Paediatric Oncology and Haematology
The Paediatric Oncology and Haematology Department is a leader in treating cancer in childhood and adolescence. Of every 1,000 new cases of childhood cancer detected every year in Spain, 200 are diagnosed in Catalonia.
According to data from the Spanish Register of Tumours in Infants (RETI), ours it the Department that treats the most children in Spain, and is the leading centre for the transplant of haematopoietic progenitors or stem cells (better known as "bone marrow transplants"), having performed more than 1200 such operations. The Paediatric Oncology and Haematology Day Hospital handles up to 3,600 treatment visits a year and up to 7,600 visits for consultations.
Our experience, staff and advanced technological prowess mean our Department can offer multidisciplinary, comprehensive care to patients and their families, covering all diagnostic procedures and offering the most advanced treatments. We are a self-sufficient department when it comes to applying the latest care techniques in this field, and we also have resources to carry out research in such diseases.
Childhood cancer is the leading cause of child mortality due to illness in children more than one year old. Survival is currently around 80%, but it is essential we advance research into the disease to achieve more effective treatments.
Portfolio of services
The Department has a multiprofessional team of staff made up of doctors, nurses and others. Their functions include:
- Comprehensive, multidisciplinary care for the treatment of retinoblastoma
- Comprehensive, multidisciplinary care for the treatment of soft tissue sarcoma
- Comprehensive, multidisciplinary care for the treatment of brain tumours
- Comprehensive, multidisciplinary care for the treatment of bone tumours
- Comprehensive care for the treatment of leukaemia
- Comprehensive care for the treatment of lymphomas
- Comprehensive care for the treatment of Wilms tumours
- Specialised psychosocial care
- High-complexity cancer surgery
- Tumour committee
- Genetic counselling and cancer risk assessment in at-risk population
- High resolution clinic
- Second opinion consultations and consultations for other national and international hospitals
- Haploidentical transplant
- Day hospital: treatments
- Home-based hospitalisation with psychosocial support in terminal oncohaematological patients
- Online doctor 24 hours a day, 7 days a week
- New therapies for patients who have not benefitted from conventional treatments. Clinical trials, Phase I, II, III. Member of ITCC
- Malignant and benign haematological pathologies: diagnosis, treatment and follow-up
- Malignant and benign neoplasia pathologies: diagnosis, treatment and follow-up
- Radiotherapy. Linear accelerator. Stereotaxy. Modulated intensity. Brachytherapy
- Sedation for painful procedures
- Specialised psychosocial department
- Transplant of haematopoietic progenitors (autologous, allogeneic relatives and unrelated donors). Bone marrow, peripheral blood
- Umbilical cord blood transplant
- Haematological and oncological emergencies
The Group for Translational Research into Childhood and Adolescent Cancer is focused on research for new treatment targets or molecule targets (the place in the organism a drug acts on), based on the most advanced knowledge available on the biology of paediatric cancers. The Group has identified and will continue to work on new molecular targets for sarcomas (cancer that originates in connective tissue cells) and tumours of the nervous system.
Collaborations with the biotechnology industry are currently being established and consolidated in order to develop new drugs capable of inhibiting pro-oncogenic processes, such as invasion and proliferation, in order to provide patients with alternative therapy options.
As an international centre of reference, our Department belongs to the International Network of Excellence in the Treatment of Cancer in Children and Adolescents. We carry out clinical work, research and teaching activity in coordination with international scientific societies: International Society of Paediatric Oncology (SIOP), European Society for Blood and Marrow Transplantation (EBMT), Center for International Blood and Marrow Transplant Research (CIBMTR), and national societies: Spanish Society of Paediatric Haematology and Oncology (SEHOP), Programme for the Study and Treatment of Malignant Haemopathy (Pethema).
Based on data from the National Registry of Child Tumours, our hospital diagnoses and treats the most children. Their survival rates are comparable to the most prestigious international centres of excellence. Our centre was the first in Spain to obtain JACIE accreditation (Joint Accreditation Committee ISCT and EBMT), the most prestigious in our field.
The Haematopoietic Progenitors Transplant Unit is the most active of its kind in Spain, with an average of 40 transplants per year. We perform all kinds of transplants, and are pioneers in complex cases, such as unrelated donors and umbilical cord blood transplants. We also perform transplants in cases of malignant oncohaematological diseases, acquired medullary aplasias and congenital pathologies such as immunodeficiencies, haemoglobinopathies, metabolopathies and medullary insufficiencies.
We should highlight our translational research group, which applies the knowledge acquired from basic research to the prevention and treatment of clinical cases in childhood cancer and haematological diseases, which contributes to better diagnosis, prognosis, treatment and control of such diseases. The Department has a Clinical Trials Unit for Innovative Treatments and belongs to the Innovative Therapy in Cancer Children (ITCC) group.
Dr. Josep Sánchez de Toledo Codina, head of the Paediatric Haematology and Oncology Department, tells us about a Department that has laid the foundations for the specialism in Spain. He also remembers the evolution of transplants from haematopoietic stem cells and progenitors, from the beginning, buying the material at a shop in Barcelona city centre, to the more than 1,200 transplants that have now been performed.
The Master's Degree in Biomedical and Translational Research is an official programme created to train researchers with the requisite combination of scientific knowledge and skills to contribute to the future success of biomedical research.
Fermín Fernández Álvarez, Porter Coordinator, explains the importance of the role these professionals play in the hospital. After 36 years at Vall d’Hebron, Fermín is a real master of the ways things are done. He says that a porter has to combine humility, discretion and safety with a single goal: that patients receive human and friendly treatment.
The constant search for excellence is part of Hospital Vall d’Hebron’s nature. The biggest hospital in Catalonia and the leader in many fields, headed since February 2015 by Dr. Vicenç Martínez Ibáñez, who has a close personal and professional relationship with the Hospital. Dr. Martínez Ibáñez says that if Vall d’Hebron did not exist, it would need to be invented. The current director trained at the hospital, where he was one of the protagonists of an historic moment: the first paediatric liver transplant in Spain. Now, he is committed to continuing this legacy and, always putting the patient first, achieving excellence across all staff.
The Neonatology Department’s Sibling Project is a workshop for the siblings of new-born babies admitted to the Paediatric Intensive Care Unit in the Vall d’Hebron Maternity and Children's Hospital. Through simulated games and situations, the project prepares them to get used to seeing their younger siblings in a hospital medical setting.
Vall d’Hebron University Hospital’s kitchen serves more than 1,000 meals a day, twice a day, not counting breakfast. A reality that José Parrilla and Carmina Esteban know all too well.From three kitchens to one and from coal to gas. That is how the hospital’s catering service has evolved. A place where the needs of each patient must be taken into account and where there is room for small, juicy anecdotes.
The former head of the Thoracic Surgery Department, Dr. Mercè Canela, recently retired, recalls the important evolution of the Department to become a leader in Spain and a lung transplant pioneer. A task made possible thanks to collaboration with professionals from other departments, an added value in the personal and team environment.
Rosalia Moure arrived at Vall d’Hebron University Hospital in 1967. She spent her entire working life in the linen and laundry department of the Hospital. Rosalia Moure has witnessed the Hospital’s big transformations, from dictatorship to democracy and from analogue to digital systems.