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Disease Site Groups

Multidisciplinary management of patients with cancer is now a standard of care in the province of Ontario. In order to provide optimal care for our patients, the Cancer Program is organized in Disease Site Groups (DSGs).

The role of a DSG is to provide comprehensive leadership in the diagnosis and management of cancer patients that is based on the best known evidence and is delivered in a way that respects the preferences of patients. The focus of a DSG is to meet the needs of a population of patients with cancer. DSG’s are physician-led but multidisciplinary in their composition.

Membership in the DSG will include all medical disciplines involved in the site, as well as representation from nursing and other health disciplines. Membership must be in compliance with Cancer Care Ontario (CCO’s) Multidisciplinary Cancer Conference (MCC) requirements. Each DSG has a Chair and Vice Chair(s), as is appropriate, encompassing the major oncology specialties involved in care of patients with the disease(s). Their primary responsibilities will be to provide academic and clinical leadership to the team. To initiate and conduct research activities, including clinical trials, health services, transitional, nursing and supportive research

DSGs are responsible for overseeing Multidisciplinary Case Conferences, development of Cancer Centre of Southeastern Ontario Disease Site Management guidelines and other activities. Please see the full terms of reference

DSG chairs/Vice chairs meet 3-4 times per year as the a Council to discuss common issues, Guideline development and other items .

 

Lung Disease Site Group

Chair: Dr. Richard Gregg (Medical Oncology)

Vice Chair: Dr. Ken Reid (Thoracic Surgery)

 

Members:

Specialty Names
Medical Oncology Gregg, Richard;  Mates, Mihaela; Robinson, Andrew;  Tomiak, Anna; Kankesan, Jana*; Levesque, Roger*; Virik, Kiran
Nursing Noseworthy, Christine (Lung DAP Nurse Navigator)
Palliative Care Viola, Ray
Pathology Boag, Alexander; Davidson, Chris
Radiation Oncology Ashworth, Alison; Falkson, Conrad; Owen, Tim; Thain, Kishore
Radiology Dhillon, Rob; Flood, Justin
Respirology Heffernan, Paul; Parker, Christopher; Harrison, Mariam*
Surgery Petsikas, Dimitri; Reid, Ken;

 

*Indicates regional Disease Site Group (DSG) participant

Guidelines:

Topic Lead DSG Council Approval Date
Non-Small Cell Lung Cancer Dr. Richard Gregg January 2015
Small Cell Lung Cancer Dr. Richard Gregg January 2015


Meetings:

Links:

Breast Disease Site Group

Chair: Dr. Andrew Robinson (Medical Oncology)

Vice Chair: Dr. Kishore Thain (Radiation Oncology)

 

Members:

Specialty

Names

Medical Oncology

Mates, Mihaela; Parulekar, Wendy; Robinson, Andrew; Levesque, Roger*; Kankesan, Jana*

Nursing

Hay, Beth; Miller, Lisa

Pathology

Farmer, Pat; Manduch, Marosh; SenGupta, Sandip; Varma, Sonal; Goetz, Cathy*; Yassa, Naguib

Radiation Oncology

de Metz, Catherine; Falkson, Conrad; MacKillop, William; Thain, Kishore, Shenfield, Carey

Radiology

Jabs, Doris; Jong, Lisa; Saurbrei, Eric, Rumbolt, Danielle 

Surgery

Engel, Jay; Walker, Ross; Cleminson, Doug*; Davies, Nina*; Davison, Pat*; Hobden, Susan*; Hota, Ven*; McIlreath, Sean*; Rizvi, Shahbano*; Somani, Karim*; Tilley, Alison*; Bardell, Trevor*, Merchant, Shaila

 

*Indicated regional Disease Site Group (DSG) participant

 

Guidelines:

Topic

Lead

DSG Council Approval Date

Breast Cancer Guideline

Dr. Andrew Robinson

October 2014

 

Meetings:

 

Links:

Central Nervous System Disease Site Group

Chair: Dr. Kishore Thain (Radiation Oncology)

Vice Chair: Dr. Ronald Pokrupa (Neurosurgery)

 

Members:

Specialty

Names

Medical Oncology

Hammad, Nazik

Neurology

Lomax, Lysa

Nursing

Chenier-Hogan, Nicole

Pathology

Rossiter, John

Radiation Oncology

Kalyvas, Maria; Thain, Kishore

Radiology

Butler, Jonathan; Grahovac, Steve; Islam, Omar; Silver, Ian

Surgery

Cook, DJ; Levy, Ronald; Pokrupa, Ronald; Wallace, Christopher

 

*Indicates regional Disease Site Group (DSG) participant

 

Guidelines:

Topic

Lead

DSG Council Approval Date

 High Grade Glioma & Glioblastoma

 Dr. Ronald Pokrupa

 April 2017

 

Meetings:

Links:

Endocrine Disease Site Group

Chair: Dr. Robyn Houlden (Endocrinology)

 

Members:

Specialty

Names

Endocrinology

Farahani, Pendar; Houlden, Robyn; Kovacs, Kathy; Lakoff, Josh

Pathology

Manduch, Marosh

Radiation Oncology

Owen, Tim; Zaza, Khaled

Radiology

Cheeseman, Frank;Jong, Lisa;  McCallum, Annette; Menard, Alex; Mussari, Benedetto; Walker, Doug; Barrette, Rene*; Downey, Matthew*; Gambriotta, Nick*

Surgery

Franklin, Jason; Hollins, Russell; Jalink, Diederick; Leveridge, Michael; Nanji, Sulaiman; Touma, Naji; Walker, Ross

 

*Indicates regional Disease Site Group (DSG) participant

 

Guidelines:

Topic

Lead

DSG Council Approval Date

 

 

 

 

Meetings:

 

Links:

Gastrointestinal Cancer Disease Site Group

Chair: Dr. Anna Tomiak (Medical Oncology)

Vice Chair: Dr. Diederick Jalink (General Surgery)

 

Members:

Specialty

Names

General Practitioner Oncology

Lawlor, Cindy; Ostic, Heather; Quinlan, Christina

Medical Oncology

Biagi, Jim; Booth, Christopher; Dancey, Janet; Hammad, Nazik; Tomiak, Anna; Kankesan, Jana*; Levesque, Roger*; Virik, Kiran

Nursing

Holmes, Jessica (CDAP Nurse Navigator)

Pathology

Abu-abed, Suzy; Hurlbut, David; Manley, Paul; Varma, Sonal; Varma, Sonal; Goetz, Cathy*; Pour Farzi, Reza*

Radiation Oncology

Falkson, Conrad; Kalyvas, Maria; Mahmud, Aamer

Radiology

Chou, Roger; Dhillon, Rob; Jong, Lisa; McCallum, Annette; Menard, Alex; Mussari, Benedetto; Ricketts, John; Scott, Charles; Walker, Douglas; Wang, Xi

Surgery

Belliveau, Paul; Engel, Jay; MacDonald, Hugh; Mercer, Dale; Jalink, Diederick; Nanji, Sulaiman; Bardell, Trevor*; Barnabi, Francesco*; Cleminson, Douglas*; Davies, Nina*; Khokotva, Mykola*; Mcilreath, Sean*; Rizvi, Shebano*; Robertson, David*

 

*Indicates regional Disease Site Group (DSG) participant

Guidelines:

Topic

Lead

DSG Council Approval Date

Anal Canal Carcinoma

Esophageal

Gastric

Hepatocellular Carcinoma

Colon Cancer

Pancreatic Cancer

Dr. Jim Biagi

Dr. Anna Tomiak

Dr. Maria Kalyvas

Dr. Nazik Hammad

Dr. Patti Halligan & Dr. Jim Biagi

Dr. Negar Chooback & Dr. Diederick Jalink

October 2014

May 2016

May 2016

October 2016

June 2017

October 2016

 

 

Meetings:

 

Links:

Genitourinary Cancer Disease Site Group

Chair: Dr. Michael Leveridge (Urology)

Vice Chair: Dr. Michael Brundage (Radiation Oncology)

 

Members:

Specialty

Names

Medical Oncology

Booth, Christopher; Gregg, Richard; Kumar, Vikaash; Kankesan, Jana*; Levesque, Roger*  

Nursing

Anstey, Wendy

Pathology

Berman, David; Boag, Sandy; Davidson, Christopher; Manduch, Marosh

Radiation Oncology

Brundage, Michael; Kalyvas, Maria; Mahmud, Aamer; Shenfield, Carey; Zaza, Khaled

Radiology

Chou, Roger; Dhillon, Rob; Flood, Justin; Jong, Lisa; McCallum, Annette; Menard, Alex; Ricketts, John; Scott, Charles; Walker, Doug; Wang, Xi; Kadoch, Laurence*

Surgery

Beiko, Darren; Izard, Jason; Leveridge, Michael; Nickel, Curtis; Siemens, Robert; Steele, Steve; Nanji, Sulaiman; Touma, Naji; Wilson, James; Guan, Meng*; Leal, Greg*; Woods, Ed*

 

*Indicates regional Disease Site Group (DSG) participant

 

Guidelines:

Topic

Lead

DSG Council Approval Date

Renal Cell Carcinoma

Dr. Mike Leveridge

June 2014

Testicular (Germ cell)

Dr. Mike Leveridge

June 2014

Urothelial Cancer of the Bladder

Dr. Mike Leveridge

June 2014

Upper Tract Urothelial Carcinoma

Dr. Mike Leveridge

January 2015

 

Meetings:

 

Links:

Gynaecologic Oncology Cancer Disease Site Group

Chair: Dr. Julie Ann Francis (Gynaecologic Oncology) 

Vice Chair: Dr. Jim Biagi (Medical Oncology)

 

Members:

Specialty

Names

General Practice Oncology

Quinlan, Christina

Medical Oncology

Biagi, Jim; Robinson, Andrew; Kankesan, Jana*; Levesque, Roger*

Nursing

Giroux, Jan

Pathology

Childs, Timothy; Farmer, Pat; Manduch, Marosh

Radiation Oncology

Ashworth, Allison, Shenfield, Carey

Radiology

Jabs, Doris; Jong, Lisa; McCallum, Annette; Menard, Alex; Scott, Charles

Surgery

Bryson, Peter; Francis, Julie Ann; Jeffrey, John; Martin, Vickie

 

 

*Indicates regional Disease Site Group (DSG) participant

 

Guidelines:

Topic

Lead

DSG Council Approval Date

Ovarian Cancer

Dr. Jim Biagi

Dr. John Jeffrey

IP Policy 2015

Vulvar Cancer (Invasive Squamous Cell)

Dr. Peter Bryson

Dr. Julie Ann Francis

[pending]

Endometrial Cancer

Dr. Allison Ashworth

Dr. Vickie Martin

[pending]

Cervical Cancer

Dr. Julie Ann Francis

Dr. Carey Shenfield

[pending]

 

Meetings:

 

Links:

Head and Neck Disease Site Group

Chair: Dr. Jason Franklin (Otolaryngology)

Vice Chair: Dr. Khaled Zaza (Radiation Oncology)

 

Members:

Specialty

Names

Medical Oncology

Gregg, Richard; Tomiak, Anna

Nursing

Tremblay, Lisa

Nutrition

Renda-Moore, Cathy

Pathology

Hurlbut, David; Manduch, Marosh; Manley, Paul

Radiation Oncology

Hanna, Tim; Owen, Tim; Zaza, Khaled

Radiology

Butler, Jonathan; Grahovac, Steven; Islam, Omar; Silver, Ian

Speech Therapy

Gurd, Sabrina

Surgery

Al-Saffar, Hussein; Franklin, Jason

 

*Indicates regional Disease Site Group (DSG) participant

 

Guidelines:

Topic

Lead

DSG Council Approval Date

 

 

 

 

Meetings:

 

Links:

 

Malignant Hematology Disease Site Group

Co-Chairs: Dr. Annette Hay and Dr. Jill Dudebout 

 

Members:

Specialty

Names

Haematology

Dudebout, Jill; Hay, Annette; Lee, David; Liu, Janet, Smith, Anne, Bhella, Sita

Medical Oncology

Baetz, Tara; Kankesan, Jana*; Levesque, Roger*

Pathology

Farmer, Pat; Good, David; LeBrun, David; Rauh, Michael

Radiation Oncology

de Metz, Catherine; Zaza, Khaled

Radiology

Chou, Roger; Jong, Lisa; McCallum, Annette; Menard, Alex; Wang, Xi

 

*Indicates regional Disease Site Group (DSG) participant

 

Guidelines:

Topic

Lead

DSG Council Approval Date

Aggressive B Cell Non-Hodgkin’s Lymphoma

Dr. Jill Dudebout

January 2016

 Indolent Lymphoma  Dr. Jill Dudebout  April 2017

 

Meetings:

 

Links:

Melanoma and Skin Cancer Disease Site Group

Chair: Dr. Tara Baetz (Medical Oncology)

Vice Chair: Dr. Douglas McKay (Plastic Surgery)

 

Members:

Specialty

Names

Dermatology

Asai, Yuka

Medical Oncology

Baetz, Tara; Eisenhauer, Elizabeth

Pathology

Abu-Abed, Suzy; Manley, Paul; Schneider, Mark

Radiation Oncology

Hanna, Tim; Shenfield, Carey

Radiology

Chou, Roger; Dhillon, Rob; Jong, Lisa; McCallum, Annette; Scott, Charles

Surgery

Davidson, John; Engel, Jay; Francis, Julie; Franklin, Jason; McKay, Douglas; Watkins, Fred

 

*Indicates regional Disease Site Group (DSG) participant

 

Guidelines:

Topic

Lead

DSG Council Approval Date

Melanoma

Dr. Tara Baetz

February 2014

 

Meetings:

 

Links:

 

Palliative Care Site Group

Chair: Dr. Ingrid Harle (Palliative Care)

Vice Chair: Dr. Chris Booth (Medical Oncology)



Guidelines:

Topic

Lead

DSG Council Approval Date

Goals of Care, Advanced Care Planning, Referral to Palliative Care

 

May 2016

Sarcoma Disease Site Group

Chair: Dr. Jay Engel (General Surgery)

Vice Chair: Dr. Conrad Falkson (Radiation Oncology)

 

Members:

Specialty

Names

Medical Oncology

Gregg, Richard

Pathology

SenGupta, Sandip

Radiation Oncology

Falkson, Conrad

Radiology

Abraham, Chris; Butler, Jonathan; Chou, Roger; Fenton, Paul

Surgery

Davidson, John; Engel, Jay; Franklin, Jason; Nanji, Sulaimen; Rudan, John


*Indicates regional Disease Site Group (DSG) participant

 

Guidelines:

Topic

Lead

DSG Council Approval Date

Soft Tissue Sarcoma

Dr. Conrad Falkson

[pending]

 

Meetings:

 

Links: