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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.