Royal College of Physicians

and

Association for Palliative Medicine

Anorexia, Cachexia and Fatigue

Thursday 26 November 2009

at the Royal College of Physicians,

11 St Andrews Place, Regent's Park, London NW1

Anorexia, cachexia and fatigue are common accompaniments of advanced disease, whether malignant or non-malignant.  Their presence indicates disease progression and a worse prognosis.  This conference draws together experts from different specialties and disciplines to discuss the mechanism of and therapeutic options for management of these symptoms.  This conference is aimed at clinicians in oncology, palliative medicine, respiratory medicine, cardiology and neurology but will also be of interest to other healthcare professionals.

                  Conference organiser

                  Dr Tim Peel, North Tyneside General Hospital

09.30         Registration and coffee

09.55         Opening remarks and welcome

                  Professor Ian Gilmore, President, Royal College of Physicians

                  ANOREXIA AND CACHEXIA IN ADVANCED DISEASE

                  Chair: Dr Bee Wee, Churchill Hospital, Oxford

10.00         Setting the scene - the size and nature of the problem

                  Dr Andrew Wilcock, University of Nottingham

10.20         Discussion

10.30         Mechanisms

                  Dr Robert Milroy, Stobhill Hospital, Glasgow

10.50         Discussion

11.00         Nutritional management strategies

                  Dr Mike Stroud, University of Southampton

11.20         Discussion

11.30         Coffee

11.50         Drug management strategies

                  Dr Florian Strasser, Cantonal Hospital, St Gallen, Switzerland

12.10         Discussion

12.20         Theory in action: The Durham cachexia pack

                  Dr Colette Hawkins, University Hospital of North Durham

12.40         Discussion

12.50         Lunch

                  Chair: Professor Ian Gilmore

14.00         BERTRAM LOUIS ABRAHAMS LECTURE

                  Mechanisms of fatigue in advanced disease

Professor Declan Walsh, Cleveland Clinic Taussig Cancer Institute, Cleveland, USA

                  FATIGUE IN ADVANCED DISEASE

                  Chair: Dr Christina Faull, Glenfield Hospital, Leicester

14.50         Assessment of fatigue

                  Dr Paddy Stone, St George's University of London

15.10         Discussion

15.20         Drug treatment of fatigue

                  Dr Ollie Minton, St George's University of London

15.40         Discussion

15.50         Tea

16.10         Physical therapies for fatigue

                  Ms Karen Livingstone, Wythenshawe Hospital, Manchester

16.30         Discussion

16.40         Managing the emotional impact of fatigue

Dr Donald Sharp, University of Hull and
Hull & East Yorkshire Hospitals NHS Trust

17.00         Discussion

17.10         Close of conference