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 June 2016. This edition published in June 2021.

ISBN: 978 1 76096 154 1

Cancer Council Victoria and Department of Health Victoria 2021, Optimal care pathway for people with Acute Myeloid Leukaemia, 2nd edn, Cancer Council Victoria, Melbourne.

Enquiries about this publication can be sent to optimalcare.pathways@cancervic.org.au

Our thanks to the following health professionals, consumer representatives, stakeholders and organisations consulted in developing this optimal care pathway.

Professor Andrew Roberts (Chair), Haematologist and Bone Marrow Transplant Physician, The Royal Melbourne Hospital, Peter MacCallum Cancer Centre, The University of Melbourne and Walter and Eliza Hall Institute

Dr Chris Arthur, Haematologist, Royal North Shore Hospital

Dr Ashish Bajel, Haematologist and Bone Marrow Transplant Physician, The Royal Melbourne Hospital and Peter MacCallum Cancer Centre

Associate Professor Peter Bardy, Clinical Haematologist; Central Adelaide Local Health Network and Clinical Lead Bone Marrow Transplant; Royal Adelaide Hospital

Associate Professor Sidney Davis, Radiation Oncologist, Alfred Health

Professor John Gibson, Haematologist, Royal Prince Alfred Hospital Sydney and The University of Sydney

Ms Jennifer Hempton, Transplant and Apheresis Coordinator, Barwon Health

Dr David Kipp, Haematologist, University Hospital Geelong (Barwon Health) and Deakin University

Professor Robert Thomas, Special Advisor on Health, Professorial Fellow, The University of Melbourne

Professor Karin Thursky, Infectious Diseases Physician and Clinical Research Fellow, Doherty Institute, The Royal Melbourne Hospital and Peter MacCallum Cancer Centre

Associate Professor Andrew Wei, Haematologist, Alfred Health and Monash University

Ms Julia Brancato, Project Coordinator, Optimal Care Pathways, Cancer Council Victoria

Professor Andrew Roberts (Chair), Physician, Bone Marrow Transplantation Service, Department of Clinical Haematology and Medical Oncology, Clinical Haematologist, The Royal Melbourne Hospital

Associate Professor Andrew Wei, Haematologist, Alfred Health, AML Researcher, Monash University, Victorian Cancer Agency Research Fellow

Dr Ashish Bajel, Clinical Haematologist and Bone Marrow Transplant Physician, The Royal Melbourne Hospital, Peter MacCallum Cancer Centre

Dr Chris Arthur, Haematologist, Royal North Shore Hospital

Dr David Kipp, Clinical Haematologist, Andrew Love Cancer Centre, University Hospital Geelong

Darryl King, consumer representative

Dr Emma Cohen, Nurse Manager, Haematology, Oncology and Bone Marrow Transplant ward, Austin Health

Ms Helena Rodi, Clinical Dietitian, Austin Health

Professor John Gibson, Head of Haematology, Royal Prince Alfred Hospital, University of Sydney

Associate Professor Justin Tse, General Practitioner, Director of Medical Student’s Education, St Vincent’s Hospital Melbourne, The University of Melbourne

Ms Kaye Hose, Palliative Care Nurse Consultant, Austin Health

Ms Leanne Fagg, consumer representative

Dr Paul Cannell, Haematologist, Medical Co-Director, Fiona Stanley Hospital

Associate Professor Peter Bardy, Associate Clinical Professor, Haematology and Medical Oncology, Clinical Director of Cancer Services, Royal Adelaide Hospital

Professor Robert Thomas, Chief Advisor on Cancer, Department of Health and Human Services, Victoria

Dr Simon He, Clinical Haematologist and Bone Marrow Transplant Physician, Austin Health, The Royal Melbourne Hospital

Alexandra Viner, Project Manager – Optimal Care Pathways

Advance Care Planning Australia

Allied Health Professions Australia

Australasian Association of Nuclear Medicine Specialists

Australasian Chapter of Palliative Medicine, Royal Australia College of Physicians

Australasian Leukaemia and Lymphoma Group

Australian and New Zealand Society of Neuroradiology

Australian and New Zealand Society of Palliative Care

Australian Cancer Survivorship Centre

Australian College of Nursing

Australian Medical Association

Australian Society of Medical Imaging and Radiation Therapy

Bone Marrow Transplant Society of Australia and New Zealand

Cancer Nurses Society of Australia

Clinical Oncology Society of Australia

Haematology Society of Australia and New Zealand

Interventional Radiology Society of Australasia

Leukaemia Foundation

Medical Oncology Group of Australia

Oncology Social Workers Australia and New Zealand

Royal Australasian College of Physicians

Royal Australasian College of Surgeons

Royal Australian and New Zealand College of Radiologists

Royal Australian College of General Practitioners

Royal College of Pathologists of Australasia

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 to provide feedback include relevant Cancer Council committees and networks, Integrated Cancer Services, Primary Health Networks and several health services.

The multidisciplinary team will include the following members:

care coordinator (as determined by multidisciplinary team members)*

clinical haematologist *

infectious diseases physician*

nurse (with appropriate expertise or under the supervision of nurses with appropriate expertise)*

pathologist including pathologist with molecular genetic expertise*

pharmacist.*

The multidisciplinary team will often include some of the following members as appropriate for individual patient mix:

Aboriginal health practitioner, Indigenous liaison officer or remote general practitioner

clinical trials coordinator

dentist

dietitian

exercise physiologist

fertility specialist

general practitioner

genetic counsellor

geriatrician

nuclear medicine physician

occupational therapist

palliative care specialist

physiotherapist

psychiatrist

psychologist

radiation oncologist

radiologist/imaging specialists

social worker

spiritual/pastoral care.

* Denotes core members. Core members of the multidisciplinary team are expected to attend most multidisciplinary team meetings either in person or remotely.