Optimal Care Pathways Steering Committee
Alfred Health Cancer Australia Cancer Council Victoria, Strategy and Support Division Cancer Institute New South Wales Concord Repatriation General Hospital New South Wales Consumer representative Department of Health Victoria, Commissioning and System Improvement Division, Cancer Unit National Cancer Expert Reference Group Olivia Newton-John Cancer Wellness and Research Centre St Vincent’s Hospital Melbourne Other stakeholders consulted…
Read MoreAppendix A: Supportive care domains
Supportive care in cancer refers to the following five domains: the physical domain, which includes a wide range of physical symptoms that may be acute, relatively short lived or ongoing, requiring continuing interventions or rehabilitation the psychological domain, which includes a range of issues related to the patient’s mental health wellbeing and personal relationships the…
Read MoreMembers of the multidisciplinary team for head and neck cancer (formerly Appendix E)
The multidisciplinary team may include the following members: care coordinator (as determined by multidisciplinary team members)* gynaecological oncologist* medical oncologist* nurse (with appropriate expertise)* pathologist with expertise in gynaecological oncology* radiation oncologist* radiologist* Aboriginal health practitioner, Indigenous liaison officer or remote general practitioner clinical trials coordinator dietitian exercise physiologist fertility specialist general practitioner geneticist and…
Read MoreSexually and gender diverse groups
People who identify as sexually or gender diverse may have unique needs following a cancer diagnosis. Sexually or gender diverse identities include (but are not limited to) people who identify as lesbian, gay, bisexual or transgender, collectively ‘LGBT’. There is no universally agreed upon initialism to describe this community, with other terms such as queer/questioning…
Read MoreWomen with chronic mental health or psychiatric concerns
A diagnosis of cancer may present additional challenges to women who have pre-existing chronic mental health or psychiatric concerns, resulting in exacerbation of their mental health symptoms. This may include heightened anxiety, worsening depression or thoughts of self-harm. As poor adjustment and coping can affect treatment decisions, women who are known to have a mental…
Read MoreWomen experiencing socioeconomic disadvantage
In general, women from lower socioeconomic groups are at greater risk of poor health, have higher rates of illness, disability and death, and live shorter lives than those from higher socioeconomic groups (AIHW 2016). Women experiencing socioeconomic disadvantage are less likely to participate in screening programs, more likely to be obese, less likely to exercise…
Read MoreStatement of acknowledgement
We acknowledge the Traditional Owners of Country throughout Australia and their continuing connection to the land, sea and community. We pay our respects to them and their cultures and to Elders past, present and emerging. This work is available from the Cancer Council website. First published in August 2015. This edition June 2021. ISBN: 978-1-76096-153-4…
Read MoreContributors and reviewers
Our thanks to the following health professionals, consumer representatives, stakeholders and organisations consulted in developing this optimal care pathway.
Read MoreExpert working group (this edition)
Associate Professor Orla McNally (Chair), Consultant Gynaecological Oncologist, The Royal Women’s Hospital and The University of Melbourne Associate Professor Peter Grant, Gynaecological Oncologist, Mercy Hospital for Women and The University of Melbourne Dr Mahesh Iddawela, Consultant Medical Oncologist, Alfred Health and Latrobe Regional Hospital Dr Christopher Steer, Medical Oncologist, Border Medical Oncology and University of…
Read MoreAdolescents and young adults
In recent years, adolescent and young adult oncology has emerged as a distinct field due to lack of progress in survival and quality-of-life outcomes (Ferrari et al. 2010; Smith et al. 2013). The significant developmental change that occurs during this life stage complicates a diagnosis of cancer, often leading to unique physical, social and emotional…
Read More





