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College of Oncology, 2019-2020

Activities & Activity Plan Page 1

COLLEGE OF ONCOLOGY

1. Current and future composition of the College

At the moment, the College of Oncology has the following composition:

Ahmad Awada (resigned), Lieve Brochez, Birgit Carly, Kristof Cokelaere, Jacques De Greve, Anne Mourin, Marc Peeters (president), Henri Schots, Philippe Spaas, Bertrand Tombal, Paul Van Houtte, Ignace Vergote, Johannes Van Loon, Nathalie Meuleman, Vibeke Kruse and Joseph Weerts.

Due to the Federal government status, the change of the composition of the College has been delayed and will officially be implemented when a government is in place.

2. Activities of the College in 2019-2020

2.1. Development of National Guidelines, coordinated by Jacques De Grève

One day a week, Jacques has dedicated time in the Cancer Center to work and to coordinate this task. He is assisted by a half time person working on the guidelines and the organization of the working groups.

New guidelines will be further developed and existing guidelines will be updated in a timely fashion.

It is important that the guidelines reach the Oncology departments of the national hospitals and Cancer Care programs.

Negotiations with KCE are in progress to set up a platform of interaction to coordinate the guideline work.

An overview of the developed guidelines can be found below:

- Pancreas: guidelines of the pancreas are currently being developed and will be finalized in 2020. Then, they will be published on the CoO website and circulated to the Cancer Care programs directly with the necessary contact information provided by Dr. Saskia Van den Bogaert.

- Esophagus: guidelines of esophageal cancer are currently being developed and will be finalized in 2020. Then, they will be published on the CoO website and circulated to the Cancer Care programs directly with the necessary contact information provided by Dr. Saskia Van den Bogaert.

- Thyroid cancer: guidelines of thyroid cancer are currently being developed and will be finalized in 2020. Then, they will be published on the CoO website and circulated to the Cancer Care programs directly with the necessary contact information provided by Dr. Saskia Van den Bogaert. An article will also be published in the BJMO.

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College of Oncology, 2019-2020

Activities & Activity Plan Page 2

- Gynecological cancer: working party will be convened in 2020 to update existing guidelines.

- Brain tumors: a working party will be convened in 2020 to update existing guidelines.

- Melanoma: waiting for agreement with KCE

- Urinary malignancies: a working party will be convened in 2020 to update existing guidelines - AYA movement: a working party still needs to be compiled (in cooperation with KOTK).

Updating of the national guidelines will be coordinated with Compermed (https://www.compermed.be/) for the molecular aspects.

2.2. Centralization of esophageal and pancreatic cancer

The College played a very active role in the finalization of the RIZIV/INAMI convention. At different time points, the College was asked for advice and guidance. In 2019, updated guidelines for both tumor types were created and these were linked with the quality indicators developed by the Cancer Register.

2.3. The NGS convention

Molecular pathology is an important part of the current oncology practice. Standardization and quality assurance is one of the aims of the NGS convention, which became active in May 2019.

The College is member of the ComPerMed (Commission on Personalized Medicine, https://www.compermed.be/).

3. Board meetings and Telephone Conferences (TC) of the board

Board meetings are organised at regular intervals to discuss different topics and strategies.

4. Proposed actions for 2020

POINT OF ACTION: roundtable on ‘access to immunotherapy’. The lead is taken by INAMI/RIZIV. The College has an active role in the negotiations.

POINT OF ACTION: implementation plan of action points in ‘Cancer Survivors’ report

- In collaboration with the Cancer Center and other stakeholders, such as Kom op Tegen Kanker (KotK), we will prioritize and develop an implementation plan.

POINT OF ACTION: update of guidelines

- The guidelines update and management are still an important task of the College. We will put a lot of effort to have guidelines for most of the tumor types.

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College of Oncology, 2019-2020

Activities & Activity Plan Page 3

- This will be a continuation of the activity re-activated with the new personnel in 2019; see listing above.

POINT OF ACTION: distribution of guidelines

- Make sure the developed guidelines are distributed and presented to all relevant organizations and institutions in a clear and visible manner.

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