TOBU Cancer center
Treat as a person, not a patient. I want to provide such cancer treatment.
Nowadays, one in two people will develop cancer and one in three will die of cancer.
Cancer patients need advanced treatment such as surgery, radiation therapy, and anti-cancer drug treatment, and life problems such as employment and child-rearing must be solved. To do them you need to be a hospital with many advanced features and a lot of staff. The national government has designated such hospitals as "Cancer Medical Cooperation Hub Hospital".
Our hospital was designated by the national government as a "regional Cancer Medical Cooperation Hub Hospital" in August 2014. TOBU Cancer center is organized to ensure that patients receive optimal cancer care.
List of target cancers
Careful care for patients
Canter/ professional staff
Consultation about cancer
Concept
Professional staff and the teams care for patients and their families
The TOBU Cancer center will establish a cross-sectional cancer treatment system that does not depend on clinical department in the hospital, and will provide optimal cancer treatment to each patient in cooperation with surrounding medical institutions in the region. .. We will respond to the voices of the local people with cutting-edge, body-friendly treatment and a full range of services.
Interview video with the director of the TOBU Cancer center
The director of the TOBU Cancer center will explain the concept of this center.
Introduction of support system
Palliative care that begins when you are diagnosed with cancer
Our hospital holds "palliative care classes" twice a month, and staff familiar with each field explain each program in an easy-to-understand manner.
The contents are summarized in the digest VTR, so please have a look.
Cancer-Nursing Consultation
At the request of the clinical department, a specialist / certified Registered Nurse in the field of cancer is present at the time of cancer notification and treatment explanation. We listen to anxieties and worries and support patients and their families to make decisions so that they can alleviate the pain of patients and their families who receive cancer notification (initial onset / recurrence). increase. We help you improve and maintain your quality of life while helping you coordinate your treatment and recuperation.
Cancer Pharmacist Consultation
At the outpatient department of cancer Pharmacist, Pharmacist specializing in cancer treatment support anti-cancer drug treatment with the aim of continuing treatment for patients.
Before treatment, in addition to the need for anti-cancer drugs, explain the treatment plan, side effect measures, daily life and costs, etc., and take effective measures for side effects such as nausea and skin disorders during treatment. We propose and provide safe and optimal treatment to each person in cooperation with doctors and Registered Nurse.
Cancer nutrition Consultation
Clinical Dietitian will provide full support for various dietary problems surrounding patients undergoing chemotherapy, such as "I can't eat", "I don't know the taste", and "I've lost weight".
Palliative care outpatient
The palliative care outpatient clinic at our hospital is intended for those who need control of painful symptoms. In cooperation with the attending physician, we provide care to relieve physical and mental pain and distress while treating cancer.
At the palliative care outpatient clinic, doctors and Registered Nurse will meet with you to discuss your symptoms and concerns, and adjust medications and support your daily life. Depending on the patient's situation, the palliative care team, including Pharmacist, registered Clinical Dietitian, MSWs (medical Social Worker), and certified psychologists, will intervene.
Treatment method
The best treatment
The TOBU Cancer center offers "standard treatment".
Standard treatment is not the average treatment, but the most effective treatment available at the time. The main treatments for cancer include surgery (surgery), radiation therapy, and drug therapy (chemotherapy), and how to treat them alone or in combination depends on the patient's condition and stage. ..
Surgery (operation)
Surgery is at the core of cancer care.
● What kind of patients should be operated on?
● What is the risk of surgery?
● Isn't it possible in a less invasive way?
And so on. We are focusing on minimally invasive surgery such as laparoscopic surgery and robot-assisted surgery in all cancer areas.
Annual number of operations for malignant tumors in 2020 1,306
(Regional Cancer Medical Cooperation Hub Hospital standard: 400 cases or more / year)
Radiation therapy
We are actively performing stereotactic irradiation of the trunk using the high-precision radiotherapy device Cyberknife. The number of cases of stereotactic trunk irradiation for lung cancer, hepatocellular carcinoma, and prostate cancer is one of the largest in Kanagawa prefecture.
From 2019, the latest linac has also started operation. I try to treat with few side effects.
2020 Radiation therapy Total number of patients 668 per year
(Regional Cancer Medical Cooperation Hub Hospital standard: 200 cases or more / year)
Pharmacotherapy (chemotherapy)
It is also used in combination with radiation therapy for 5 major cancers, head and neck cancer, and skin cancer.
Pharmacist and Registered Nurse with specialized knowledge specializing in cancer drug therapy check the patient's condition and provide appropriate care and advice in cooperation with various occupations when necessary.
2020 Pharmacotherapy Total number of patients 1,118 per year
(Regional Cancer Medical Cooperation Hub Hospital standard: 1,000 cases or more / year)
palliative care
A cancer diagnosis can be depressing. Also, when you are diagnosed, you may already have symptoms such as pain and shortness of breath.
Palliative care begins at the time of diagnosis of cancer, along with treatment for such depression and physical symptoms. Palliative care does not start after the cancer has advanced. Along with cancer treatment, you can receive it whenever you feel pain. Care is also provided for family members.
One step ahead of medical care with less physical burden
By providing tailor-made treatments tailored to each patient based on standard treatments based on evidence (scientific basis), we strive to provide peace of mind and satisfaction not only to the individual but also to the family. We are here.
To that end, we are always aiming for "medical care one step ahead" and have introduced the latest treatment methods such as the surgery support robot "Da Vinci" and the robot-type radiation device "Cyberknife". Furthermore, we adopted the concept of the "enhanced recovery after surgery (ERAS) program," which is a perioperative management program centered on patients that is being undertaken worldwide, and emphasized patient satisfaction. I am practicing the protocol.
Treatment flow of TOBU Cancer center
From the time you find out that you have cancer to the time you receive treatment and are discharged from the hospital, many professionals are involved and we will follow up on the patient.
Initiatives of the TOBU Cancer center
Cancer board
A cancer board is a study group held for the purpose of providing the best treatment for cancer patients.
The emergency cancer board is held when it is necessary to consider beyond the boundaries of clinical department such as cancer of unknown primary or double cancer, and the regular cancer board is for all medical staff involved in cancer treatment with knowledge and knowledge. We conduct case studies and lectures for the purpose of sharing information.
Robotic Surgery Center
Robot-assisted surgery enables precise and complicated surgical operations, making difficult operations safer. In addition, because it is the same endoscopic surgery as a laparoscope, it is a treatment that is kind to the patient's body.
We have been using the surgery support robot "Da Vinci" since 2012, and we have a cumulative total of about 1,000 cases.
Bone metastasis / cancer locomotive liaison conference
Early diagnosis / early treatment and subsequent Orthopedic Surgery management are important because the symptoms of bone metastasis and complications such as pain, pathological fracture, and spinal cord paralysis may reduce activities of daily living and worsen the prognosis.
In order to support patients with bone metastatic cancer, the diagnosis and treatment policies are examined and information is shared in multiple clinical department Radiation Oncology as Orthopedic Surgery, radiodiagnosis, Diagnostic Radiology, and Rehabilitation Medicine. We have achieved a decrease and maintenance / improvement of QOL (quality of life).
Organ-specific cluster conference
Even if a patient has "cancer", the circumstances differ depending on whether the appropriate treatment for that person is surgery, endoscopic treatment, or anticancer drug treatment.
At the organ-specific cluster conference, internal medicine, surgery, etc. will jointly decide on the optimal treatment for each patient for each organ.
The treatment policy is never decided by the personal opinion of the first-time doctor. It guarantees the quality of cancer treatment as a hospital.
Oral care
The oral cavity is an important organ for eating. The side effects of cancer treatment may appear as oral mucositis (stomatitis), but dry mouth and pain make it difficult to eat and lead to a decrease in QOL. It is important to take good oral care and keep the oral cavity clean.
Oral care to maintain oral function is an important supportive care for cancer treatment. The TOBU Cancer center works in collaboration with local dental clinics.
cancer genomic medicine
By examining the genome of cancer cells, we can find out which genes have changed, what kind of cancer each patient has, and what kind of treatment is suitable. Cancer genomic medicine will be selected (*1).
A gene panel test is a test that examines the changes in genes occurring in cancer cells to determine the characteristics of cancer. Once we know the characteristics of cancer, we can find the most suitable treatment for each individual.
Using the patient's cancer tissue and blood, tens to hundreds of genes in cancer cells are examined at once to confirm the gene changes occurring in them. (*2)
Our hospital does not perform gene panel testing, but we are collaborating with nearby hospitals that provide genomic medicine so that patients who need it can receive testing.
If you wish to have a test, or if you would like to hear more about the test, please consult your doctor or Cancer Support Center.
*1, *2 From the “Cancer Genomic Medicine and Cancer Gene Panel Testing” website
As a "regional Cancer Medical Cooperation Hub Hospital"
Regional and TOBU Cancer center
Surgery and radiation therapy require treatment at our hospital, but treatment of comorbidities such as hypertension and diabetes and follow-up after treatment are performed in cooperation with medical institutions so that patients can receive medical treatment near their homes. We have a system in place to provide long-lasting cancer treatment with as little burden as possible. In order to thoroughly exchange information between medical institutions, we are also striving to share information between patients and hospitals by using regional alliances passes.
For partner medical institutions
Cancer area cooperation pass reply sheet
Regional Cancer Medical Cooperation Hub Hospital
As a "regional Cancer Medical Cooperation Hub Hospital" designated by the Ministry of Health, Labor and Welfare, we provide specialized cancer medical care, cooperate with other medical institutions in the region, provide consultation support for cancer patients, and provide information. I am.
Cancer Medical Cooperation Hub Hospital
Practice of PDCA cycle Efforts to improve the quality and safety of cancer treatment
It is one of the management cycles that carry out the process of planning (plan), execution (do), evaluation (check), and improvement (action) in order, and by repeating this spiral process, quality is maintained, improved, and continued. The PDCA cycle is defined as the management method that promotes various business improvement activities. At our hospital, we use the PDCA cycle to grasp and evaluate the medical care function and medical care results of our facility, the results and activity status related to regional cooperation, as well as the quality of medical treatment life for cancer patients, and the people concerned in the hospital recognize the issues. After sharing, we are working on improving the quality and safety of cancer treatment and systematic improvement measures.
In-hospital cancer registration
Cancer registration is a patient who visits a hospital for cancer treatment for the purpose of understanding the number of cancer patients, morbidity rate, survival rate, treatment effect, etc., which are the basis of national cancer control. It is a mechanism to collect, understand and analyze information such as the treatment content, treatment effect and prognosis of. Cancer registration is indispensable as a basic material for providing accurate information to patients and for the next cancer control.
It is obligatory to carry out in-hospital cancer registration in accordance with the registration form designated by the government (Cancer Medical Cooperation Hub Hospital in-hospital cancer registration standard registration form (2016 version revised version)).
If you would like to know more about in-hospital cancer registration, please refer to the National Cancer Center Cancer Information Service "In-hospital Cancer Registration National Aggregation Results Viewing System (0-year aggregation)".
What is National Cancer Registration?
"National Cancer Registration" is the data of all people diagnosed with cancer in Japan.
It is a new system that aggregates, analyzes, and manages all of them in one country. This system started in January 2016.
What is in-hospital cancer registration?
The in-hospital cancer registration provides information about cancer in all patients diagnosed or treated in the hospital.
It is a survey that is collected throughout the hospital regardless of the clinical department and clarifies how cancer treatment is performed at that hospital.
The guidelines for the implementation of in-hospital cancer registration (Ministry of Health, Labor and Welfare Notification No. 470) states, "In order to accurately grasp the status of cancer medical care at hospitals, cancer patients at the hospitals are based on national cancer registration information. It is also necessary to collect information including detailed treatment status, record it in the in-hospital cancer registration database, and store it. "
* Survival confirmation survey work
In the in-hospital cancer registration, we grasp the progress of 3 years, 5 years, and 10 years after the diagnosis of cancer patients and create basic materials for calculating the survival rate. The work to grasp this progress is called a survival confirmation survey. The survey method is to check the outpatient visit status and provide information from the affiliated hospital, but if the treatment has been completed or the consultation at our hospital has not been continued due to a transfer or relocation, etc. We may ask you to inquire about your address, or we may ask you or your family to do a written or telephone survey. The information obtained by conducting this survey is epidemiological research and evaluation of cancer medical care, such as notification of survival rate totals by in-hospital cancer registration and all cancer cooperatives (National Cancer [Adult Disease] Center Council). It is useful for national cancer control.
Five-year transition (cumulative)
Aggregation period: January 1, 2017 to December 31, 2021
item
● Total number of in-hospital cancer registrations by year of diagnosis
● Number of registrations by age group at the time of diagnosis
● Number of registrations by gender
2021 registration tally
Aggregation period: January 1, 2021 to December 31, 2021
item
● Number of registrations by gender / age group
● Number of registrations by address at the time of diagnosis
● 5 major sites ・ Prostate ・ Cervix / Number of registrations by gender
● By pre-treatment stage / by initial treatment
Explanation of items
● By part
Aggregated by gender and age
● By gender and age
Aggregated data for 5 major regions (stomach, large intestine, liver, lung, mammary gland), prostate, cervix, pancreas, and esophagus
● Stage UICC 8 version
Based on the stage classification defined by UICC (Union for International Cancer Control), it is classified by stage (stage *).
UICC is supposed to classify before starting treatment (clinical classification) and after surgery for pathological evaluation (pathological classification).
* The spread of cancer is expressed in stages 0 to IV (depending on the site), and the larger the number, the more advanced the cancer.
● By treatment content
Contents of the initial treatment (continuation) carried out at this hospital
A compact introduction to our cancer treatment.