2011 Cancer Program Annual Report O C T O B E R 2 0 1 1 YO U ’ R E I N T H E R I G H T N E I G H B O R H O O D F O R AWA R D - W I N N I N G H E A LT H C A R E
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2011Cancer Program
Annual Report
O C T O B E R 2 0 1 1
Y O u ’ R E i n T h E R i g h T n E i g h B O R h O O d f O R
A w A R d - w i n n i n g h E A l T h C A R E
2 0 1 1 C A N C E R C O M M I T T E E
Clement Knight, M.D., Medical Oncology, chairman
Eric Aldrich, M.D., Ph.D., Administration
Rennae Anderson, M.D., Pathology
Dianne Braun, Rehabilitation Services
Sally Cheston, M.D., Radiation Oncology, tumor board chairperson
Sheryl Daugherty, R.H.I.T., C.T.R., Health Information Management, cancer registrar
Andrea del Rosario, R.N., C.P. H.Q., Risk Management, quality review coordinator
Heather Dworski, PharmD, Pharmacy
Allison Finkernagel, R.H.I.A., Health Information Management, director
Debbie Fleischmann, R.N., Continuing Education
Paul Gleichauf, Administration
Claudette Jacobs, R.N., C.E.P. M., Pain Management
John Kishel, M.D., Urology / Surgery
Jon Minford, M.D., Medical Oncology, cancer liaison physician
Andrew Morton, M.D., Diagnostic Imaging
Stanley Podlasek, M.D., Pathology
Sandy Roemer, R.N., Community Education
Leslie Rogers, M.S.W., LCSW-C, CMCRC, oncology social worker
Tejaswi Sastry, M.D., Medical Oncology, cancer liaison physician
Judy Siegelman, R.N., O.C.N., 4 South, nurse manager
Shelby Williford, American Cancer Society
A C S C A N C E R S C R E E N I N G R E C O M M E N D AT I O N S
• Yearlymammogramsarerecommendedstartingatage40andcontinuingforaslongasawomanisingoodhealth.
• Clinicalbreastexam(CBE)abouteverythreeyearsforwomenintheir20sand30sandeveryyearforwomen40and older
• Womenshouldknowhowtheirbreastsnormallylookandfeel,andreportanybreastchangepromptlytotheirhealthcareprovider.Breastself-exam(BSE)isanoptionforwomenstartingintheir20s.
• Womenatincreasedrisk—becauseoftheirfamilyhistory,agenetictendencyorcertainotherfactors—shouldbescreened with MRI in addition to mammograms.
Beginningatage50,bothmenandwomenshouldfollowoneofthesetestingschedules:
• Flexiblesigmoidoscopyeveryfiveyears*or
• Colonoscopyevery10yearsor
• Double-contrastbariumenemaeveryfiveyears*or
• CTcolonography(virtualcolonoscopy)everyfiveyears*or
• Yearlyfecaloccultbloodtest(gFOBT)or
• Yearlyfecalimmunochemicaltest(FIT)or
• StoolDNAtest(sDNA),intervaluncertain
*Ifthetestispositive,acolonoscopyshouldbedone.
• Allwomenshouldbegincervicalcancerscreeningaboutthreeyearsaftertheybeginhavingvaginalintercourse,butnolaterthan21yearsold.ScreeningshouldbedoneeveryyearwiththeregularPaptestoreverytwoyearsusingthenewerliquid-basedPaptest.
• Beginningatage30,womenwhohavehadthreenormalPaptestresultsinarowmaygetscreenedeverytwo–threeyears.Womenolderthan30alsomaygetscreenedeverythreeyearswitheithertheconventionalorliquid-basedPaptest,plusthehumanpapillomavirus(HPV)test.
• Women70yearsofageorolderwhohavehadthreeormorenormalPaptestsinarowandnoabnormalPaptestresultsinthelast10yearsmaychoosetostophavingPaptests.
• Womenwhohavehadatotalhysterectomy(removaloftheuterusandcervix)alsomaychoosetostophavingPaptests,unlessthesurgerywasdoneasatreatmentforcervicalcancerorpre-cancer.Womenwhohavehadahyster-ectomywithoutremovalofthecervixshouldcontinuetohavePaptests.
Atthetimeofmenopause,allwomenshouldbeinformedabouttherisksandsymptomsofendometrialcancer.Womenshouldreportanyunexpectedbleedingorspottingtotheirdoctors.
Startingatage50,talktoyourdoctorabouttheprosandconsoftestingsoyoucandecideiftestingistherightchoiceforyou.IfyouareAfricanAmericanorhaveafatherorbrotherwhohadprostatecancerbeforeage65,youshouldhavethistalkwithyourdoctorstartingatage45.Ifyoudecidetobetested,youshouldhavethePSAbloodtestwithorwithoutarectalexam.HowoftenyouaretestedwilldependonyourPSAlevel.
Breast Cancer
Colorectal cancer and polyps
Cervical cancer
Endometrial (uterine) cancer
Prostate cancer
SITE RECOMMENDATIONS
3
C H A I R M A N ’ S R E P O R T
CLE
ME
NT
B. K
NIG
HT, M
.D.
HowardCountyGeneralHospitaliscommittedtomeetingtheever-expandinghealthcareneedsofourpatients;thiscommitmentdrivesongoingeffortstogrowandexpandHCGH’sservicesandprograms,includingcancerservices.
BeinganaccreditedCommunityHospitalComprehensiveCancerProgrambytheCommissiononCanceroftheAmericanCollegeofSurgeonsisatestamenttothecaliberofcancerservicesofferedatHCGH.Italsosendsastrongstatementtoourpatientsthattheywillhaveaccesstothefullscopeofservicesrequiredtodiagnose,treat,rehabilitate,andsupportcancerpatientsandtheirfamilies.
Tomaintainouraccreditationandcontinuetoprovideexcellenthealthcare,HCGHcancerservicescontinuetogrow.Inadditiontowelcominganewmedicaloncologistwithaspecialinterestinbreastcancer—Dr.TejaswiSastry,theCancerRegistryhasaddedadditionalstaff,includingafull-timeabstractor.Thisadditionalstaffisduetonaturalgrowthoftheregistry,addeddatacollectionrequirements,changestothecancerprogramaccreditationcriteriaandadditionalcancer conferences.
Cancerconferencesserveasthemainconsultativeandeducationalforumforthehospital’sprofessionalstaffandotheralliedhealthcareprofessionalsinvolvedinthecareofoncologypatients.In2010,HCGHexpandedthenumberofmonthlycancerconferences,addingathoraciccancerconferencetotheexistingbreastcancerandgeneralcancerconferences.Theseconferencesallowprofessionalstolearnaboutanddiscussoncologycasesatapointwhenpatientcaremanagementcanbedirectlyinfluencedbythediscussion—makingadifferencetothepatientswecarefor.
In2011,thehospitalintroducedthePalliativeCareProgram.LaunchedthroughapartnershipwithGilchrestHospiceCare,theprogramprovidesamultidisciplinarypalliativecareconsultationservice.Dr.DanielleDoberman,aboard-certifiedpalliativemedicinespecialist,leadsateamthatincludesanursepractitioner,socialworkerandpastoralcarestaff.
WithpatientcareandsatisfactionastopprioritiesforHCGH,thehospitalinstitutedtheCenterforBreastCare,whichprovidespersonalsupportandguidancetopatientsdirectlyfollowingdiagnosis.In2011,thehospitalenhanceditsbreastdiagnosticsbyintroducingdigitalmammography.
Thehospitalanditsprofessionalstaffphysiciansdeliveringcancercarecontinuetobuildpartnershipsinthecommunitytoincreasecancerawareness,promoteearlydetectionandtreatment,andprovidesupportiveservicesforcancerpatientsandtheircaregivers.During2011,jointprogrammingwasenhancedwithmanycommunitypartners,includingtheRedDevils,AmericanCancerSociety,BaltimoreGasandElectric,theUlmanCancerFundforYoungAdults,SurvivorsOfferingSupport(SOS),andothers.
TheenhancementsHCGHismakingtoitscancerservices—fromensuringpatientshaveaccesstostate-of-the-arttechnologyandqualifiedcancerexpertstoexpandingthecommunicationtoolsforphysiciansthatdirectlyimpactsuccessfulpatientoutcomes—areallpartofthehospital’scontinuedeffortstoprovideourpatientswithexcellenthealthcare.Byputtingthepatientfirst,HCGHisillustratingourcommitmenttobethehealthcareproviderofchoiceforthoseinHowardCounty.
Clement B. Knight, M.D.Maryland OncologyCancer Committee Chair
4
C A N C E R C O N F E R E N C E R E P O R T
2 0 1 0 G E N E R A L C O N F E R E N C E C A S E D I S T R I B U T I O N
HowardCountyGeneralHospital’scancerconferencescontinuetoserveasthemainconsultativeandeducationalforumforthehospital’sprofessionalstaffandotheralliedhealthprofessionalinvolvedinthecareofoncologypatients.Themajorityofcasespresentedareprospective,whichallowstheseprofessionalstolearnaboutanddiscusscasesatapointwhenpatientcaremanagementcanbedirectlyinfluencedbythediscussion.Uponattendingeachmeeting,physiciansareawardedonecredittowardcategoryIoftheAmericanMedicalAssociation’sPhysician’sRecognitionAward.
In2010,thegeneralcancerconferencemet22times.Atotalof99caseswerediscussed.Thediscussionincludedthepatients’medicalhistories;physicalfindings;diagnostic,pathologicandoperativefindings;staging;andtreatmentguidelinesandoptions.Discussionsalsoincludedprotocolupdates,literaturereviewsandpresentationofcancerregistrydata.Theaverageattendanceatthegeneralcancerconferenceswas14.
With the goal of discussing all newly diagnosed breast cancer cases seen at HCGH, there were47breastcancerconferencesheldduring2010.Atotalof256casediscussionswereheld.Manyofthepatientsdiagnosedand/ortreatedatHCGHwerediscussedasecondorthirdtimeafteradditionalinformationwasavailabletoaidinplanningthemostappropriatetreatments.Theaverageattendanceatthebreastcancerconferencewas16.
At the request of the medical staff, monthly thoracic conferences began in February 2010.Therewere10meetingsheldwith42patientsbeingdiscussed.Theaverageattendanceforthisconferencehasbeen11.
The general cancer conference meets on the second and fourth Friday of each month at12:15p.m.ThebreastcancerconferencemeetseveryTuesdayat7:30a.m.,andthethoraciccancerconferenceisheldthethirdFridayofeachmonthat7:30a.m.Allconferences are held in the Wellness Center Garden A&B conference room, which is locatedinSuiteG010oftheMedicalPavilion.ThebreastandgeneralcancerconferencesarecoordinatedbySherylDaughertyintheOncologyDataOffice.Sherylcanbereachedatsdaugherty@hcgh.orgor410-740-7956.SharonTunney,alsointheOncologyDataOffice,coordinatesthethoraciccancerconference.Sharoncanbereachedatstunney@hcgh.orgor710-720-8515.
lung [19%]
COlORECTAl [15%]
nhl/hOdgKinS [14%]
BREAST [8%]
gYn [8%]
hEMATOPOiTiC [5%]
h&n [5%]
unK. PRiMARY [5%]
PROSTATE [4%]
All OThER [17%]
5
C A N C E R R E G I S T R YR E P O R T
Hospital-basedcancerregistriesserveasthenation’sprimarysourceofoncologystatistics.Thiscomprehensivecollectionofpatientdatafacilitatescomparisonsbetween institutions, states and the nation as a whole. As with all cancer registries, theroleoftheOncologyDataOfficeatHCGHcontinuestogrowandevolve.Withadvancesincancer-relatedresearchandtechnology,theregistrycollectsmoredetailedinformationthaneverbefore.Informationcollectedandanalyzedincludesdemographic,personalandfamilyhistories,riskfactors,diagnostic,siteandhistology,tumormarkers,staging,treatmentandsurvivaldataforeachcase. TheCancerRegistryatHowardCountyGeneralHospital,apartoftheHealthInformationManagementDepartment,collectsdataonallcancerpatientsdiagnosedand/ortreatedatthisfacility.Thecancerregistryalsoensurestheoncologyprogram’scompliancewithallstandardsestablishedbytheCommissiononCancer(CoC)oftheAmericanCollegeofSurgeons(ACoS)tomaintainitsaccreditationasaComprehensiveCommunityHospitalCancerProgram.
Annualfollow-up,whichiscollectedonallanalyticcasesdiagnosedsinceJanuary1,2000,isenteredintotheregistrydatabaseonanongoingbasis.Thisprocessprovidestheregistrywithadditionalinformationonrecurrences,treatments,thepatient’sdiseasestatusandsurvivaldata.Thefollow-upletterssentalsoserveasaremindertophysicianstocontactpatientswhohavenotbeenseenduringthepastyear.Thecurrentfollow-uprateof92.6percentexceedsthestandardssetbytheCoC.
In2010,517analyticcaseswereaccessionedtothecancerregistry;thisrepresentsa0.6percentincreasefrom2009.Thenumberofnewbreastcancercasesincreasedby5.8percent,from139casesto147,andremainedthemostfrequentlyseenprimary
C o n t ’ d >
G R A P H A : I N C I D E N C E O F T O P 5 S I T E SH C G H 2 0 0 6 - 2 0 1 0 A N A L Y T I C C A S E S
2007
2009
2006
2008
2010
BREAST
(%)
of T
ota
l Cas
elo
ad
LUNGCOLORECTAL BLADDER MELANOMA
30
25
20
15
10
5
0
6
C A N C E R R E G I S T R Y R E P O R T C O N T I N U E D
H C G H 2 0 1 0 A N A L Y T I C C A S E S
Md
hCgh
uS
0 5 10 15 20 25 30
MElAnOMA
BlAddER
lung
COlORECTAl
BREAST
G R A P H B : T O P S I T E C O M P A R I S O N
*ACSEstimatesusedforcomparison.
siteatHCGHin2010—makingup28percentoftheentireanalyticcaseload.Thesecondmostfrequentlyseensitein2010wascolorectalwith70cases(13.5percentofthetotalcaseload);thisrepresentsadecreaseof2.8percentfromthe72colorectalcancercasesaccessionedin2009.
Theothertopprimarysitesseenatthehospitalwerelung,bladderandmelanoma.Thenumberoflungcancercasesincreasedby3.4percent,from59casesin2009to61in2010.Bladdercasesincreasedfrom29to38duringthepastyear ;thisisanincreaseof31percent.Melanomacasesdecreasedfrom36casesin2009to29casesin2010;thisisadecreaseof19.4percent.For2010,lungcancercasesmadeup11.8percentofthetotalanalyticcaseload.Bladderwas7.4percent,andmelanomawas5.6percentoftheanalyticcaseload.
Whencomparedtostateandnationalstatistics,thehospitalcontinuedtoseefemalebreastcancerasasignificantlyhigherpercentageofitstotalcaseload.Theincidenceofcolorectal, melanoma and bladder cases also were higher at HCGH than for the state of Maryland or the nation. The incidence of lung cancer cases seen at HCGH remains atasignificantlylowerpercentagethanreportednationallyorbythestate.
Individualregistrieshelphospitalphysiciansandadministratorstrackqualityofcareandtreatmentbymonitoringcompliancewithnationalstandardsofcare.Registrydataalsoisusedbythehospitalforcancerconferencepresentations,administrativereports,andtoevaluatestaffingandequipmentneedsaswellastoguidethedevelopmentofeducationalandscreeningprogramsforbothpatientsandthecommunity.
FormoreinformationabouttheHCGHCancerRegistry,pleasecall410-740-7956.
Percentage of Total Analytic Caseload
7
2 0 1 0 P R I M A R Y S I T E D I S T R I B U T I O N T A B L E
Abbreviations:M=male,F=female,UNK=unknownorunstageable,N/A=notapplicable|*Carcinomainsitu/CIN-IIIofthecervixisnolongerrepor tednationallyortothestate.
MCASES 0 i ii iii iV unK n/Af
A J C C S T A g E A T d xSEx
PRiMARY SiTE
ORAl CAViTY, PhARYnx
BASE OF TONGUE
OTHER PARTS OF TONGUE
PHARYNX
OTHERPARTSOFORALCAVITY
digESTiVE ORgAnS
ESOPHAGUS
STOMACH
SMALL INTESTINE
COLON
RECTOSIGMOID
RECTUM
ANUA & ANAL CANAL
LIVER&INTRAHEPBILEDUCTS
GALLBLADDER
OTHERBILIARY
PANCREAS
OTHERDIGESTIVEORGANS
RESPiRATORY & inTRAThORACiC
LARYNX
LUNG & BRONCHUS
NASALCAVITY
COnnECTiVE/SOfT TiSSuE
BOnES, JOinTS & CARTilAgE
SKin (ExCludES SquAMOuS & BASAl CEll)
BREAST
fEMAlE gEniTAl ORgAnS
CORPUS UTERI
OVARY
OTHER FEMALE GENITAL ORGANS
MAlE gEniTAl ORgAnS
PROSTATE
TESTIS
uRinARY TRACT
BLADDER
KIDNEY&RENALPELVIS
OTHERURINARYORGANS
CnS
MENINGES
EndOCRinE
THYROID
OTHERENDOCRINEINCLUDINGTHYMUS
lYMPhOMAS
HODGKIN’SDISEASE
NON-HODGKIN’SLYMPHOMA
MulTiPlE MYElOMA
lEuKEMiAS
LYMPHOID
MYLOID
OTHER LEUKEMIA
unKnOwn PRiMARY SiTE
ALL SITES
12
3
2
3
4
115
1
9
3
55
2
15
2
7
5
1
14
1
68
6
61
1
2
1
30
147
19
12
4
3
18
14
4
53
38
11
4
5
5
7
5
2
24
2
22
2
4
1
2
1
10
517
10
3
1
3
3
64
1
6
2
30
1
8
1
4
2
1
8
0
37
5
31
1
1
0
18
0
0
0
0
0
18
14
4
38
30
6
2
2
2
2
1
1
11
1
10
2
1
0
1
0
5
209
2
0
1
0
1
51
0
3
1
25
1
7
1
3
3
0
6
1
31
1
30
0
1
1
12
147
19
12
4
3
0
0
0
15
8
5
2
3
3
5
4
1
13
1
12
0
3
1
1
1
5
308
0
0
0
0
0
1
0
0
0
1
0
0
0
0
0
0
0
0
1
1
0
0
0
0
17
32
0
0
0
0
0
0
0
25
22
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
76
4
1
1
0
2
29
0
2
0
20
1
1
1
1
0
0
3
0
11
2
8
1
1
1
8
62
6
4
1
1
7
3
4
13
9
4
0
0
0
5
5
0
3
0
3
0
0
0
0
0
0
150
0
0
0
0
0
24
0
0
0
11
0
6
0
1
2
1
3
0
3
0
3
0
0
0
2
36
3
2
0
1
11
11
0
5
4
1
0
0
0
0
0
0
10
0
10
0
0
0
0
0
0
94
2
0
0
1
1
19
1
2
1
11
0
3
0
0
1
0
0
0
12
1
11
0
1
0
0
11
1
1
0
0
0
0
0
2
0
2
0
0
0
0
0
0
3
0
3
0
0
0
0
0
0
51
6
2
1
2
1
28
0
4
2
8
1
2
1
1
1
0
8
0
39
2
37
0
0
0
0
3
7
4
3
0
0
0
0
5
3
2
0
0
0
0
0
0
6
0
6
0
0
0
0
0
0
94
0
0
0
0
0
8
0
1
0
3
0
3
0
0
1
0
0
0
2
0
2
0
0
0
3
3
2
1
0
1
0
0
0
2
0
2
0
0
0
0
0
0
2
2
0
0
0
0
0
0
0
22
0
0
0
0
0
6
0
0
0
1
0
0
0
4
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
1
5
5
2
0
2
0
0
0
2
4
1
2
1
10
30
Nationally,colonandrectalcanceristhethirdmostfrequentlydiagnosedtypeofcancer,equallyaffectingmenandwomen.In2010,colorectalcancerremainedthesecondmostfrequentlyseennewcancerdiagnosisatHCGHwith73patients.Theincidencehasremainedfairlystableduringthepastfiveyears(GraphA,pg5).Colorectalcancercasesmakeup13percentofthetotalcaseloadfor2010atHCGH;thisissignificantlyhigherthanthe8percentofthetotalcaseloadseenforthestateofMarylandandthe8.5percentseennationally(GraphB,pg6).
Theriskofdevelopingcolorectalcancerincreaseswithage.AtHCGH,90percentofthepatientsdiagnosedin2010wereolderthan50(GraphC,pg8).Riskfactorsforthedevelopmentofcolorectalcancerincludeobesity,lackofphysicalactivity,alcoholconsumption,andadiethighinredorprocessedmeats.
During2010,coloncancersaccountedfor76percentofthetotalcolorectalcancercasesseenatHCGH.Thecancermostcommonlyinvolvedthececum(18.6percent),ascendingcolon(17.1percent)andsigmoidcolon(17.1percent).Rectalandrectosigmoidcancerswere24percentofthecases(GraphD,pg8).Themostcommonhistologyisadenocarcinoma,whichmadeup63percentofthenewlydiagnosedcolorectalcancers.Nineteenpercentofthecancerswerefoundinadenomatouspolypsthathadbeencolonoscopicallyorsurgicallyremoved(GraphE,pg9).
OfallnewcolorectalcancercasesseenatHCGHduring2010,57percentwerediagnosedatStageIorII(GraphF,pg9),beforehavingspreadoutsideofthecolon.Thiscanbeattributedtoanincreaseduseofcolorectalcancerscreeningtests.
Thefive-yearsurvivalrateforcolorectalcancerpatientsdiagnosedandtreatedatHCGHfrom1998–2002was78.4percentforStageI,66.7percentforStageII,54.7percentforStageIIIand5.3percentforthosediagnosedwithStageIVdisease(GraphG,pg9).Theoverall(allstagescombined)survivalratewas57.7percent,whichisequalto,orslightlybetterthan,theratesforthestateofMarylandandtheUnitedStates(GraphH,pg9).
James Zalucki, M.D. Colorectal Surgeon
C O L O R E C T A L C A N C E R
8
H C G H 2 0 1 0 C O L O R E C T A L C A N C E R C A S E S G R A P H D : O C C U R A N C E B Y S I T E
H C G H 2 0 1 0 C O L O R E C T A L C A N C E R C A S E S
fEMAlE
MAlE
30-39
nu
MB
ER O
f C
ASE
S
50-5940-49 60-69 80-8970-79 90-99
14
12
10
8
6
4
2
0
AgE AT diAgnOSiS
G R A P H C : A G E A T D I A G N O S I S B Y S E X
C18.3 hEPATiC flExuRE5[7.1%] C18.5 SPEniC flExuRE3[4.3%]
C18.4 TRAnSVERSE6[8.6%]
C18.6 dESCEnding2[2.9%]
C18.0 CECuM13[18.6%]
C18.1 APPEndix0[0.0%]
C18.8 OVERlAPPing0[0.0%]
C20.9 RECTuM15[21.4%]
C18.9 COlOn, nOS0[0.0%]
C19.9 RECTOSigMOid2[2.9%]
C18.2 ASCEnding12[17.1%]
C18.7 SigMOid12[17.1%]
C O L O R E C T A L C A N C E R C O N T I N U E D
9
H C G H 2 0 1 0 C O L O R E C T A L C A N C E R C A S E S
fEMAlE
MAlE
STAGE0
nu
MB
ER O
f C
ASE
S
STAGE IISTAGE I STAGE III UNK. STAGESTAGEIV
16
14
12
10
8
6
4
2
0
STAgE AT diAgnOSiS
G R A P H F : S T A G E B Y S E X
H C G H 2 0 1 0 C O L O R E C T A L C A N C E R C A S E S G R A P H E : O C C U R R E N C E B Y H I S T O L O G Y
CARCinOMA [4%]
SignET Ring CEll CARCinOMA [1%]
AdEnOCARCinOMA [63%]
MuCinOuSAdEnOCARCinOMA [12%]
AdEnOCARCinOMA in A POlYP [19%]
CARCinOMA in SiTu in A POlYP[1%]
STAgE iii
STAgE i
STAgE iV
STAgE ii
STAgE 0
•
H C G H 1 9 9 8 – 2 0 0 2 C O L O R E C T A L C A N C E R C A S E S
AT DIAGNOSIS
SuRV
iVA
l PE
RC
EnTA
gE
2YEARS1YEAR 3YEARS 4YEARS 5YEARS
120
100
80
60
40
20
0
YEARS SinCE diAgnOSiS
••
••
••
•
• •
•
•
••
•
• • ••
•
G R A P H G : O B S E R V E D 5 - Y E A R S U R V I V A L R A T E S B Y S T A G E
• •••
YEARS SinCE diAgnOSiS
G R A P H H : O V E R A L L S U R V I VA L R AT E C O M P A R I S O N1 9 9 8 - 2 0 0 2 C O L O R E C T A L C A N C E R C A S E S
MARYlAnd
hCgh
uniTEd STATES
1YEAR 3YEAR2YEAR 4YEAR 5YEAR
SuRV
iVA
l PE
RC
EnTA
gE
90
80
70
60
50
40
30
20
10
0
C18.6 dESCEnding2[2.9%]
*NCDBdatausedforcomparison
10
T H E Y E A R I N R E V I E W 2 0 1 0
• SponsoredtheCancerSurvivorsReceptionfor500attendeesattheACS’sRelay for life. HCGH was a corporatesponsorandsponsoredateam,whichraisedmorethan$5,800.
• On-sitebreasthealthdemonstrationsandlectureswereheldatHowardCountybusinessesandorganizationsthroughPersonally Speaking: A Breast health Education Program, which was funded throughtheHCGHVolunteerAuxiliary.Inaddition,relatedflyerswereplacedinthebathroomsof45areaorganizations.
• wellness day at the howard County fair included information on skin cancer, colorectal cancer, breast healthandcervicalcancer.
• Participatedinthelatino health fair.Clinicalbreastexams,skincancerinformation,colorectalcancereducation,fecaloccultbloodtestingkits,andgeneralcancereducationandmaterialswereprovidedinMarchtomorethan450participants.Prostateandoralcancerscreeningsaswellassmokingcessationinformationalsowereprovided.
• HCGHwasasponsorofget Active howard County,ahealthylifestyleprogramwithmorethan1,125participants.
• InApril,16prostate cancer screeningswereperformedbyurologistsattheHCGHWellnessCenter.
• SeveralfundraiserswereheldfortheClaudiaMayerCancerResourceCenter(CMCRC):the15th annual Kicks Against Breast Cancer, Blossoms of hope and the fretz Autumn Extravaganza. These eventsraisedapproximately$152,622fortheCMCRC.
• InMay,80skin cancer screeningswereperformedattheHCGHWellnessCenter.
• Offered $50 mammogramsduringMayandOctobertomorethan360women.
• focus on Men’s healthwasheldinJune;50participantsreceivedinformationonhealthyeatingandtherisksofprostate,testicularandcoloncancers.
• In February, the Community Cardiovascular Clinic was held at The Mall in Columbia during which the hospitalprovidednumerousscreenings,pulmonaryfunctiontesting,andsmokingcessationinformationto200participants.
• Smoke free lungs,afreemonthlyprogramforthosewhowanttoquitusingtobacco,providedsupportandeducationto20participants.
• HCGHsponsoredahealth families, healthy Kids Clinic in August at The Mall in Columbia. Informationontobaccoprevention,skincancer,healthylifestylesandcancerpreventionwasavailableto125attendees.
• focus on women’s healthwasheldinSeptemberandprovidedcervicalcancerinformation,breastself-examinationdemonstrationsandinformationonwomen’shealthissuesto83participants.
• Cosponsoredthe50+ Expo,whichofferedbreasthealth,bloodpressures,pulmonaryfunctiontests,strokescreenings,theskinanalyzer,tobaccopreventionandotherwellnessprogramsforthousandsofseniors.Severalseminarsonadvancesinwomen’shealthalsowereoffered.
• Comprehensive Breast Care in howard County was held in October at the HCGH Wellness Center with110participants.
• InOctober,HCGHsponsoredaCancer Prevention and Early detection Clinic at The Mall in Columbia,duringwhichmorethan200attendeesreceivedinformationonbreasthealth,HPV,tobaccoprevention,lymphedemaandoralhealthaswellasusedtheskinanalyzerandconferredwithcancerspecialists.
• InNovember,The great American Smoke-Out, which was held in the HCGH lobby, providedtobaccopreventioninformationtomorethan75staffandvisitors.
• The Caregiver’s Support groupheldmonthlyattheCMCRCprovidessupporttofamilycaregivers.
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• The CMCRC oncology social worker led i Can Cope, an ACS educational series that offers classes onissuesrelatedtocancertopatientsandtheirfamilies—betterenablingthemtocopewiththeirdisease.
• look good, feel Better,theACS’sprogramtoassistcancerpatientsundergoingchemotherapyandradiationtherapywiththeiraestheticneeds,washeldattheCMCRCmonthlywithatotalof74participants.
• nutrition and Cancer,individualizedcounselingsessionswitharegistereddietitian,helpedhigh-riskpeoplemodifytheirdietsandassistedthoseundergoingcancertreatmentmeetnutritionalneeds.
• The CMCRCcontinuedtoofferprogramstocancerpatientssuchasyoga,quilting,knittingandcrocheting,acupunctureandAskthePharmacist.OthersupportprogramsofferedattheCMCRCareTeensTogether,StageIVBreastCancerSupportGroup,SurvivorsOfferingSupportandtheCaregiver’sSupportGroup.
• FreemonthlymeetingspacewasprovidedfortheACS leadership Council and Man-to-Manprostatecancersupportgroup.
• Thehospitalprovidedspacefornicotine AnonymousmeetingseverySundayevening.
• Providedinformationoncancerriskreductionandtheimportanceofearlydetectionathealthfairsthroughout the year.
• Thehospital’sSpeakers Bureaufillednumerousrequestsforpresentationsoncancerriskreductionandthe dangers of tobacco use.
• ThreemembersoftheHCGHstaffservedasactivemembersontheACS board.
• SeveralmembersofHCGHstaffareactivemembersofthehoward County Cancer Coalition and the howard County Smoke free Tobacco Coalition.
• ApresentationwasgivenattheHowardCountyRecreationandParksonhealthylungs,respiratoryillnessesandpreventionandenvironmentalinfluences.
• ApresentationattheMillerLibraryfocusedonbreasthealth,cervicalcancerpreventionandthedangers of tobacco use.
• With a grant for its “let go of Tobacco”projectfromtheHowardCountyHealthDepartment,inconjunctionwiththeCigaretteRestitutionFundsofMaryland,HCGHprovidedphysicians’offices,suchaspediatrics,OB/GYNandinternalmedicine,withposterdisplaysandbrochureslistinglocalresourcesandwebsitesavailableforsmokingcessation.Thisprogramalsoprovidesinpatientvisitationswithdistributionofsmokingcessationresources.Anotherphaseprovidesanti-tobaccoresourcesinlocalfaithcommunitiesthroughthehospital’sCommunity Cardiovascular Project.Parish-basedvolunteernursesareprovidedwithpostersandbrochuresonsmokingcessationtosharewhilescreeningforhypertension.TobaccopreventioninformationwasdistributedtoMaternalChildHealthclasses.
• Severallecturesonthedangers of TobaccowerepresentedtostudentsinHowardCountypublicmiddle schools.
• Distributed13freecolorectal cancer screening kits to the community.
5755 CEdAR lAnE | COluMBiA, Md 21044410-740-7890 | 410-740-7990 (Tdd) | www.hcgh.org
P R O G R A M S A N D S U P P O R T G R O U P S F O R P AT I E N T S A N D T H E I R F A M I L I E S
Advance Directive–Anongoingclasstoeducatepatients,familiesandmembersofthecommunityaboutadvancedirectives.SponsoredbytheClaudiaMayerCancerResourseCenter(CMCRC)andtheWellnessCenter.Foradditionalinformation,call410-740-7601.
American Cancer Society (ACS), Patient Services–1-888-227-6333.
Ask the Pharmacist–FirstFridayofeachmonth,noon–3p.m.
Breast and Cervical Cancer Screening Program–Forwomenage40andolderwhomeetincomerequirementsandhavenohealthinsuranceorareunder-insured.Formoreinformation,call410-313-2333.
Breast Cancer Support Group–MeetsthethirdWednesdayofthemonth,7–8:30p.m.Free,butregistrationisrequired.Formoreinformation,call410-740-5858.
Cancer Information Service of the American Cancer Society–1-800-227-2345.
Cancer Information Service of the National Cancer Institute–1-800-422-6237.
Caregiver’s Support Group–MeetsthesecondWednesdayofeachmonth,7–8:30p.m.attheCMCRC.Call410-740-5858formoreinformation.
Center for Breast Care–Providesnavigationandsupportservices.ThecenterprovidessupportservicesthroughtheSurvivorsOfferingSupport(SOS)program,TheRedDevils,psychosocialcounselingandmonthlysupportgroupmeetings.Formoreinformation,call410-740-5858.
Claudia Mayer Cancer Resource Center (CMCRC)–Provideseducational,aesthetic,emotionalandpsychosocialsupportservicesthroughcenterresources,whichincludealendinglibrary;ongoingclassesandsupportprogramsforpatients,familiesandcaregivers;full-servicesalon;prosthesisspecialist;oncologysocialworker;navigation;andacupunctureandtherapeuticmassage.Formoreinformation,call410-740-5858.
Gilchrist Hospice Care–Servicesfortheterminallyill,theirfamiliesandthebereaved.Call410-730-5072.
Living with Breast Cancer–StageIVbreastcancersupportgroupmeetsthefourthThursdayofeachmonth,7–8:30p.m.Free,butregistrationisrequired.Formoreinformation,call410-740-5858.
Look Good Feel Better–AnACSprogramthatmeetsmonthlyintheCMCRC.Call410-740-5858formoreinformation.
Man-to-Man–Aneducationandsupportprogramtohelpmencopewithprostatecancer.SponsoredbytheACS,thegroupmeetsthethirdThursdayofeachmonth,7–9:30p.m.Call410-740-7601.
Ostomy Nurse–410-740-7767.
Outpatient Rehabilitation (including lymphedema management)–410-884-4750.
Pastoral Care –410-740-7898.
Road to Recovery–SponsoredbytheACS,volunteerdriverswillprovidetransportationforcancerpatientsundergoingtreatment.Call1-888-227-6333.
Survivors Offering Support (SOS)–Volunteernetworkofbreastcancersurvivorswhoarematchedwithnewlydiagnosedpatientstoshareinsightsandprovideemotionalandinformationalsupport.PartnerSupportworkshopsandTransitioningtoWellnesssupportprogramsalsoareavailable.Formoreinformation,call410-740-5858.
Teens Together–Supportgroupforteenswhohaveafamilymemberorclosefriendwithadiagnosisofcancer.Free,butregistrationisrequired.Call410-740-5858formoreinformation.
The Red Devils–ServicesforbreastcancerpatientscoordinatedthroughtheCMCRC.Call410-740-5858.
Wellness Center–Programsincludescreenings,healthfairs,supportgroupsandsmokingcessationclasses.Forinformation,call410-740-7601.
Yoga for Patients, Caregivers and Survivors–OfferedonFridays,9–10a.m.,andTuesdays,6-7:30p.m.,undertheleadershipofanexperiencedandclinicallytrainedinstructor.Forinformationortoregister,call410-964-9100x3.
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