Meeting the Challenges to Gynae Oncology Research in New Zealand Peter Sykes ANZGOG 2013.
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Transcript of Meeting the Challenges to Gynae Oncology Research in New Zealand Peter Sykes ANZGOG 2013.
Meeting the Challenges to Gynae Oncology Research in New Zealand
Peter Sykes ANZGOG 2013
Challenges
• Tertiary referral patterns• Lack of gyn oncologists• Small numbers• Infrastructure• Resource/ Funding• Ethics processes• DHB/Government
commitment• Incentive/time• isolation• Restricted entry to trials
Potential
• Strong record• Coordinated health service• Lower costs• NZGCG/ANZGOG• Increased communication• Standards / national plan• HRC funding streams
Logistical
• Small population• Subspecialty referral under
developed• Lack of gyn oncologists• Small centers• Small numbers• Staff shortages• Lack of research
infrastructure (data manager nurse coordinator)
Restricted grant funding
Barriers
• Too busy (clinicians)
• Cost• Overheads• DHB/MOH• Ethics processes• Contractual
difficulties
motivational
• Its not easy!• No incentive• Too busy/competing
demands• Isolation• Reduced influence of
academia • Its all in up to date!• Changing priorities/
lifestyle.
Other issues
• Pharmac• Restricted access
for trials• Rare tumours• fatigue
The way forward
Continued engagement• ANZGOG• NZGCG• International groups
• Involve other researchers
• Celebrate success• involve juniors• Commercial research
Foster research ethos
• National standards• Subspecialisation• Patient expectation• Job descriptions!
• Standard 14All women and their whanau
have access to tumour specific outcome data reported from comprehensive gynae cancer centres.
• Standard 15 Women who are treated at
comprehensive gynaecological cancer centres should have access to relevant (selected) multi-centre clinical trials.
It’s a team goal.
• Optimise funding opportunities
• HRC• Private donation• (research trusts)• Commercial
research.