U.O. Oncologia Medica – Ospedale di Circolo e Fondazione Macchi

ESMO Designated Centre of Integrated Oncology and Palliative Care

Contact person Graziella Pinotti
Address Viale L. Borri
57 21100 Varese
Country

Italy

Contact +39 0332278556 -
Web U.O. Oncologia Medica – Ospedale di Circolo e Fondazione Macchi
varese-ospedale-di-circolo

Centre history

The Ospedale di Circolo of Varese has a long history of 800 years. Since 1929 the Hospital, was established in the present location, the park of the villa of the tenor Francesco Tamagno, and has continued to grow and develop until the recent construction of the new hospital structure. Since 1995, the Hospital of Varese was declared as “Hospital of National Relevance and High Specialization” .On January 1998, was established the “Azienda Ospedaliera” which has been attributed all the activities of hospitalization and specialization of the northern part of the province of Varese.

Department profile

  • 561 beds (whole Hospital)
  • Oncology ward: 16 beds and 2 beds for bone marrow transplantation
  • DH: 12 beds, 24 armchairs and 9 surgeries
  • Cytostatic Drugs Manipulation
  • Pain Management Outpatient Unit
  • Psycho-Oncology Service
  • Home Care Assistance
  • 30 on going therapeutic trials
  • ONLUS (Varese per l’Oncologia - l’Oncologia per Varese)

The Oncological Department consists of an inpatient ward and a day-hospital ward, providing oncologic and palliative care for patients. It is well equipped with all the facilities needed for the diagnosis, administration of chemotherapy, biological targeted therapy and supportive care.

In the Day Hospital Unit, there are 8 oncologists, 9 trainees in Medical Oncology and 12 staff nurses and 1 ward sister to assist patients undergoing chemotherapy, biological therapy, hydration, blood transfusions, parenteral nutrition, medications or biopsies, thoracentesis and paracentesis. All the treatments used are prepared in the Cytostatic Drugs Manipulation Unit.

In the Oncology Ward patients are either in a diagnostic phase, receiving chemotherapy or need supportive care. The patients are followed by 3 oncologists, a trainee in Medical Oncology and a staff composed of 10 nurses and 1 ward sister.

Patients undergoing ambulatory treatments or follow-up are visited in the Ambulatory by 6 oncologists.

Through the years the Department has improved the interdisciplinary cooperation within the Supportive and Palliative Care Unit, which was created inside the Department: here palliative care specialists work closely with the oncologists and share in- and out-patients. A psychologist specialised in psychoanalytic psychotherapy offer psychological assistance to patients and their relatives. Terminal patients, who are no longer benefiting from anticancer treatments, continue to be followed at home by the Home Care Assistance Unit. The staff members, consisting of three physicians, one and four nurses, are available 24 hours a day, 365 days a year, to assist patients at home, providing control of symptoms, giving support to family members and when possible, giving health and orthopaedic devices. Terminal patients, who cannot manage at home, are hospitalised in the Hospice.

Areas of specialisation

The principal tumours treated are: breast, gastrointestinal, head and neck, central nervous system, thoracic and genitourinary. Leukaemia and others haematological malignancies are also treated. Cancer patients are managed within a multidisciplinary approach, involving all the professional staff of the Oncology Department. As clinical research is one of the main interest and objectives of our Department, our Institute is a recruiting centre for several national and international, sponsored and spontaneous clinical trials (about 30 clinical trials are currently on going)

Palliative and supportive care

varese-ospedale-di-circolo-staff

The Medical Oncology Unit has performed a global care programme based on a global approach to neoplastic patients as indicated by AIOM, ESMO and ASCO guidelines.
Symptom control, palliative and supportive care are a part of cancer care management.

The Centre provides:

  • 3 Medical Oncologists trained in palliative care
  • 4 Nurses expert in the management of cancer from support to end of life
  • 1 Psycho-oncologist

The staff of the unit meets patient and the family after having carefully evaluated the patient's medical history, psychological and socio-economic aspects of the family, in order to start a personalised integrated care programme. Furthermore, there is an active interaction between: the hospice network and the home care palliative teams