By Laura A. Dawson, MD, FASTRO, ASTRO President
I’d like to continue to share insights with you about ASTRO 2021. Today, I’ll be focusing on the Presidential Symposium. The theme is Advancing Person-Centered Care Through Innovation — innovating for clinically meaningful benefits that matter to patients. While this is innate in what we do, we sometimes don’t aim high enough or consider the patient perspective as well as we should. Let’s ask patients what matters to them.
The symposium will open on Sunday, October 24, with an introduction by me to be followed by Dr. Shekinah Elmore, who will eloquently discuss innovating with compassion. Then the session “Harnessing Scientific Innovation to Improve Person-Centered Care,” moderated by Dr. Curtiland Deville and Dr. Kristy Brock, will have a cast of world-class speakers discussing artificial intelligence, innovations in radiation delivery and imaging, ultra-high dose rate/FLASH, advanced imaging for bioadaptive radiotherapy, patient-centered radiopharmaceutical therapy and personalizing radiation therapy using molecular biomarkers. A patient advocate will help us put these inspiring talks in context.
The second session focuses on how digital health improves patient outcomes and experiences. We’ll hear from human factors engineer, Dr. Jen Horonjeff who will talk about patients and crowdsourcing. Next, Dr. Debra Schrag, a medical oncologist leader in patient reported outcomes and measurements will discuss PROMs and PREMs as the true north — why/when/how. Dr. Edmondo Robinson will discuss reducing disparities with digital innovations. Then, Dr. Ale Berlin will highlight how he helped move in-person health visits to digital health visits at a large cancer center over just a few weeks in response to COVID-19. A panel will follow, discussing how to make user-friendly changes quickly and how to innovate equitably, using advances in digital health. Dr. Nitin Ohri will share how he’s implemented wearables (e.g., Fitbits) in the radiation oncology clinic. How can we use these tools to improve patient experiences and outcomes?
Session three asks what are some of the potential future applications of radiation therapy that may expand the role of radiation therapy and improve patient outcomes? Radiation replacing surgery, for example for liver cancer — while we aren’t there yet, there is potential. Dr. Jinsil Seong will delve into this topic. This session will keep us thinking. How can we use radiation therapy in new settings with the goal of cure? How do we get there? A talk by Dr. Chandan Guha will discuss innovative targeting of the immune system and microenvironment, for example using radiation as a vaccine. Dr. David Palma will look into the future of oligometastases SBRT, beyond three, 10 and even more metastases. In another talk, Dr. Stuart Burri will challenge us to rethink pre-operative radiation therapy. Dr. Yaacov Lawrence will share how to treat the celiac plexus with SBRT to improve cancer pain. Again, a patient advocate will provide their important perspective.
The final session will be entertaining and educational. How do we best obtain evidence for new applications of radiation therapy? Traditionally we’ve use randomized clinical trials. Can trials be more efficient and equitable? Can we learn from clinical real-world data that is searchable and inclusive of patients who are not eligible for trials? A lively debate on randomized clinical trials versus real world data will be moderated by Dr. Sue Yom and Dr. Gita Suneja. Four speakers will offer points/counterpoints for randomized clinical trials versus real world data, and Jill Feldman, a lung cancer patient advocate and survivor, will provide her thoughts on this challenging topic. This will be an engaging and interesting opportunity for audience input.
The Presidential Symposium will highlight exciting advances in radiation technologies and teams who can successfully deliver high-precision treatment, keeping the goal on where we want to be and what outcomes matter to patients. Let’s elevate our specialty beyond delivery of high-tech treatment together to advance person-centered care. I hope this provides you with some sessions to look forward to during the Presidential Symposium. If you aren’t yet registered, I encourage you to learn more and make plans now to join us in person or virtually for the Annual Meeting. The Presidential Symposium will be available as part of the Digital XP programming. If there are other topics you’d like to learn more about, I invite you to drop me a note.
Learn more about ASTRO 2021 from my first blog: Embracing Change: Advancing Person-Centered Care at ASTRO 2021