Pinkerton, Prof. (Charles) Ross, (born 6 Oct. 1950), Professor of Oncology, University of Queensland, since 2003; Director, Oncology Unit, Children’s Health Queensland (formerly Director of Paediatric Oncology, Royal Children’s Hospital and Mater Children’s Hospital), since 2007

2019 ◽  
Vol 3 (1) ◽  
pp. 49-59
Author(s):  
Marina Jurić ◽  
Dunja Anić ◽  
Nevenka Begić ◽  
Ana Marija Hošnjak ◽  
Štefanija Kolačko ◽  
...  

Aim. The goal of the research is to assess parent satisfaction with children’s health care in the Children’s Hospital Zagreb and to determine whether there were differences in their assessment with regard to the clinic at which the child is hospitalized. Methods. The sample included 160 participans (parents of children hospitalized in the Clinic for Pediatric Surgery and the Pediatric Clinic in the Children’s Hospital Zagreb). As a research method an anonymous modified Picker questionnaire was used. Participation in the research was voluntary. Results. 36.9% of respondents think that their children’s health care is excellent, 43.8% think it is very good and 15% think it is good. 58.1% of parents believe that their child was frightened during hospitalization. 53.8% of respondents rated the hospital food as good, 98.8% of them said they have confidence and trust in the doctors and nurses who take care of their child. 4.4% of parents felt they were not sufficiently involved in decision-making about their child. 72.5% of children during hospitalization felt pain. Parents of children hospitalized in surgical departments have a better opinion of alleviating pain. Conclusions. 81% of respondents assesed the care of their child as very good or excellent and there is no significant difference in satisfaction with regard to the clinic at which the child is hospitalized. The variables found to have a correlation with the total satisfaction score are: a sense of confidence and trust in doctors, psychological preparation of the child, parents’ perception of participating in their child’s care, quality of the food, perception of parents about safety on the ward.


1970 ◽  
Vol 30 (2) ◽  
pp. 85-89 ◽  
Author(s):  
Kailash Prasad Sah ◽  
Ganesh Kumar Rai ◽  
PN Shrestha ◽  
Amit Shrestha

Introduction: Wilm's tumor is the second most common abdominal tumor in children. It arises from thekidney. The survival of children with Wilm's tumor has improved over the past 25 years. Objectives: Tostudy the clinical presentation of Wilm’s tumor and evaluate the ten year survival. Materials and Methods:A retrospective hospital based study was conducted at Kanti Children's Hospital from March 1998 toFebruary 2008. A total of 60 histopathologically diagnosed children below 14 yr of age were included inthe study. Results: About 2/3rd (66.5%) presented with abdominal swelling followed by abdominal pain(16.5%) and fever (13.5%). A few children manifested with red colored urine (3.5%). The age of childrenranged from one month to 13 years with the mean age of 36 months. Males were affected more than thefemales (M:F=3:1). Most affected age group was 2 to 5 yrs (41.5%) followed by 1 to 2 yrs (25.0%). Mostof the cases were in stage III (36.5%) followed by stage II (33.5%). SIOP protocol was used to treat thesechildren and overall 10 year survival rate was 50.0%. One fifth (20%) of the cases died, 16.5% relapsedand 13.5% lost to follow up. Conclusion: Despite severe resource limitations, paediatric oncology unit atKanti Children’s Hospital has been successfully treating Wilm's tumor with the success rate of 50.0%.Key words: Chemotherapy; Outcome; Remission; Wilm’s tumor; SIOP.DOI: 10.3126/jnps.v30i2.3449J. Nepal Paediatr. Soc. May-August, 2010 Vol 30(2) 85-89


2018 ◽  
Vol 103 (2) ◽  
pp. e2.9-e2
Author(s):  
Cormac Owens ◽  
Lesley-Ann Funston ◽  
Sinead Keane ◽  
Frieda Clinton ◽  
Mairead Lee

Background/objectivesSeveral centres (Children’s Hospital Philadelphia, Sick Kids Toronto) and organisations (COG) have developed chemotherapy standardisation programmes to reduce risk, increase efficiency and decrease cost associated with the presciption, preparation and administration of chemotherapy in paediatric patients.Most European paediatric chemotherapy protocols use different doses, infusion times, hydration protocols and supportive medicine doses for the same drugs. There is huge variety in how individual patients receive the same drugs. This introduces significant, unnecessary, potential risks and complexity.By 2016 our aim is that all children at our institution should have chemotherapy prescribed, prepared and administered according to a standard institutional protocol.Design/methodsWe set up a multi-disciplinary chemotherapy standardisation group within our department. The project was developed in association with a hospital quality initiative. We reviewed all treatment protocols in use at the current time at OLCH and assessed the variety in chemotherapy administration. We performed staff and parental questionnaires regarding their perceptions of the variety in administration, supportive medicines and discharge times.We held a meeting of all senior departmental management to review and critique the project and multiple staff education sessions to implement the recommended changes.ResultsThere is huge variation in how European protocols mandate that chemotherapy be administered, particularly in protocols using doxorubicin, cisplatin, ifosfamide and cyclophosphamide.We have developed a standard, institutional document which determines how chemotherapy and supportive medicines are administered, limiting variation and risk, increasing staff efficiency and decreasing lengths of hospital admissions.ConclusionThere is unnecessary variation in the way chemotherapy is administered to paediatric patients in Europe. Doses should not be changed, but length of chemotherapy infusion and associated hydration/supportive medicines are extremely varied and there is little evidence to say this is beneficial in terms of patient outcomes. Chemotherapy protocols can be standardised, limiting variation, reducing potential risk and increasing staff and ward efficiencies.


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