Ina Central Hospital founded by Ina city government in 1947 is the medical centre of Kami-Ina district of 200 thousand population. Ministry of Health, Labour and Welfare designated our hospital as a central institution for cancer treatment in 2005. Department of Medical Oncology was founded for comprehensive cancer treatment in 2014. Ina Comprehensive Cancer Centre aiming high quality cancer treatment with continuous palliative care through the course including community service has founded by the cooperation of department of medical oncology and palliative care team with assistance of various departments of hospital and city government in 2020.
We aim patient-centred comprehensive cancer treatment with integration of medical oncology and palliative care. We have two oncologists, one palliative care nurse, six oncology nurses, one oncology counselling nurse, two oncology pharmacists are the exclusive staff of our department. As close working style of oncology service and palliative care, all of them are member of palliative care team including a psycho-oncologist, a radiologist, an anaesthetist, two psychologists, and two medical social workers. There are ten exclusive beds for chemotherapy, palliative care, respite care and emergency. Over a hundred patients a year are referred with a variety of primary sites. Gastrointestinal tract and pancreatico-biliary cancer account for 70%, lung cancer, haematological malignancy, soft tissue sarcoma, and unknown primary are also treated.
Our speciality is comprehensive treatment of cancer originated from gastrointestinal tract or hepato-pancreatico-biliary system including cytotoxic, molecular target, or immunological agents with careful and multi-disciplinary supportive treatment and palliative care. We also provide informations about precise medicine according to clinical sequence for patients as a member of Nagano prefecture expert panel. In our centre, patients can consider about their disease and treatment with sufficient information and support. Through the discussion about conversion or salvage surgery and peri-opertative chemo-radiotherapy, department of gastrointestinal surgery, department of radiotherapy and we have established intimate relationship for comprehensive treatment of gastrointestinal cancer. We are participating some important clinical studies on gastroenterological cancer run by major multi-institutional study group in Japan.
Palliative and Supportive Care
Palliative care team of our hospital consists of all the oncologists, an anesthesiologist, a radiologist, a psycho-oncologist, two palliative care nurses, two palliative care pharmacists, two psychologists, a physical therapist, a dietitian and a medical social worker. The problems, goals, and solutions are discussed weekly meeting. Safety management including supportive care of chemotherapy is reviewed in daily conference by exclusive oncology nurses, pharmacists and oncologists. On the first visit to our department, patients are accompanied with a palliative care nurse or an oncology nurse surveying requirements of palliative care in various aspects. Along with treatment with anti-cancer drug, palliative care team intervention starts concurrently in needs. We have started a collection system of patient report outcome on adverse effect and their daily QOL by information technology. We have close communication with community health workers about continual palliative and supportive care in the community hospital or own home.