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At the Hospitals

                                                     collaboration with clinical nurses, created diagnosed brain metastases, a relevant finding,

                                                     a new mentorship program which provides as over 200,000 patients still receive whole brain

                                                     emotional support for current and former radiation in the United States each year, and the

                                                     cancer patients. The program positively majority of patients with brain metastases have a

                                                     impacts the quality of life and coping for limited number (typically three or fewer) of brain

n Levine Children’s Hospital Named                   adolescents and young adults battling cancer. lesions. Drs. Asher and Burri, along with their

  Among Nation’s Best                                n Study Finds Effective, Less Toxic           co-investigators, now recommend patients with

  For the seventh consecutive year, Carolinas        Way to Treat Brain Tumors                     one to three brain metastases should no longer
HealthCare System’s Levine Children’s Hospital
is ranked as a “Best Children’s Hospital” by                                                       receive routine whole brain radiation therapy,
U.S. News & World Report. With more than
200 pediatric hospitals in the country, Levine       Physicians from Carolinas HealthCare and should be treated with focused therapy alone
Children’s Hospital is one of the nation’s top
hospitals for children, as well as the only ranked   System’s Neurosciences Institute and Levine to better preserve cognitive function and quality
pediatric medical center in Charlotte.
                                                     Cancer Institute are among the authors of a of life.
  The rankings for 2016-2017 include:
cardiology and heart surgery, nephrology,            study that was accepted
neurology and neurosurgery, and orthopedics.
This is the fifth year the hospital is ranked in     for publication by the
multiple specialties.
                                                     Journal of the American
  Since opening in 2007, Levine Children’s
Hospital continues to treat more pediatric           Medical Association
patients per day than any other hospital in
North Carolina. It is the largest children’s         (JAMA). The study,
hospital between Atlanta and Washington,
D.C., with comprehensive pediatric services          released on July 26,
in more than 30 pediatric subspecialty areas.
Notable milestones in 2016 include:                  shows that patients
• Paul Kirshbom, MD, one of the preeminent
                                                     with the most common
  congenital heart surgeons in the country, joined
  Levine Children’s Hospital and is now leading      brain tumors can be
  the congenital heart program.
• The Battelle Healthcare Colloquium                 treated in an effective  Stuart H. Burri, MD, (left) chairman, department of radiation oncology at Levine Cancer Institute
  recognized Levine Children’s Hospital as an        and substantially less   and Anthony L. Asher, MD, FACS, medical director at the CHS Neurosciences Institute, helped
  Accredited Pediatric Heart Failure Institute.      toxic way by omitting    discover a less toxic way to treat brain tumors.
  Levine Children’s Hospital is the first pediatric
  facility in the Carolinas and the 11th in the      a widely used portion
  nation to earn this distinction.
• Oncologists successfully led and                   of radiation therapy. These results will allow Drs. Asher and Burri now are working on
  implemented a clinical trial that speeds up
  the recovery of patients after a bone marrow       tens of thousands of patients with brain tumors a new method of focused therapy for brain
  transplant procedure.
• Neonatologists treated one of the smallest         to experience a better quality of life while metastases that combines radiation and surgery.
  surviving babies in the world. Born at
  just 10 ounces, baby E’Layah spent five            maintaining the same length of life.          The technique was pioneered at Levine Cancer
  months in intensive care but is now home
  with her family.                                   Anthony L. Asher, MD, FACS, medical Institute and efforts are under way to expand and
• The pediatric gastroenterology division
  became part of the ImproveCareNow national         director at the Neurosciences Institute and the further validate the approach with the National
  network, raising the bar for the standard of care
  in pediatric inflammatory bowel disease while      senior author on the report, as well as Stuart H. Cancer Institute.
  increasing the number of children in remission
  without new medicines.                             Burri, MD, chairman, department of radiation
• The psychosocial oncology team, in                 oncology at Levine Cancer Institute, began n CHS Receives Highest DOD Honor for
                                                     their research on this subject more than 10 Support of Military and Veterans

                                                     years ago in Charlotte. Along with Paul Brown, The U.S. Department of Defense has

                                                     MD, at Mayo Clinic, they spearheaded an awarded Carolinas HealthCare System (CHS)

                                                     international, multi-institutional, randomized a 2016 Secretary of Defense Employer Support

                                                     trial that ultimately will improve the care for FreedomAward, the highest recognition given by

                                                     patients with brain metastases, by reducing the the Department to employers for their support of

                                                     toxicity of their treatment without reducing employees who serve in the Guard and Reserve.

                                                     the effectiveness.                            CHS was one of just 15 employers nationally

                                                     Typical therapies for these types of brain to be recognized with this top honor. More than

                                                     tumors include surgery, whole brain radiation 2,400 employers were nominated, and just two

                                                     therapy and focused radiation, also known as were from North Carolina.

                                                     stereotactic radiosurgery. In this study, although Nominations must come from a Guard or

                                                     whole brain radiation decreased the number Reserve member or a family member who

                                                     of new brain tumors over time, its addition to is employed by the organization they are

                                                     focused radiation interestingly did not result in nominating. The nomination for CHS was

                                                     a survival benefit. Furthermore, whole brain submitted by Sylvia Wray, RN, nurse manager at

                                                     therapy was associated with considerably worse Carolinas HealthCare System Kings Mountain

                                                     quality of life.                              and a flight nurse for the North Carolina Air

                                                     The trial authors concluded that the benefit of National Guard. CHS and the other 2016 award

                                                     adding whole brain radiation was outweighed recipients were honored at a ceremony at the

                                                     by its risks in patients with one to three newly Pentagon on August 26.

12 | September 2016 • Mecklenburg Medicine
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