R E X C A N C E R C E N T E R. Annual Report Rex Cancer Care Committee 2012 On behalf of the Rex Cancer Center & Rex Health Care

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "R E X C A N C E R C E N T E R. Annual Report 2012. Rex Cancer Care Committee 2012 On behalf of the Rex Cancer Center & Rex Health Care"

Transcription

1 R E X C A N C E R C E N T E R Annual Report 2012 Rex Cancer Care Committee 2012 On behalf of the Rex Cancer Center & Rex Health Care An American College of Surgeons Commission on Cancer Accredited Comprehensive Community Cancer Center

2 R e x C a n c e r C e n t e r Rex Cancer Center: Annual Study 2012 Table of Contents I. A n n u a l S t u d y : H e a d & N e c k C a n c e r s P a g e 3 I I. N a t i o n a l C a n c e r D a t a B a s e C o m p a r a t i v e s P a g e 9 I I I. R e x T u m o r R e g i s t r y A n a l y t i c C a s e s P a g e 1 0 I V. R e x C l i n i c a l T r i a l R e s e a r c h P a g e 1 1 V. R e x O u t r e a c h & S u p p o r t S e r v i c e s P a g e 1 2 V I. R e f e r e n c e s & K e y C o n t r i b u t o r s P a g e 1 6

3 R e x C a n c e r C e n t e r Rex Cancer Center: Annual Study: Treatment of Head & Neck Carcinoma 2011 I N T R O D U C T I O N : H e a d a n d n e c k c a n c e r d e s c r i b e s a r a n g e o f t u m o r s t h a t a r i s e i n t h e h e a d a n d n e c k r e g i o n, w h i c h i n c l u d e s t h e o r a l c a v i t y, p h a r y n x, l a r y n x, n a s a l c a v i t y, p a r a n a s a l s i n u s e s, t h y r o i d, a n d s a l i v a r y g l a n d s. T h e i n c i d e n c e o f h e a d a n d n e c k c a n c e r e x c e e d s 5 0, c a s e s p e r y e a r ( o v e r 3 8, m e n a n d 14,000 women). It acc o u n t s f o r 3 % - 5 % o f a l l c a n c e r s. T h e h e a d a n d n e c k r e g i o n i s d i v i d e d i n t o 5 s i t e s b y w h i c h c a n c e r s a r e c l a s s i f i e d. Oral Cavity Pharynx Larynx Salivary Glands Nasal Cavity T h e y i n c l u d e t h e o r a l c a v i t y, t h e p h a r y n x, w h i c h i s d i v i d e d i n t o t h e n a s o p h a r y n x, o r o p h a r y n x, a n d h y p o p h a r y n x. T h e l a r y n x, o r v o i c e b o x, c o n t a i n s t h e v o c a l c o r d s a n d e p i g l o t t i s. I t i s d i v i d e d i n t o 3 r e g i o n s ; t h e s u p r a g l o t t i c l a r y n x, t h e g l o t t i c l a r y n x, a n d t h e s u b g l o t t i c l a r y n x. T h e m a j o r s a l i v a r y g l a n d s a r e p a r o t i d, s u b m a n d i b u l a r, a n d s u b l i n g u a l a n d t h e m i n o r s a l i v a r y g l a n d s, w h i c h a r e l o c a t e d t h r o u g h o u t t h e s u b m u c o s a o f t h e m o u t h a n d u p p e r a e r o d i g e s t i v e t r a c t, e s p e c i a l l y t h e p a l a t e, p a r a n a s a l, s i n u s e s, l a r y n x, a n d p h a r y n x. A l t h o u g h t h e r e a r e w i d e v a r i e t i e s o f h i s t o p a t h o l o g i c t y p e s t h a t m a y a r i s e, t h e p r e d o m i n a n t h i s t o p a t h o l o g i c t y p e i s s q u a m o u s c e l l c a r c i n o m a. T h i s r e p o r t w i l l p r i m a r i l y c o m p r i s e s q u a m o u s c e l l c a r c i n o m a o f t h e h e a d a n d n e c k a t R e x H o s p i t a l i n t h e y e a r E P I D E M I O L O G Y A N D E T I O L O G Y : T h e m o s t c o m m o n r i s k s f a c t o r s f o r h e a d a n d n e c k c a n c e r s a r e t o b a c c o a n d a l c o h o l c o n s u m p t i o n, a n d t h e r e a r e e t h n i c a n d g e n e t i c d i f f e r e n c e s a m o n g p o p u l a t i o n s a t r i s k u s i n g t h e s e s u b s t a n c e s. A l t h o u g h t h e h i g h e s t r a t e s o f h e a d a n d n e c k c a n c e r h a v e b e e n i n e l d e r l y m a l e s, t h e i n c i d e n c e h a s b e e n i n c r e a s i n g i n f e m a l e s a s m o r e w o m e n u s e t o b a c c o a n d i n y o u n g n o n s m o k e r s. T h e h u m a n p a p i l l o m a v i r u s, ( H P V ) p l a y s a n i n c r e a s i n g l y p r o m i n e n t r o l e a s a n e t i o l o g i c f a c t o r i n t h e d e v e l o p m e n t o f o r o p h a r y n g e a l h e a d a n d n e c k c a n c e r.

4 Volume (#) Patients R e x C a n c e r C e n t e r T a b l e 1 : H e a d & N e c k P a t i e n t s Head & Neck Cancer Patients Female Male Female Summary: 34 Total Head & Neck Patients: 32% Female, 68 % Male - Overall, 50% diagnosed between ages 50 to 69. Male I n o u r R e x C a n c e r C e n t e r s t a t i s t i c s, h o w e v e r, t h e p r e v a l e n c e o f H P V i s m u c h h i g h e r i n m a l e s t h a n f e m a l e s ( 7 o f 8 ). T w e n t y - t h r e e o f 3 4 h e a d a n d n e c k p a t i e n t s i n t h e R e x C a n c e r C e n t e r s t a t i s t i c s w e r e m a l e a n d o f 8 p a t i e n t s w i t h H P V, 7 w e r e m a l e. A l l o f t h e s e w e r e a d v a n c e d s t a g e I I I o r I V. T a b l e 2 : H P V S t a t u s S u m m a r y H P V P o s i t i v e P a t i e n t s B y A g e, S e x & S t a g e A g e : A g e : A g e : A g e : A g e : F e m a l e : T o t a l 1 1 S t a g e M a l e : T o t a l S t a g e S t a g e S t a g e 4 A 1 1 S t a g e 4 C 1 1 G r a n d T o t a l G r a n d T o t a l T o b a c c o b o t h s m o k e d a n d s m o k e - l e s s i s t h e m o s t i m p o r t a n t k n o w n r i s k f a c t o r f o r t h e d e v e l o p m e n t o f h e a d a n d n e c k c a n c e r. T h e r e i s s o m e e v i d e n c e f o r a g e n e t i c p r e d i s p o s i t i o n t o t h e c a r c i n o g e n i c e f f e c t s o f t o b a c c o. I n a d d i t i o n, t o b a c c o a n d a l c o h o l c o n s u m p t i o n a p p e a r t o h a v e a s y n e r g i s t i c e f f e c t. T h e r e p e a t e d e x p o s u r e o f t h e m u c o s a o f t h e u p p e r a e r o d i g e s t i v e t r a c t t o t h e c a r c i n o g e n i c e f f e c t s o f t o b a c c o a n d a l c o h o l a p p e a r s t o c a u s e m u l t i p l e p r i m a r y a n d s e c o n d a r y t u m o r s i n t h i s " c o n d e m n e d m u c o s a, a c o n c e p t k n o w n a s " f i e l d c a n c e r i z a t i o n, " a d i s t i n c t n e o p l a s t i c p h e n o m e n o n.

5 R e x C a n c e r C e n t e r O t h e r r i s k f a c t o r s i n c l u d e H P V, r a d i a t i o n e x p o s u r e, c e r t a i n v i t a m i n d e f i c i e n c i e s, p e r i o d o n t a l d i s e a s e, a n d o c c u p a t i o n a l e x p o s u r e s. S C R E E N I N G : S e v e r a l n o n i n v a s i v e l e s i o n s s u c h a s l e u k o p l a k i a, e r y t h r o p l a k i a, a n d l e u k o e r y t h r o p l a k i a m a y d e v e l o p w i t h i n t h i s s q u a m o u s m u c o s a t h a t l i n e s m a n y o f t h e s t r u c t u r e s o f t h e h e a d a n d n e c k. T h e s e c l o n a l l y i n d e p e n d e n t p r e m a l i g n a n t l e s i o n s m a y t r a n s f o r m i n t o i n v a s i v e c a r c i n o m a a l t h o u g h e a c h a t d i f f e r e n t r a t e s. T h e p r o c e s s o f t r a n s f o r m a t i o n i s t h o u g h t t o p r o g r e s s i n a m u l t i s t e p f a s h i o n t h r o u g h h y p e r p l a s i a a n d d y s p l a s i a t o i n s i t u a n d t h e n i n v a s i v e c a r c i n o m a s. D e n t i s t s, o r a l s u r g e o n s, a n d p r i m a r y c a r e p h y s i c i a n s a r e e x c e l l e n t p a r t i c i p a n t s i n s c r e e n i n g f o r t h e s e c a n c e r s. D I A G N O S I S A N D S T A G I N G : T h e c l i n i c a l p r e s e n t a t i o n o f h e a d a n d n e c k c a n c e r v a r i e s w i t h t h e p r i m a r y s i t e. C o m m o n s y m p t o m s i n c l u d e n o n - h e a l i n g m u c o s a l u l c e r s, p a i n i n c l u d i n g s o r e t h r o a t a n d e a r p a i n, h o a r s e n e s s, p a i n f u l s w a l l o w i n g, c h r o n i c c o u g h, a n d a m a s s o r l u m p i n t h e n e c k o r t h r o a t. I t i s a l w a y s p o s s i b l e t h a t a n o t h e r p r i m a r y c a n c e r h a s s p r e a d t o t h e n e c k a n d c o u l d b e t h e c a u s e o f t h e l u m p. T h e p h y s i c i a n w i l l d o a c a r e f u l m e d i c a l h i s t o r y a n d p h y s i c a l e x a m i n a t i o n w i t h a c a r e f u l a s s e s s m e n t o f t h e n a s a l a n d o r a l c a v i t y w i t h f u l l v i s u a l e x a m i n a t i o n a n d p a l p a t i o n o f m u c o u s m e m b r a n e s t h r o u g h o u t t h e m o u t h. I m a g i n g s t u d i e s i n c l u d e C T s c a n s, m a g n e t i c r e s o n a n c e i m a g i n g ( M R I ), a n d p o s i t r o n e m i s s i o n t o m o g r a p h y ( P E T ) s c a n s. T h e s e a u g m e n t t h e p h y s i c a l e x a m i n a t i o n a n d e v a l u a t i o n o f p a t i e n t s w i t h h e a d a n d n e c k c a n c e r, p a r t i c u l a r l y f o r a s s e s s i n g t h e d e g r e e o f l o c a l i n v a s i o n, a n d i n v o l v e m e n t o f r e g i o n a l l y m p h n o d e s. T h e p r e s e n c e o f d i s t a n t m e t a s t a s es a n d s e c o n d a r y p r i m a r y m a l i g n a n c i e s w i l l a l s o b e e v a l u a t e d. I t m a y b e n e c e s s a r y t o p l a c e t h e p a t i e n t u n d e r a n e s t h e s i a i n o r d e r t o g e t a c o m p l e t e e v a l u a t i o n o f t h e a e r o d i g e s t i v e t r a c t a t r i s k t h r o u g h t h e h e a d a n d n e c k s u r g e o n ' s t o o l s f o r e v a l u a t i o n. T h e t u m o r - n o d e - m e t a s t a s i s ( T N M ) s t a g i n g s y s t e m o f t h e A m e r i c a n J o i n t C o m m i t t e e o n C a n c e r ( A J C C ) a n d t h e I n t e r n a t i o n a l U n i o n f o r C a n c e r C o n t r o l ( U I C C ) i s u s e d t o c l a s s i f y c a n c e r s o f t h e h e a d a n d n e c k. T h e T c l a s s i f i c a t i o n s i n d i c a t e t h e e x t e n t o f t h e p r i m a r y t u m o r a n d t h e y a r e s i t e s p e c i f i c. T h e N i n d i c a t e s l y m p h n o d e s t a t u s a n d t h e r e i s c o n s i d e r a b l e o v e r l a p i n t h e c e r v i c a l n o d e c l a s s i f i c a t i o n s a m o n g s t t h e d i f f e r e n t s i t e s. T R E A T M E N T :

6 R e x C a n c e r C e n t e r T r e a t m e n t f o r h e a d a n d n e c k c a n c e r i s c o m p l e x d u e t o t h e v a r i e t y o f t u m o r s u b - s i t e s, t h e a n a t o m i c c o n s t r a i n t s o f t h e h e a d a n d n e c k r e g i o n, a n d t h e i m p o r t a n c e o f m a i n t a i n i n g o r g a n f u n c t i o n. R e x C a n c e r C e n t e r h a s a m u l t i - d i s c i p l i n a r y a p p r o a c h, w h i c h i s n e e d e d f o r t h e g o o d c a r e o f t h e s e p a t i e n t s. T h i s m u l t i - d i s c i p l i n a r y a p p r o a c h i n c l u d e s s u r g e o n s, m e d i c a l a n d r a d i a t i o n o n c o l o g i s t a s w e l l a s d e n t i s t s, d i e t i t i a n s, a n d r e h a b i l i t a t i o n t h e r a p i s t s. T a b l e 3 : S t a g e a t D i a g n o s i s A p p r o x i m a t e l y 44% o f p a t i e n t s w i t h H e a d a n d N e c k c a n c e r p r e s e n t w i t h e a r l y d i s e a s e ( S t a g e 0, I, a n d II) 26% 9% 24% Stage 0 Stage 1 Stage 2 Stage 3 29% 12% Stage 4 D a t a f r o m t h e y e a r s h o w e d c a s e s a t R e x C a n c e r C e n t e r, 1 5 o f 3 4 c a s e s w e r e d i a g n o s e d e a r l y - s t a g e 0 t o I I, w h i l e 1 9 o f 3 4 w e r e a d v a n c e d, s t a g e I I I o r I V. T h e s a m e d a t a s h o w s t h a t t h e m a j o r i t y o f c a s e s w e r e t o n g u e o r t o n s i l o r l a r y n x o r i g i n w i t h 2 c a s e s f r o m t h e h y p o p h a r y n x, 1 f r o m t h e o r o p h a r y n x, a n d 5 e a c h f r o m t h e l a r y n x, t o n g u e, a n d 6 c a s e s o f t o n s i l o r i g i n ( s e e c h a r t 2 ). T h e m u l t i - d i s c i p l i n a r y c a r e a n d e v i d e n c e d b a s e d p r a c t i c e s a p p r o a c h f o s t e r e d h e r e i s a p p a r e n t. S e v e n t e e n o f 1 9 p a t i e n t s w i t h a d v a n c e d s t a g e I I I o r I V c a n c e r s w e r e t r e a t e d w i t h a c o m b i n a t i o n o f c h e m o t h e r a p y a n d r a d i a t i o n t h e r a p y a f t e r s u r g i c a l b i o p s y a n d s u r g i c a l m a n a g e m e n t. T a b l e 4 : S t a n d a r d o f C a r e - C h e m o t h e r a p y + R a d i a t i o n H e a d & N e c k ( S t a g e P t s b y s i t e ) C h e m o - t h e r a p y + R a d i a t i o n No T o t a l H y p o p h a r y n x 2 2 L a r y n x 4 1 * 5 O r o p h a r y n x 1 1 T o n g u e 5 5 T o n s i l 5 1 * * 6 S t a g e 3 & 4 P a t i e n t s = 1 9 T o t a l. S t a n d a r d o f C a r e i n d i c a t e s c o m b o C h e m o t h e r a p y & R a d i a t i o n t x. 1 7 p t s ( 8 9 % ) r e c e i v e d c h e m o / r a d, R e v i e w o f 2 o u t l i e r s : * S t a g e 4 A L a r y n x = 6 4 y o F r e f u s e d t x ** S t a g e 3 T o n s i l = 8 9 y o F w/m u l t i p l e s e v e r e c o - m o r b i d i t i e s C o n c l u s i o n : 2 p t s c o n t r a i n d i c a t e d % m e t S t a n d a r d o f C a r e T o t a l

7 R e x C a n c e r C e n t e r C h e m o t h e r a p y i s u s u a l l y g i v e n b y i n f u s i o n a t t h e R e x H e m a t o l o g y O n c o l o g y A s s o c i a t e s I n f u s i o n C e n t e r a n d t h e n t h e p a t i e n t s m o v e o n e f l o o r d o w n, o f t e n o n t h e s a m e d a y, t o b e g i n a n d p r o g r e s s t o r a d i a t i o n t h e r a p y d e l i v e r e d a t t h e R e x - U N C R a d i a t i o n O n c o l o g y C l i n i c. O f t e n t i m e s, c h e m o t h e r a p y i s g i v e n o n a w e e k l y s c h e d u l e, t h o u g h s e v e r a l o f t h e n e w e r r e g i m e n s g i v e c o n s e c u t i v e d a y s o f c h e m o t h e r a p y d u r i n g t h e f i r s t w e e k a n d t h e f o u r t h w e e k o f a t y p i c a l 6 t o 7 - w e e k r a d i a t i o n c o u r s e. A s b i o l o g i c a g e n t s s u c h a s c e t u x i m a b m o v e t o t h e f o r e f r o n t o f c o m b i n e d c h e m o a n d r a d i a t i o n t h e r a p y t r e a t m e n t s, m o r e p a t i e n t s a r e r e c e i v i n g t h e s e t a r g e t e d t h e r a p i e s f o r t h e i r t r e a t m e n t s. D e s p i t e m u l t i m o d a l i t y t h e r a p y, l o c a l a n d d i s t a n t r e c u r r e n c e s r e m a i n a p r o b l e m w i t h a 5 - y e a r o v e r a l l s u r v i v a l u p t o 5 5 % i n s t a g e s I I I, I V A, a n d I V B p a t i e n t s, a l t h o u g h i t i s h i g h e r i n p a t i e n t s w i t h H P V - r e l a t e d o r o p h a r y n x c a n c e r s. S u r v e i l l a n c e f o r r e l a p s e m u s t c o n t i n u e f o r a t l e a s t 5 y e a r s b o t h w i t h i n t h e i r r a d i a t e d n e c k a n d f o r b l o o d b o r n e s p r e a d t o o t h e r b o d y o r g a n s. G i v e n t h e p r e v a l e n c e o f c i g a r e t t e e x p o s u r e i n t h e s e p a t i e n t s, t h e r i s k s o f n e w, s e c o n d m a l i g n a n c i e s e x i s t. A t t h e R e x C a n c e r C e n t e r, o u r r e s u l t s f o r t h e s e s t a g e s a r e d e m o n s t r a t e d b e l o w ( s e e T a b l e 5 ). A t t h i s t i m e, 1 4 o f 1 9 p a t i e n t s a r e a l i v e a n d 1 2 o f 1 9 a r e a l i v e a n d f r e e o f a n y d i s e a s e. T w o p a t i e n t s a r e t o o e a r l y t o d i s c e r n c o m p l e t e n e s s o f r e m i s s i o n, a n d 3 p a t i e n t s d i e d o f r e l a p s e d d i s e a s e. O n e p a t i e n t d i d n o t c o m p l e t e t h e r a p y a n d 2 d i e d o f t r e a t m e nt- r e l a t e d c a u s e s. T h e p a t i e n t i n t h e c e n t e r i s t o o e a r l y t o e v a l u a t e b u t h a s h a d a n a b n o r m a l f o l l o w - u p s c a n. T a b l e 5 : C u r r e n t D i s e a s e S t a t u s : C u r r e n t D i s e a s e S t a t u s S t a g e 3 & 4 A l i v e E x p i r e d T o t a l N o E v i d e n c e o f R e c u r r e n c e C o m p l e t e C l i n i c a l R e s p o n s e 1 1 N o C l i n i c a l E v i d e n c e o f R e c u r r e n c e ( p e n d i n g r e - e v a l?. m a s s ) 1 1 N o t D x f r e e, D i d n o t c o m p l e t e t x 1 1 L u n g M e t s S C C 1 1 D i f f u s e L i v e r M e t s 1 1 R e c u r r e n c e 1 1 E x p i r e d 2 2 G r a n d T o t a l

8 R e x C a n c e r C e n t e r R e m i s s i o n f r o m h e a d a n d n e c k c a n c e r i s p r o v e n b o t h b y d i r e c t a n d f i b e r o p t i c e x a m a n d t o t a l b o d y P E T S c a n i m a g i n g. A f t e r a p p r o x i m a t e l y 8 w e e k s f o l l o w i n g c o m p l e t i o n o f c o m b i n e d m o d a l i t y t h e r a p i e s, a l l p a t i e n t s u n d e r g o a p o s t t r e a t m e n t d i r e c t a n d f i b e r o p t i c e x a m s, a n d a P E T s c a n t o d e l i n e a t e t h e d e g r e e o f r e s p o n s e. C o m p l e t e r e s p o n s e s a r e i n d i c a t e d b y n o r m a l i z a t i o n o f t h e P E T s c a n i n t h e f a c e o f r e g r e s s i o n o f p a l p a b l e a n d v i s i b l e t u m o r s. C o n c e r n s f o r l o c a l a n d d i s t a n t s p r e a d o f r e c u r r e n t c a n c e r i s n o t e d in o u r r e s u l t s s h o w i n g 2 o f 1 9 p a t i e n t s, r e l a p s i n g d i s t a n t l y i n l u n g a n d l i v e r. P O S T T R E A T M E N T S U R V E I L L A N C E : P a t i e n t s w i l l b e f o l l o w e d f o r u p t o 5 y e a r s o r m o r e b y t h e i r t r e a t m e n t t e a m, a n d n o w i n d e v e l o p m e n t, b y t h e R e x S u r v i v o r s h i p P r o g r a m. P a t i e n t s w i l l b e a w a r e o f t h e a l a r m s t h a t m a y b e a s i g n o f r e l a p s e, i n c l u d i n g r e t u r n o f h o a r s e n e s s, n e c k s w e l l i n g, p a i n f u l s w a l l o w i n g o r b l e e d i n g. I n t h e R e x C a n c e r C e n t e r, a f o r m a l S u r v i v o r s h i p P r o g r a m i s i n i t s i n f a n c y. T h i s p r o g r a m w i l l a s s u m e t h e i m p o r t a n t r o l e o f e n s u r i n g h e a d a n d n e c k c a n c e r p a t i e n t s a c c e s s t o t h o s e p r o g r a m s w h i c h f o s t e r h e a l t h y l i f e s t y l e s ( i. e. t o b a c c o a n d a l c o h o l a b s t i n e n c e ), p a l l i a t i o n o f t r e a t m e n t r e l a t e d t o x i c i t i e s s u c h a s h y p o t h y r o i d i s m, x e r o s t o m i a ( d r y m o u t h ), a n d d y s g e u s i a ( a l t e r e d t a s t e ), a n d o t h e r n e u r o p a t h i e s. T h e f o c u s o n l i f e s t y l e w i l l a l s o i n c l u d e c o p i n g s k i l l s, r e l a x a t i o n t e c h n i q u e s, a n d d i e t a r y a n d e x e r c i s e p r o g r a m s. W e l o o k f o r w a r d a R e x H e a l t h c a r e S u r v i v o r s h i p p r o g r a m, i n a l l i a n c e w i t h t h e r o b u s t S u r v i v o r s h i p P r o g r a m a l r e a d y i n p l a c e a t U N C. S i n c e a p p r o x i m a t e l y 9 0 % o f a l l r e l a p s e s w i l l o c c u r w i t h i n 2-4 y e a r s a f t e r c o m p l e t i o n o f t h e r a p i e s, t h e s e a r e c r i t i c a l t i m e f r a m e s f o r c a r e f u l s u r v e i l l a n c e. M o s t o f t e n, t h e p a t i e n t s a r e f o l l o w e d b y t h e r a d i a t i o n o n c o l o g i s t, w h o h a s t h e c a p a c i t y t o u n d e r t a k e f i b e r o p t i c v i s u a l i z a t i o n o f t h e s i t e s o f p r i m a r y d i s e a s e a n d p o s s i b l e s i t e s o f r e l a p s e. T h e m e d i c a l o n c o l o g i s t i s a v a i l a b l e t o a s s e s s a b n o r m a l f i n d i n g s, a n d i f r e l a p s e o c c u r s i n a n a r e a t h a t c a n u n d e r g o s u r g i c a l r e s e c t i o n, t h e E N T s u r g e o n m a y u n d e r t a k e a d e f i n i t i v e r e s e c t i o n o f r e l a p s e, a n d d i r e c t e n t r y o f t h e p a t i e n t i n t o s a l v a g e t h e r a p i e s, c u r r e n t l y a v a i l a b l e. T h e d i s c o n t i n u a n c e o f t o b a c c o a n d a l c o h o l a r e h i g h l y s o u g h t g o a l s o f t h e s u r v e i l l a n c e a n d s u r v i v o r s h i p t e a m, a s s e c o n d m a l i g n a n c i e s a r e f r e q u e n t i n t h e n o n - a b s t i n e n t s u r v i v o r s a n d t o a l e s s e r e x t e n t, i n t h e n o n - u s e r s a s w e l l. I t i s e s s e n t i a l t h a t r e g u l a r f o l l o w u p e x a m i n a t i o n s c o n t i n u e b y t h e p a t i e n t s t r e a t m e n t t e a m a n d t h e n t h e i r p r i m a r y p h y s i c i a n t e a m b e y o n d 5 y e a r s. T h e r i s k f o r n e w c a n c e r s i s e v e n g r e a t e r 5 y e a r s p o s t c o m p l e t i o n o f t r e a t m e n t.

9 % Patient Totals (#) Patient Totals R e x C a n c e r C e n t e r N A T I O N A L C A N C E R D A T A B A S E ( N C D B ) C O M P A R A T I V E S : H e a d & N e c k C a n c e r ( O r o p h a r y n x ) D i a g n o s e d t o T o t a l C a s e s : R e x H e a l t h c a r e ( n = 2 8 ) N C H o s p i t a l s ( n = ) N C D B C h a r t A 350 Stage : Head & Neck Cancers Volume- Rex vs NC Hospitals ( ) Stage 0 Stage I Stage II Stage III Stage IV Stage Unk Rex NC N C D B C h a r t B 70% Stage : Head & Neck Cancers Percent (%) Volume- Rex vs NC Hospitals ( ) 60% 50% 40% 30% 20% 10% 0% Stage 0 Stage I Stage II Stage III Stage IV Stage Unk Rex 0% 18% 25% 21% 29% 7% NC 1% 7% 11% 19% 59% 4%

10 R e x C a n c e r C e n t e r R E X C A N C E R C E N T E R T U M O R R E G I S T R Y A n a l y t i c C a s e s f o r T o t a l C a s e s R e x T u m o r R e g i s t r y T a b l e A REX ANALYTIC CASES 2011 Distribution: Volume By Site & Sex PRIMARY TOTAL SEX SITE Cases Male % Female % BREAST % % PROSTATE % 0 0% LUNG % 86 41% COLORECTAL % 93 53% BLADDER % 26 23% LYMPHATIC SYSTEM % 35 38% Hodgkin's % 5 38% Non-Hodgkin's % 30 38% BLOOD & BONE MARROW % 29 31% Leukemia % 12 35% Multiple Myeloma % 6 24% Other % 11 32% THYROID % 50 71% KIDNEY/RENAL % 28 41% SKIN MELANOMA % 21 42% PANCREAS % 25 61% UTERINE % % TOTAL VOLUME (ALL SITES) % % R e x T u m o r R e g i s t r y T a b l e B REX ANALYTIC CASES 2011 Distribution: Volume By Site & Stage PRIMARY AJCC STAGE SITE 0 I II III IV UNK N/A BREAST PROSTATE LUNG COLORECTAL BLADDER LYMPHATIC SYSTEM Hodgkin's Non-Hodgkin's BLOOD & BONE MARROW 1 92 Leukemia 1 33 Multiple Myeloma 0 25 Other 0 34 THYROID KIDNEY/RENAL SKIN MELANOMA PANCREAS UTERINE TOTAL VOLUME (ALL SITES)

11 R e x C a n c e r C e n t e r R e x T u m o r R e g i s t r y T a b l e C REX ANALYTIC CASES 2011 Distribution: Percent By Site & Stage PRIMARY AJCC STAGE (%) SITE Total 0 I II III IV UNK N/A BREAST % 41.5% 21.7% 6.2% 2.3% 8.1% 0.0% PROSTATE % 31.2% 53.4% 10.2% 2.8% 2.5% 0.0% LUNG % 19.6% 7.7% 22.0% 46.4% 3.8% 0.0% COLORECTAL % 25.4% 15.8% 21.5% 16.9% 13.6% 0.0% BLADDER % 18% 13% 3% 3% 0% 0% LYMPHATIC SYSTEM % 20.4% 20.4% 16.1% 33.3% 4.3% 4.3% Hodgkin's % 23.1% 53.8% 0.0% 23.1% 0.0% 0.0% Non-Hodgkin's % 20.0% 15.0% 18.8% 35.0% 5.0% 5.0% BLOOD/ BONE MARROW % 0.0% 0.0% 0.0% 0.0% 1.1% 98.9% Leukemia % 97.1% Multiple Myeloma % 73.5% Other % 100.0% THYROID % 74.3% 2.9% 8.6% 8.6% 5.7% 0.0% KIDNEY/RENAL % 63.8% 8.7% 4.3% 13.0% 7.2% 0.0% SKIN MELANOMA % 56.0% 6.0% 6.0% 2.0% 6.0% 8.0% PANCREAS % 4.9% 36.6% 7.3% 46.3% 4.9% 0.0% UTERINE % 71.8% 0.0% 7.7% 10.3% 10.3% 0.0% TOTAL VOLUME (ALL SITES) % 32.8% 20.5% 10.5% 11.8% 6.3% 6.7% R E X C A N C E R C E N T E R C L I N I C A L R E S E A R C H : A C O S C o C S t a n d a r d 1. 9 : C l i n i c a l T r i a l A c c r u a l : M i n i m u m r e q u i r e m e n t f o r a a c c r e d i t a t i o n i s 4 % M i n i m u m r e q u i r e m e n t f o r c o m m e n d a t i o n i s 6 % R e x C a n c e r C e n t e r a c c r u a l r a t e i s % C l i n i c a l R e s e a r c h Rex Cancer Center - Clinical Research # Clinical Trial # Clinical Trial 1 CALGB 2 RTOG 8 CTSU 1 SWOG 10 NSABP 7 Locally Developed 13 Pharma 261 University -Related 5 Primary Prevention 19 Research NOS 7 Quality of Life 334 Total Patients 2249 Analytic Case Load 14.9% Analytic Cases Enrolled in Clinical Trials

12 R e x C a n c e r C e n t e r R E X O U T R E A C H & S P E C I A L T Y S E R V I C E S P R O V I D I N G I N D I V I D U A L I Z E D S U P P O R T I V E C A R E C a n c e r C a r e N a v i g a t i o n R e x C a n c e r C a r e N a v i g a t o r s f u n c t i o n i n a v a r i e t y o f w a y s t o e n s u r e t h e h i g h e s t q u a l i t y o f c a r e f o r p a t i e n t s a l o n g t h e c a n c e r c o n t i n u u m, i n c l u d i n g s e r v i n g a s a n a d v o c a t e a n d t e a m m e m b e r, c o o r d i n a t o r o f p a t i e n t c a r e, l i a i s o n b e t w e e n p a t i e n t s, p r o v i d e r s, a n d f a m i l y m e m b e r s, e d u c a t o r, p r o b l e m s o l v e r, a n d r e s o u r c e c o o r d i n a t o r. C a n c e r C a r e N a v i g a t i o n i n c l u d e s b r e a s t, G I, a n d t h o r a c i c c a n c e r s. C a n c e r N a v i g a t i o n C o n s u l t s N a v i g a t o r s p r o v i d e c o n s u l t s t o p a t i e n t s a f t e r i n i t i a l d i a g n o s i s t o p r o v i d e a n o v e r v i e w o f s u r g e r y o p t i o n s, p r e - a n d p o s t - o p e r a t i v e c a r e, r e s o u r c e s a n d s p e c i a l s u p p o r t a n d g u i d a n c e f o r n e w l y d i a g n o s e d i n d i v i d u a l s. S o c i a l W o r k T h e R e x C a n c e r C e n t e r s o c i a l w o r k t e a m i s a v a i l a b l e t o a s s i s t p a t i e n t s a n d t h e i r f a m i l i e s w i t h n e e d s r e l a t e d t o c a n c e r d i a g n o s i s a n d t r e a t m e n t. T h e s o c i a l w o r k t e a m a s s i s t s w i t h c r i s i s m a n a g e m e n t, p r a c t i c a l a n d f i n a n c i a l r e s o u r c e s, c o p i n g a n d a d j u s t m e n t, s u p p o r t g r o u p s a n d o t h e r r e l a t e d i s s u e s. T h e S o c i a l W o r k T e a m a l s o a d m i n i s t e r s R e x A n g e l F u n d, a p a t i e n t f i n a n c i a l r e s o u r c e a v a i l a b l e t h r o u g h T h e R e x H e a l t h c a r e F o u n d a t i o n t o p r o v i d e a s s i s t a n c e t o p a t i e n t s t o m e e t n o m i n a l n e e d s t o f a c i l i t a t e t r a n s p o r t a t i o n, n u t r i t i o n a l s u p p l e m e n t s, p r e s c r i p t i o n s, a n d o t h e r n e e d s t h a t i m p a c t a p a t i e n t s a b i l i t y t o r e c e i v e c a r e. P a t i e n t a n d F a m i l y C o u n s e l i n g I n d i v i d u a l c o u n s e l i n g a n d s u p p o r t g r o u p s a r e o f f e r e d t o a s s i s t i n c o p i n g w i t h a c a n c e r d i a g n o s i s. T h e o p p o r t u n i t y t o e x p l o r e t h e c h a l l e n g e s a n d c h a n g e s t h a t d i a g n o s i s c a n b r i n g l e a d s t o p a t i e n t s t o l e a r n i n g t e c h n i q u e s f o r c o p i n g a n d c o m m u n i c a t i n g t h r o u g h t h e e x p e r i e n c e. N u t r i t i o n a l M a n a g e m e n t D u r i n g a n d f o l l o w i n g c a n c e r t r e a t m e n t, g o o d n u t r i t i o n i s a n i m p o r t a n t c o m p o n e n t o f h e a l i n g a n d m a i n t a i n e d h e a l t h. T h e R e x C a n c e r C e n t e r R e g i s t e r e d D i e t i c i a n t e a m o f f e r s i n d i v i d u a l c o n s u l t s, m a n a g e m e n t t h r o u g h o u t t r e a t m e n t a n d w o r k s h o p s t o a s s i s t i n l e a r n i n g a b o u t g o o d n u t r i t i o n a l c h o i c e s.

13 R e x C a n c e r C e n t e r O u t r e a c h & S u p p o r t T a b l e A SUPPORT & OUTREACH PROGRAMS Clinical Programs 1st Qtr 2nd Qtr 3rd Qtr 4th Qtr 2012 Total Breast Navigation Patients Thoracic Navigation Patients GI Navigation Patients Nutrition Consults Social Work Patients Breast Surgery Consults Ongoing Programs Support Program Participants Community Events Outreach Programs # Reached S U P P O R T P R O G R A M S R e x C a n c e r C e n t e r o f f e r s a v a r i e t y o f s e r v i c e s a n d p r o g r a m s t o h e l p p a t i e n t s a n d t h e i r f a m i l i e s c o p e w i t h d i a g n o s i s, t r e a t m e n t, a n d r e c o v e r y f r o m c a n c e r. P a t i e n t & F a m i l y R e s o u r c e C e n t e r : I n f o r m a t i o n a n d I m a g e R e c o v e r y S e r v i c e s a r e a v a i l a b l e i n t h e P a t i e n t & F a m i l y R e s o u r c e C e n t e r. I n d i v i d u a l s c a n r e c e i v e i n f o r m a t i o n o n a p a r t i c u l a r d i a g n o s i s, t r e a t m e n t, r e c o v e r y, c l i n i c a l t r i a l s, g e n e t i c t e s t i n g a n d p r e v e n t i o n. I m a g e R e c o v e r y a p p o i n t m e n t s a r e s c h e d u l e d t o a s s i s t p a t i e n t s i n w i g, h a t, a n d s c a r f s e l e c t i o n f r o m c o m p l e m e n t a r y r e s o u r c e s a v a i l a b l e i n t h e R e s o u r c e C e n t e r. S u p p o r t P r o g r a m s R e x C a n c e r C e n t e r o f f e r s i n t e g r a t i v e p r o g r a m s t o s u p p o r t h e a l i n g, r e d u c e s t r e s s, a n d a s s i s t w i t h s i d e e f f e c t m a n a g e m e n t. T h e f o l l o w i n g s e r v i c e s a n d p r o g r a m s w e r e o f f e r e d a t R e x C a n c e r C e n t e r i n : L o o k G o o d, F e e l B e t t e r G e t R e a l & H e e l H e a l i n g T o u c h M a s s a g e T h e r a p y A r t C a r t

14 R e x C a n c e r C e n t e r S u p p o r t G r o u p s M o n t h l y s u p p o r t g r o u p s o f f e r t h e e d u c a t i o n, s u p p o r t, a n d u n d e r s t a n d i n g n e e d e d t o c o p e w i t h a c a n c e r d i a g n o s i s. T h e f o l l o w i n g s u p p o r t g r o u p s w e r e o f f e r e d a t R e x C a n c e r C e n t e r. C o p i n g w i t h C a n c e r S u p p o r t G r o u p S h a r i n g H o p e S u p p o r t G r o u p k i d s c a n! F a m i l y S u p p o r t G r o u p B r e a s t C a n c e r N e t w o r k W a k e C o u n t y P r o s t a t e C a n c e r N e t w o r k C O M M U N I T Y S U P P O R T E V E N T S & S E R I E S C a n c e r S u r v i v o r s D a y E a c h y e a r R e x C a n c e r C e n t e r c o n t i n u e s t o r e a c h a l a r g e n u m b e r o f s u r v i v o r s a n d t h e i r l o v e d o n e s t h r o u g h o u t a n d b e y o n d W a k e C o u n t y. A n a t i o n a l l y r e c o g n i z e d d a y, t h i s s u r v i v o r s h i p p r o g r a m e d u c a t e s t h e c o m m u n i t y t h a t c a n c e r i s a s u r v i v a b l e d i s e a s e a n d o f f e r s t h e o p p o r t u n i t y f o r s u r v i v o r s t o c e l e b r a t e l i f e t o g e t h e r L i v i n g W i t h & B e y o n d S e r i e s A n a n n u a l u p d a t e i n t r e a t m e n t a n d m a n a g e m e n t o f c a n c e r i s p r o v i d e d e v e r y y e a r f o r a v a r i e t y o f d i a g n o s e s. B r e a s t L i v i n g W i t h & B e y o n d B r e a s t C a n c e r h a s s e r v e d a u n i q u e e d u c a t i o n a l a n d p s y c h o s o c i a l n e e d f o r n e w l y d i a g n o s e d i n d i v i d u a l s a n d b r e a s t c a n c e r s u r v i v o r s t h r o u g h o u t t h i s c o m m u n i t y s i n c e L y m p h o m a T h e A n n u a l W e b e r L e c t u r e S e r i e s w a s e s t a b l i s h e d t h r o u g h a n e n d o w m e n t w i t h T h e R e x H e a l t h c a r e F o u n d a t i o n b y D r. A n d r e w W e b e r a n d h i s s i s t e r, i n h o n o r o f t h e i r f a t h e r. L ung F o r a s e c o n d y e a r, a n a n n u a l u p d a t e w a s p r o v i d e d i n c o n j u n c t i o n w i t h t h e T h o r a c i c M u l t i d i s c i p l i n a r y C a r e P r o g r a m a t R e x w h i c h p r o v i d e s a c o m p r e h e n s i v e d i a g n o s t i c a n d t r e a t m e n t t e a m f o r t h o r a c i c c a n c e r s.

15 R e x C a n c e r C e n t e r C O M M U N I T Y O U T R E A C H P R O G R A M S C o m m u n i t y H e a l t h F a i r s & T a l k s R e x C a n c e r C e n t e r p r o v i d e s r e s o u r c e s a t n u m e r o u s h e a l t h f a i r s t h r o u g h o u t t h e y e a r t o p r o v i d e i n f o r m a t i o n t o t h e c o m m u n i t y a n d i n c r e a s e a w a r e n e s s o f c a n c e r p r e v e n t i o n, d e t e c t i o n, a n d t r e a t m e n t. I n t e r a c t i v e w o r k s h o p s a n d p r e s e n t a t i o n s a r e a l s o p r o v i d e d t o e d u c a t e a d u l t s a b o u t t h e e a r l y d e t e c t i o n o f c a n c e r. B r o t h e r s a n d S i s t e r s o f R e x i s a p r o g r a m t h a t c o m b i n e s a w a r e n e s s a b o u t b r e a s t, p r o s t a t e a n d c o l o r e c t a l c a n c e r. T h e g r o u p, m a d e u p o f b o t h m e n a n d w o m e n, s h a r e s i n f o r m a t i o n i n t h e c o m m u n i t y a b o u t p r e v e n t i o n a n d e a r l y d e t e c t i o n o f t h e s e c a n c e r s. T h e s e s p e c i a l l y t r a i n e d v o l u n t e e r s h a v e m a d e a c o m m i t m e n t t o p r o v i d e l o c a l c i t i z e n s w i t h t h e m o s t c u r r e n t h e a l t h i n f o r m a t i o n a n d s u p p o r t r e s o u r c e s a t w o r k s h o p s, h e a l t h f a i r s, b u s i n e s s e s, c h u r c h e s, c o m m u n i t y s e r v i c e g r o u p s a n d o t h e r c o m m u n i t y e v e n t s. S a v e O u r S i s t e r s o f R e x i s a g r o u p o f s p e c i a l l y t r a i n e d v o l u n t e e r s f r o m t h e c o m m u n i t y a n d R e x w h o h a v e m a d e a c o m m i t m e n t t o p r o v i d e l o c a l c i t i z e n s w i t h t h e m o s t c u r r e n t b r e a s t h e a l t h i n f o r m a t i o n, r e s o u r c e s a n d s u p p o r t. M a n y m e m b e r s o f t h e S a v e O u r S i s t e r s t e a m a r e b r e a s t c a n c e r s u r v i v o r s. C o m m u n i t y P r o g r a m s T a b l e B E v e n t s Le T o u r d e F e m m e H o o p s f o r H o p e R a c e f o r t h e C u r e R a l e i g h R o u n d U p L i g h t t h e N i g h t D e v i l s R i d g e C h a r i t y G o l f C l a s s i c D e v i l s R i d g e P r e t t y i n P i n k G o l f R a l l y F r e e t o B r e a t h e L u n g C a n c e r 5 K P a y - It- F o r w a r d P a r t y E v e n t B e n e f i c i a r y T h e R e x H e a l t h c a r e F o u n d a t i o n C a n c e r C e n t e r A n g e l F u n d K a y Y o w / W B C A C a n c e r F o u n d a t i o n S u s a n G. K o m e n f o r t h e C u r e A m e r i c a n C a n c e r S o c i e t y T h e L e u k e m i a & L y m p h o m a S o c i e t y P r o s t a t e C a n c e r C o a l i t i o n P r e t t y I n P i n k F o u n d a t i o n N a t i o n a l L u n g C a n c e r P a r t n e r s h i p T h e C a r i n g C o m m u n i t y F o u n d a t i o n

16 R e x C a n c e r C e n t e r References, Guidelines, & Data Sources R e f e r e n c e s, G u i d e l i n e, a n d D a t a S o u r c e s : C a n c e r P r o g r a m S t a n d a r d s : E n s u r i n g P a t i e n t - C e n t e r e d C a r e. A m e r i c a n C o l l e g e o f S u r g e o n s C o m m i s s i o n o n C a n c e r ( A C O S - C o C ) N a t i o n a l C o m p r e h e n s i v e C a n c e r N e t w o r k ( N C C N ) : D i s e a s e M a n a g e m e n t M o d u l e. H e a d a n d N e c k C a n c e r N a t i o n a l C a n c e r D a t a B a s e ( N C D B ). C o m m i s s i o n o n C a n c e r D a t a l i n k s R e x C a n c e r C e n t e r T u m o r R e g i s t r y. A ) H e a d & N e c k C a s e s B ) A n a l y t i c C a s e s E l e c t r o n i c R e g i s t r y S y s t e m s ( E R S ) U p T o D a t e ; T o p i c , V e r s i o n : B r o c k s t e i n B E, S t e n s o n K M a n d S h e r D J U T D K e y C o n t r i b u t o r s : J e f f r e y M. C r a n e, M D, F A C P, C h a i r, R e x C a n c e r C a r e C o m m i t t e e E m m e l i n e M a d s e n, M P H, M a n a g e r, R e x O u t r e a c h & S u p p o r t N a n c y B u r n s, B S N, O C N, M a n a g e r, C l i n i c a l R e s e a r c h K a t h l e e n F o o t e, M B A, C T R, M a n a g e r, R e x C a n c e r R e g i s t r y C y n t h i a J o n e s, B S H A, C P H Q, Q u a l i t y I m p r o v e m e n t C o o r d i n a t o r R o s e A u m a n, MSW E d i t o r - R e x S u p p o r t S e r v i c e s

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

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

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

Chapter I Overview Chapter Contents

Chapter I Overview Chapter Contents Chapter I Overview Chapter Contents Table Number Contents I-1 Estimated New Cancer Cases and Deaths for 2005 I-2 53-Year Trends in US Cancer Death Rates I-3 Summary of Changes in Cancer Incidence and Mortality

More information

Cancer in Northeastern Pennsylvania: Incidence and Mortality of Common Cancers

Cancer in Northeastern Pennsylvania: Incidence and Mortality of Common Cancers Cancer in Northeastern Pennsylvania: Incidence and Mortality of Common Cancers Samuel M. Lesko, MD, MPH Medical Director Karen Ryczak, RN Surveillance Coordinator November 2015 334 Jefferson Avenue, Scranton,

More information

THE CANCER CENTER 2013 ANNUAL REPORT CONTAINING 2012 STATISTICS

THE CANCER CENTER 2013 ANNUAL REPORT CONTAINING 2012 STATISTICS THE CANCER CENTER 2013 ANNUAL REPORT CONTAINING 2012 STATISTICS Northside Medical Center Cancer Committee Mission Statement It is the mission of the Cancer Committee to evaluate and monitor the care of

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

Table 2.2. Cohort studies of consumption of alcoholic beverages and cancer in special populations

Table 2.2. Cohort studies of consumption of alcoholic beverages and cancer in special populations North America Canada Canadian 1951 Schmidt & Popham (1981) 1951 70 9 889 alcoholic men, aged 15 years, admitted to the clinical service of the Addiction Research Foundation of Ontario between Death records

More information

NCI Community Cancer Centers Program Program Overview Ascension Health St. Vincent Indianapolis Hospital

NCI Community Cancer Centers Program Program Overview Ascension Health St. Vincent Indianapolis Hospital A. Name and location of hospital:, Indianapolis, IN B. Name of cancer center: St. Vincent Oncology Center C. Identify PI and key personnel with contact information for each pilot focus areas: a. Disparities

More information

David Feltl, M.D., Ph.D., MBA. Structure and organization of cancer care in the Czech Republic. Assessment of outputs and outcomes.

David Feltl, M.D., Ph.D., MBA. Structure and organization of cancer care in the Czech Republic. Assessment of outputs and outcomes. David Feltl, M.D., Ph.D., MBA Structure and organization of cancer care in the Czech Republic. Assessment of outputs and outcomes. Contents Cancer epidemiology in the Czech Republic National oncology program

More information

Cancer in Ireland 2013: Annual report of the National Cancer Registry

Cancer in Ireland 2013: Annual report of the National Cancer Registry Cancer in 2013: Annual report of the National Cancer Registry ABBREVIATIONS Acronyms 95% CI 95% confidence interval APC Annual percentage change ASR Age standardised rate (European standard population)

More information

Hospital-Based Tumor Registry. Srinagarind Hospital, Khon Kaen University

Hospital-Based Tumor Registry. Srinagarind Hospital, Khon Kaen University Hospital-Based Tumor Registry Srinagarind Hospital, Khon Kaen University Statistical Report 2012 Cancer Unit, Faculty of Medicine Khon Kaen University Khon Kaen, Thailand Tel & Fax:+66(43)-202485 E-mail:

More information

HOSPITAL BASED CANCER REGISTRY Tata Memorial Hospital, Mumbai (Bombay)

HOSPITAL BASED CANCER REGISTRY Tata Memorial Hospital, Mumbai (Bombay) HOSPITAL BASED CANCER REGISTRY Tata Memorial Hospital, (Bombay) Dr.K.A.Dinshaw, D.M.R.T. (Lond), F.R.C.R.(Lond),:Director & Principal Investigator Mr.D.N.Rao, M.Sc., Co-investigator, Head, Division of

More information

Information Services Division NHS National Services Scotland

Information Services Division NHS National Services Scotland Cancer in Scotland April 2014 First published in June 2004, revised with each National Statistics publication Next due for revision October 2014 Information Services Division NHS National Services Scotland

More information

www.e-mercy.com Mercy Health Fairfield Hospital Annual Report on 2010 Activities Non-Hodgkin Lymphoma Outcomes Study

www.e-mercy.com Mercy Health Fairfield Hospital Annual Report on 2010 Activities Non-Hodgkin Lymphoma Outcomes Study www.e-mercy.com Mercy Health Fairfield Hospital Annual Report on 2010 Activities Non-Hodgkin Lymphoma Outcomes Study Cancer Program Summary The Cancer Program at Mercy Health - Fairfield Hospital has maintained

More information

Secondary Prevention of Colorectal Cancer CRC (Screening) Prof. dr. Guido Van Hal Medical Sociology and Health Policy University of Antwerp, Belgium

Secondary Prevention of Colorectal Cancer CRC (Screening) Prof. dr. Guido Van Hal Medical Sociology and Health Policy University of Antwerp, Belgium Secondary Prevention of Colorectal Cancer CRC (Screening) Prof. dr. Guido Van Hal Medical Sociology and Health Policy University of Antwerp, Belgium Screening & Case Finding Screening Testing apparently

More information

Section 8» Incidence, Mortality, Survival and Prevalence

Section 8» Incidence, Mortality, Survival and Prevalence Section 8» Incidence, Mortality, Survival and Prevalence 8.1. Description of Statistics Reported This section focuses on the regional distribution of cancer with data derived from the BC Cancer Registry

More information

> 2012 Cancer Services Annual Report (2011 Statistical Data) Committed to world-class cancer treatment

> 2012 Cancer Services Annual Report (2011 Statistical Data) Committed to world-class cancer treatment > 2012 Cancer Services Annual Report (2011 Statistical Data) Committed to world-class cancer treatment Rick Wright President and CEO McLaren Greater Lansing Raymond Y. Demers, MD, MPH President/medical

More information

An Introduction to Cancer and Basic Cancer Vocabulary

An Introduction to Cancer and Basic Cancer Vocabulary An Introduction to Cancer and Basic Cancer Vocabulary Marc B. Garnick, MD Beth Israel Deaconess Medical Center Harvard Medical School, Boston Medical Director Cancer Programs Northeast Hospital Corporation,

More information

An analysis of cancer risk experienced by fire fighters who were trained at Fiskville

An analysis of cancer risk experienced by fire fighters who were trained at Fiskville An analysis of cancer risk experienced by fire fighters who were trained at Fiskville Background Cancer Council Victoria was commissioned by CFA to perform an analysis of cancer risk for Country Fire Authority

More information

Cancer Program Annual Report 2009. William, Lung Cancer Survivor Read his story on page 4

Cancer Program Annual Report 2009. William, Lung Cancer Survivor Read his story on page 4 Cancer Program Annual Report 2009 I William, Lung Cancer Survivor Read his story on page 4 A MESSAGE FROM OUR SERVICE LINE EXECUTIVE Friends, You have cancer, is possibly the most terrifying message that

More information

Cancer Conferences 2008

Cancer Conferences 2008 2009 Annual Report Cancer Registry Report The Cancer Registry collects data on all cancer patients who were diagnosed and/or treated at East Alabama Medical Center. Diagnostic, therapeutic and outcome

More information

CANCER SURVIVAL IN QUEENSLAND, 2002

CANCER SURVIVAL IN QUEENSLAND, 2002 CANCER SURVIVAL IN QUEENSLAND, 2 Danny Youlden Michael Coory Health Information Branch Queensland Health 147-163 Charlotte Street Brisbane QLD Postal Address: GPO Box 48 Brisbane QLD 1 AUSTRALIA Telephone:

More information

Irish Cancer Society Publication Order Form

Irish Cancer Society Publication Order Form Cancer Information Services and Health Promotion/Cancer Prevention TO ORDER PLEASE COMPLETE ALL DETAILS FULLY To help us with information about where the booklets/factsheets are being used please indicate

More information

Investigating Community Cancer Concerns--Deer Park Community Advisory Council, 2008

Investigating Community Cancer Concerns--Deer Park Community Advisory Council, 2008 Investigating Community Cancer Concerns--Deer Park Community Advisory Council, 2008 David R. Risser, M.P.H., Ph.D. David.Risser@dshs.state.tx.us Epidemiologist Cancer Epidemiology and Surveillance Branch

More information

CANCER COMMITTEE MEMBERS NORTHWESTERN LAKE FOREST HOSPITAL\ 2010

CANCER COMMITTEE MEMBERS NORTHWESTERN LAKE FOREST HOSPITAL\ 2010 CANCER COMMITTEE MEMBERS NORTHWESTERN LAKE FOREST HOSPITAL\ 2010 Michael Cochran, MD Susan Balling R.N. Karline Peal RT Stephen Ganshirt M.D. Nancy Bulzoni Emily Rosecrans Joseph Imperato M.D Linda Dickson

More information

The Burden of Cancer in Asia

The Burden of Cancer in Asia P F I Z E R F A C T S The Burden of Cancer in Asia Medical Division PG283663 2008 Pfizer Inc. All rights reserved. Printed in USA/December 2008 In 2002, 4.2 million new cancer cases 39% of new cases worldwide

More information

Foundations of Oncology Nursing Practice

Foundations of Oncology Nursing Practice Foundations of Oncology Nursing Practice Course Syllabus Course Lead:, RN, MN, BScN, CON(C) Associate Faculty:, RN, CON(C) Last updated January 27, 2011 Course Description: This online course will introduce

More information

Report series: General cancer information

Report series: General cancer information Fighting cancer with information Report series: General cancer information Eastern Cancer Registration and Information Centre ECRIC report series: General cancer information Cancer is a general term for

More information

The Cancer Center of Chester County Annual Report 2006 With statistical data from 2005

The Cancer Center of Chester County Annual Report 2006 With statistical data from 2005 06 The Cancer Center of Chester County Annual Report 2006 With statistical data from 2005 2005 Statistical Report Community Screenings Screening Participants Normal Results Referred for Follow-up Colon

More information

at a critical moment Physician Suggestion Line...

at a critical moment Physician Suggestion Line... Radiation Oncology Exceptional care at a critical moment When your patients require radiation therapy, they deserve the very best care available to them. The Department of Radiation Oncology provides exceptional

More information

A research briefing paper by Macmillan Cancer Support

A research briefing paper by Macmillan Cancer Support A research briefing paper by Macmillan Cancer Support Introduction Key findings 3 People with cancer are surviving longer 4 Median survival time has seen dramatic improvement for some cancers 5 Median

More information

Table A: Leading Causes of Death* by Age Group North Carolina Residents, 2015

Table A: Leading Causes of Death* by Age Group North Carolina Residents, 2015 Table A: Leading Causes of Death* by Age Group All Ages 1 Cancer 19,309 2 Diseases of the heart 18,467 3 Chronic lower respiratory diseases 5,221 4 Cerebrovascular disease 5,028 5 Alzheimer's disease 3,803

More information

Advancing Health Economics, Services, Policy and Ethics. Reka Pataky, MSc ARCC Conference May 25, 2015

Advancing Health Economics, Services, Policy and Ethics. Reka Pataky, MSc ARCC Conference May 25, 2015 Advancing Health Economics, Services, Policy and Ethics Reka Pataky, MSc ARCC Conference May 25, 2015 Acknowledgements: Ontario Team: Dr. Murray Krahn (PI) Dr. Claire de Oliveira Karen Bremner Dr. Kelvin

More information

Table of Contents. Cancer Committee Chairman s Report Accountability and Quality Improvement Measures Cancer Registry Cancer Sites

Table of Contents. Cancer Committee Chairman s Report Accountability and Quality Improvement Measures Cancer Registry Cancer Sites Table of Contents 2 3 6 8 9 Cancer Committee Chairman s Report Accountability and Quality Improvement Measures Cancer Registry Cancer Sites 1 2014 Cancer Committee Thomas Sunnenberg, MD, Medical Oncology,

More information

Lung Cancer: More than meets the eye

Lung Cancer: More than meets the eye Lung Cancer Education Program November 23, 2013 Lung Cancer: More than meets the eye Shantanu Banerji MD, FRCPC Presenter Disclosure Faculty: Shantanu Banerji Relationships with commercial interests: Grants/Research

More information

Cancer Survival in New Jersey 1979-2005

Cancer Survival in New Jersey 1979-2005 Cancer Survival in New Jersey 1979-2005 Cancer Epidemiology Services Public Health Services Branch New Jersey Department of Health Chris Chris e, Governor Kim Guadagno, Lt. Governor Mary E. O Dowd, MPH

More information

BIO 137: CHAPTER 1 OBJECTIVES

BIO 137: CHAPTER 1 OBJECTIVES BIO 137: CHAPTER 1 OBJECTIVES 1. Define the terms anatomy and physiology, and explain their relationship using an example of a human structure with its corresponding function. A. ANATOMY = the study of

More information

52,929,390 paid out in critical illness claims in the first six months of 2013*

52,929,390 paid out in critical illness claims in the first six months of 2013* Critical Illness Report (January to June 2013) 52,929,390 paid out in critical illness claims in the first six months of 2013* 66 % Cancer 12 % Heart Attack 9 % Other 3 % Benign Brain Tumour 4 % Multiple

More information

Cancer is the leading cause of death for Canadians aged 35 to 64 and is also the leading cause of critical illness claims in Canada.

Cancer is the leading cause of death for Canadians aged 35 to 64 and is also the leading cause of critical illness claims in Canada. Underwriting cancer In this issue of the Decision, we provide an overview of Canadian cancer statistics and the information we use to make an underwriting decision. The next few issues will deal with specific

More information

Mužík J., Dušek L., Blaha M., Klika P. Institute of Biostatistics and Analyses, Masaryk University, Brno, Czech republic

Mužík J., Dušek L., Blaha M., Klika P. Institute of Biostatistics and Analyses, Masaryk University, Brno, Czech republic Hospital-based data in regional and local strategies optimizing CRC control and management: real-world outcomes of the Czech National Cancer Control Programme Mužík J., Dušek L., Blaha M., Klika P. Institute

More information

The table below presents the summary of observed geographic variation for incidence and survival by type of cancer and gender.

The table below presents the summary of observed geographic variation for incidence and survival by type of cancer and gender. Results and Maps Overview When disparities in cancer incidence and survival are evident, there are a number of potential explanations, including but not restricted to differences in environmental risk

More information

MERCY REGIONAL MEDICAL CENTER CANCER PROGRAM ANNUAL REPORT 2014

MERCY REGIONAL MEDICAL CENTER CANCER PROGRAM ANNUAL REPORT 2014 MERCY REGIONAL MEDICAL CENTER CANCER PROGRAM ANNUAL REPORT 2014 MERCY CANCER CENTER When you have cancer, you might think first of treatments chemotherapy and radiation. You want and need both of these

More information

Second primary malignancy: Focus on Hodgkin lymphoma. Matt Matasar, MD, MS Lymphoma Service, MSKCC

Second primary malignancy: Focus on Hodgkin lymphoma. Matt Matasar, MD, MS Lymphoma Service, MSKCC Second primary malignancy: Focus on Hodgkin lymphoma Matt Matasar, MD, MS Lymphoma Service, MSKCC Roadmap: Second primary malignancy Principle of oncogenicity Scope of the problem (across tumor and treatment

More information

Closed Sub-TOI: L08.000 Life - Other Co Tr Num: BANRD-01 State Status: Approved-Closed

Closed Sub-TOI: L08.000 Life - Other Co Tr Num: BANRD-01 State Status: Approved-Closed Project Name/Number: / 01 Filing at a Glance Company: Banner Life Insurance Company SERFF Tr Num: FNBL-126416557 State: Arkansas TOI: L08 Life - Other SERFF Status: Closed-Approved- State Tr Num: 44441

More information

ORGAN SYSTEMS OF THE BODY

ORGAN SYSTEMS OF THE BODY ORGAN SYSTEMS OF THE BODY DEFINITIONS AND CONCEPTS A. Organ a structure made up of two or more kinds of tissues organized in such a way that they can together perform a more complex function that can any

More information

The effect of the introduction of ICD-10 on cancer mortality trends in England and Wales

The effect of the introduction of ICD-10 on cancer mortality trends in England and Wales The effect of the introduction of ICD-10 on cancer mortality trends in Anita Brock, Clare Griffiths and Cleo Rooney, Offi ce for INTRODUCTION From January 2001 deaths in have been coded to the Tenth Revision

More information

MedStar Montgomery Medical Center. Cancer Center 2014 Annual Report

MedStar Montgomery Medical Center. Cancer Center 2014 Annual Report MedStar Montgomery Medical Center Cancer Center 2014 Annual Report 2014 MedStar Montgomery Medical Center Cancer Center Committee Report Cancer Committee Chair s Report According to a recent report from

More information

CANCER INCIDENCE RATES IN NORTHEASTERN MINNESOTA. MCSS Epidemiology Report 99:2. September 1999

CANCER INCIDENCE RATES IN NORTHEASTERN MINNESOTA. MCSS Epidemiology Report 99:2. September 1999 CANCER INCIDENCE RATES IN NORTHEASTERN MINNESOTA MCSS Epidemiology Report 99: September 999 Minnesota Cancer Surveillance System Chronic Disease And Environmental Epidemiology Section Minnesota Department

More information

Cancer incidence and mortality patterns in Europe: Estimates for 40 countries in 2012

Cancer incidence and mortality patterns in Europe: Estimates for 40 countries in 2012 an Journal of Cancer (2013) 49, 1374 1403 Available at www.sciencedirect.com journalhomepage:www.ejcancer.info Cancer incidence and mortality patterns in : Estimates for 40 countries in 2012 J. Ferlay

More information

BRAIN TUMOUR RESEARCH FUNDING FLOWS

BRAIN TUMOUR RESEARCH FUNDING FLOWS BRAIN TUMOUR RESEARCH FUNDING FLOWS Ellen Harries, Iona Joy v London, April 2013 (updated) CONTENTS 1 Research brief and headline findings 2 Research funding for cancer 3 Brain tumour funding compared

More information

leukemia, lymphoma and marrow or stem cell transplant survivors

leukemia, lymphoma and marrow or stem cell transplant survivors After treatment issues for leukemia, lymphoma and marrow or stem cell transplant survivors Lauren C Pinter Brown MD FACP Lauren C. Pinter-Brown MD, FACP Director, UCLA Lymphoma Program Clinical Professor

More information

Pharmaceutical innovation and cancer survival

Pharmaceutical innovation and cancer survival Pharmaceutical innovation and cancer survival Frank R. Lichtenberg Columbia University and National Bureau of Economic Research frank.lichtenberg@columbia.edu Preview Cancer survival rates have increased

More information

Anatomical distribution of sites of malignant melanoma including non-sun exposed sites - incidence and trend Skin SSCRG

Anatomical distribution of sites of malignant melanoma including non-sun exposed sites - incidence and trend Skin SSCRG Anatomical distribution of sites of malignant melanoma including non-sun exposed sites - incidence and trend Skin SSCRG January 212 Aims and objectives To update the trends in anatomical distribution of

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

Cancer Types and Treatment Modalities in Patients Attending at Delta Medical College Hospital

Cancer Types and Treatment Modalities in Patients Attending at Delta Medical College Hospital Cancer Types and Treatment Modalities in Patients Attending at Delta Medical College Hospital Rafia Parveen 1, Shaikh Shofiur Rahman 2, Syeda Adib Sultana 3, Zakir Hossain Habib 4 Abstract Background:

More information

2011 ANNUAL REPORT C.H. Chub O Reilly Cancer Center. The cancer journey

2011 ANNUAL REPORT C.H. Chub O Reilly Cancer Center. The cancer journey 2011 ANNUAL REPORT C.H. Chub O Reilly Cancer Center The cancer journey The C.H. Chub O Reilly Cancer Center is home to the latest technology and treatments, including davinci surgery, the region s only

More information

43,303,919 paid out in critical illness claims in the first six months of 2012*

43,303,919 paid out in critical illness claims in the first six months of 2012* Critical Illness Claims Report 43,303,919 out in critical illness claims in the first six months of 2012* 60 % Cancer 16 % Heart Attack 10 % Other 3 % Benign Brain Tumour 5 % Multiple Sclerosis 6 % Stroke

More information

Estimated New Cases of Leukemia, Lymphoma, Myeloma 2014

Estimated New Cases of Leukemia, Lymphoma, Myeloma 2014 ABOUT BLOOD CANCERS Leukemia, Hodgkin lymphoma (HL), non-hodgkin lymphoma (NHL), myeloma, myelodysplastic syndromes (MDS) and myeloproliferative neoplasms (MPNs) are types of cancer that can affect the

More information

Metastatic Cancer: Questions and Answers. Key Points

Metastatic Cancer: Questions and Answers. Key Points CANCER FACTS N a t i o n a l C a n c e r I n s t i t u t e N a t i o n a l I n s t i t u t e s o f H e a l t h D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s Metastatic Cancer: Questions

More information

2015 Care and Treatment of Cancer Patients. Sky Lakes Medical Center Oncology Program

2015 Care and Treatment of Cancer Patients. Sky Lakes Medical Center Oncology Program 2015 Care and Treatment of Cancer Patients Sky Lakes Medical Center Oncology Program Table of Contents: 2 Committee Chair Message 3 Cancer Treatment Center 4 Commision on Cancer 4 Accreditation 5 Cancer

More information

CHAPTER 2. Neoplasms (C00-D49) March 2014. 2014 MVP Health Care, Inc.

CHAPTER 2. Neoplasms (C00-D49) March 2014. 2014 MVP Health Care, Inc. Neoplasms (C00-D49) March 2014 2014 MVP Health Care, Inc. CHAPTER SPECIFIC CATEGORY CODE BLOCKS C00-C14 Malignant neoplasms of lip, oral cavity and pharynx C15-C26 Malignant neoplasms of digestive organs

More information

Institute of Biostatistics and Analyses, Masaryk University, Brno, Czech Republic

Institute of Biostatistics and Analyses, Masaryk University, Brno, Czech Republic Hospital-based data in regional and local strategies optimizing CRC control and management: real-world outcomes of the Czech National Cancer Control Programme Mužík J., Dušek L., Blaha M., Klika P. Institute

More information

Cancer Prevention and Education

Cancer Prevention and Education Cancer Prevention and Education On behalf of Miami Valley Hospital, Premier Community Health (PCH) offers community health programs focusing on prevention, early detection and disease self-management of

More information

Oncology Program. MedStarGoodSam.org. 2012 Annual Report 2011 Statistical Data Breast Cancer Focus

Oncology Program. MedStarGoodSam.org. 2012 Annual Report 2011 Statistical Data Breast Cancer Focus MedStarGoodSam.org Oncology Program 2012 Annual Report 2011 Statistical Data Breast Cancer Focus 5601 Loch Raven Blvd. Baltimore, MD 21239 443-444-8000 PHONE 13-MGSH-0168.052013 Message from Our Chairman

More information

Cancer prevalence in Belgium

Cancer prevalence in Belgium Cancer prevalence in Belgium 2014 Belgian Cancer Registry Stichting Kankerregister Fondation Registre du Cancer Stiftung Krebsregister Editorial team: David Jegou, Viki Schillemans, Geert Silversmit, Nancy

More information

A n n u A l R e p o R t

A n n u A l R e p o R t 2014 Annual Report METHODIST JENNIE EDMUNDSON CANCER CENTER Annual Report These achievements speak volumes about our programs and people as these honors do not come easily. The Cancer Center at Methodist

More information

Cancer in Australia: an overview, 2006

Cancer in Australia: an overview, 2006 Cancer in Australia: an overview, 2006 The Australian Institute of Health and Welfare (AIHW) is Australia s national health and welfare statistics and information agency. The Institute s mission is better

More information

Pediatric Oncology for Otolaryngologists

Pediatric Oncology for Otolaryngologists Pediatric Oncology for Otolaryngologists Frederick S. Huang, M.D. Division of Hematology/Oncology Department of Pediatrics The University of Texas Medical Branch Grand Rounds Presentation to Department

More information

PATIENT REGISTRATION

PATIENT REGISTRATION PATIENT REGISTRATION Patient s Last Name: Patient s First Name: MI: Address: City, State Zip code: Patient s Date of Birth: Patient s Social Security: Best Number to contact: Secondary Number: Marital

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

Cancer in Western Australia: Incidence and mortality 2003 and Mesothelioma 1960-2003

Cancer in Western Australia: Incidence and mortality 2003 and Mesothelioma 1960-2003 Cancer in Western Australia: Incidence and mortality 2003 and Mesothelioma 1960-2003 A report of the Western Australian Cancer Registry Health Data Collections, Information Collection and Management Department

More information

Cancer Statistics, 2013

Cancer Statistics, 2013 CA CANCER J CLIN 2013;63:11 30 Cancer Statistics, 2013 Rebecca Siegel, MPH 1 ; Deepa Naishadham, MA, MS 2 ; Ahmedin Jemal, DVM, PhD 3 Each year, the American Cancer Society estimates the numbers of new

More information

Cancer incidence and mortality in Western Australia, A report of the Western Australian Cancer Registry

Cancer incidence and mortality in Western Australia, A report of the Western Australian Cancer Registry Cancer incidence and mortality in Western Australia, 2010 A report of the Western Australian Cancer Registry Statistical series number 94 ISSN: 0816-2999 AUGUST 2012 Cancer incidence and mortality in

More information

Chronic Diseases. Between 2005 and 2007 there were no significant changes in any of the adult behaviors reported through the BRFSS.

Chronic Diseases. Between 2005 and 2007 there were no significant changes in any of the adult behaviors reported through the BRFSS. Chronic Diseases Chronic diseases and conditions, such as heart disease, cancer, diabetes and obesity, are the leading causes of death and disability in the United States. Chronic diseases account for

More information

Illinois Comprehensive Cancer Control 2005-2010

Illinois Comprehensive Cancer Control 2005-2010 State of Illinois Rod R. Blagojevich, Governor Department of Public Health Eric E. Whitaker, M.D., M.P.H., Director Illinois Comprehensive Cancer Control 2005-2010 EXECUTIVE SUMMARY Executive I. Preface

More information

faces of hope and healing

faces of hope and healing faces of hope and healing Annual Report 2012 message from the president Patients diagnosed with cancer face not only physical challenges, but a range of emotions as they navigate their cancer journey.

More information

Canadian Cancer Statistics

Canadian Cancer Statistics Canadian Cancer Statistics 2010 Special Topic: End-of-Life Care www.cancer.ca PRODUCED BY: CANADIAN CANCER SOCIETY, STATISTICS CANADA, PROVINCIAL/ TERRITORIAL CANCER REGISTRIES, PUBLIC HEALTH AGENCY OF

More information

Singapore Cancer Registry Annual Registry Report Trends in Cancer Incidence in Singapore 2009 2013. National Registry of Diseases Office (NRDO)

Singapore Cancer Registry Annual Registry Report Trends in Cancer Incidence in Singapore 2009 2013. National Registry of Diseases Office (NRDO) Singapore Cancer Registry Annual Registry Report Trends in Cancer Incidence in Singapore 2009 2013 National Registry of Diseases Office (NRDO) Released November 3, 2014 Acknowledgement This report was

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

PET (FDG) Scan for Solid Tumors PET (FDG) SCAN FOR SOLID TUMORS HS-112. Policy Number: HS-112. Original Effective Date: 6/18/2009

PET (FDG) Scan for Solid Tumors PET (FDG) SCAN FOR SOLID TUMORS HS-112. Policy Number: HS-112. Original Effective Date: 6/18/2009 Easy Choice Health Plan, Inc. Exactus Pharmacy Solutions, Inc. Harmony Health Plan of Illinois, Inc. Missouri Care, Incorporated WellCare Health Insurance of Arizona, Inc., operating in Hawai i as Ohana

More information

Diagnosis and Treatment of Common Oral Lesions Causing Pain

Diagnosis and Treatment of Common Oral Lesions Causing Pain Diagnosis and Treatment of Common Oral Lesions Causing Pain John D. McDowell, DDS, MS University of Colorado School of Dentistry Chair, Oral Diagnosis, Medicine and Radiology Director, Oral Medicine and

More information

New Hampshire Childhood Cancer

New Hampshire Childhood Cancer Introduction: New Hampshire Childhood Cancer New Hampshire, Childhood Cancer, January 2009 Issue Brief Cancer in children is relatively uncommon, impacting fewer than twenty two of every 100,000 children

More information

Canadian Cancer Statistics

Canadian Cancer Statistics Canadian Cancer Statistics 2008 www.cancer.ca PRODUCED BY: CANADIAN CANCER SOCIETY, NATIONAL CANCER INSTITUTE OF CANADA, STATISTICS CANADA, PROVINCIAL/ TERRITORIAL CANCER REGISTRIES, PUBLIC HEALTH AGENCY

More information

2013 STATISTICAL DATA QUALITY AND STANDARDS: WORKING TO MEET AND EXCEED NATIONWIDE QUALITY STANDARDS

2013 STATISTICAL DATA QUALITY AND STANDARDS: WORKING TO MEET AND EXCEED NATIONWIDE QUALITY STANDARDS 2013 STATISTICAL DATA QUALITY AND STANDARDS: WORKING TO MEET AND EXCEED NATIONWIDE QUALITY STANDARDS The mission of Stony Brook University Cancer Center is to reduce the suffering from cancer by providing

More information

AUSTRALIAN VIETNAM VETERANS Mortality and Cancer Incidence Studies. Overarching Executive Summary

AUSTRALIAN VIETNAM VETERANS Mortality and Cancer Incidence Studies. Overarching Executive Summary AUSTRALIAN VIETNAM VETERANS Mortality and Cancer Incidence Studies Overarching Executive Summary Study Study A u s t ra l i a n N a t i o n a l S e r v i c e V i e t n a m Ve t e ra n s : M o r t a l i

More information

The Rich Picture. Dave, 75, living with head and neck cancer. Understanding the numbers, needs and experiences of people affected by cancer

The Rich Picture. Dave, 75, living with head and neck cancer. Understanding the numbers, needs and experiences of people affected by cancer The Rich Picture Dave, 75, living with head and neck cancer Understanding the numbers, needs and experiences of people affected by cancer About this Rich Picture This document is a collation of the key

More information

State/National Statistics: Basic Epidemiology of Skin Cancer

State/National Statistics: Basic Epidemiology of Skin Cancer State/National Statistics: Basic Epidemiology of Skin Cancer Presented by: Chris Johnson, MPH Epidemiologist, Cancer Data Registry of Idaho 4 th Annual Conference on Advancing Cancer Care Skin Cancer and

More information

Cancer in Wales. People living longer increases the number of new cancer cases

Cancer in Wales. People living longer increases the number of new cancer cases Welsh Cancer Intelligence and Surveillance Unit, Health Intelligence Division, Public Health Wales Iechyd Cyhoeddus Cymru Public Health Wales Am y fersiwn Gymraeg ewch i Cancer in Wales A summary report

More information

Total Cost of Cancer Care by Site of Service: Physician Office vs Outpatient Hospital

Total Cost of Cancer Care by Site of Service: Physician Office vs Outpatient Hospital Total Cost of Cancer Care by Site of Service: Physician Office vs Outpatient Hospital Prepared by Avalere Health, LLC Page 2 Executive Summary Avalere Health analyzed three years of commercial health plan

More information

Part I: NCCN Practice Guidelines Tabular Summary (DD 3/20/13) PET and PET/CT

Part I: NCCN Practice Guidelines Tabular Summary (DD 3/20/13) PET and PET/CT Part I: NCCN Practice Guidelines Tabular Summary (DD 3/20/13) PET and NCCN guidelines were reviewed on 3/20/2013 for utilization of PET and (available at: http://www.nccn.org/professionals/physician_gls/f_guidelines.asp).

More information

Cancer Facts & Figures for African Americans 2013-2014

Cancer Facts & Figures for African Americans 2013-2014 Cancer Facts & Figures for African Americans 213-214 Contents Cancer Statistics 1 Selected Cancers 1 Cancer Prevention & Early Detection 14 Screening Guidelines for the Early Detection of Cancer in Average-risk

More information

The Center for Cancer Care

The Center for Cancer Care The Center for Cancer Care 2012 Cancer Program Annual Report CHAIRMAN S MESSAGE CANCER COMMITTEE The focus of this year s annual report of the Cancer Committee is lung cancer. The Exeter Hospital community

More information

ONCOLOGIC PET ICD-9 CODES

ONCOLOGIC PET ICD-9 CODES ONCOLOGIC PET ICD-9 CODES Solitary Pulmonary Nodule: Assess Likelihood of Malignancy (G0125) Lung Cancer: Diagnosis (G0210) Lung Cancer: Initial Staging (G0211) Lung Cancer: Restaging (G0212) 793.1 Coin

More information

Community Health Assessment 2012

Community Health Assessment 2012 Community Health Assessment 2012 Licking County Health Department 675 Price Road Newark, Ohio 43055 www.lickingcohealth.org Assessment Commissioned By: R. Joseph Ebel, RS, MS, MBA Health Commissioner Assessment

More information

Cancer incidence and mortality in Europe, 2004

Cancer incidence and mortality in Europe, 2004 Original article Annals of Oncology 16: 481 488, 2005 doi:10.1093/annonc/mdi098 Cancer incidence and mortality in Europe, 2004 P. Boyle* & J. Ferlay International Agency for Research on Cancer, Lyon, France

More information

Medical Review Guidelines Magnetic Resonance Imaging Spine and Spinal Canal

Medical Review Guidelines Magnetic Resonance Imaging Spine and Spinal Canal Medical Guideline Number: MRG2001-04 Effective Date: 2/13/01 Reviewed Date: 1/29/03 Reviewed Date: 6/1/2005 Revised Effective Date: 1/1/2008 Medical Review Guidelines Magnetic Resonance Imaging Spine and

More information

Cancer Program 2008 Annual Report (With 2007 Statistical Data)

Cancer Program 2008 Annual Report (With 2007 Statistical Data) Cancer Program 2008 Annual Report (With 2007 Statistical Data) Cancer Program Western Maryland Health System Memorial Hospital & Braddock Hospital Cumberland, Maryland MISSION The mission of the Western

More information

Radiotherapy is involved in the treatment. Radiotherapy report sets new targets for Europe. Spotlighton...

Radiotherapy is involved in the treatment. Radiotherapy report sets new targets for Europe. Spotlighton... Radiotherapy report sets new targets for Europe Anna Wagstaff Radiotherapy is the most cost-effective treatment for many cancers. Now radiation oncologists have adopted an evidence-based approach to assessing

More information

A Publication of the National Registry of Diseases Office, Singapore. Trends of Colorectal Cancer in Singapore,

A Publication of the National Registry of Diseases Office, Singapore. Trends of Colorectal Cancer in Singapore, Health Factsheet February 27, 2013, INP-13-1 A Publication of the National Registry of Diseases Office, Singapore Trends of Colorectal Cancer in Singapore, 2007-2011 1. Introduction The large intestine

More information