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Cancer Australia

Strategic Plan 2011–2014

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The Cancer Australia Strategic Plan 2011–2014 was prepared and produced by:

Cancer Australia Locked Bag 3 Strawberry Hills NSW 2012 Australia Tel: +61 2 9357 9400 Fax: +61 2 9357 9477

Website: www.canceraustralia.gov.au

© Cancer Australia 2011

ISBN Print: 978-1-74127-170-6 ISBN Online: 978-1-74127-171-3

Copyright statements:

Paper-based publications

This work is copyright. You may reproduce the whole or part of this work in unaltered form for your own personal use or, if you are part of an organisation, for internal use within your organisation, but only if you or your organisation do not use the reproduction for any commercial purpose and retain this copyright notice and all disclaimer notices as part of that reproduction. Apart from rights to use as permitted by the Copyright Act 1968 or allowed by this copyright notice, all other rights are reserved and you are not allowed to reproduce the whole or any part of this work in any way (electronic or otherwise) without first being given the specific written permission from Cancer Australia to do so. Requests and inquiries concerning reproduction and rights are to be sent to the Publications and Copyright contact officer, Cancer Australia, Locked Bag 3, Strawberry Hills NSW 2012.

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Copies of the Cancer Australia Strategic Plan 2011–2014 can be downloaded from the Cancer Australia website: www.canceraustralia.gov.au or ordered by telephone: 1800 624 973.

http://www.canceraustralia.gov.au

Cancer Australia Strategic Plan 2011–2014 | i

Contents

Foreword from the Minister 1

Introduction from the 2 Chief Executive Officer

Cancer in Australia 4

The role of Cancer Australia 7

The cancer community 11

Future trends and challenges 14

Strategic directions 2011–2014 18

Cancer Australia’s distinctive 22 role and contribution

Goals and strategies 2011–2014 24

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Cancer Australia Strategic Plan 2011–2014 | 1

Foreword from the Minister

About one in two Australian men and one in three Australian women will be diagnosed with cancer in their lifetime. This means many of us will be touched by this disease, either through a personal diagnosis or the diagnosis of a loved one.

The Gillard Government is committed to ensuring a world-class cancer care system in Australia through record investment in cancer infrastructure including comprehensive cancer centres and regional cancer centres; population-based cancer screening for breast, cervical and bowel cancers; and programs to improve cancer research, prevention, treatment and care, and support for patients and their families.

The amalgamation of Cancer Australia and National Breast and Ovarian Cancer Centre in July 2011 further strengthens the Government’s strategic approach to cancer control by having a single national cancer control agency with a continued commitment in breast and ovarian cancer.

At a time when Australia faces increasing cancer incidence and unprecedented Australian Government investment in tackling cancer, Cancer Australia will help further focus our work in this important area.

This first Strategic Plan for Cancer Australia commits to working collaboratively across the health and cancer sector, identifies future trends in national cancer control and outlines strategies for the organisation to improve outcomes for all Australians diagnosed with cancer.

I thank Cancer Australia’s CEO, Dr Helen Zorbas, for her strong leadership and vision, particularly during the lead-up to the amalgamation, and commend her consultative approach to developing this Strategic Plan.

I look forward to working with Cancer Australia to achieve the goals identified in the Strategic Plan, and to continue to improve outcomes for those who are affected by cancer.

The Hon. Nicola Roxon MP Minister for Health and Ageing

2 | Cancer Australia Strategic Plan 2011–2014

The amalgamation of Cancer Australia and National Breast and Ovarian Cancer Centre (NBOCC) in July 2011 established a single agency to provide national leadership in cancer control for Australia. This Strategic Plan articulates the direction and priorities for Cancer Australia over the next three years.

Cancer Australia’s Strategic Plan 2011–2014 was developed in consultation with a wide range of stakeholder groups and individuals, including consumers, health professionals, researchers, data experts, health service decision makers, Cancer Australia and NBOCC staff, NBOCC Board members and Cancer Australia Advisory Council members.

Stakeholders across all sectors expressed strong support for Cancer Australia’s leadership mandate in national cancer control and a clear view about the strategic and distinct areas of contribution of Cancer Australia over the next three years.

In presenting this Strategic Plan, I acknowledge the many future challenges in cancer control, as well as those inherent in implementing a national cancer control agenda. Successful national cancer control will require Cancer Australia to be an agile and responsive organisation that monitors emerging issues and identifies opportunities to improve and reduce variation in cancer outcomes. Success at a national level will also require active and effective collaboration and partnership across jurisdictional, service delivery, professional and socio-demographic sectors, so that strategies and identified opportunities can be effectively applied.

People affected by cancer are at the centre of our cancer control efforts. Cancer Australia will continue to engage with all relevant government, non-government and consumer stakeholders to harness efforts and resources, maximising the potential for this Strategic Plan to deliver our vision of reduced impact and improved wellbeing for people affected by cancer across Australia.

Dr Helen Zorbas Chief Executive Officer

Introduction from the Chief Executive Officer

Cancer Australia Strategic Plan 2011–2014 | 32 | Cancer Australia Strategic Plan 2011–2014

Introduction from the Chief Executive Officer

leadership in cancer control • responsive • monitoring emergin

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Cancer Australia will engage

stakeholders with

a clear focus on evidence-based practice


Cancer in Australia

In 2010, about 115,000 Australians were expected to be diagnosed with cancer and cancer accounted for three out of every 10 deaths registered in Australia.

Cancer is estimated to be the leading cause of burden of disease in Australia, accounting for approximately 19% of the total disease burden in 2010. By the age of 85 years, one in two men and one in three women will have been diagnosed with cancer at some stage in their life.1

The number of people diagnosed with cancer in Australia is increasing, at least in part as a result of population growth and the ageing population. Between 1982 and 2007, the number of new cancer cases in Australia more than doubled.1

While cancer incidence rates have increased (from 383 to 485 cases per 100,000, between 1982 to 2007), cancer death rates have fallen (from 209 to 176 deaths per 100,000 between 1982 and 2007).1 In Australia, approximately 61 out of every 100 people diagnosed with cancer will survive five years beyond their diagnosis. International comparisons indicate that the survival of people in Australia diagnosed with cancer is higher than that of people in other countries and regions.2 Across all cancers, the five year relative survival of people diagnosed with cancer in Australia has continued to improve over the past 20 years. Improvements in survival are likely to be due to a combination of factors, including effective population-based screening programs, earlier detection, better diagnostic methods and advances in treatment.

Burden of disease is a measure of the years of healthy life lost through premature death, or disability due to illness or injury.


Figure 1: Incidence of all cancers combined, Australia, 1982–2007

Notes: 1. The rates were age-standardised to the Australian population as at 30 June 2001.

Source: Australian Institute of Health and Welfare & Australasian Association of Cancer Registries. Cancer in Australia: an overview, 2010. Cancer series no. 60. Cat. no. CAN 56. AIHW: Canberra, 2010.

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The role of Cancer Australia

Cancer Australia was established to benefit all Australians who are diagnosed with cancer, their families and carers.

The amalgamation of Cancer Australia and NBOCC responds to the identified need for a single national cancer control agency that can provide leadership and coordinate cancer control efforts across all cancer types.

Cancer Australia provides a trusted and authoritative national voice for all cancers, building on the strong stakeholder relationships developed by NBOCC and Cancer Australia to date. Cancer Australia will continue to foster collaboration and engagement across the health system, build the knowledge base in cancer and seek to shape the effectiveness of cancer control programs and strategies at a national level.

LEGISLATION AND GOvERNANCE

Cancer Australia is a statutory agency within the Health and Ageing portfolio. It was established under the Cancer Australia Act 2006, and is a prescribed agency under the Financial Management and Accountability Act 1997. Cancer Australia is also subject to the Auditor-General Act 1997. Cancer Australia staff are employees of the Australian Public Service under the Public Service Act 1999.

The Chief Executive Officer reports to the Minister for Health and Ageing. Cancer Australia has an Advisory Council appointed by the Minister to provide advice to the Chief Executive Officer about the performance of Cancer Australia’s functions.

Cancer control focuses on addressing the impact of cancer by reducing cancer incidence and mortality and improving quality of life for people affected by cancer, through the systematic implementation of evidence-based strategies for prevention, screening, early detection, diagnosis, treatment, supportive care, follow-up care, palliation and end-of-life care.


THE CANCER AuSTRAlIA ACT 2006The Cancer Australia Act 2006 (Part 2, Section 7) specifies the following functions for Cancer Australia:

a) to provide national leadership in cancer control

b) to guide scientific improvements to cancer prevention, treatment and care

c) to coordinate and liaise between the wide range of groups and health care providers with an interest in cancer

d) to make recommendations to the Commonwealth Government about cancer policy and priorities

e) to oversee a dedicated budget for research into cancer

f) to assist with the implementation of Commonwealth Government policies and programs in cancer control

g) to provide financial assistance, out of money appropriated by the Parliament, for research mentioned in paragraph (e) and for the implementation of policies and programs mentioned in paragraph (f)

h) any functions that the Minister, by writing, directs Cancer Australia to perform.

Cancer Australia’s annual resources and planned performance are outlined in the annual Portfolio Budget Statement. Its activities are supported by a robust business planning process and strong staff capability.


The cancer community

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Cancer Australia

Stakeholder engagement will continue to be central to Cancer Australia achieving its mission and demonstrating outcomes in priority areas.

Reductions in cancer incidence, morbidity and mortality require integrated interventions across the continuum of cancer care and across the health system. Cancer Australia will continue to work collaboratively with a range of stakeholders and partners in cancer control including: the Australian Government; other health portfolio agencies; state and territory governments and cancer control agencies; funders of cancer research; researchers; health professional colleges and health professionals; non-government organisations, such as Cancer Councils; consumer organisations and all people affected by cancer (Figure 2).

Figure 2: Cancer Australia partners in cancer control


People affected by cancer are central to national cancer control efforts. Cancer Australia will maintain a strategic and inclusive approach to consumer engagement in order to ensure that its work is informed by and responsive to the needs of all people affected by cancer and the broader community. Specific efforts will be directed to ensure that the needs of Aboriginal and Torres Strait Islander peoples and other population sub-groups with poorer outcomes are addressed.

Clinical engagement is essential to promote consensus on clinical best practice and achieve improved outcomes for Australians diagnosed with cancer. Cancer Australia will continue to work collaboratively with clinicians and professional colleges across Australia to inform and support the implementation of evidence-based care at individual and system levels.

Health services, including tertiary, primary and community-based services managed at local and jurisdictional levels by state and territory governments and by non-government organisations, represent an important target for implementation of evidence-based approaches to cancer care. Significant Government investment has been made in cancer infrastructure through metropolitan cancer centres and the network of regional cancer centres. These settings provide important opportunities for Cancer Australia to inform and influence the delivery of best practice care.

Research funders and the Australian cancer research community will continue to be important partners for Cancer Australia in the identification of research priorities, the conduct of research and the application of research findings for clinical practice. Cancer Australia will work to foster collaborative funding partnerships to support cancer research in priority areas.

The Australian health system is undergoing significant reform in areas that impact on the work of Cancer Australia, including primary and tertiary care, national standards and performance indicators, workforce, preventive health and e-Health. Cancer Australia will engage and work collaboratively and effectively with other health portfolio agencies to deliver the Government’s health reform agenda, including the Australian Institute of Health and Welfare (AIHW), National Health and Medical Research Council (NHMRC), Health Workforce Australia, the Australian Commission on Safety and Quality in Health Care and the Australian National Preventive Health Agency. Working collaboratively across the Health and Ageing portfolio, Cancer Australia will provide evidence-based advice to assist the Minister and the Department to inform policy responses and directions in health care and cancer control.


Future trends and challenges

National cancer control will require the development and implementation of innovative approaches relevant to the Australian health context that address issues of increasing demand, variation in outcomes and the changing paradigm of cancer care.

INCREASING CANCER INCIDENCE

Given the ageing population and trends in cancer incidence, the Australian health system must be able to respond and adapt to meet the growing demand for cancer care. The needs of people affected by cancer go well beyond those of diagnosis and treatment. Best practice care increasingly incorporates long-term follow-up and management of treatment-related sequelae in the context of whole-person care. Responses must therefore consider not only the clinical needs, but also the quality of life and supportive care needs of the increasing numbers of people living with and affected by cancer.

Defining optimal evidence-based care and developing innovative approaches to multidisciplinary care and service delivery will support the health system, health services and clinicians to respond to this growing challenge. The need for new approaches is compounded by Australia’s health workforce shortages, which vary by discipline, specialty, jurisdiction and geographical location,3 and by sub-specialisation of the cancer workforce. The cancer control agenda will need to consider how to optimise the use of a highly skilled cancer workforce to deliver cancer services across the continuum of care for all Australians.

vARIATIONS IN CANCER OuTCOMES

Significant differences in cancer survival exist for different cancers and across population groups in Australia. Specific challenges include providing access to quality cancer care for people from areas of low population density, remote geographic locations, and disadvantaged groups.


For all cancers combined, cancer mortality rates between 2003 and 2007 were higher for Aboriginal and Torres Strait Islander peoples compared with non-Indigenous Australians, for those living in regional and remote areas compared with those in major cities, and for people in lower socioeconomic compared with higher socioeconomic groups.1

Timely availability and analysis of quality national data is required to better understand these variations in outcomes and to inform appropriate cancer control responses. Such responses must be evidence-based and relevant, and may be at the level of community awareness, service delivery, clinical practice and research.

Figure 3: Mortality from cervical cancer and lung cancer by Indigenous status, New South Wales,

Queensland, Western Australia, South Australia and the Northern Territory, 2003–2007

Source: Australian Institute of Health and Welfare and Australasian Association of Cancer Registries 2010. Cancer in Australia an overview 2010. Cancer Series no. 60. Cat no. 56. Canberra: AIHW

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COMMuNITy EMPOWERMENT

Increasingly, people affected by cancer and the broader community are seeking to be active participants in decision making about their health. The challenge for Cancer Australia will be to facilitate patient-centred approaches across the continuum of cancer control. The community requires access to appropriate and evidence-based information that supports informed decision making about cancer risk, prevention and screening as well as active involvement of people affected by cancer in decisions about all aspects of their care.

NEW TREATMENTS AND TECHNOLOGIES

Research is vital to informing best practice and improving outcomes in cancer control. Advances in technology and developments in our understanding of the molecular basis of cancer continue to influence approaches to cancer prevention, early detection, diagnosis, tumour classification, treatment and monitoring of disease.

New technologies are continually being developed to improve cancer diagnosis and treatment. Incorporating these new technologies into clinical care, where they have demonstrated enhanced outcomes, will be an ongoing challenge at the clinical and system levels.

Advances in cancer research, including genomic research and the application of genetic technologies, are increasing our understanding of cancer biology. Such advances have led to the development of therapies that can be targeted to specific tumour and individual characteristics.4 There is also the potential for the application of genomic approaches to the management of cancer risk.4 The increasing availability of such targeted, individualised treatments and approaches to cancer control presents challenges for delivery of cost-effective and equitable cancer care.


INFORMED CANCER CONTROL

Effective cancer control requires policy decisions and service planning and development to be informed by best available data and information. National coordination and linkage of cancer data collections on different aspects of cancer care remains a challenge. Strengthening the quality and consistency of data monitoring and reporting at a national level will help to ensure that policy and practice are better informed and that the cancer care pathway is better understood.


Strategic directions 2011–2014

VISIONThe vision of Cancer Australia is to reduce the impact of cancer and improve the wellbeing of people affected by cancer in Australia.

MISSIONCancer Australia’s mission is to strengthen and provide advice on the Australian Government’s strategic focus on cancer control and care.


Strategic directions 2011–2014

KEy OuTCOMES IN CANCER CONTROL

Cancer Australia’s Strategic Plan 2011–2014 recognises that, while Cancer Australia is an important contributor to cancer control in Australia, it will be most effective when it works in concert with other cancer control efforts. Figure 4 illustrates how Cancer Australia will work in partnership with other relevant stakeholders to deliver national improvements in cancer control over the short and longer term.

The following key outcomes for Cancer Australia will be progressive as the organisation builds its internal capacity and strategic function across Australia.

Improvements in national coordination of cancer control and advice to Government

Cancer Australia will achieve this by:

• engagingwithrelevantgovernmentandnon-governmentagenciesandsectors involved in improving cancer control

• improvingthetimelyprovisionofdataandknowledgeaboutcancer

• generatingagreedapproachesinplanningandimplementingcancercontrol effort

• contributingtothedevelopmentofcancercontrolpolicy.

Improvements in cancer outcomes across the continuum of care


• establishingcancerresearchpriorityareasandstimulatingcollaborativeinvestment in these areas

• buildingcapacityinmulti-site,collaborativenationalcancerclinicaltrialsgroups

• harnessingandimprovingaccesstoknowledgethatinformsbestpracticein cancer control.


Improvements in the delivery of cancer care and the patient experience


• ensuringthatcancercontroleffortsareinformedbytheconsumerexperience

• reducingvariabilityinclinicalandsupportivecarethroughconsistentapplication of best-practice evidence

• optimaluseofevidencetoinformbestpracticecancerservicedeliveryacross sectors, including investigating and promoting relevant new models of care.

Improvements in community knowledge that have the potential to impact on cancer outcomes


• servingasakeysourceofevidence-based,high-qualityinformationand advice for the Australian community about all cancers, including information about lifestyle and behavioural factors that impact on cancer risk and information about screening and early detection

• equippingpeopleaffectedbycancertoparticipatemoreeffectivelyindecisions about their treatment and care through information, education and resources.


Figure 4: Working with partners to achieve Cancer Australia’s vision

Reduce the impact of cancer and im

prove the wellbeing of those diagnosed with cancer in Australia

Participation by Australian Community

Consumers are empowered and actively involved in cancer prevention and treatment decisions

Improved cancer survival and wellbeing

National Cancer Strategies

Coordinated Cancer Effort

More people know about and access advice on cancer prevention and treatment

National framework established for coordination and advice

Priority needs and gaps in resources and evidence are identified across the cancer continuum

Shared understanding of role and potential contribution to national effort by cancer consumer participants

Protocols for collaboration, partnership, community engagement are established and used

More effective models of care using multidisciplinary teams

National recommendations for best practice care are adopted by cancer professionals

Reduced variability in care

Cohesive effort across jurisdictions and agencies in the provision of data and information; implementation of guidelines; of strategies for prevention, early detection and treatment

Cancer Australia advice evident in funding policy and cancer investment decisions

Government and stakeholders see Cancer Australia as an authoritative source of advice

Cancer community collaborates on cancer control policy, advice and strategy

Reduced variability of cancer outcomes across Australia

Early Outcomes Longer Term Outcomes


Through a network of valued relationships, Cancer Australia will play a leadership role in national cancer control by ensuring that evidence informs interventions to reduce the burden of cancer across the cancer continuum.

Cancer Australia will work to be the trusted source of information for the community and to improve coordination across the cancer sector. Such leadership has the potential to drive a coherent and authoritative approach to cancer control in Australia that demonstrates public value.

Cancer Australia will influence cancer outcomes at a range of levels (Figure 5). It will develop and fund programs aimed at increasing stakeholder engagement and collaboration, provide funding for research, develop public information, clinical guidance and consumer information, develop strategies to enable others to increase uptake of evidence, and provide advice to shape system-level change.

Figure 5: Interventions to improve cancer outcomes

Cancer Australia’s distinctive role and contribution

Level of Impact

Depth of Intervention

KNOWLEDGE INTO RESULTS

Impacts

Health outcomes

Outcomes

Outputs

InputsEngage stakeholders

Collect information and evidence

Develop guidelines and consumer information

Disseminate guidelines, consumer and community information

Change behaviours

Change care and services

Reform systems

Shape policy

Reduced mortality

Improved equity of outcomes

Increased access

Reduced gaps

Improved wellbeing


Cancer Australia’s distinctive role and contribution

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GOAL 1: LEAD THE NATIONAL CANCER CONTROL AGENDA

Cancer Australia will demonstrate national leadership by forging a shared cancer control agenda that shapes decisions across jurisdictions and across the cancer control spectrum.

A national cancer control agenda will clarify stakeholder responsibilities for cancer control, establish common standards and practices, allow for more effective use of resources and leverage best practice models in Australia and internationally.

Cancer Australia will actively lead the national cancer control agenda in Australia by acting as a focus of integration and an effective partner in Australian cancer control.

STRATEGIES

1.1 Forge strong national linkages to develop a coordinated national cancer control agenda.

1.2 Partner across the Australian health system to drive outcomes that impact on cancer.

IMPACTS

• Resourcesaredirectedtodeliverplanned,prioritisedoutcomesincancercontrol.

• Cancerpatientsreceivebestpracticecareirrespectiveofwheretheyenterthe health system.

Goals and strategies 2011–2014


Goals and strategies 2011–2014


GOAL 2: BuILD A KNOWLEDGE HuB FOR CANCER CONTROL

Cancer Australia will provide a central hub that facilitates access to data and research evidence by clinicians, consumers, researchers, educators, decision makers and the community.

Data and research play an integral role in cancer control, providing the evidence required to advance prevention, early detection, treatment and supportive care, education and service delivery.

Cancer Australia will establish evidence-based priorities for cancer research, working in partnership with NHMRC, researchers and funding partners, to shape the research agenda for cancer. Cancer Australia will work collaboratively with AIHW and with states and territories to support the consistency and timely availability of national cancer data monitoring and reporting mechanisms.

STRATEGIES

2.1 Inform priorities for investment in cancer research and support collaborative multi-site clinical trials.

2.2 Strengthen data quality, monitoring and reporting in cancer.

2.3 Provide access to evidence-based cancer information.

IMPACTS

• CancerAustraliapriorityresearchfundingschemeisinformedbyevidence.

• Acohesiveeffortacrossjurisdictionsintheprovisionofdataandinformation.

• RecognitionofCancerAustraliaasatrustedandcrediblenationalsourceofcancerinformation.


GOAL 3: ASSIST IN THE uPTAKE OF BEST PRACTICE CANCER CARE

Cancer Australia will use best-available evidence to inform the delivery of best practice cancer care, including the development and dissemination of new models of care that are relevant and effective for the Australian health system.

A significant focus for Cancer Australia will be to ensure that research and data are translated into evidence-based improvements in cancer control and policy settings. A core competence of Cancer Australia is the use of evidence to inform policy, practice and service delivery in Australia.

STRATEGIES

3.1 Identify best practice cancer care to shape national standards.

3.2 Develop tools, resources and models to assist uptake of best practice cancer care.

IMPACTS

• Increaseduptakeofevidenceintoclinicalpracticebycancerhealthprofessionals.

• Innovationinapproachestoimprovinguptakeofmultidisciplinarycareandnewmodels of care.


GOAL 4: INFORM CONSuMERS AND THE COMMuNITy ABOuT CANCER

Cancer Australia will support cancer prevention and early detection by supporting increased consumer awareness and understanding of cancer risk and appropriate screening and early detection strategies.

For people diagnosed with cancer, access to evidence-based information is vital to ensuring they can actively participate in decisions about their treatment and ongoing care.

Cancer Australia will provide access to credible and relevant information that enables consumers and the community to act to improve their individual health outcomes.

STRATEGIES

4.1 Raise awareness in the community of cancer risk and prevention factors, and key early detection strategies.

4.2 Raise the profile of Cancer Australia as the trusted source of cancer information for the Australian community.

IMPACTS

• Increasedcommunityknowledgeaboutwaystoreduceriskforcancer.

• Consumerempowermentthroughaccesstotrustedinformationalongthecontinuum of care.


GOAL 5: BuILD AND STRENGTHEN ORGANISATIONAL CAPABILITy TO SuPPORT STRATEGIES

The new Cancer Australia brings together the combined strengths, skills, knowledge and resources of the former Cancer Australia and NBOCC, and has a continued focus on breast and ovarian cancer and other established programs.

Cancer Australia will be appropriately resourced in its people and business processes to meet its strategic intent.

STRATEGIES

5.1 Establish a new business model that integrates the former Cancer Australia and NBOCC effectively.

5.2 Implement an effective engagement model.

5.3 Strengthen capability in people and systems for the future.

IMPACTS

• CancerAustralia’snewbusinessmodelisoperatingeffectively.

• CancerAustraliahasaccesstospecialistknowledgeandadvice.

• CancerAustraliaisacredibleandeffectivenationalagency.


REFERENCES

1. Australian Institute of Health and Welfare & Australasian Association of Cancer Registries. Cancer in Australia: an overview, 2010. Cancer series no. 60. Cat. no. CAN 56. AIHW: Canberra, 2010.

2. Ferlay J, Shin HR, Bray F, et al. GLOBOCAN 2008, Cancer Incidence and Mortality Worldwide: IARC CancerBase No. 10 [Internet]. International Agency for Research on Cancer: Lyon, France, 2010.

3. National Health Workforce Taskforce. Health Workforce in Australia and factors for current shortages. KPMG: April, 2009.

4. McDermott u, Downing JR and Stratton MR. Genomics and the continuum of cancer care. N Eng J Med 2011;364(4):340–50.

www.canceraustralia.gov.au

www.canceraustralia.gov.au

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