Travel Distance to Healthcare Centers is Associated with Advanced Colon Cancer at Presentation

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Travel Distance to Healthcare Centers is Associated with Advanced Colon Cancer at Presentation"

Transcription

1 Travel Distance to Healthcare Centers is Associated with Advanced Colon Cancer at Presentation Yan Xing, MD, PhD, Ryaz B. Chagpar, MD, MS, Y Nancy You MD, MHSc, Yi Ju Chiang, MSPH, Barry W. Feig, MD, George J Chang, MD, MS, & Janice N. Cormier, MD, MPH Center for Surgical Outcomes Group Department of Surgical Oncology The University of Texas MD Anderson Cancer Center Houston, TX

2 Disclosures No financial conflicts of interest or other disclosures.

3 Colon Cancer The third most common malignancy among both men and women in the United States 2010 estimates: 142,570 incident cases; 51,370 deaths At the time of initial diagnosis, approximately 19% of colon cancer cases are diagnosed with distant metastases (stage IV), with a reported 5 year survival of 6 12%. (Altekruse; Edge) Altekruse SF, et al: SEER Cancer Statistics Review. Bethesda, MD, National Cancer Institute, Edge SB, et al, AJCC Cancer Staging Manual, 7 th ed., 2009, Springer: New York.

4 Disease specific survival from NCDB ( ) Stage I Stage II Survival Stage III Time (years) Stage IV

5 Access to Healthcare Access to care has been examined in various conditions, including: HIV, obesity, stroke, myocardial infarction and cancer. Access to cancer care has been evaluated in the context of Diagnosis: Breast Cancer, Melanoma Treatment: surgery, chemotherapy and radiation therapy Long travel distance has been shown to be associated with poor outcome Stage at presentation Treatment compliance Survival

6 Objective We sought to determine whether advanced stage colon cancer (IV) at presentation was associated to patient travel distance from residence to diagnostic healthcare center.

7 National Cancer Database (NCDB) Joint program of the American College of Surgeons Commission on Cancer (CoC) and the American Cancer Society Nationally representative, quality controlled, hospitalbased cancer registry Captures ~70% of all cancer diagnoses within the US from more than 1400 hospitals Data collected by trained abstracters, additional electronic and site specific methods of quality assessment

8 Study Design All patients diagnosed with stage I, II, III, IV colon adenocarcinoma between (n=379,719) Patients were staged according to the 6 th edition of the American Joint Committee on Cancer staging system using pathologic variables for tumor depth of penetration, nodal status, and presence of distant metastases.

9 Study Design Class of Case Diagnosis at the reporting facility First course of treatment was performed elsewhere Diagnosis at the reporting facility, First course of treatment delivered at facility Diagnosis elsewhere First course of treatment performed at the reporting facility Hospitals identified as diagnostic facility included

10 Study Design Travel distance: the driving distance (miles), using the shortest route from a patient s zip code centroid to the hospital street address where the diagnosis of colon cancer was established. Three distance groups (Baldwin L, et al): Local ( 50 miles) Intermediate ( miles) Long (>100 miles) Multivariate logistic regression analysis Evaluate the relationship between travel distance and the likelihood of presenting with stage IV colon cancer relative to stage I III disease. Adjusted for age, gender, race, education, insurance status, year of diagnosis, facility type, and treatment site

11 Results Travel distance was available for 86.3% of the cohort. Of those with recorded travel distance (n=327,805) Intermediate (3.7%) Long (1.5%) Local (94.8%)

12 Stage IV patients stratified by the travel distance Percentage >100 Travel Distance (Miles) Stage IV patients comprised 21%, 22%, and 25% of patients traveling local, intermediate and long distances.

13 Independent Risk Factors for Stage IV Colon CA at Diagnosis Stage IV OR 95% CI Travel Distance (vs. 50 miles) > Age (vs. <50) years Year of Diagnosis vs Insurance Status (vs. Private) Medicare Medicaid Uninsured Other Govt Plan

14 Independent Risk Factors for Stage IV Colon CA at Diagnosis Stage IV OR 95% CI Gender Male vs. Female Race (vs. Caucasian) African American Hispanic Asian/Pacific Islander Diagnosis and treatment facility Same vs. different Facility type (vs. Community) Comprehensive Academic/Research

15 Limitations Distance to diagnostic site may not correspond to closest site available in all patients. Misclassification: overestimated or underestimated travel distances.

16 Conclusions When compared to local access ( 50 miles), long travel distance (> 100 miles) was associated with an 18% increase in risk for diagnosis of stage IV colon cancer.

17 Conclusions Other independent factors associated with advanced disease at diagnosis included Younger age Male gender African American race Inadequate insurance Earlier year of diagnosis Academic/Research Program Diagnosed and treated at different facility

18 Implications These data suggest that in order to improve colon cancer outcomes, policy makers should consider creative strategies to target populations that are underserved for early cancer detection with convenient, local access to diagnostic care, such as mobile screening units.

19 Acknowledgements Commissions on Cancer Department of Surgical Oncology, MDACC Institute of Cancer Care Excellence, MDACC

2010 SITE REPORT St. Joseph Hospital PROSTATE CANCER

2010 SITE REPORT St. Joseph Hospital PROSTATE CANCER 2010 SITE REPORT St. Joseph Hospital PROSTATE CANCER Humboldt County is located on the Redwood Coast of Northern California. U.S census data for 2010 reports county population at 134,623, an increase of

More information

Use of Androgen Deprivation Therapy (ADT) in Localized Prostate Cancer

Use of Androgen Deprivation Therapy (ADT) in Localized Prostate Cancer Use of Androgen Deprivation Therapy (ADT) in Localized Prostate Cancer Adam R. Kuykendal, MD; Laura H. Hendrix, MS; Ramzi G. Salloum, PhD; Paul A. Godley, MD, PhD; Ronald C. Chen, MD, MPH No conflicts

More information

Lung Cancer. Public Outcomes Report. Submitted by Omar A. Majid, MD

Lung Cancer. Public Outcomes Report. Submitted by Omar A. Majid, MD Public Outcomes Report Lung Cancer Submitted by Omar A. Majid, MD Lung cancer is the most common cancer-related cause of death among men and women. It has been estimated that there will be 226,1 new cases

More information

Analysis of Prostate Cancer at Easter Connecticut Health Network Using Cancer Registry Data

Analysis of Prostate Cancer at Easter Connecticut Health Network Using Cancer Registry Data The 2014 Cancer Program Annual Public Reporting of Outcomes/Annual Site Analysis Statistical Data from 2013 More than 70 percent of all newly diagnosed cancer patients are treated in the more than 1,500

More information

Clinical trial enrollment among older cancer patients

Clinical trial enrollment among older cancer patients Clinical trial enrollment among older cancer patients Sharon H. Giordano MD, MPH Professor, Health Services Research Mariana Chavez Mac Gregor MD, MSc Assistant Professor, Breast Medical Oncology Department

More information

Oncology Annual Report: Prostate Cancer 2005 Update By: John Konefal, MD, Radiation Oncology

Oncology Annual Report: Prostate Cancer 2005 Update By: John Konefal, MD, Radiation Oncology Oncology Annual Report: Prostate Cancer 25 Update By: John Konefal, MD, Radiation Oncology Prostate cancer is the most common cancer in men, with 232,9 new cases projected to be diagnosed in the U.S. in

More information

Seton Medical Center Hepatocellular Carcinoma Patterns of Care Study Rate of Treatment with Chemoembolization 2007 2012 N = 50

Seton Medical Center Hepatocellular Carcinoma Patterns of Care Study Rate of Treatment with Chemoembolization 2007 2012 N = 50 General Data Seton Medical Center Hepatocellular Carcinoma Patterns of Care Study Rate of Treatment with Chemoembolization 2007 2012 N = 50 The vast majority of the patients in this study were diagnosed

More information

Breast cancer close to the nipple: Does this carry a higher risk ofaxillary node metastasesupon diagnosis?

Breast cancer close to the nipple: Does this carry a higher risk ofaxillary node metastasesupon diagnosis? Breast cancer close to the nipple: Does this carry a higher risk ofaxillary node metastasesupon diagnosis? Erin I. Lewis, BUSM 2010 Cheri Nguyen, BUSM 2008 Priscilla Slanetz, M.D., MPH Al Ozonoff, Ph.d.

More information

Disparities in Stage at Diagnosis, Survival, and Quality of Cancer Care in California by Source of Health Insurance

Disparities in Stage at Diagnosis, Survival, and Quality of Cancer Care in California by Source of Health Insurance Disparities in Stage at Diagnosis, Survival, and Quality of Cancer Care in California by Source of Health Insurance Acknowledgements and Disclaimer The collection of cancer incidence data used in this

More information

Supplementary Online Content

Supplementary Online Content Supplementary Online Content Bleicher RJ, Ruth K, Sigurdson ER, et al. Time to Surgery and Breast Cancer Survival in the United States. JAMA Oncology. Published online December 10, 2015. doi:10.1001/jamaoncol.2015.4508.

More information

2012 CANCER PROGRAM ANNUAL REPORT

2012 CANCER PROGRAM ANNUAL REPORT MERCY REGIONAL CANCER CENTER 2012 CANCER PROGRAM ANNUAL REPORT Using 2011 Data Mercy Regional Cancer Center When you have cancer, you might think first of treatments chemotherapy and radiation. You want

More information

Electronic health records to study population health: opportunities and challenges

Electronic health records to study population health: opportunities and challenges Electronic health records to study population health: opportunities and challenges Caroline A. Thompson, PhD, MPH Assistant Professor of Epidemiology San Diego State University Caroline.Thompson@mail.sdsu.edu

More information

Table 16a Multiple Myeloma Average Annual Number of Cancer Cases and Age-Adjusted Incidence Rates* for 2002-2006

Table 16a Multiple Myeloma Average Annual Number of Cancer Cases and Age-Adjusted Incidence Rates* for 2002-2006 Multiple Myeloma Figure 16 Definition: Multiple myeloma forms in plasma cells that are normally found in the bone marrow. 1 The plasma cells grow out of control and form tumors (plasmacytoma) or crowd

More information

Temporal Trends in Demographics and Overall Survival of Non Small-Cell Lung Cancer Patients at Moffitt Cancer Center From 1986 to 2008

Temporal Trends in Demographics and Overall Survival of Non Small-Cell Lung Cancer Patients at Moffitt Cancer Center From 1986 to 2008 Special Report Temporal Trends in Demographics and Overall Survival of Non Small-Cell Lung Cancer Patients at Moffitt Cancer Center From 1986 to 2008 Matthew B. Schabath, PhD, Zachary J. Thompson, PhD,

More information

Early mortality rate (EMR) in Acute Myeloid Leukemia (AML)

Early mortality rate (EMR) in Acute Myeloid Leukemia (AML) Early mortality rate (EMR) in Acute Myeloid Leukemia (AML) George Yaghmour, MD Hematology Oncology Fellow PGY5 UTHSC/West cancer Center, Memphis, TN May,1st,2015 Off-Label Use Disclosure(s) I do not intend

More information

Ovarian Cancer. in Georgia, 1999-2003. Georgia Department of Human Resources Division of Public Health

Ovarian Cancer. in Georgia, 1999-2003. Georgia Department of Human Resources Division of Public Health Ovarian Cancer in Georgia, 1999-23 Georgia Department of Human Resources Division of Public Health Acknowledgments Georgia Department of Human Resources......B. J. Walker, Commissioner Division of Public

More information

Squamous Cell Carcinoma of Anal Canal Treatment Guidelines

Squamous Cell Carcinoma of Anal Canal Treatment Guidelines May 2009 Squamous Cell Carcinoma of Anal Canal Treatment Guidelines Presented at Cancer Committee: August 6, 2009 By Shelly Smits, RHIT, CCS, CTR Conclusions by Ian Thompson, MD Data Source: Cancer registry

More information

The Role of Insurance in Providing Access to Cardiac Care in Maryland. Samuel L. Brown, Ph.D. University of Baltimore College of Public Affairs

The Role of Insurance in Providing Access to Cardiac Care in Maryland. Samuel L. Brown, Ph.D. University of Baltimore College of Public Affairs The Role of Insurance in Providing Access to Cardiac Care in Maryland Samuel L. Brown, Ph.D. University of Baltimore College of Public Affairs Heart Disease Heart Disease is the leading cause of death

More information

Houston Cancer Institute

Houston Cancer Institute Houston Cancer Institute A personal path to healing Memorial-West Houston Katy Northwest Houston Southeast Houston Sugar Land Convenience for Patients State of the Art Therapies and Diagnosis Real Support

More information

Staging and Data Completeness: Essential Components to Quality of Cancer Care

Staging and Data Completeness: Essential Components to Quality of Cancer Care American American College College of of Surgeons 2013 Content 2014 Content cannot be be reproduced or or repurposed without written permission of of the the American College College of Surgeons. of Surgeons.

More information

Komorbide brystkræftpatienter kan de tåle behandling? Et registerstudie baseret på Danish Breast Cancer Cooperative Group

Komorbide brystkræftpatienter kan de tåle behandling? Et registerstudie baseret på Danish Breast Cancer Cooperative Group Komorbide brystkræftpatienter kan de tåle behandling? Et registerstudie baseret på Danish Breast Cancer Cooperative Group Lotte Holm Land MD, ph.d. Onkologisk Afd. R. OUH Kræft og komorbiditet - alle skal

More information

ST JOSEPH REGIONAL HEALTH CENTER LUNG CANCER ANALYSIS Incidence, Diagnosis, Treatment and Survival

ST JOSEPH REGIONAL HEALTH CENTER LUNG CANCER ANALYSIS Incidence, Diagnosis, Treatment and Survival ST JOSEPH REGIONAL HEALTH CENTER LUNG CANCER ANALYSIS Incidence, Diagnosis, Treatment and Survival It is logical that the Cancer Program Committee choose to review the Lung Site, as Lung is the second

More information

Racial/Ethnic Disparities in Nursing Home Rehabilitation Care

Racial/Ethnic Disparities in Nursing Home Rehabilitation Care Racial/Ethnic Disparities in Nursing Home Rehabilitation Care Robert Weech-Maldonado, Ph.D. Department of Health Services Research, Management & Policy University of Florida Collaborators University of

More information

Diffuse Large B-Cell Lymphoma

Diffuse Large B-Cell Lymphoma Diffuse Large B-Cell Lymphoma Date: September 2011 Date Presented to Cancer Committee: April 12, 2012 By Shelly Smits, RHIT, CCS, CTR Conclusions by Ian Thompson, MD Data Source: Cancer registry information

More information

DOMINICAN HOSPITAL QUALITY IMPROVEMENT STUDY BREAST CANCER CARE

DOMINICAN HOSPITAL QUALITY IMPROVEMENT STUDY BREAST CANCER CARE DOMINICAN HOSPITAL QUALITY IMPROVEMENT STUDY BREAST CANCER CARE STUDY COORDINATOR: Jimmy Chung, MD 234 Surgical breast cancer patients admitted 2004-2008 Updated: 10/7/10 INTRODUCTION Breast cancer is

More information

Big Data and Oncology Care Quality Improvement in the United States

Big Data and Oncology Care Quality Improvement in the United States Big Data and Oncology Care Quality Improvement in the United States Peter P. Yu, MD, FACP, FASCO President, American Society of Clinical Oncology Director of Cancer Research, Palo Alto Medical Foundation

More information

Report with statistical data from 2007

Report with statistical data from 2007 2008 Cancer Program Annual Report with statistical data from 2007 Lake Cumberland Regional Hospital 305 Langdon Streett Somerset, KY 42503 Telephone: 606-679-7441 Fax: 606-678-9919 Cancer Committee Mullai,

More information

EDUCATING, SUPPORTING & COORDINATING CARE: ONCOLOGY NURSE NAVIGATORS

EDUCATING, SUPPORTING & COORDINATING CARE: ONCOLOGY NURSE NAVIGATORS EDUCATING, SUPPORTING & COORDINATING CARE: ONCOLOGY NURSE NAVIGATORS Nancy Foreman, RN, BSN Oncology Nurse Navigator Cancer Centers of Northern Arizona Healthcare Learning Objectives: Identify five services

More information

Bristol Hospital Cancer Care Center 2015 Annual Report

Bristol Hospital Cancer Care Center 2015 Annual Report Bristol Hospital Cancer Care Center 2015 Annual Report 2015 Annual Report Cancer Care Center At every point along the path, our team is there, keeping the focus on the most important team member - the

More information

Prevalence of HPV Infection in Head and Neck Cancers by Anatomic Subsite

Prevalence of HPV Infection in Head and Neck Cancers by Anatomic Subsite Prevalence of HPV Infection in Head and Neck Cancers by Anatomic Subsite Lihua Liu, PhD Los Angeles Cancer Surveillance Program University of Southern California Head and Neck Cancers A variety of sites

More information

Prognosis of Patients With Breast Cancer: Causes of Death and Effects of Time Since Diagnosis, Age, and Tumor Characteristics

Prognosis of Patients With Breast Cancer: Causes of Death and Effects of Time Since Diagnosis, Age, and Tumor Characteristics Prognosis of Patients With Breast Cancer: Causes of Death and Effects of Time Since Diagnosis, Age, and Tumor Characteristics Edoardo Colzani, M.D., M.P.H. Department of Medical Epidemiology and Biostatistics

More information

Tzy-Mey (May) Kuo, PhD MPH Integrated Cancer Information and Surveillance System

Tzy-Mey (May) Kuo, PhD MPH Integrated Cancer Information and Surveillance System Are Distance Based on Addresses Better Than ZIP Codes for Assessing Geographic Access to Cancer Treatment? Tzy-Mey (May) Kuo, PhD MPH Integrated Cancer Information and Surveillance System Overview What

More information

BREAST CANCER IN THE 21 st CENTURY. The Carolinas Medical Center NorthEast Experience. Garry Schwartz, MD

BREAST CANCER IN THE 21 st CENTURY. The Carolinas Medical Center NorthEast Experience. Garry Schwartz, MD BREAST CANCER IN THE 21 st CENTURY The Carolinas Medical Center NorthEast Experience Garry Schwartz, MD The American Cancer Society's most recent estimates for breast cancer in the United States for 2009

More information

The common feature of all melanomas is the cell of origin, the

The common feature of all melanomas is the cell of origin, the 1664 COMMUNICATION The American College of Surgeons Commission on Cancer and the American Cancer Society The National Cancer Data Base Report on Cutaneous and Noncutaneous Melanoma A Summary of 84,836

More information

Organizing a breast cancer database: data management

Organizing a breast cancer database: data management Review Article Page 1 of 5 Organizing a breast cancer database: data management Min Yi, Kelly K. Hunt Department of Breast Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston,

More information

Optimizing Treatment in Head and Neck Cancer with Limited Resources

Optimizing Treatment in Head and Neck Cancer with Limited Resources Optimizing Treatment in Head and Neck Cancer with Limited Resources Friday, February 19, 2016, 7:00 am MT Moderator: Randall Kimple, MD, University of Wisconsin Induction Chemotherapy Predicts Cumulative

More information

Monitoring Clinical Stage to Improve Care

Monitoring Clinical Stage to Improve Care Monitoring Clinical Stage to Improve Care Stephen Dreyer, MD, FACS Cancer Liaison State Chair Nebraska Fremont, NE M. Asa Carter, CTR Manager, Accreditation and Standards American College of Surgeons Chicago,

More information

BREAST CANCER IN YOUNG AGE ( 40 YEARS): THE UNIVERSITY OF TENNESSEE MEDICAL CENTER AT KNOXVILLE 10 YEAR EXPERIENCE

BREAST CANCER IN YOUNG AGE ( 40 YEARS): THE UNIVERSITY OF TENNESSEE MEDICAL CENTER AT KNOXVILLE 10 YEAR EXPERIENCE BREAST CANCER IN YOUNG AGE ( 40 YEARS): THE UNIVERSITY OF TENNESSEE MEDICAL CENTER AT KNOXVILLE 10 YEAR EXPERIENCE Snyder D, Heidel RE, Panella T, Bell J, Orucevic A University of Tennessee Medical Center

More information

THE CANCER CENTER 2014 ANNUAL REPORT CONTAINING 2013 STATISTICS

THE CANCER CENTER 2014 ANNUAL REPORT CONTAINING 2013 STATISTICS THE CANCER CENTER 2014 ANNUAL REPORT CONTAINING 2013 STATISTICS TABLE OF CONTENTS CONTAINING 2013 STATISTICS Acknowledgement... 3 Cancer Committee Members... 4 Chairman s Report... 5 2013 Tumor Conferences...

More information

Racial Differences in Cancer. A Comparison of Black and White Adults in the United States

Racial Differences in Cancer. A Comparison of Black and White Adults in the United States p P F I Z E R F A C T S Racial Differences in Cancer A Comparison of Black and White Adults in the United States p Approximately 177,000 blacks aged 20 and older will be diagnosed with cancer in 2005 an

More information

October is Breast Cancer Awareness Month!

October is Breast Cancer Awareness Month! October is Breast Cancer Awareness Month! A STUDY OF CHARACTERISTICS AND MANAGEMENT OF BREAST CANCER IN TAIWAN Eric Kam-Chuan Lau, OMS II a, Jim Yu, OMSII a, Christabel Moy, OMSII a, Jian Ming Chen, MD

More information

Number. Source: Vital Records, M CDPH

Number. Source: Vital Records, M CDPH Epidemiology of Cancer in Department of Public Health Revised April 212 Introduction The general public is very concerned about cancer in the community. Many residents believe that cancer rates are high

More information

Proton Radiotherapy. Cynthia Keppel Scientific and Technical Director Hampton University Proton Therapy Institute. Lead Virginia.

Proton Radiotherapy. Cynthia Keppel Scientific and Technical Director Hampton University Proton Therapy Institute. Lead Virginia. Proton Radiotherapy Cynthia Keppel Scientific and Technical Director Hampton University Proton Therapy Institute Lead Virginia g October 16, 2009 About Proton Therapy Cancer is the (2nd) largest cause

More information

Measures of Prognosis. Sukon Kanchanaraksa, PhD Johns Hopkins University

Measures of Prognosis. Sukon Kanchanaraksa, PhD Johns Hopkins University This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike License. Your use of this material constitutes acceptance of that license and the conditions of use of materials on this

More information

Non-Hodgkin s Lymphoma

Non-Hodgkin s Lymphoma Non-Hodgkin s Lymphoma Figure 17 Definition: Non-Hodgkin s Lymphoma (NHL) starts in cells called lymphocytes. 1 These cells reside in lymph nodes and lymphoid tissues that are part of the immune system.

More information

DELRAY MEDICAL CENTER. Cancer Program Annual Report

DELRAY MEDICAL CENTER. Cancer Program Annual Report DELRAY MEDICAL CENTER Cancer Program Annual Report Cancer Statistical Data From 2010 TABLE OF CONTENTS Chairman s Report....3 Tumor Registry Statistical Report Summary...4-11 Lung Study.12-17 Definitions

More information

Effect of Risk and Prognosis Factors on Breast Cancer Survival: Study of a Large Dataset with a Long Term Follow-up

Effect of Risk and Prognosis Factors on Breast Cancer Survival: Study of a Large Dataset with a Long Term Follow-up Georgia State University ScholarWorks @ Georgia State University Mathematics Theses Department of Mathematics and Statistics 7-28-2012 Effect of Risk and Prognosis Factors on Breast Cancer Survival: Study

More information

Prostate Cancer. Racial Differences in Prostate Cancer Treatment Outcomes. Prostate Cancer Epidemiology. Prostate Cancer Epidemiology

Prostate Cancer. Racial Differences in Prostate Cancer Treatment Outcomes. Prostate Cancer Epidemiology. Prostate Cancer Epidemiology Prostate Cancer Anatomy Paul A. Godley, MD, PhD Cancer Incidence, Males Prostate Cancer Epidemiology 24 Estimated New Cancer Cases Melanoma 29,9 Oral 18,55 Stomach 13,4 Leukemias 19,2 Kidney 22,8 Lymphomas

More information

The New International Staging System Lung Cancer

The New International Staging System Lung Cancer The New International Staging System Lung Cancer Valerie W. Rusch, MD Chief, Thoracic Surgery Memorial Sloan-Kettering Cancer Center Chair, Lung and Esophagus Task Force, American Joint Commission on Cancer

More information

2013 Marin County Data Summary: Breast Cancer Trends and Risk Factors

2013 Marin County Data Summary: Breast Cancer Trends and Risk Factors Age-adjusted mortality rate Age-adjusted incidence rate 2013 County Data Summary: Breast Cancer Trends and Risk Factors Age-adjusted Invasive Breast Cancer Incidence Rates and California Non-Hispanic,

More information

Pathologic Assessment Of The Breast And Axilla After Preoperative Therapy

Pathologic Assessment Of The Breast And Axilla After Preoperative Therapy Pathologic Assessment Of The Breast And Axilla After Preoperative Therapy W. Fraser Symmans, M.D. Associate Professor of Pathology UT M.D. Anderson Cancer Center Pathologic Complete Response (pcr) Proof

More information

NEOPLASMS OF KIDNEY (RENAL CELL CARCINOMA) And RENAL PELVIS (TRANSITIONAL CELL CARCINOMA)

NEOPLASMS OF KIDNEY (RENAL CELL CARCINOMA) And RENAL PELVIS (TRANSITIONAL CELL CARCINOMA) NEOPLASMS OF KIDNEY (RENAL CELL CARCINOMA) And RENAL PELVIS (TRANSITIONAL CELL CARCINOMA) Merat Esfahani, MD Medical Oncologist, Hematologist Cancer Liaison Physician SwedishAmerican Regional Cancer Center

More information

Standard 4.6 Monitoring Compliance with Evidence Based Guidelines

Standard 4.6 Monitoring Compliance with Evidence Based Guidelines American American College College of of Surgeons 2013 Content 2014 Content cannot be be reproduced or or repurposed without written permission of of the the American College College of Surgeons. of Surgeons.

More information

Butler Memorial Hospital Community Health Needs Assessment 2013

Butler Memorial Hospital Community Health Needs Assessment 2013 Butler Memorial Hospital Community Health Needs Assessment 2013 Butler County best represents the community that Butler Memorial Hospital serves. Butler Memorial Hospital (BMH) has conducted community

More information

Cancer of the Pancreas

Cancer of the Pancreas Cancer of the Pancreas Definition: Cancer of the pancreas forms in either the exocrine cells or the endocrine cells that make up the pancreas. 1 Exocrine tumors make up the majority of pancreatic cancer.

More information

Cancers All Types. Cancer was the leading cause of death in Contra Costa. Table 1 Cancer deaths by race/ethnicity CHRONIC DISEASES

Cancers All Types. Cancer was the leading cause of death in Contra Costa. Table 1 Cancer deaths by race/ethnicity CHRONIC DISEASES Cancers All Types Cancer was the leading cause of death in Contra Costa. The most commonly diagnosed cancers in the county were prostate, breast, lung and colorectal cancer. Lung, colorectal, breast and

More information

Cancer Data for South Florida: A Tool for Identifying Communities in Need

Cancer Data for South Florida: A Tool for Identifying Communities in Need Cancer Data for South Florida: A Tool for Identifying Communities in Need Report to the Health Foundation of South Florida Supported by an Administrative Grant to the University of Miami Sylvester Comprehensive

More information

C a nc e r C e nter. Annual Registry Report

C a nc e r C e nter. Annual Registry Report C a nc e r C e nter Annual Registry Report 214 214 Cancer Registry Report Larraine A. Tooker, CTR Please note that the 214 Cancer Registry Annual Report is created in 214, but it reflects data on cases

More information

Adherence to Stage-Specific Treatment Guidelines for Patients With Colon Cancer

Adherence to Stage-Specific Treatment Guidelines for Patients With Colon Cancer VOLUME 30 NUMBER 9 MARCH 20 2012 JOURNAL OF CLINICAL ONCOLOGY O R I G I N A L R E P O R T Adherence to Stage-Specific Treatment Guidelines for Patients With Colon Cancer Ryaz Chagpar, Yan Xing, Yi-Ju Chiang,

More information

2009 Cancer Committee

2009 Cancer Committee 2009 Cancer Committee Lung (non-small cell) Cancer Study Stage IIIA and IIIB John Clouse, M.D. Alicia Stark, RHIT Jeff Robinson Table of Cont ent s Table of Contents... 1 Lung (non-small cell) Cancer Facts.2

More information

Focus on Prostate Cancer

Focus on Prostate Cancer 2010 A N N U A L R E P O RT Edwards Cancer Center Focus on Prostate Cancer Union Welcome from the President Letter from the Chairman Carolinas Medical Center-Union and Edwards Cancer Center continue our

More information

Ellis Fischel Cancer Center Registry Data Public Reporting of Outcomes: Breast Cancer

Ellis Fischel Cancer Center Registry Data Public Reporting of Outcomes: Breast Cancer Ellis Fischel Cancer Center Registry Data 13 Public Reporting of Outcomes: Breast Cancer To satisfy Standard 1.12 of the American College of Surgeons Commission on Cancer, a review of outcomes related

More information

Rural Disparities in posthospitalization. after traumatic brain injury.

Rural Disparities in posthospitalization. after traumatic brain injury. Rural Disparities in posthospitalization rehabilitation after traumatic brain injury. Ashley D Meagher MD, Jennifer Doorey MS, Christopher Beadles MD PhD, Anthony Charles MD MPH University of North Carolina

More information

Table 8a Esophageal Cancers Average Annual Number of Cancer Cases and Age-Adjusted Incidence Rates* for

Table 8a Esophageal Cancers Average Annual Number of Cancer Cases and Age-Adjusted Incidence Rates* for Esophageal Cancers Figure 8 Definition: The esophagus connects the throat to the stomach by way of a hollow, muscular tube. 1 Cancers of the esophagus start in the inner mucosa layer and spread outward

More information

A Ministry of the Archdiocese of Galveston-Houston A United Way Agency

A Ministry of the Archdiocese of Galveston-Houston A United Way Agency A Ministry of the Archdiocese of Galveston-Houston A United Way Agency Integrated Multidsciplinary Approach to Adapt Routine HIV Screening in a Safety Net Clinic Setting Sherri D. Onyiego MD, PhD Baylor

More information

Disparities in Realized Access: Patterns of Health Services Utilization by Insurance Status among Children with Asthma in Puerto Rico

Disparities in Realized Access: Patterns of Health Services Utilization by Insurance Status among Children with Asthma in Puerto Rico Disparities in Realized Access: Patterns of Health Services Utilization by Insurance Status among Children with Asthma in Puerto Rico Ruth Ríos-Motta, PhD, José A. Capriles-Quirós, MD, MPH, MHSA, Mario

More information

L Lang-Lazdunski, A Bille, S Marshall, R Lal, D Landau, J Spicer

L Lang-Lazdunski, A Bille, S Marshall, R Lal, D Landau, J Spicer Pleurectomy/decortication, hyperthermic pleural lavage with povidone-iodine and systemic chemotherapy in malignant pleural mesothelioma. A 10-year experience. L Lang-Lazdunski, A Bille, S Marshall, R Lal,

More information

Six Degrees of Separation No More: Using Data Linkages to Improve the Quality of Cancer Registry and Study Data

Six Degrees of Separation No More: Using Data Linkages to Improve the Quality of Cancer Registry and Study Data Six Degrees of Separation No More: Using Data Linkages to Improve the Quality of Cancer Registry and Study Data Prepared for the 138th Annual Meeting of the American Public Health Association Denver, CO

More information

Updates in Breast Cancer: Radiation. Shirnett Matthews, MD Radiation Oncology Cancer Centers of the Carolinas

Updates in Breast Cancer: Radiation. Shirnett Matthews, MD Radiation Oncology Cancer Centers of the Carolinas Updates in Breast Cancer: Radiation Shirnett Matthews, MD Radiation Oncology Cancer Centers of the Carolinas Hughes et al. Lumpectomy plus Tamoxifen with or without Irradiation in Women 70 years of Age

More information

Mercy Cancer Center Annual Performance and Outcomes Report. Approved by: Cancer Center Leadership Team. May 20, 2014

Mercy Cancer Center Annual Performance and Outcomes Report. Approved by: Cancer Center Leadership Team. May 20, 2014 Mercy Cancer Center Annual Performance and Outcomes Report Approved by: Cancer Center Leadership Team May 20, 2014 Outline Quality measures (Commission on Cancer Quality Reporting Tools) Inpatient Market

More information

Supplementary Online Content

Supplementary Online Content Supplementary Online Content Arterburn DE, Olsen MK, Smith VA, Livingston EH, Van Scoyoc L, Yancy WS, Jr. Association Between Bariatric Surgery and Long-Term Survival. JAMA. doi:10.1001/jama.2014.16968.

More information

Young and Uninsured: Insurance Patterns of Adolescent and Young Adult (AYA) Cancer Survivors

Young and Uninsured: Insurance Patterns of Adolescent and Young Adult (AYA) Cancer Survivors Young and Uninsured: Insurance Patterns of Adolescent and Young Adult (AYA) Cancer Survivors 2014 Applied Demography Conference Susanne Schmidt, Helen Parsons, Lynne Harlan 01/09/2014 01/10/2014 Funding

More information

This publication was prepared by:

This publication was prepared by: This publication was prepared by: The Cancer Surveillance Section Cancer Control Branch Division of Chronic Disease and Injury Control California Department of Health Services 1700 Tribute Road, Suite

More information

CANCER CLAIM FORM. CAF001CA-13v4

CANCER CLAIM FORM. CAF001CA-13v4 CANCER CLAIM FORM Failure to complete all sections may result in a delay in processing this claim. To prevent delays, please provide documentation from your healthcare provider to support this claim. Please

More information

Senior Staff Surgeon, Henry Ford Hospital, Detroit, Michigan August, 1994 to July, 2013

Senior Staff Surgeon, Henry Ford Hospital, Detroit, Michigan August, 1994 to July, 2013 Senior Staff Surgeon, Henry Ford Hospital, Detroit, Michigan August, 1994 to July, 2013 Service Chief, Surgery Credentials Committee Member Medical Executive Committee Member Service Chiefs Counsel Member

More information

Melanoma/Skin Cancer. What is the Impact on Hoosiers? Table 9. Burden of Melanoma Indiana, Average number of cases per year ( )

Melanoma/Skin Cancer. What is the Impact on Hoosiers? Table 9. Burden of Melanoma Indiana, Average number of cases per year ( ) What is the Impact on Hoosiers? Table 9. Burden of Melanoma Indiana, 2004 2008 Average number of cases per year (2004 2008) Rate per 100,000 people* (2004 2008) Number of cases (2008) Rate per 100,000

More information

Production and design by Maggie Burgos, California Cancer Registry.

Production and design by Maggie Burgos, California Cancer Registry. This publication was prepared by the Institute for Population Health Improvement, UC Davis Health System, for the Chronic Disease Surveillance and Research Branch, California Department of Public Health,

More information

Breast Cancer Management in the Age of Neoadjuvant Therapy

Breast Cancer Management in the Age of Neoadjuvant Therapy Breast Cancer Management in the Age of Neoadjuvant Therapy Friday October 28, 2016 8:00am 1:00pm Wallace Auditorium Chappaqua Crossing 480 Bedford Road Chappaqua, NY 10514 Breast Cancer Management in the

More information

Epidemiology, Staging and Treatment of Lung Cancer. Mark A. Socinski, MD

Epidemiology, Staging and Treatment of Lung Cancer. Mark A. Socinski, MD Epidemiology, Staging and Treatment of Lung Cancer Mark A. Socinski, MD Associate Professor of Medicine Multidisciplinary Thoracic Oncology Program Lineberger Comprehensive Cancer Center University of

More information

College of Medicine Enrollment MD and MD/MPH Fall 2002 to Fall 2006

College of Medicine Enrollment MD and MD/MPH Fall 2002 to Fall 2006 1 1 College of Medicine Enrollment MD and MD/MPH 8 6 4 2 College of Medicine MD and MD/MPH New students 184 18 172 185 184 Continuing students 592 595 67 585 589 Total 775 775 779 77 773 Change from previous

More information

Sacramento County. HIV/AIDS Surveillance Annual Report

Sacramento County. HIV/AIDS Surveillance Annual Report Sacramento County HIV/AIDS Surveillance Annual Report 2014 HIV/AIDS Surveillance Annual Report Table of Contents HIV/AIDS in Sacramento County... 2 Case Summary... 2 Cumulative HIV/AIDS Cases... 3 Figure

More information

Complementary Therapies and Prayer Use Among Cancer Survivors

Complementary Therapies and Prayer Use Among Cancer Survivors Complementary Therapies and Prayer Use Among Cancer Survivors Jun J Mao, MD, MSCE Department of Family Medicine and Community Health Symptom and Palliative Care Service University of Pennsylvania School

More information

Table 23a Testicular Cancer Average Annual Number of Cancer Cases and Age-Adjusted Incidence Rates* for

Table 23a Testicular Cancer Average Annual Number of Cancer Cases and Age-Adjusted Incidence Rates* for Testicular Cancer Figure 23 Definition: Testicular cancer usually develops in one or both testicles in young men. This cancer is highly treatable and usually curable. 1 Background: From 2002 to 2006, there

More information

The Georgia Cancer Registry A State s Perspective

The Georgia Cancer Registry A State s Perspective The Georgia Cancer Registry A State s Perspective Kevin C. Ward, PhD, MPH, CTR Director Georgia Center for Cancer Statistics Emory University kward@emory.edu Georgia Center for Cancer Statistics Located

More information

Adjuvant Therapy Non Small Cell Lung Cancer. Sunil Nagpal MD Director, Thoracic Oncology Jan 30, 2015

Adjuvant Therapy Non Small Cell Lung Cancer. Sunil Nagpal MD Director, Thoracic Oncology Jan 30, 2015 Adjuvant Therapy Non Small Cell Lung Cancer Sunil Nagpal MD Director, Thoracic Oncology Jan 30, 2015 No Disclosures Number of studies Studies Per Month 12 10 8 6 4 2 0 1 2 3 4 5 6 7 8 9 10 11 12 1 2 3

More information

National Cancer Institute

National Cancer Institute National Cancer Institute Information Systems, Technology, and Dissemination in the SEER Program U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Information Systems, Technology,

More information

Colonoscopy Data Collection Form

Colonoscopy Data Collection Form Identifier: Sociodemographic Information Type: Zip Code: Gender: Height: (inches) Race: Ethnicity Inpatient Outpatient Male Female Birth Date: Weight: (pounds) American Indian (Native American) or Alaska

More information

Total Enrollment Fall 2007 to Fall 2011

Total Enrollment Fall 2007 to Fall 2011 STATISTICAL PORTRAIT FALL 211 Total Enrollment 1 College or School 1 8 7 8 9 21 211 Medicine Masters of Public Health Graduate Studies Health Related Professions Nursing School Medicine 776 762 772 791

More information

PATIENT INFORMATION INTAKE F O R M BESSMER CHIROPRACTIC P. C.

PATIENT INFORMATION INTAKE F O R M BESSMER CHIROPRACTIC P. C. PATIENT INFORMATION INTAKE F O R M BESSMER CHIROPRACTIC P. C. Date today: _ PERSONAL INFORMATION Full Name: SS#: Address: City: State: Home Phone: Cell Phone: W o r k Phone: Email: Birthdate: Age: Sex:

More information

Lymph Node Examination Rates in Colorectal Cancer May Not Increase Survival. By Ferdinand Schafer

Lymph Node Examination Rates in Colorectal Cancer May Not Increase Survival. By Ferdinand Schafer Lymph Node Examination Rates in Colorectal Cancer May Not Increase Survival By Ferdinand Schafer Location and Frequency of Colorectal Tumors Lymphatic Drainage of the Colon and Rectum Figure 4. Diagram

More information

Non-Small Cell Lung Cancer Treatment Comparison to NCCN Guidelines

Non-Small Cell Lung Cancer Treatment Comparison to NCCN Guidelines Non-Small Cell Lung Cancer Treatment Comparison to NCCN Guidelines April 2008 (presented at 6/12/08 cancer committee meeting) By Shelly Smits, RHIT, CCS, CTR Conclusions by Dr. Ian Thompson, MD Dr. James

More information

Research Article Frequency of Surgery in Black Patients with Malignant Pleural Mesothelioma

Research Article Frequency of Surgery in Black Patients with Malignant Pleural Mesothelioma Disease Markers Volume 2015, Article ID 282145, 5 pages http://dx.doi.org/10.1155/2015/282145 Research Article Frequency of Surgery in Black Patients with Malignant Pleural Mesothelioma Emanuela Taioli,

More information

Disclosure. I have the following relationships with commercial interests:

Disclosure. I have the following relationships with commercial interests: Disclosure Electra Paskett, Ph.D., MPH I have the following relationships with commercial interests: Merck Research grant, in-kind donation Pfizer Stock ownership Meridian Bioscience Stock ownership A

More information

Treatment & Research. Treatment & Research

Treatment & Research. Treatment & Research Treatment & Research In March 1990, I became ill while on a trip to Thailand. I was examined and tested and given instructions to go to the emergency room when I arrived at home. In Great Falls, I learned

More information

Selected Health Status Indicators DALLAS COUNTY. Jointly produced to assist those seeking to improve health care in rural Alabama

Selected Health Status Indicators DALLAS COUNTY. Jointly produced to assist those seeking to improve health care in rural Alabama Selected Health Status Indicators DALLAS COUNTY Jointly produced to assist those seeking to improve health care in rural Alabama By The Office of Primary Care and Rural Health, Alabama Department of Public

More information

INTERNATIONAL ASSOCIATION FOR THE STUDY OF LUNG CANCER Prospective Mesothelioma Staging Project

INTERNATIONAL ASSOCIATION FOR THE STUDY OF LUNG CANCER Prospective Mesothelioma Staging Project INTERNATIONAL ASSOCIATION FOR THE STUDY OF LUNG CANCER Prospective Mesothelioma Staging Project Data Forms and Fields in CRAB Electronic Data Capture System - Reduced Set - Pivotal data elements for developing

More information

National Public Health and Medical Officer Service (ÁNTSZ) Report on Hungary. Kitti Horváth, MD on behalf of Lajos Döbrőssy, MD

National Public Health and Medical Officer Service (ÁNTSZ) Report on Hungary. Kitti Horváth, MD on behalf of Lajos Döbrőssy, MD National Public Health and Medical Officer Service (ÁNTSZ) Breast cancer care and implemented quality assurance Report on Hungary Kitti Horváth, MD on behalf of Lajos Döbrőssy, MD Chief Medical Officer

More information

Individual Prediction

Individual Prediction Individual Prediction Michael W. Kattan, Ph.D. Professor of Medicine, Epidemiology and Biostatistics, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University Chairman, Department

More information

Table 24a Thyroid Cancer Average Annual Number of Cancer Cases and Age-Adjusted Incidence Rates* for

Table 24a Thyroid Cancer Average Annual Number of Cancer Cases and Age-Adjusted Incidence Rates* for Thyroid Cancer Figure 24 Definition: Thyroid cancer starts in the thyroid gland. 1 The thyroid is made up of two main types of cells, thyroid follicular cells and parafollicular cells. 1 Different types

More information