LAMAN UTAMA PROFIL HOSPITAL LEMBAGA PELAWAT SOALAN LAZIM MAKLUMBALAS & KOMEN PETA LAMAN


Department of Radiotherapy & Oncology, SGH

Introduction

Department of Radiotherapy and Oncology was set up in 1985 and is the only center for the treatment of cancer patients throughout Sarawak and it is the only referral center for other hospitals in Borneo.

This department is made up of 4 wards (FRTU, MRTU, PCW and CAW- Cancer Ambulant Ward), 2 Out-patient Clinics, Day Care Chemotherapy, Brachytherapy and Radiotherapy Treatment Rooms.

   

Objectives

To provide treatment for cancer patients.
To provide Palliative Care Services.
To provide Hospice at Home Care Program for terminally ill cancer patients throughout the state.
To provide psycho-socio support to cancer patients in the form of support groups and working with NGOs.
To provide pain control services for terminally ill cancer patients.

To conduct training of health personnel, research and development in the field of oncology and other quality improvement activities
.

Main Functions

The main function of this department is to treat cancer patients using a combination of radiation, chemotherapy, hormonal and other treatment. The Palliative Care Unit was opened in 1997 and forms part of main function of the Department. We manage all cases referred to this department and provide the continuity of care by the hospice home-care program.

Services Provided

Radiotherapy

The treatment of cancers using radiation producing machines called Linear Accelerators (LINAC) as shown to the right.

Brachytherapy

Treatment of cancers using Ir-192 radiation sources that are inserted into tumors and cavities so as to irradiate the tumor in-situ., as shown to the right.

Intensity Modulated Radiotherapy (IMRT) Service

We plan to start IMRT service once the protocol development has been completed. By providing this service we are now on par with International radiation centers as this mode of treatment is highly sophisticated and requires a highly trained Physic team and Oncologists. We would be providing treatment where patients would not need to leave Sarawak.   

Chemotherapy Day Care

In order to improve our services, we have incorporated day care chemotherapy so that we can save on in-patient bed space and avoid unnecessary admissions.

  

Hormonal Therapy

The use of hormones to treat cancers, especially for breast cancer.

Palliative Care

Nursing care for cancer patients with progressive and terminal cancer disease. A picture of the palliative care ward is shown below.   

   

   

Clinical Training & attachment

Medicine (Lecture & Teaching UNIMAS Medical Students), Trainees, Radiographers and Student Nurses

Pain Control

Was implemented using Pain as the 5th Vital Sign since 2000 on all patients  admitted for pain management. This policy has only been implemented in certain hospital internationally. Our study on using Pain as the 5th Vital Sign has been accepted for publication in an International Journal and was also presented at the Fourth Asia Pacific International Symposium on Pain Control, 2007.

Hospice Home Care Program

Terminal cancer disease patients are nursed at home with the help of volunteer care givers from this department.  This is done by our dedicated staff on their own time and expenses after our Palliative Care training since 1994. Our work in this area has been incorporated by Dr. Micheal Wright in his report on Palliative care services In Malaysia and is available online at www.eolc-observatory net.

Other scope of work:

Research

Research is an on-going project which is being undertaken by this department and also with collaboration with local institutions of higher learning, NGOs and WHO.

Clinical Trials

Conducting Phase II and Phase III oncology clinical trials.

Other physical development

Wards

With the introduction of the Palliative Care Ward in 2000 and the Ambulant Ward in 2005, the bedstead capacity of the department has increased to 100 beds but it is still not able to provide for all referred cases from outside of Kuching. There is a waiting period of about 2 weeks for patients from outstation to be warded in this department.In order to fully provide for the projected increase of cancer cases for the next 5 years, another 5 storey ward needs to be constructed in the vicinity of the present DRO car park.

Equipments

This department started with 2 Linear Accelerators (LINAC),1Simulator and 1 Intracavitary Radiation Unit. As of now the 2 LINACs has been replaced with updated versions in 1997 and 2005 respectively and another LINAC has just been installed and commissioned, which bring the number of LINACs to 3. In order to do IMRT and 3D Conformal therapy, we have just installed the new CT Simulator, 2008.

The Intracavitary Radiation Unit has been replaced with unit of High Dose Rate Brachytherapy Unit. The Simulator has also been replaced in 2005 and in line with current techniques in Radiotherapy, 1 unit of C.T Simulator has been installed.

  

LINAC PRIMUS 2                                              LINAC 1                                         LINAC PRIMUS 1

Workload

 

Clinical Oncologist = 2 in this department

The workload increase over the years as shown below:

Services

2002

2003

2004

2005

2006

2007

New Cancer Cases

1161

1019

1307

1348

1296

1486

Follow-up Cases

7494

6454

7376

8812

9528

 

10,869

Inpatient Chemotherapy

2099

1538

2742

2170

2331

736

Daycare Chemotherapy

1488

1741

3553

4035

4075

5466

Hospice Home Care

108

92

175

220

207

228

Palliative care Cases

535

496

848

561

782

491

Pain control Cases

298

255

301

333

444

563

Admissions

1232

1259

1634

1662

1589

1710

TOTAL

14,415

12,854

17,936

19,141

20,252

21,549

 

 

Radiotherapy workload as shown below:

 

 

Services

2002

2003

2004

2005

2006

2007

1

Radiotherapy – patient day

15898

16592

17210

21170

22068

23703

2

Brachytherapy

220

215

262

311

250

397

The above figures has shown that the workload has in the department increased steadily over the years.

 

Other activities undertaken by this department includes:

  • Health/Public Education on cancer and palliative care
  • Cancer and Palliative Care Exhibition
  • Breast Support Group

Started in 1993, this support group has its regular monthly meetings and holds social events for patient in the department. 

 

Cancer Patient Support Group activities

Picture on the right showing one of the activities in progress.

 

Various NGOs  assist our patients by conducting tours to interesting places in Kuching during weekends. They also provide social events  for them on all festive occasions, especially by LifeCare Society. 

 

A) Research , quality improvement and clinical trials

 

In addition to the above reported activities of this department where we aim to provide optimal clinical services and continuous professional development by conducting research generated by the department based on clinical observation, quality improvement eg. QCC, QAP and participating in international collaborative research, publication in journals and clinical trials.

 

Award/prize

 

First Prize for Poster competition at the INCTR meeting, for “Using pain as the Fifth Vital Sign for cancer patients in Sarawak, Malaysia: a hospital study” February 2007.

 

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Tarikh Kemaskini : 17/04/2014