Dr. Christian Finley is Expert Advisor, Clinical Measures at the Canadian Partnership Against Cancer. In this role he provides content-specific advice and expertise on improving the quality of surgical oncology, as well as using Geographic Information Systems (GIS) spatial mapping techniques to map system performance in cancer control in Canada.
Dr. Finley is a thoracic surgeon with clinical expertise in lung and esophageal cancer, patient education improvements and regionalization efforts. Since 2010, he has practiced at St. Joseph’s Healthcare in Hamilton, Ontario and is currently appointed as an associate professor in the Department of Surgery (Division of Thoracic Surgery) at McMaster University. He is also the former Research Chair for the Canadian Association of Thoracic Surgeons, where he led quality improvement projects on a national scale and encouraged multi-institutional collaborations.
Dr. Finley has been associated with the Partnership since 2012, collaborating on several fronts including the National Initiative for a Synoptic Operative Report in Lung Cancer, Electronic Synoptic Surgical Quality Initiative. He also lead the team that produced a discussion paper, funded by the Partnership, on approaches to high-risk, resource intensive cancer surgical care in Canada released in November 2015. This important study provided objective analyses and discussion about the considerations for the conduct and organization of esophageal, pancreatic, liver, lung and ovarian cancer surgery in Canada.
Dr. Finley trained in General Surgery at University of British Columbia and completed his thoracic surgery training at the University of Toronto. He also has a Masters of Public Health from Harvard University.
Areas of Expertise (6)
Lung Cancer Screening
Patient Education Improvements
Harvard University: MPH, Public Health
University of British Columbia: MD, Medicine
Media Appearances (2)
Odds of dying from cancer depend where you live, say Hamilton researchers
The Hamilton Spectator
"I was pretty shocked," said lead author Dr. Christian Finley, a thoracic surgeon at St. Joseph's Healthcare and McMaster University. "We showed really tremendous disparity. This is unacceptable."...
Cancer surgery complications, death rates vary widely across Canada: report
Dr. Christian Finley, a thoracic surgeon at St. Joseph’s Health Centre in Hamilton and lead author of the paper, says the study looked only at major surgeries for esophageal, pancreatic, liver, lung and ovarian cancers that typically result in long hospital stays and relatively high death rates. “Even in the best hands in the world, they have an adverse event, or complication rate, of about 30 per cent. So these are large surgeries,” Finley explained to CTV News Channel Thursday...
Comprehensive Clinical Staging for Resectable Lung Cancer: Clinicopathological Correlations and the Role of Brain MRIJournal of Thoracic Oncology
2016 In our model of comprehensive clinical staging (CCS) for lung cancer, patients with a computerized tomography scan of the chest and upper abdomen not showing distant metastases will then routinely undergo whole body positron emission tomography/computerized tomography and magnetic resonance imaging (MRI) of the brain before any therapeutic decision. Our aim was to determine the accuracy of CCS and the value of brain MRI in this population.
Approaches to High-Risk, Resource Intensive Cancer Surgical Care in CanadaReport for the Canadian Partnership Against Cancer
2015 The Approaches to High-Risk, Resource Intensive Cancer Surgical Care in Canada report looks at the organization of complex cancer surgeries in Canada. The report provides an objective analysis and discussion about the distribution of, and approaches to, high-risk, resource intensive cancer surgical procedures for esophageal, pancreatic, liver, lung and ovarian cancers in Canada.
Treatment choices and outcomes of patients with manometrically diagnosed achalasiaDiseases of the Esophagus
2015 This prospective population-based study was designed to evaluate treatment choices in patients with new manometrically diagnosed achalasia and their outcomes. Patients referred to the esophageal function laboratory were enrolled after a new manometric diagnosis of achalasia. Patients completed an initial achalasia symptom score validated questionnaire on their symptom severity, duration, treatment pre-diagnosis and Medical Outcomes Study 36-item Short-Form (SF-36) survey. Treatment decisions were made by the referring physician and the patient. Follow-up questionnaires were completed every 3 months for 1 year. Patients who chose not to undergo treatment at 1-year follow-up completed another questionnaire after 5 years.
The effect of surgeon volume on procedure selection in non–small cell lung cancer surgeriesJournal of Thoracic and Cardiovascular Surgery
2015 Procedure selection by the surgeon can greatly affect patients' operative and long-term survival. This selection potentially reflects comfort with technically challenging surgeries. This study aims to examine surgeon choices for non–small cell lung cancer and whether surgeon volume predicts the type of procedure chosen, controlling for patient demographics, comorbidity, year of surgery, and institutional factors.
The effect of regionalization on outcome in esophagectomy: a Canadian national studyThe Annals of Thoracic Surgery
2011 Regionalization of specialized surgical services has been proposed to improve outcomes based on the reported association between volume and outcomes. The effect of regionalization of esophagectomy on in-hospital mortality (IHM) and length of stay ...
Factors associated with postoperative symptoms after laparoscopic Heller myotomyThe Annals of Thoracic Surgery
2010 Our objective is to ascertain if preoperative and perioperative treatments affect the short-and long-term symptom frequency or symptom scores for dysphagia, regurgitation, and heartburn in patients with laparoscopic Heller myotomy for achalasia. ...
The effect of regionalization on outcome in pulmonary lobectomy: a Canadian national studyThe Journal of Thoracic and Cardiovascular Surgery
2010 To examine the effect of regionalization of thoracic surgery services in Canada by evaluating change over time in hospital volumes of pulmonary lobectomy and its impact on length of stay and in-hospital mortality...
Empyema: An increasing concern in CanadaCanadian Respiratory Journal
2008 Empyema is a suppurative infection of the pleural space. Without prompt treatment, it can result in significant hospital stays, more invasive treatments as it progresses, and substantial morbidity and mortality...
Practical approaches to the surgical management of achalasiaThe American Surgeon
2008 Achalasia is a primary motor disorder of the esophagus characterized by an abnormal hypertensive, nonrelaxing lower esophageal sphincter (LES) and nonfunctioning, aperistaltic esophageal body resulting in significant regurgitation and dysphagia. The ...