School of Medicine
Faculty of Health Sciences Queen's University
 

Physical Medicine and Rehabilitation



Physical Medicine and Rehabilitation, also known as Physiatry, is the branch of medicine concerned with the comprehensive diagnosis, medical management and rehabilitation of people of all ages with neuromusculoskeletal disorders and associated disabilities.  Physiatrists work in a diverse range of subspecialty areas to help patients with a variety of impairments related to conditions such as stroke acquired brain injuries, spinal cord injuries, amputation, and various musculoskeletal disorders.  Physiatrists play a vital role in our health care system and as the Canadian population continues to age, the demand for their services will only continue to grow.

Researcher finds gaps in care for high-risk cancer patients

Published Mon Apr 14/14 10:00am.
Christopher Booth (Queen’s Department of Oncology and Kingston General Hospital) has found that chemotherapy before or after surgery for high-risk bladder cancer is not commonly used in routine clinical practice despite the fact that it is shown to improve long-term survival by five per cent. He is now using those findings to better understand the barriers to using chemotherapy, with the goal of implementing a plan to improve treatment rates.
“Results from our study demonstrate that chemotherapy given after surgery improves patient survival—probably on the same order of magnitude as chemotherapy before surgery,” says Dr. Booth. “Patients having surgery for bladder cancer should have chemotherapy, either before or after surgery. Efforts are needed to improve uptake of this treatment, which appears to be vastly underutilized.”

To investigate, Dr. Booth, a member of the Cancer Research Institute at Queen’s University, examined treatment records of all 2,944 patients who had surgery for high-risk bladder cancer in Ontario between 1994 and 2008.

Use of chemotherapy before surgery remained stable (an average of four per cent of patients) over the study period despite international guidelines recommending its use.  Despite more limited evidence supporting its use, chemotherapy after surgery increased over time: 16 per cent of patients between 1994 and 1998, 18 per cent between 1999 and 2003, and 22 per cent between 2004 and 2008. Study results showed that use of chemotherapy after surgery improved long-term survival by five per cent.

“The reasons for underutilization of chemotherapy in high-risk bladder cancer are not well understood. This problem is not unique to Ontario and has been identified by researchers in the United States and Europe,” says Dr. Booth. “It likely relates to a complex interaction between physician knowledge, beliefs and attitudes and patient preferences.

“More work is needed to understand what is driving this gap in care so that interventions to improve treatment delivery may be implemented in Ontario and beyond.”

The findings are published online in CANCER, a peer-reviewed journal of the American Cancer Society.

When Grief Gets Complicated

Published Thu Apr 10/14 9:00am.
Presented by: Jessica Bonney, MSW, RSW
Social worker, Psychosocial Oncology, CCSEO

0800-0900
Friday April 11, 2014
36 Barrie Street

Objectives:
1. To define complicated grief and how it differs from uncomplicated grief
2. To review the predictors of complicated grief
3. To discuss implications for practice

Flyer attached here.
Presentation slides attached here.
The article that is the basis for the presentation: Predictors of complicated grief: A systematic review of empirical studies. E Lobb, L Janson, S. Aoun, L. Monterosso, G. Halkett, A. Davies. Death Studies, 34:673-698, 2010

Heart health: Is Aspirin helpful or harmful?

Published Wed Apr 09/14 1:30pm.

By Anne Craig, Communications Officer

Queen’s University and Kingston General Hospital researchers are part of a groundbreaking international study that has shown that starting – or continuing – to take Aspirin before non-cardiac surgery as a way to protect the heart after surgery is ineffective and, in some cases, harmful.

Because surgery puts patients at increased risk of heart attack, doctors often continue to administer low doses of Aspirin before and after non-cardiac procedures. But new data from the Peri-Operative Ischemic Evaluation Study (POISE-2), published last week in the New England Journal of Medicine, shows that administering Aspirin provided no benefit in reducing the risk of heart-related complications after surgery. continue reading ...

Queen's earns four new Canada Research Chairs

Published Wed Apr 02/14 2:00pm.

Four Queen’s University professors have been named new Canada Research Chairs and one professor’s current chair position is being renewed. The five chairs are Canadian leaders in their respective research fields.

Developed in 2000, each year the CRC program invests up to $265 million to attract and retain some of the world's most accomplished and promising minds. Queen’s will receive $200,000 per year over seven years for each Tier 1 Chair and $100,000 per year over five years for each Tier 2 Chair.

“By attracting the most skilled and promising researchers, the CRC program facilitates cutting-edge research and advances Canada as a world leader in discovery and innovation,” says Steven Liss, Vice-Principal (Research).  “Our success in garnering four new chairs and one renewal is demonstrative of  Queen’s leadership in research areas that address some of the most challenging and complex problems facing the world today – from human health and climate change to development of software intelligence.”

The university’s new chair appointments are Stephen Archer, Ahmed Hassan, Philip Jessop, Andy Take and Curtis Nickel has had his appointment renewed.

Stephen Archer (School of Medicine) has been named at Tier 1 Canadian Institutes of Health Research (CIHR) Chair in Mitochondrial Dynamics and Translational Medicine. His research examines pulmonary arterial hypertension and cancer and is working towards devising new treatments. continue reading...

Sexual Health after Gynecologic Malignancy

Published Wed Mar 26/14 2:00pm.
Presented by: Dr. Hasan Khudairi
Palliative Medicine Fellow, Queen's University

0800-0900
Friday March 28, 2014
36 Barrie Street

Objectives:
1. To recognize barriers to addressing sexual health
2. To be aware of treatment modalities for gynecologic cancers and their effects on sexual health
3. To use diagnostic and assessment tools for sexual health of women with gynecologic cancers
4. To manage sexual dysfunction
5. To recognize the need for good communication


Flyer attached.
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