Sapporo Conference for Palliative and Supportive Care in Cancer Conference Organizer:Higashi Sapporo Hospital

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Greeting from Chair and Co-Chair

Due to the COVID-19 pandemic, the Sapporo Conference for Palliative and Supportive Care in Cancer has been changed to a joint 3rd and 4th conference. The first two days are based on the original program for the 3rd conference, of which I was in charge. For the third day, a special program has been planned by Satoshi Miyake, the Chairman of the 4th conference. Through the addition of new input from the two of us, we believe that the joint international conference offers a meaningful program. Below is a brief introduction to the first two days of the program. Each day consists of a single paradigm.

Day 1: Palliative Oncology
Symposium: Opioids and Cancer Pain: Evolving Science and Practice
The recent advances in basic opioid research have been remarkable. By understanding the results of the basic research and applying them to clinical practice, more effective management of cancer pain is expected. Further, opioids are said to be deeply involved in the mechanisms underlying other symptoms. This symposium will discuss the latest science and practice related to opioids. We have asked Dr. Russell Portenoy to arrange the speakers.
Luncheon Seminar: “Integration of Oncology and Palliative Care, a review of its history and directions for the future” by Prof. Stein Kaasa, a pioneer in cancer palliative care. This seminar aims to remind us of the sustainable and disruptive innovation of Clayton M. Christensen.
Plenary Session: Recent progress in the integration of standard oncology and palliative care New research is being developed in each of these fields and lectures by leading experts have been prepared.

Day 2: Psycho-oncology or the Humanities
Symposium: Making the Case for Integration of Spiritual Issues in Palliative care
With the importance being placed on spiritual care, there is a desire among non-religious people who do not believe in a specific religion to understand it. An essential discussion of spirituality is expected.
Luncheon Seminar: Dr. Ishitani's oldest friend in the field of palliative care, Prof. Frank Brescia is organizing a talk on “Philosophical Oncology: The Intersection of Medicine, Philosophy and Religion.”
Plenary Session: Determinants and effects of existential suffering in the clinics of palliative care
The differentiation of existential suffering from spiritual suffering is an important issue, and this is the first time that this point of view will been discussed in a public forum. Also, the essence of existential pain and the means of providing care for it will be explained from the perspective of psycho-oncology.

In addition, the following program has been planned through discussion with Satoshi Miyake, the Chairman of the 4th conference.
A Meaning-Centered Psychotherapy workshop, which was very popular at the previous conferences, is to be given by Dr. William Breitbart on the afternoon of the first day, along with evening seminars on the evening of the first day by former chairman of the European Association for Palliative Care and nurse, Prof. Philip Larkin, and on the evening of the second day by a young expert in palliative care health policy research Dr. Joseph Clark.

We pray that everyone who participates in the joint 3rd/4th SCPSC will come into contact with the world's most advanced palliative oncology and psycho-oncology, and that the new encounters in Sapporo will be meaningful.

Takeshi Terui, MD, PhD
Chair, The 3rd Sapporo Conference for Palliative and Supportive Care in Cancer
Higashi Sapporo Hospital
March 30th, 2021

This is the third time that the Sapporo Conference for Palliative and Supportive Care in Cancer (SCPSC) will be held and from this even going forward, the organization has been restructured as an international research society centered on the Asian region, with future activities expected to be centered round Palliative Oncology and Psycho-oncology. The 3rd conference was originally scheduled for 2020 and the 4th for 2023, but due to the COVID-19 pandemic, the two events will be held jointly in 2022. As the Chairman of the 4th SCPSC, I would like to introduce the program for the 3rd day.

For the morning, we have organized a Plenary Session on the theme of Technology-enabled Care in Palliative Oncology. Many of us also experienced telemedicine and patient interviews using tablets during the COVID-19 pandemic; however, this session covers the possibilities of medical treatment using technology and ethical issues. At the luncheon seminar, Dr. Walsh, Editor-in-chief of BMJ Supportive and Palliative Care, will give a lecture on the "Development of a novel department of supportive oncology."
For the afternoon, we have planned a Symposium on the theme of euthanasia. I think that we have had few opportunities to discuss this theme head-on in Japan, but recently there have also been cases in Japan. I hope that we can have a wide-reaching discussion of the issues, including the current situations in other countries.

This SCPSC has been extended to 3 days, which are closely packed with interesting content. My hope is that this conference will afford an opportunity for us contemplate together medical care and research in relation to post-COVID-19 pandemic Palliative Oncology and Psycho-oncology.

Satoshi Miyake, MD, PhD
Co-Chair, The 3th Sapporo Conference for Palliative and Supportive Care in Cancer
Chair, The 4th Sapporo Conference for Palliative and Supportive Care in Cancer
Graduate School of Tokyo Medical and Dental University
March 30th, 2021