faces of hope and healing

Transcription

1 faces of hope and healing Annual Report 2012

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3 message from the president Patients diagnosed with cancer face not only physical challenges, but a range of emotions as they navigate their cancer journey. His or her life changes as they undertake a daily focus on healing. At their side are the physicians, nurses, chaplains, therapists and support staff of the CHRISTUS Spohn Cancer Center, who embody our commitment to compassionate care. They meet our patients physical needs with a complete range of treatment options, from infusion and radiation therapies to the state-of-the-art CyberKnife technology. Education and outreach programs such as the Breast Care Navigator program, support groups and screenings supplement clinical treatments with knowledge and resources for patients,families and the community. The Cancer Center s chapel and Healing Garden are visible examples of our faith-based care. Receiving treatment in a setting that s close, convenient and familiar helps patients maintain their daily routine. The comprehensive capabilities of the CHRISTUS Spohn Cancer Center ensure they can receive superior care while remaining near to their physician, home and family. This 2011 CHRISTUS Spohn Cancer Center Annual Report offers a view of the Center s role as a premier, convenient outpatient facility, invaluable to cancer patients in South Texas. Pam Robertson President and CEO CHRISTUS Spohn Health System 3

4 message from the committee chairman The CHRISTUS Spohn Cancer Center continues to be an important resource in the Coastal Bend community as we help more than 1,000 patients in their fight against cancer each year. Our commitment continues to our patients and their families as we provide continuum of care along their journey to a healthier life. Since 1967, the CHRISTUS Spohn Health System has remained the only Cancer Center in South Texas accredited by the American College of Surgeons Commission on Cancer. We feel it represents the dedicated efforts of our Associates and clinicians through the years who have worked to eradicate cancer in our community. The center s cancer care team is comprised of dozens of physicians, registered nurses, chaplains, counselors, nutritionists and more who each day guide Coastal Bend families through the complex world of the health care system helping them to understand the most beneficial treatment options available through education, high-quality care and ongoing support. The Cancer Center offers some of the most advanced technology in the region including the da Vinci Robotic Surgical System and a CyberKnife, but with that, we continue to focus on the patient and their families. We are currently conducting a self assessment of our psychosocial service to ascertain if we are meeting the needs of the patient. Our Cancer Committee continues to review and approve the procedures and operations of our cancer program, monitoring the processes and level of quality for our patient care services leading the way in our community. The committee also supports prevention and early detection services to find and treat early signs of cancer. We hope our efforts continue to serve as the standard for high-quality cancer care in the Coastal Bend, bringing restored health and spiritual wellness to our patients and their families with each year. It s who we are and what we believe that makes our care stand out among the rest. 4 Ajay Sehgal, MD Cancer Committee Chairman

5 the cancer committee The Cancer Committee is the basis of our successful program. This committee is a multi-disciplinary group of physicians and other health professionals representing all specialties who are involved in patient cancer care. The Cancer Committee provides the leadership and policies that guide the program. Cancer Committee Members Chairman Ajay Sehgal, MD Medical Oncologist Cancer Liaison Robert May, MD Surgeon R. Drake Beauchamp, MD Radiologist Thomas Ertzner, MD Radiologist Yvonne Hinojosa, MD Palliative John Duke, MD Gynecologist Emile Salloum, MD Med. Onc. / Cancer Conference Coordinator Ann Souchick, MD Pathologist Alfonso Villamil, MD Medical Oncologist Yvonne Manalo, MD Medical Oncologist Kimberly Stewart, DO Radiation Oncology Paul Gaden Administration Thomas Enright, RN Cancer Center Director Grace Flores, CTR Cancer Registrar/ Cancer Registry Quality Coordinator Michele Mora-Trevino Community Outreach Coordinator Melanie Dees, RN Clinical Research Coordinator Karen LaNasa, RN Quality Improvement Coordinator Shelia Chatman, RT Chief Radiation Therapist Sandra Moreno, RN Oncology Nursing Allison Ware, LMSW Psychosocial Services Coordinator Nori Gerus Nutrition Janie Mendiola Cancer Registry Margie Miranda, CTR Cancer Registry Cindy Carson, PT Rehabilitation Anita Garcia, RN Radiation Cyber Knife Coordinator Melissa De La Garza American Cancer Society 5

6 Thomas Enright Cancer Center Director what we do 6 The CHRISTUS Spohn Cancer Center offers toplevel outpatient programs at the Radiation Therapy Center. The Radiation Therapy department s advanced equipment includes two linear accelerators, and the CyberKnife which allows us to treat very small lesions and deliver the needed dose of radiation to the cancer site while minimizing risk to surrounding healthy tissue. The department also is the only provider in the area for brachytherapy and high-dose radiation to a tumor through the use of radioactive implants, minimizing patient visits and treatments. This year, Cancer Center Associates will work to strengthen the human aspects of treatment for our valued patients. This will include utilizing patient stress questionnaires which measure stress and stressors and are invaluable to clinicians to offer the highest-quality care as patients moves through treatment. Cancer Center Associates also monitor patients financial issues, and transportation gaps, things that can become roadblocks on their path to renewed health. The Center s Oncology Social Workers evaluate the psycho-social needs of our patients, another important aspect of the support services available. Working with local agencies and churches, including the American Center Society, our social workers can link patients with a range of resources to meet their needs. At the core of what we do at CHRISTUS Spohn is Spiritual Care. In addition to the Cancer Center s Chapel, open during operating hours, our spiritual care Associates focus on faith-based healing, providing support, compassion and a human presence to our patients. The Cancer Center also features a Healing Garden, providing a peaceful setting for our patients with soothing plants and a bubbling fountain to relive stress. To empower patients in their road to recovery, the Cancer Center offers a Breast Care Program which features free educational seminars on a range of topics related to breast cancer awareness, early intervention and detection. A strong emphasis is placed on emotional and spiritual needs of our patients and removing any barriers to care. The Cancer Center s Navigator Program includes a special group of volunteers whom are mostly comprised of breast cancer survivors. They are a valued resource for relating to patients and their families on their healing journey. These volunteers are active in fostering patient relationships, programs, activities and community outreach. A bi-weekly Breast Cancer Support Group is offered to women and their families who have experienced

7 breast cancer and recently, the center has partnered with Crossroads Yoga to offer free yoga classes with an emphasis on working those parts of patient s bodies most affected by breast cancer. Each Wednesday, the CHRISTUS Spohn Cancer Center hosts Cancer Conferences, providing forums for physicians and Associates to discuss patient needs and programs. Since 1967, the conferences have helped shape case management, and offered education and fellowship on a range of oncology topics and issues. The Center also has partnered with FIRST FRIDAY a grassroots organization made up of women whose purpose is to knock out breast cancer through education, self breast examination and free breast screenings for women without the financial resources to do so. Each year, the group provides about 1,000 free mammogram screenings. All of this and more adds up to the high-quality care and compassion that has come to define the CHRISTUS Spohn Cancer Center. Together, the physicians, Associates and volunteers at the Center continue to passionately battle cancer in the community while focusing on the comfort, spiritual needs and dignity of our patients. It s our hope that our renewed focus on the human side of healthcare will bring you closer to our mission as we actively continue our healing ministry on your path to physical and spiritual health. 7

8 CHRISTUS Spohn Top 5 Sites 2011 Breast 297 Lung 201 cancer registry Since its first approval in 1967 by the American College of Surgeons, Commission on Cancer, the Cancer Registry has been involved in all aspects of the CHRISTUS Spohn cancer program. The Cancer Registry s role has included data collection of all cancer cases diagnosed and/or treated at CHRISTUS Spohn as well as annual follow-up for this selected group of patients. The Reportable List includes all malignancies and benign neoplasms of the brain. Demographic and medical information is obtained by the registrar and abstracted into a data base specializing in cancer treatment collection. Also included are diagnostic work-up, histologic diagnosis, stage of disease, first course of treatment performed, current disease status and length of survival. Colorectal 159 Bladder 68 Kidney Number of Cases CHRISTUS Health vs National Estimated New Cases Top Sites 2011 Estimated New Cases* CHRISTUS Health National Breast Breast 297 (20.9%) 230,480 (14.5%) Lung & bronchus Lung & bronchus 201 (14%) 221,130 (14%) Colorectal Colorectal 156 (11%) 141,210 (18%) Bladder Bladder 68 (4.8%) 69,250 (4.3%) Kidney & renal pelvis Kidney & renal pelvis 62 (4.4%) 60,920 (3.8%) *Excludes basal and squamous cell skin cancer and in situ carcinoma except urinary bladder 2011, American Cancer Society, Inc., Surveillance and Health Policy Research The Cancer Registry has served as an information and tracking system for administration, medical staff and others. The Cancer Registry helps physicians monitor and evaluate cancer treatment by providing statistical information for studies. The 2012 Cancer Center Annual Report is based on 2011 data. During 2011, a total of 1,724 cancer cases were accessioned into the database, 1,422 were new analytical cases and 302 were nonanalytical cases. Patients are followed on an annual basis to determine their survival, in which a 90% follow-up rate is maintained as required by the American College of Surgeons. All data is reported to the State as required by the Texas Cancer Incidence Reporting Act law. Lt to Rt; Grace Flores, Cancer Registry Coordinator; Janie Mendiola, Cancer Registrar; Margie Miranda, Cancer Registrar 8

9 frequency by site and sex Primary Site Total Male Female ORAL CAVITY/PHARYNX Tongue Salivary Glands Floor of Mouth Gum & Other Mouth Nasopharynx Tonsil Oropharynx Hypopharynx DIGESTIVE SYSTEM Esophagus Stomach Small Intestine Colon/Rectum/Anal Liver/Biliary Tract Gallbladder Other Biliary Pancreas Digestive Organs, NOS RESPIRATORY SYSTEM Larynx Lung BONE & JOINTS SOFT TISSUE SKIN Melanoma Non-Melanoma BREAST FEMALE GENITORINARY Cervix Uteri Corpus Uteri Ovary Vulva GYN, NOS MALE GENITORINARY Prostate Testis Penis URINARY SYSTEM Bladder Kidney/Renal Pelvis/Ureter Other Urinary Organs BRAIN THYROID/OTHER ENDOCRINE NON-HODGKIN S LYMPHOMA HODGKIN S LYMPHOMA MULT MYELOMA LEUKEMIA OTHER/MISC TOTAL COMBINED SITES

10 breast study 2011 This year s annual report focuses on the diagnosis and treatment of breast cancer. The CHRISTUS Spohn Health system Cancer Registry identified 297 analytical breast cancer cases in This is a 17% increase from the previous year. According to the American Cancer Society s Facts and Figures 2012, an estimated 226,870 new cases of invasive breast cancer are expected to occur among women in the US during 2012; about 2,190 new cases are expected in men. In addition to invasive breast cancer, 63,300 new cases of in situ breast cancer are expected to occur in women in An estimated 39,920 breast cancer deaths (39,510 women, 410 men) are expected in Breast cancer ranks second as a cause of cancer deaths in women (after lung cancer). Death rates for breast cancer have steadily decreased in women since 1990, with larger decreases in younger women; rates decreased 3.1% per year in women younger than 50 and 2.1% per year in women 50 and older. This decrease in breast cancer death rates represents progress in earlier detection, improved treatment, and possibly decreased incidence. Review of CHRISTUS Spohn system data revealed 297 new cases of breast cancer in Breast cancer represents 21% of all cancer cases diagnosed at CHRISTUS, which is slightly lower than the national average of 29%. The most frequently diagnosed histology was infiltrating ductal carcinoma accounting for 54 % of the cases. CHRISTUS Spohn Histologies Breast 2011 Our patients were most frequently diagnosed with Stage I (116 cases/39%) or Stage II (65 cases/21%) disease. CHRISTUS Spohn AJCC Stage Breast 2011 Stage 0 Stage I Stage II Stage III Stage IV Unk Number of Cases Forty seven (16 %) of our cases were diagnosed in women younger than 50, while the majority of the cases (250/84%) were in women 50 or older Number of Cases CHRISTUS Spohn Age at Diagnosis Breast 2011 Lobular Carcinoma 19 Infiltrating Dulctal Carcinoma 161 Infiltrating Dulctal/Lobular Carcinoma 18 Other Ductal Carcinoma 41 Intraductal Carcinoma 39 Other In Situ Carcinoma 19 10

11 The first course of treatment for these patients ranged from surgery alone to surgery + chemotherapy + radiation therapy + hormonal therapy. A breakdown by treatment delivered is shown below. CHRISTUS Spohn 1st Course of Treatment Breast 2011 Surgery 78 Surgery & Radiation & Hormonal Therapy 62 Surgery & Radiation & Chemotherapy & Hormonal Therapy 40 Surgery & Chemotherapy & Radiation 20 Surgery & Chemotherapy 17 Surgery & Radiation 15 Surgery & Hormonal Therapy 12 Chemotherapy 11 Surgery & Chemotherapy & Hormonal Therapy 7 None 10 Other 25 Throughout the year only 2.4% (7 patients) succumbed to their disease. CHRISTUS Spohn Vital Status Breast 2011 Alive 290 Expired Number of Patients Early detection of disease is the key to overcoming breast cancer. Mammography is an effective diagnostic tool used in the detection of breast cancer; however, it is not fail-proof. Approximately 80-90% of asymptomatic breast cancers are detected with mammog- raphy. This early detection translates into increased survival as well as possible cure. Per the American Cancer Society s Facts and Figures 2012, The 5-year relative survival rate for female breast cancer patients has improved from 63% in the early 1960s to 90% today. CHRISTUS Spohn Health System, in conjunction with FIRST FRIDAY, a breast cancer awareness group, have worked together to provide free screening mammograms for women who could not otherwise afford them. In ,394 mammograms were provided. Since this program began in 1994, 16,000 women have taken advantage of this potentially life-saving service. The average 5-year overall survival for all stages of disease diagnosed and treated within the CHRISTUS Spohn Health system is 79%. CHRISTUS Spohn Breast Yr Survival Number of Cases Today, receptor status is an important prognostic factor as well as an important tool in therapeutic decision making for breast cancer treatment. The following is a breakdown of patients based on estrogen and progesterone receptor status: ER+/PR+ 187 (63%) ER+/PR - 34 (11%) ER-/PR+ Unk (%) ER-/PR- 37 (13%) Unknown ER/PR was 39 (13%) Women who test positive for HER2/neu benefit from treatment with Herceptin. Thirty-two (11%) patients treated at CHRISTUS Spohn were HER2/neu positive. 11

12 CHRISTUS Spohn Cancer Center 1415 Sante Fe, Corpus Christi, Texas (361) christusspohn.org