North Estonia Medical Centre: Difference between revisions

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<span style="display:none">forresearchers</span>
<span style="display:none">forpatients</span>
<span style="display:none">forproviders</span>
<span style="display:none">forpolicymakers</span>
<span style="display:none">estoniacountry</span>
<span style="display:none">isCancerCenter</span>
[https://wiki.beaconcancer.org/index.php?title=Cancer_Centers Go back to Cancer Centers list.]
[https://wiki.beaconcancer.org/index.php?title=Cancer_Centers Go back to Cancer Centers list.]
 
{{#set:
[[Estonia|See other cancer centers in Estonia.]]
[[hasCoordinates::59.398689, 24.701547]]  
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Source:
== [[hasClinicalTrial::Trials_(North_Estonia_Medical_Centre)|Trials]] ==
[https://www.regionaalhaigla.ee/en]
-->
 
== Trials ==
<div class="mw-collapsible" data-expandtext="Show" data-collapsetext="Hide">
<div class="mw-collapsible-content">
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'''[https://clinicaltrials.gov/ct2/show/NCT03104699?cond=Cancer&locn=%22North+Estonia+Medical+Centre%22&cntry=EE&lupd_s=10%2F21%2F2022&lupd_d=14 Study of AGEN2034 in Advanced Tumors and Cervical Cancer]'''
 
'''Summary:''' This is a 2-part trial: a Phase 1, open-label, dose-escalation study in subjects with metastatic or locally advanced solid tumors, with a consecutive Phase 2 expansion to evaluate efficacy in subjects with recurrent, unresectable, or metastatic (advanced) cervical cancer that has progressed after a platinum-based treatment regimen.
 
'''Sponsor, manager, or home institution:''' Agenus Inc.
 
'''Intervention/Treatment:''' Drug: AGEN2034
 
'''Number of patients:''' 211 participants
 
'''Beginning Date:''' April 7, 2017
 
'''Last Update:''' November 3, 2022
 
'''Recruitment Status:''' Completed.
 
'''Cancer areas of interest:''' Advanced Cancer and Cervical Cancer
 
'''[https://clinicaltrials.gov/ct2/show/NCT04241185?cond=Cancer&locn=%22North+Estonia+Medical+Centre%22&cntry=EE&lupd_s=10%2F21%2F2022&lupd_d=14 Efficacy and Safety of Pembrolizumab (MK-3475) in Combination With Chemoradiotherapy (CRT) Versus CRT Alone in Muscle-invasive Bladder Cancer (MIBC) (MK-3475-992/KEYNOTE-992)]'''
 
'''Summary:''' This study is designed to assess the antitumor efficacy and safety of pembrolizumab in combination with chemoradiotherapy (CRT) versus CRT alone in participants with muscle-invasive bladder cancer (MIBC). The primary hypothesis is that pembrolizumab + chemoradiotherapy is superior to placebo + chemoradiotherapy with respect to bladder intact event-free survival.
 
'''Sponsor, manager, or home institution:''' Merck Sharp & Dohme LLC
 
'''Intervention/Treatment:''' Drug: Pembrolizumab;
Radiation: Conventional Radiotherapy (Bladder only);
Radiation: Conventional Radiotherapy (Bladder and pelvic nodes);
Radiation: Hypofractionated Radiotherapy (Bladder only);
Drug: Cisplatin;
Drug: Fluorouracil (5-FU);
Drug: Mitomycin C (MMC);
Drug: Gemcitabine;
Drug: Placebo to Pembrolizumab
 
'''Number of patients:''' 636 participants
 
'''Beginning Date:''' January 27, 2020
 
'''Last Update:''' October 21, 2022
 
'''Recruitment Status:''' Recruiting.
 
'''Cancer areas of interest:''' Urinary Bladder Neoplasms
-->
</div>
</div>


== [[hasExperts::Experts_(North_Estonia_Medical_Centre)|Experts]] ==
== [[hasExperts::Experts_(North_Estonia_Medical_Centre)|Experts]] ==
<div class="mw-collapsible" data-expandtext="Show" data-collapsetext="Hide">
<div class="mw-collapsible" data-expandtext="Show" data-collapsetext="Hide">
'''[https://www.regionaalhaigla.ee/en/blood-establishment Blood Establishment]'''
'''[https://www.regionaalhaigla.ee/en/chemotherapy Chemotherapy Centre]'''
'''[https://www.regionaalhaigla.ee/en/department-2-follow-care Department of Follow-Up Care - Oncologic Care]'''
'''[https://www.regionaalhaigla.ee/en/general-and-oncology-urology-centre General and Oncology Urology Centre]'''
'''[https://www.regionaalhaigla.ee/en/general-surgery-and-oncology-surgery General Surgery and Oncology Surgery]'''
'''[https://www.regionaalhaigla.ee/en/gynaecology-centre Gynaecology Centre]'''
'''[https://www.regionaalhaigla.ee/en/haematology Haematology Centre]'''
'''[https://www.regionaalhaigla.ee/en/head-and-neck-surgery-centre Head and Neck Surgery Centre]'''
'''[https://onkoloogiakeskus.ee/laboratoorsed-uuringud Laboratory]'''
'''[https://www.regionaalhaigla.ee/en/neurosurgery-centre Neurosurgery Centre]'''
'''[https://www.regionaalhaigla.ee/en/nuclear-medicine Nuclear Medicine]'''
'''[https://www.regionaalhaigla.ee/en/oncology-and-haematology-policlinic Oncology and Haematology Policlinic]'''
'''[https://www.onkoloogiakeskus.ee/palliatiivravi Pain and palliative care]'''
'''[https://www.regionaalhaigla.ee/en/pathology Pathology Department]'''
'''[https://www.onkoloogiakeskus.ee/palliatiivravi Psychologists]'''
'''[https://www.regionaalhaigla.ee/en/radiology Radiology Department]'''
'''[https://www.regionaalhaigla.ee/en/radiotherapy-centre Radiotherapy Centre]'''
'''[https://www.onkoloogiakeskus.ee/palliatiivravi Social Workers]'''
'''[https://www.onkoloogiakeskus.ee/palliatiivravi Spiritual Care]'''
</div>
</div>


== Learning Resources ==
== Learning Resources ==
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<div class="mw-collapsible" data-expandtext="Show" data-collapsetext="Hide">
=== [[hasTraining::Professional_Training_(North_Estonia_Medical_Centre)|Professional Training]] ===
=== [[hasTraining::Trainings:_Professional_Training_(North_Estonia_Medical_Centre)|Trainings: Professional Training]] ===
 
'''Content type:''' Provides training to professionals.
 
'''Target audience:''' Doctors, nurses and care staff and other professionals of health from across Estonia.
 
'''Access:''' Information [https://koolitus.regionaalhaigla.ee/].
</div>
</div>


== [[hasNovelTherapiesandDiagnosticMethods::Novel_Therapies_and_Diagnostic_Methods_(North_Estonia_Medical_Centre)|Novel Therapies and Diagnostic Methods]] ==
== [[hasHospitalCapacityInfo::Novel_Therapies_and_Diagnostic_Methods_(North_Estonia_Medical_Centre)|Novel Therapies and Diagnostic Methods]] ==
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=== Diagnostics ===
{| class="wikitable"
! Radiology !!  !!  !!
|-
| '''Type''' || '''Name''' || '''Availibility''' || '''Uses per year'''
|-
| Machine || CT scanners || 5 ||
|-
| Machine || MRI (specify the strength and field of the techniques) || 3 || 14,283
|-
| Machine || Mammography (please specify analogic mammography or digital) || yes (digital) ||
|-
| Machine || Ultrasound || yes || 62,238
|-
| Machine || Gamma Camera || 1 ||
|-
| Machine || Radiation Therapy Devices || 5 || 1,600 patients (2020)
|-
| Machine || Angiograph || 5 ||
|-
| Technique || Radioisotope || yes || 2,434
|-
| Technique || MRI-guided biopsy || yes ||
|-
| Technique || X-rays || yes || 118,621
|-
| Technique || Stereostatic biopsy || yes ||
|-
| Technique || Ultrasound guided biopsy || yes ||
|-
| Technique || Endoscopic retrograde cholangiopancreatography (ERCP) || yes ||
|-
| Technique || CT guided biopsis || yes ||
|-
| Technique || Angiography || yes ||
|-
! Nuclear Medicine !!  !!  !! 
|-
| '''Type''' || '''Name''' || '''Availibility''' || '''Uses per year'''
|-
| Machine || Pet Scan || yes ||
|-
| Machine || PET (PET CT + PET MRI) || 1 ||
|-
| Machine || PET CT || yes ||
|-
| Machine || SPECT CT || yes ||
|-
| Technique || Sentinel node scintigraphy || yes ||
|-
! Pathology !!  !!  !!
|-
| '''Type''' || '''Name''' || '''Availibility''' || '''Uses per year'''
|-
| Facility || Cytology laboratory || yes ||
|-
| Facility || Histopathology laboratory || yes ||
|-
| Technique || FISH (Fluorescence In Situ Hybridization) || yes ||
|-
| Technique || PCR (Polymerase Chain Reaction) || yes ||
|-
! Pathology: Molecular Tests !!  !!  !!
|-
| '''Type''' || '''Name''' || '''Availibility''' || '''Uses per year'''
|-
| Technique || PGR || yes ||
|-
| Technique || KI-67 || yes ||
|-
| Technique || PDL1 || yes ||
|-
| Technique || ER || yes ||
|-
| Technique || KRAS || yes ||
|-
| Technique || BRAF || yes ||
|-
| Technique || EGFR || yes ||
|-
| Technique || ALK || yes ||
|-
| Technique || ROS || yes ||
|-
| Technique || HER2 status || yes ||
|-
! Others !!  !!  !!
|-
| '''Type''' || '''Name''' || '''Availibility''' || '''Uses per year'''
|-
| Technique || Bronchoscopy || yes ||
|-
| Technique || Hysteroscopy || yes ||
|-
| Technique || Video dermatoscopy || yes ||
|}
=== Treatment ===
{| class="wikitable"
! Surgical Oncology !!  !!  !!
|-
| '''Type''' || '''Name''' || '''Availibility''' || '''Uses per year'''
|-
| Specialist || Breast surgery || yes ||
|-
| Specialist || Urological surgery || yes ||
|-
| Specialist || Thoracic surgery || yes ||
|-
| Specialist || Digestive surgery || yes ||
|-
| Specialist || Neurosurgery || 8 ||
|-
| Specialist || Gynaecological surgery || yes ||
|-
| Specialist || Head and neck surgery || yes ||
|-
| Specialist || Soft tissue surgery || yes ||
|-
| Specialist || Oncoplastic surgery || yes ||
|-
| Specialist || ENT surgery || yes ||
|-
! Radiotherapy !!  !!  !!
|-
| '''Type''' || '''Name''' || '''Availibility''' || '''Uses per year'''
|-
| Machine || Linear accelerators with IMRT/VMAT || yes ||
|-
| Machine || Linear accelerators with IGRT || yes ||
|-
| Machine || Linear accelerators with SBRT/SRS || 2 ||
|-
| Machine || Brachytherapy unit || yes || 400 (2020)
|-
| Technique || Intraperitoneal chemo-hyperthermia ( HIPEC) || yes ||
|-
| Technique || Treatment Planning System || yes ||
|-
| Technique || Chemoembolization || yes ||
|-
| Technique || Thermal ablation (with radiofrequency or microwave) || yes ||
|-
| Technique || 4D Radiotherapy planning for lung tumors || yes ||
|-
| Technique || 3D conformal radiotherapy || yes ||
|-
| Technique || Radiosurgery || yes ||
|-
| Technique || Proton therapy || yes || 21,300 (2020)
|-
| Technique || Respiratory motion management || yes ||
|-
| Technique || Conventional simulation || yes ||
|-
| Technique || CT planning || yes ||
|-
| Technique || Magnetic resonance for radiotherapy treatment planning || yes ||
|-
| Technique || PET CT treatment planning || yes ||
|-
! Hemato-Oncology / Bone Marrow Transplants !!  !!  !!
|-
| '''Type''' || '''Name''' || '''Availibility''' || '''Uses per year'''
|-
| Facility || Bone marrow / stem cell bank || yes ||
|-
| Facility || Cellular therapy unit with GMP (Good Manufacturing Practice) || yes ||
|-
| Technique || Autologous stem cell transplants || yes ||
|-
! Specialists !!  !!  !!
|-
| '''Type''' || '''Name''' || '''Availibility''' || '''Uses per year'''
|-
| Specialist || Physician with a specialisation in palliative care || 1 ||
|-
| Specialist || Medical oncologist || yes ||
|-
| Specialist || Nurse with a specialisation/certification in palliative care || yes ||
|-
| Specialist || Nurse with a specialization/certification in oncology || yes ||
|-
| Specialist || Physician specialised in pain treatment || 2 ||
|-
| Specialist || Radiotherapist || yes || 11,500 appointments (2020)
|-
| Specialist || Psychologist or Psychotherapist || 3 ||
|-
| Specialist || Social worker || yes ||
|-
| Specialist || Spiritual care || yes ||
|-
| Specialist || Physiotherapist || yes ||
|-
| Specialist || Dietitian || yes ||
|-
! Others !!  !!  !!
|-
| '''Type''' || '''Name''' || '''Availibility''' || '''Uses per year'''
|-
| Technique || Embolization with microparticles || yes ||
|-
| Facility || Phase 1 Clinical Trial Unit || yes
|}
=== Prevention ===
{| class="wikitable"
! Screening and Others !!  !!  !!
|-
| '''Type''' || '''Name''' || '''Availibility''' || '''Uses per year'''
|-
| Facility || Breast cancer screening program || yes ||
|-
| Facility || Cervical cancer screening program || yes ||
|-
| Facility || Colorectal cancer screening program || yes ||
|-
| Facility || Smoking detoxification center || yes
|}
=== Quality of Life ===
{| class="wikitable"
! Quality of Life !!  !!  !!
|-
| '''Type''' || '''Name''' || '''Availibility''' || '''Uses per year'''
|-
| Facility || Supportive care unit || yes
|}
=== Palliative Care ===
{| class="wikitable"
! Others !!  !!  !!
|-
| '''Type''' || '''Name''' || '''Availibility''' || '''Uses per year'''
|-
| Facility || Home palliative care availability || yes
|}
</div>
</div>


== Cancer-related Patient Associations and Resources ==
== Cancer-related Patient Associations and Resources ==
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=== [[hasPatientResource::Counsil:_Patient_Advisory_Council_(North_Estonia_Medical_Centre)|Counsil: Patient Advisory Council]] ===
'''Content Type:''' Ensures the interests of the patient are being taken into account when making decisions and designing services, and that the patient has an active role in the treatment process.
'''Members:''' Estonian Rheumatism Association; Avitus NGO; Estonian Inflammatory Bowel Disease Society NGO; Estonian Celiac Society;
Estonian Psoriasis Association; Estonian Hemophilia Society;Estonian Chamber of Disabled People; Tallinn Chamber of Disabled People;
Saaremaa Cancer Society; Läänemaa Cancer Association; Estonian Stroke Patients Society.
'''Access:''' Information [https://www.regionaalhaigla.ee/et/patsiendinoukoda].


=== [[hasPatientResource::Resource:_Learning_Resources_for_Relatives_and_Caretakers_(North_Estonia_Medical_Centre)|Resource: Learning Resources for Relatives and Caretakers]] ===
=== [[hasPatientResource::Resource:_Learning_Resources_for_Relatives_and_Caretakers_(North_Estonia_Medical_Centre)|Resource: Learning Resources for Relatives and Caretakers]] ===
'''Content Type:''' Guides and counseling appointment information.
'''Target Audience:''' Patients, relatives and caretakers.
'''Access:''' Information [https://onkoloogiakeskus.ee/lahedasele].


=== [[hasPatientResource::Resource:_Trials_Information_for_Patients_(North_Estonia_Medical_Centre)|Resource: Trials Information for Patients]] ===
=== [[hasPatientResource::Resource:_Trials_Information_for_Patients_(North_Estonia_Medical_Centre)|Resource: Trials Information for Patients]] ===
'''Primary Purpose:''' Instructs about the procedure to participate in one of the hospital's clinical trials.
'''Target Audience:''' Oncological patients.
'''Access:''' Information [https://www.regionaalhaigla.ee/en/clinical-trials].


=== [[Service:_Chemotherapy_Counseling_(North_Estonia_Medical_Centre)|Service: Chemotherapy Counseling]] ===
=== [[Service:_Chemotherapy_Counseling_(North_Estonia_Medical_Centre)|Service: Chemotherapy Counseling]] ===
'''Content Type:''' A nurse-counselor instructs the patient and his family individually before, during, and after the chemotherapy treatment about the procedure, possible side effects, and how to deal with those.
'''Target Audience:''' Patients and their relatives.
'''Access:''' Information [https://onkoloogiakeskus.ee/keemiaravi-noustamine].


=== [[hasPatientResource::Service:_Palliative_Care_Nurse_Advisor_(North_Estonia_Medical_Centre)|Service: Palliative Care Nurse Advisor]] ===
=== [[hasPatientResource::Service:_Palliative_Care_Nurse_Advisor_(North_Estonia_Medical_Centre)|Service: Palliative Care Nurse Advisor]] ===


'''Content Type:''' A nurse instructs about the disease the patient is suffering from and how to deal with it and connects the patient to specialists who will help with palliative care.
=== [[hasPatientResource::Service:_Tobacco_Cessation_Counseling_Office_(North_Estonia_Medical_Centre)|Service: Tobacco Cessation Counseling Office]] ===
</div>


'''Target Audience:''' Patients and their relatives.
__NOTOC__
 
<span style="display:none">hasCoordinates::59.398689, 24.701547</span>
'''Access:''' Information [https://www.onkoloogiakeskus.ee/palliatiivravi].
<span style="display:none">hasClinicalTrial::Trials_(North_Estonia_Medical_Centre)|Trials</span>
 
<span style="display:none">hasExperts::Experts_(North_Estonia_Medical_Centre)|Experts</span>
=== [[Service: Tobacco Cessation Counseling Office (North Estonia Medical Centre)]] ===
<span style="display:none">hasTraining::Trainings:_Professional_Training_(North_Estonia_Medical_Centre)|Trainings: Professional Training</span>
 
<span style="display:none">hasHospitalCapacityInfo::Novel_Therapies_and_Diagnostic_Methods_(North_Estonia_Medical_Centre)|Novel Therapies and Diagnostic Methods</span>
'''Content Type:''' Trained nurses perform counseling, organize a treatment plan for the patients, and accompany them during a specific time to help them quit smoking.
<span style="display:none">hasPatientResource::Resource:_Learning_Resources_for_Relatives_and_Caretakers_(North_Estonia_Medical_Centre)|Resource: Learning Resources for Relatives and Caretakers</span>
 
<span style="display:none">hasPatientResource::Resource:_Trials_Information_for_Patients_(North_Estonia_Medical_Centre)|Resource: Trials Information for Patients</span>
'''Target Audience:''' Free for everyone.
<span style="display:none">hasPatientResource::Service:_Palliative_Care_Nurse_Advisor_(North_Estonia_Medical_Centre)|Service: Palliative Care Nurse Advisor</span>
 
<span style="display:none">hasPatientResource::Service:_Tobacco_Cessation_Counseling_Office_(North_Estonia_Medical_Centre)|Service: Tobacco Cessation Counseling Office</span>
'''Access:''' Information [https://onkoloogiakeskus.ee/suitsetamisest-loobumine].
<span style="display:none">hasCancerType::C00-D48: All neoplasms</span>
</div>
<span style="display:none">hasCancerType::C00-C97: All cancer types</span>
<span style="display:none">hasCancerType::C00-C14: Mouth/throat cancers</span>
<span style="display:none">hasCancerType::C15-C26: Digestive system cancers</span>
<span style="display:none">hasCancerType::C30-C39: Lung/chest cancers</span>
<span style="display:none">hasCancerType::C40-C41: Bone cancers</span>
<span style="display:none">hasCancerType::C43-C44: Skin cancers/melanoma</span>
<span style="display:none">hasCancerType::C45-C49: Soft tissue cancer</span>
<span style="display:none">hasCancerType::C50: Breast cancer</span>
<span style="display:none">hasCancerType::C51-C58: Female genitalia cancers</span>
<span style="display:none">hasCancerType::C60-C63: Male genitalia cancer</span>
<span style="display:none">hasCancerType::C64-C68: Urinary system cancers</span>
<span style="display:none">hasCancerType::C69-C72: Eye and brain cancer</span>
<span style="display:none">hasCancerType::C73-C75: Thyroid and other gland cancers</span>
<span style="display:none">hasCancerType::C76-C80: Cancers of unknown or unspecified areas</span>
<span style="display:none">hasCancerType::C81-C96: Cancers of the blood and immune system</span>
<span style="display:none">hasCancerType::C97-C97: Cancers in multiple locations from the start</span>
<span style="display:none">hasCancerType::D00-D09: Early-stage cancers not yet spread</span>
<span style="display:none">hasCancerType::D10-D36: Benign tumour</span>
<span style="display:none">hasCancerType::D37-D48: Growths of uncertain nature</span>
<span style="display:none">hasCancerType::unknown</span>

Latest revision as of 12:34, 6 December 2025

forresearchers forpatients forproviders forpolicymakers estoniacountry isCancerCenter Go back to Cancer Centers list.

Trials[edit | edit source]

Experts[edit | edit source]

Learning Resources[edit | edit source]

Trainings: Professional Training[edit | edit source]

Novel Therapies and Diagnostic Methods[edit | edit source]

Cancer-related Patient Associations and Resources[edit | edit source]

Resource: Learning Resources for Relatives and Caretakers[edit | edit source]

Resource: Trials Information for Patients[edit | edit source]

Service: Chemotherapy Counseling[edit | edit source]

Service: Palliative Care Nurse Advisor[edit | edit source]

Service: Tobacco Cessation Counseling Office[edit | edit source]


hasCoordinates::59.398689, 24.701547 hasClinicalTrial::Trials_(North_Estonia_Medical_Centre)|Trials hasExperts::Experts_(North_Estonia_Medical_Centre)|Experts hasTraining::Trainings:_Professional_Training_(North_Estonia_Medical_Centre)|Trainings: Professional Training hasHospitalCapacityInfo::Novel_Therapies_and_Diagnostic_Methods_(North_Estonia_Medical_Centre)|Novel Therapies and Diagnostic Methods hasPatientResource::Resource:_Learning_Resources_for_Relatives_and_Caretakers_(North_Estonia_Medical_Centre)|Resource: Learning Resources for Relatives and Caretakers hasPatientResource::Resource:_Trials_Information_for_Patients_(North_Estonia_Medical_Centre)|Resource: Trials Information for Patients hasPatientResource::Service:_Palliative_Care_Nurse_Advisor_(North_Estonia_Medical_Centre)|Service: Palliative Care Nurse Advisor hasPatientResource::Service:_Tobacco_Cessation_Counseling_Office_(North_Estonia_Medical_Centre)|Service: Tobacco Cessation Counseling Office hasCancerType::C00-D48: All neoplasms hasCancerType::C00-C97: All cancer types hasCancerType::C00-C14: Mouth/throat cancers hasCancerType::C15-C26: Digestive system cancers hasCancerType::C30-C39: Lung/chest cancers hasCancerType::C40-C41: Bone cancers hasCancerType::C43-C44: Skin cancers/melanoma hasCancerType::C45-C49: Soft tissue cancer hasCancerType::C50: Breast cancer hasCancerType::C51-C58: Female genitalia cancers hasCancerType::C60-C63: Male genitalia cancer hasCancerType::C64-C68: Urinary system cancers hasCancerType::C69-C72: Eye and brain cancer hasCancerType::C73-C75: Thyroid and other gland cancers hasCancerType::C76-C80: Cancers of unknown or unspecified areas hasCancerType::C81-C96: Cancers of the blood and immune system hasCancerType::C97-C97: Cancers in multiple locations from the start hasCancerType::D00-D09: Early-stage cancers not yet spread hasCancerType::D10-D36: Benign tumour hasCancerType::D37-D48: Growths of uncertain nature hasCancerType::unknown

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