-room outpatient transplant unit staffed 365 days a year, and a long-term follow-up clinic. More information, available at http://www.vanderbilthealth.com/cancer/33746. Contact: 615.936.1803.
 
Brain Tumor Center
Vanderbilt-Ingram's Brain Tumor Center brings together clinicians from neurosurgery, neuro-oncology, radiation oncology, pediatric neuro-oncology, radiosurgery, neuroradiology, neuro intensive care and neuropathology. We specialize in treatment of benign and malignant tumors of the brain (both primary and metastatic) and have special expertise in treating tumors of the skull base and the pituitary region. Our surgical team, which perform approximately 500 major brain tumor surgeries each year, offers sophisticated expertise including use of functional MRI pre-operative scanning, intraoperative mapping techniques and "awake craniotomy."

Our Brain Tumor Board meets weekly to review cases of patients with brain tumors and to discuss treatment options. Patients or physicians wishing to have their cases reviewed by the Brain Tumor Board may call 615.343.4152. Results are provided to referring physicians or patients within one week of review. More information available at http://www.vanderbilthealth.com/cancer/38804. Contact: 615.322.1765.
 
Thoracic Oncology Program
Vanderbilt-Ingram Cancer Center offers one of the most active and recognized programs in the nation for lung cancer. This highly organized program focuses on efficient and coordinated multi-specialty care, multi-modality and laboratory research, and education of our own trainees on a national and international basis.

A weekly Clinical Thoracic Oncology Conference allows each subspecialty group to give input on a particular patient followed by a treatment plan that is formulated by the appropriate specialists.

The center provides low-dose CT lung screening through the Lung Screening Program and has established a Lung Nodule Clinic dedicated to early detection. Same-day testing is available for CT scans, bone scans, MRI scans, pulmonary function testing, immediate pathological interpretations of outside biopsies and bronchoscopy. The Thoracic Oncology faculty work closely together in the multimodality management of patients. Referring physicians are notified of management decisions and recommendations usually within 24 hours of the patient's visit to the clinic. More information available at: http://www.vanderbilthealth.com/cancer/33828. Contact: 615.322.6053

Center for Radiation Oncology
Vanderbilt-Ingram's Center for Radiation Oncology offers treatment in three locations: at the main medical center campus in Nashville and at free-standing radiation oncology centers in Franklin, Tenn. (Vanderbilt-Ingram Cancer Center at Franklin), Spring Hill, Tenn. (Vanderbilt-Maury Radiation Oncology) and Clarksville, Tenn. (Gateway-Vanderbilt Cancer Treatment Center). Our services include: three-dimensional conformal radiation therapy (3D-CRT); intensity modulated radiation therapy (IMRT); robotic stereotactic radiosurgery; stereotactic radiotherapy; image-guided radiation therapy (IGRT); brachytherapy; systemic radiation therapy; radioimmunotherapy, and investigational radiation therapies. More information at http://www.vanderbilthealth.com/cancer/33745. Contact: 615.322.2555.

REACH for Survivorship: Research, Education, Advocacy, Clinical Care, Health
In 2009, Vanderbilt established the REACH for Survivorship Program, a comprehensive survivorship program focused on the long-term physical, emotional and practical issues facing cancer survivors and family members. This clinic is Middle Tennessee's first and only dedicated cancer survivorship clinic that provides services for all cancer survivors, regardless of type of cancer, age at diagnosis, and where they received their cancer treatment.
 
Survivors receive a comprehensive evaluation, so they can understand the long-term physical and emotional problems that they may face following cancer treatment. This includes review of pertinent oncology medical records, a risk-adapted history and physical examination, screening tests for adverse long-term outcomes related to the cancer and its therapy, referral to subspecialists and rehabilitation services, and provision of detailed educational information. This educational information includes a Survivorship Care Plan that details the patient's oncology treatment, potential long-term effects of treatment and recommendations for monitoring. REACH for Survivorship also provides access to research to improve cancer survival and quality of that survivorship; patient and health care provider education; patient advocacy; and access to wellness and fitness programs. More information is available at http://vanderbilthealth.com/cancersurvivor/. Appointments can be made by calling 615.343.7400 or toll free 1.877.936.8422.
 
Cancer Prevention and Screening
Through the Office of Patient and Community Education and the Office of Minority Affairs, dozens of community programs are offered throughout the year to promote cancer prevention and early detection. Vanderbilt Corporate Relations includes cancer information in its health fairs and other programming for key employers in our region.  Vanderbilt offers free head and neck cancer screenings in conjunction with the local VA Medical Center. Contact: 615.936.1793.

Precision Cancer Medicine
Precision cancer medicine is a routine part of cancer care at Vanderbilt-Ingram Cancer Center. The center offers genetic testing of a variety of tumor types to match the right therapy with the right patient at the right time. For more information, see http://www.vanderbilthealth.com/cancer/33110.
 
My Cancer Genome
Launched in 2011, My Cancer Genome is the nation’s first web-based precision cancer medicine knowledge resource for physicians, patients, caregivers and researchers. My Cancer Genome gives up-to-date information on what mutations make cancers grow and related therapeutic implications, including available clinical trials. More information is available at https://www.mycancergenome.org/
 
Center for Cancer Targeted Therapies
The Center for Cancer Targeted Therapies (C2T2) at Vanderbilt-Ingram Cancer Center is dedicated to advancing the development of new, targeted anti-cancer drugs. To address the challenges involved in this process, the C2T2 brings together our early phase clinical trials program, precision cancer medicine initiatives, and non-invasive imaging core. By expanding clinical trials at Vanderbilt-Ingram, the C2T2 will contribute to faster approval of new targeted drugs and combination therapies for cancer patients. For more information, see http://www.vicc.org/research/c2t2/.
 
Support Services & Supportive Care
Cancer Supportive Care Clinic
This service is designed to address the spectrum of physical, psychosocial, emotional, and other needs of patients that exist in conjunction with and in addition to their medical and disease management needs. Services include a specialized Pain and Symptom management clinic, nutrition services by two registered dietitians, psychological services and social work consultation and assistance. Contact: 615.936.8422 or http://www.vanderbilthealth.com/cancer/36869.
 
Vanderbilt Osher Center for Integrative Medicine
Cancer is one of the leading diagnoses for patients referred to this center, which combines traditional medicine with complementary and alternative approaches that are scientifically proven safe and effective. The center offers comprehensive integrative health and/or psychologic consultations with MD- and PhD-trained professionals. More information at 615.343.1554 or https://www.vanderbilthealth.com/osher/.
 
Patient and Family Support Services
Staffed by a full-time manager and a cadre of dedicated volunteers, this service attends to the comfort of patients and families during their clinic visits. Refreshments, visits by specially trained pets, entertainment by local songwriters and musicians, a wig service and other services are offered. Contact: 615.343.7776 or http://www.vanderbilthealth.com/cancer/33118.
 
Patient and Family Resource Center
This center, staffed by a full-time manager and conveniently located next to the main clinic waiting area, offers a variety of resources for patient and family education and information. Contact: 615.322.9799 or http://www.vanderbilthealth.com/cancer/33116.
 
Home Care Services
Vanderbilt Home Care Services includes two agencies: a Medicare-certified agency and a non Medicare-certified agency. Staffing includes nurses; physical, occupational, and speech therapists and assistants; home health aides/PCAs; medical social workers; office support for both agencies. The care is provided by a multidisciplinary team coordinated under the direction and supervision of the patient's physician. Contact 615.936.0336 or http://www.vanderbilthealth.com/homecare/
 
Hospice
Vanderbilt-Ingram Cancer Center works closely with Alive Hospice, a Nashville based, nonprofit hospice covering Nashville and 11 surrounding counties. Alive Hospice also offers a 30-bed inpatient full-service residence for patients who cannot be cared for at home - or who need a transition from hospital to home. Alive Hospice provides a full time registered nurse (RN) to work with the staff and patients/families at Vanderbilt who are ready to transition to hospice care. This RN admits the patients to hospice services assuring a smooth and seamless change.
 
Rehabilitation Services
Rehab services are provided in a variety of ways. The bone marrow/stem cell transplant program has a full-time physical therapist to work with both the in- and outpatients throughout the course of treatment. Other inpatients receive services from the Vanderbilt physical therapists based on physician request for service. There is a large outpatient program where patients may receive services after discharge from the hospital. Patients needing inpatient rehab services may be transferred to the 80-bed Vanderbilt Stallworth Rehabilitation Hospital. The hospital provides both in- and outpatient services for a variety of diseases/complications requiring rehabilitation.
 
Palliative Care Program
The Vanderbilt Palliative Care team offers advance care planning; patient and family support services, including counseling and communication services; symptom management; and inpatient and outpatient consultations. The team also runs an inpatient palliative care unit for patients needing aggressive symptom management support, who are awaiting a transition to comfort-focused care outside the hospital, or who do not have the needed end-of-life care options outside the hospital. More information is available at http://www.vanderbilthealth.com/palliativecare/. Contact 615.322.4298.
 
Case management/social work
Vanderbilt has a unique way of providing case management, social work and utilization management. The three providers work together in a triad, focusing on a set patient population. They work closely with the direct care providers to assure that services needed are arranged for prior to discharge, that hospital days are approved, and to help plan for the psychosocial needs of the patient/family during the hospital stay and after discharge. The Cancer Patient Care Center has an experienced group of case managers and social workers. The case managers work largely with the inpatients while the social workers cover both inpatients and outpatients.
 
Vanderbilt-Ingram Service for Timely Access (V-ISTA)
The Vanderbilt-Ingram Service for Timely Access (V-ISTA) program helps in the process of scheduling new patient appointments and helps new patients connect with the appropriate clinical trials at Vanderbilt-Ingram Cancer Center. V-ISTA is staffed by nurses and ancillary staff with expertise in cancer care and research. The nurses work with the Vanderbilt University Medical Center Central Access Center schedulers to ensure new patients are placed with appropriate providers in a timely fashion. For more information, see http://www.vicc.org/ct/vista/ or call 1.800.811.8480.
 
Clinical and Research Efforts
Vanderbilt-Ingram Cancer Center's mission is to conduct high-impact research, with an emphasis on translational work to bridge laboratory discoveries with clinical advances. In addition to offering a full-range of innovative clinical trials, Vanderbilt-Ingram has a number of special, collaborative and patient-oriented research initiatives including:
  • Phase I and Phase II clinical trial agreements with NCI
  • Southern Community Cohort Study
  • Two Specialized Programs of Research Excellence (SPORE) grants in gastrointestinal and breast cancers
  • Digestive Disease Center grant
  • U54 Minority Partnership Grant (including clinical trials initiative) with Meharry Medical College and Tennessee State University
  • U54 Center of Excellence in Precision Medicine and Population Health with Meharry Medical College and the University of Miami
  • Many others (see www.vicc.org/research)
 

Statistics

Adult Oncology Program (2015 data)

No. of Inpatient Beds (Medical and Surgical)

No. of Admissions

Average Length of Stay (days)

No. of New Outpatients

No. of Oncologists (Medical and Surgical)

1,025 total licensed beds (Vanderbilt University Hospital and Monroe Carell, Jr Children’s Hospital)

61 dedicated cancer beds (myelosuppression unit)

28 gyn beds (gyn onc uses)

89 general med

69 general surg

 

 

~3,300 discharges

6.0 average length of stay

 

~190,000 outpatient visits (oncology, hematology, BMT and surgical specialties)

Surgical oncologists:  19 

Hematology/Oncology: 43 (excludes pediatric)

Plus ~ 20 fellows


Cooperative Group Membership

Cooperative Group Membership List

  • NRG Oncology
  • COG
  • ECOG

Activities in Cooperative Group

Clinical trial participation and leadership

Average Number of Adult Clinical Trials

165 (therapeutic and correlative)