• Like

Loading…

Flash Player 9 (or above) is needed to view presentations.
We have detected that you do not have it on your computer. To install it, go here.

2003 Statistical Year Oncology Report

  • 1,877 views
Uploaded on

 

  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Be the first to comment
    Be the first to like this
No Downloads

Views

Total Views
1,877
On Slideshare
0
From Embeds
0
Number of Embeds
0

Actions

Shares
Downloads
1
Comments
0
Likes
0

Embeds 0

No embeds

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
    No notes for slide

Transcript

  • 1. 2003 Statistical Year Oncology Report
  • 2. R e p o r t Table of Contents Committed to Cancer Care: A Message from Kester Freeman..........................................................2 Committee Membership ..................................................................................................................3 2003 Cancer/Oncology Committee Goals .......................................................................................4 O n c o l o g y Goal 1: Quality Management...........................................................................................................4 Goal 2: Community Support ...........................................................................................................5 Goal 3: South Carolina Comprehensive Breast Center. ....................................................................9 Goal 4: Palmetto Health Prostate Cancer Center............................................................................13 Goal 5: Comprehensive GI/Colorectal Cancer Center. ...................................................................19 2003 Analytic cases .......................................................................................................................23 Goal 6: Support clinical and basic research. ..................................................................................24 Y e a r Goal 7: Monitor and introduce promising new technologies and services. ....................................24 Statistical Summary of Cancer Data ..............................................................................................25 Cancer Data Management Activity.................................................................................................25 S t a t i s t i c a l All Cases Diagnosed and/or Treated: Palmetto Health Baptist........................................................26 All Cases Diagnosed and/or Treated: Palmetto Health Richland....................................................27 2003 Oncology Annual Report Contributors.................................................................................28 Content Coordination....................................................................................................................29 Cancer Data Management Staff......................................................................................................29 2 0 0 3 1 Palmetto Health South Carolina Cancer Center
  • 3. Committed to Cancer Care The Palmetto Health research as an integral part of our mission. Our team of South Carolina Cancer experts is looking at ways to prevent cancer and its R e p o r t Center is one of the recurrence through a variety of studies and clinical trials. most comprehensive In 2004, the Health Science Research Collaborative— programs of its kind in Health Sciences South Carolina—was established to the Southeast. Our increase health sciences research, drive economic center is composed of development and improve the health status of South physicians, researchers O n c o l o g y Carolinians. The Collaborative, which will receive and caregivers from approximately $80 million over the next 10 years, is a Palmetto Health partnership between Palmetto Health, Greenville Baptist, Palmetto Health Richland and the University Hospital System, the Medical University of South of South Carolina. These individuals are working Carolina and the University of South Carolina. together with the single goal of helping each patient live life to the fullest. Despite recent changes related to outpatient service delivery, our commitment to cancer care has not Our program is more than a physical location; it extends Y e a r wavered, and will not waver in the coming years. beyond four walls. In fact, it is and always has been Teamwork is teamwork, regardless of the location in more virtual in concept. The key to providing the best which care is delivered. cancer care is people; experts working together as a team, from screening to diagnosis to treatment and Living with cancer is hard, to say the least. Our S t a t i s t i c a l support for children, adults and their families. It’s about commitment to our patients is that they are not alone providing the right care at the right time in the most during this difficult journey. In fact, we strive to walk appropriate setting. with them every step of the way, and to help them live life to the fullest. Currently, our program proudly boasts centers of excellence dedicated to breast, gastrointestinal and prostate cancers. In addition, we are the only hospital in Kester S. Freeman Jr. the area to provide coordinated, sensitive care through Chief Executive Officer, Palmetto Health dedicated Nurse Navigators – patient educators who walk our patients through a sometimes complicated 2 0 0 3 process. We’re also the only program that incorporates 2 Palmetto Health South Carolina Cancer Center
  • 4. Committee Membership Palmetto Health Baptist Palmetto Health Richland PHYSICIAN MEMBERS PHYSICIAN MEMBERS R e p o r t James R. Wells, MD (Otolaryngology), Chairman Neal P. Christiansen, MD (Medical Oncology), Chairman Mary A. Ackerman, MD (Medical Oncology), ACoS Liaison James W. Curtis, Jr., DMD (General Dentistry), Vice-Chairman Elijah S. Adkins, III, MD (Surgery) James R. Wells, MD (Otolaryngology), ACoS Liaison Joseph M. Albert, MD (Surgery) Richard M. Bell, MD (Surgery) William H. Babcock, MD (Medical Oncology) Roberd M. Bostick, MD (Family Practice) Anna L. Bouknight, MD (Otolaryngology) Raleigh J. Boulware, MD (Radiation Oncology) Thomas E. Brandt, Jr., DO (Anesthesia) William M. Butler, MD (Medical Oncology) A. Atwell Coleman, III, MD (Pathology) Stanley H. Greenberg, MD (Urology) O n c o l o g y Donen Davis, MD (Surgery) Arturo E. Marchand, MD (Radiology) John H. DeWitt, MD (Psychiatry) Kevin P. McRedmond, MD (Pediatric Oncology) Lawrence D. Grant, MD (Pathology) Harris H. Parker, MD (Surgery Resident) Robert P. Grumbach, MD (OB/GYN) Jeffrey A. Welsh, MD (Pathology) Carl O. Kinard, MD (Psychiatry) James A. Williams, Jr., MD (GYN Oncology) Fred J. Kudrik, MD (Medical Oncology) Gerald A. Wilson, MD (Surgery) William V. Lewis, MD (Pathology) Rudolph L. Wise, MD (Medical Oncology) Anthony D. Lowman, MD (Gastroenterology) Leland J. McElveen, MD (Medical Oncology) NON-PHYSICIAN MEMBERS Victoria R. Samuels, MD (Neurosurgery) Donna Burrows, MSW (Social Work and Case Management) Caitlin G. Schmidt, MD (OB/GYN) Donnie Coker, MHA (Clinical Trials) Y e a r Robert E. Smith, Jr., MD (Medical Oncology) Mary Ellen Doyle, FACHE (Cancer Program Administration) Melton R. Stuckey, MD (Family Practice) Sandra E. Lunden, MA, RHIA, CPHQ, CTR Scott W. Taber, MD (Surgery) (Cancer Data Management) James B. Tribble, MD (Surgery) Shay Garrison, RPh (Pharmacy Services) Bartlett J. Witherspoon, Jr., MD (Radiation Oncology) Holly Knight, RNC, MN (Hospice and HomeCare) S t a t i s t i c a l John E. Wofford, MD (Urology) Karen Prater (Quality Improvement) Ben W. Wright, Jr., MD (Radiation Oncology) Debra D. Seale, RN, MN (Oncology Nursing) Carson Rogerson, MDiv, ACPE Supervisor (Chaplain Services) NON-PHYSICIAN MEMBERS John J. Singerling, MHA, Vice President (Administration) Gloria Beard, MSW (Social Work Services/ Outcomes Management) Donnie Coker, MHA (Research, Clinical Trials and Cancer Data Management) Perry Covington, PharmD (Pharmacy) Mary Ellen Doyle, FACHE (Cancer Program Administration) Carolyn Evans, RN, OCN (Oncology Nursing) Rev. Irene Henderson, MDiv, ACPE Supervisor (Pastoral Services) 2 0 0 3 Holly Knight, RNC, MN (Hospice and HomeCare) Sandra E. Lunden, MA, RHIA, CPHQ, CTR (Cancer Data Management) Vicki McLain, CTR (Cancer Data Management) Shelby Reece, RN, MN (Nursing Administration) Debra D. Seale, RN, MN (Oncology Support Services) Pamela Stephens (Quality Review Department) Judy Weathersbee, BS, ARRT(R) (QM) (Imaging) 3 Palmetto Health South Carolina Cancer Center
  • 5. The Cancer Committee of Palmetto Health Baptist, a Community Cancer Program, and the Oncology Committee of Palmetto Health Richland, a Teaching Hospital Cancer Program, each had the following annual goals and worked together to achieve success: R e p o r t GOAL: D. Conduct specific staff inservice education related Quality Management to identified quality management needs. Example, Conduct Quality Management/Quality planned education related to cultural diversity. Improvement activities in support of Spiritual & Cultural Diversity in Cancer Care (January 21 the Cancer Program. and July 31) Two day-long conferences sponsored by the Psychosocial A. Monitor and report regularly to Cancer committee Oncology Committee. O n c o l o g y on Patient Satisfaction as reported by individual Integrative Medicine (March 28) (nursing) units and other (department) service Kay L. Moore, MD, FAAP, a well respected local pediatri- delivery areas and as measured by Press Ganey. cian, recently completed a fellowship in Integrative Record actions taken on specific issues and report Medicine. She provided the health care professionals with same to committee. an overview of the concept of Integrative Medicine and popular complementary therapies. EVALUATION: Quarterly reports reflected high patient sat- isfaction with services as evidenced by an overall average Sickle Cell Workshop (April 30) of 89.65%. For year-end FY 03, inpatient adult nursing A day-long workshop for health care professionals to units exceeded FY 02 averages. Pediatric oncology FY 03 explain and discuss the care of patients with sickle year-end average = 90%, which was a slight decline from cell disease. Y e a r FY 02’s average of 91%. Radiation Oncology continues Living With Grief: Coping With Public Tragedy (April 30) to achieve superior levels of patient satisfaction, placing The 10th Annual Hospice Foundation video teleconference it at the highest percentile scores for comparable hospital featuring Kenneth Doka and moderated by Cokie Roberts, based radiation oncology services. All oncology services ABC News, was designed for health care professionals. exceeded Palmetto Health’s goal of 85%. Tea for the Soul (May 20 and October 21) S t a t i s t i c a l Day-long workshops for health care professionals to B. Monitor and report on a regular basis Quality reflect and evaluate the grieving process, coping strategies Management/Quality Improvement activities con- and resources and to improve our understanding and ducted on a unit or department specific basis. response to grief and loss. EVALUATION: All nursing units participated in the Basic Oncology Course (August 19) Nursing Quality Improvement Plan activities. All An overview of cancer, oncological emergencies, nutrition service areas participated in corporate quality initia- and survivor issues was held for health care providers. tives, including the 2002-2003 focus on recruitment Chemotherapy Courses were presented for health care and retention of nurses, therapists and technologists. professionals. C. Monitor and report regularly to Cancer Committee E. Conduct other QI/QM activities as identified through- outside reviews (audits) conducted in clinical out the year. trials area. 2 0 0 3 EVALUATION: A variety of QI/QM activities were conducted EVALUATION: Outside reviews were reported to Cancer including an initiative to reduce mislabeling of specimens, Committee quarterly. focus on patient satisfaction to reinforce caregivers’ names, reduce use of outside agency personnel, increase nursing retention, data collection for comprehensive centers and selection of qualified patient care and management staff. 4 Palmetto Health South Carolina Cancer Center
  • 6. GOAL: Support Palmetto Health spent $12.1 million in community service initiatives in Cancer Health Initiative for the past five years. Some of those initiatives include col- R e p o r t laborating with more than 300 non-profit agencies and cancer education, cancer prevention community groups on their community health programs, and early detection of cancer. Involve free cancer screenings at community events and perma- nent screening sites, and smoking cessation classes. Palmetto Health departments/services in support of the Cancer Health The Cancer Health Initiative has completed its sixth year of providing services to the community and addresses the Initiative to maximize benefit following five cancers: breast, cervical, lung, prostate and to the community. cervical. The services are provided at several screening O n c o l o g y Community Support locations throughout the community. Through the use of clinics, health fairs, schools and churches, screenings are made available to the targeted population. This includes EVALUATION: Collaborated with the Cancer Health residents of Richland, Lexington, Pickens and Fairfield Initiative to provide numerous services to the communi- counties who are uninsured or underinsured. Because ty including but not limited to the following: Trumpeter South Carolina has one of the highest mortality rates, an Campaign (anti-tobacco use), Smoking Cessation exception was made by DHEC to provide prostate cancer Programs, Colorectal Cancer Awareness Walk, Real Men screenings to the general public. Smoking cessation Checkin’ It Out grant awards to community churches, classes also are provided to the general public. free cancer screenings for prostate, cervical, colorectal, and breast cancers for eligible individuals. Y e a r The Cancer Health Initiative screened 3,516 participants for services and performed 5,899 screenings in 2003. Palmetto Health and the USC Arnold School of Public Fifteen cancers were found and 13 cervical dysplasias Health signed a collaborative agreement designed to assist were noted. Due to a reduction in funds, screening in the planning, design and measurement of the commu- colonoscopies were not performed this fiscal year. Age nity service programs. The collaboration includes pro- appropriate patients received a fecal occult blood test, gram planning, cost benefit analysis, quality of life S t a t i s t i c a l and if they were over the age of 50 they received a refer- impact, client satisfaction surveys, data analysis and ral to a primary health care provider of their choice to reporting and information resources. Palmetto Health has be evaluated for further colorectal cancer screening. Screening Test FY 02 FY 02 Cancer Outcomes FY 03 FY 03 Cancer Outcomes Clinical Breast Exams 772 9 Breast Cancers 769 3 Breast Cancers Mammograms 611 * 668 * Pelvic Exams 890 0 815 Pap Smears 873 7 Cervical dysplasias 761 13 Cervical dysplasias Fecal Occult 0 0 0 0 Flexible Sigmoidoscopy 0 0 0 – Colonoscopy 100 2 Colon cancers 0 – 2 0 0 3 Digital Rectal Exam 486 None 474 – Prostate Specific Test 2,496 14 Prostate Cancers 1,968 12 Prostate Cancers Smoking Classes 652 N/A 444 N/A Grand Totals 6,879 25 5,899 15 * Breast Cancers detected by an abnormal mammogram/clinical breast exam are noted under clinical breast exam outcomes 5 Palmetto Health South Carolina Cancer Center
  • 7. Smoking Cessation Classes Men’s Health Programs (Monthly Sessions) (June 7 and 14, October 11) R e p o r t In collaboration with the USC Department of Family and Educational programs to raise awareness of men’s health Preventive Medicine, free smoking cessation classes were issues including cancer, HIV/AIDS and diabetes with offered. A comprehensive adult program combines coun- subsequent health screenings. seling and medical interventions to help patients over- come their smoking dependency. The three-week series Trumpeter Campaign and Contest of classes meet twice a week and are offered every (Fall and Spring) month. Three classes address motivational strategies and Beginning with Red Ribbon week in the fall of the three others are devoted to the skill training needed to school year, trained volunteer speakers shared the accomplish the goal. The program also included a free powerful influence of tobacco advertising with area O n c o l o g y Community Support medical consultation with a family medicine physician, sixth grade students. The educational program provided so those participants can utilize medical intervention, information on the damaging effects of tobacco, skills such as a free three-month supply of Zyban. The teen to diffuse peer pressure to use tobacco products and smoking cessation program is devoted exclusively to awareness of tobacco advertising. Nineteen schools behavior modification; no medications are involved. participated in the educational campaign with more Records show 444 participants went to at least one or than 40 presentations reaching about 1,000 students. more of these classes. At the end of treatment, 78.9% of A contest in the spring allowed almost twice as many the participants were abstinent from smoking. Since students to compete for cash prizes by creating counter- Palmetto Health started the adult classes in 2000, more advertisements to tobacco messages. The contest than 1,000 participants have completed the adult course. awarded $5,325 to middle school students in school Y e a r It costs approximately $400 per participant to fund the districts throughout Richland and Lexington counties. adult program. Great American Smokeout Community Care, an educational newsletter Held annually the third Thursday in November, from the Palmetto Health Office of Community Services Palmetto Health collaborated with the University of about cancer and healthy lifestyles, is distributed monthly South Carolina Wellness Center to sponsor the Great S t a t i s t i c a l to more than 12,000 citizens in the Columbia area. American Smokeout. Pledge cards were given to those smokers who committed to no smoking for a day. Smoking Ain’t Blazin’ (March 29) Literature and education was provided regarding the In collaboration with Zion Baptist Church and the effects of cigarette smoking and lung cancer. Four hun- American Cancer Society, Coalition for a Tobacco Free dred people signed pledged cards. Midlands, SC African American Tobacco Control Network, SC Community Bank and SC Primary Health Care Association, sponsored a mini-conference to prevent smoking among all teens and young adults ages 10-19. Women’s Health Day (May 3) In collaboration with Richland Community Health Care Association, a day of health screenings designed just for 2 0 0 3 women was held including pap smears, mammograms, HIV testing and diabetes screening. 6 Palmetto Health South Carolina Cancer Center
  • 8. Additional Community Outreach Brett’s Rainbow (April 26-27 at Camp St. Christopher, John’s Island, SC, R e p o r t Good Grieving and October 11-12 at White Oak Conference Center, (January 27 and February 3; April 21 and 28; White Oak, SC) July 14 and 21; October 6 and 13) A special weekend camp offered to children ages 6 to A year-long program held on a quarterly basis for adults 16 who have experienced the death of a family mem- who care for grieving children to help them cope with ber or other significant person in their lives. The camp loss and death. is offered free of charge and is made possible by com- munity contributions to Palmetto Health Hospice. Good Grieving for Children National Cancer Survivors Day O n c o l o g y (February 3, April 28, July 21, October 13) Community Support An interactive and fun program designed to help children (May 31) who have experienced the death of a family member. The local celebration was held at Seawell’s Banquet and Reception Center in Columbia. The event was cospon- Look Good, Feel Better sored by the American Cancer Society, Dorn VA (February 3, March 3, May 5, June 2, August 4, Hospital, Moncrief Army Community Hospital, Palmetto September 8, November 3 and December 1) Health South Carolina Cancer Center and South Cancer patients were educated on ways to manage hair Carolina Oncology Associates. loss and other changes affecting appearance and self-image. I Can Cope A virtual library debuted for staff on the Palmetto (May – June) Y e a r Health Intranet and was available to search the database A series of classes for people facing cancer. for journal articles (February 27.) 24th Annual Camp Kemo Quest A week-long summer camp for patients 5-18 years of (March 11, May 13, August 12 and November 11) age and their siblings. Staffed by our physicians, nurses A unique hands-on educational and support program and volunteers, the camp offers swimming, boating, S t a t i s t i c a l designed for children and teens who have a parent or and hiking with a specialty focus on letting these grandparent living with cancer. campers simply enjoy childhood. SunSmart Awareness Family Weekend Retreat for the Children’s (April – September) Center for Cancer and Blood Disorders: An educational/ The SunSmart skin cancer awareness program recreational weekend for families who have had a child included daily UV index readings on our website diagnosed with cancer in the past two years. (PalmettoHealth.com) to help avoid harmful UV rays and sunburns. In addition, our mascot, Sunny, made appear- Camp New Horizons ances and offered SunSmart tips at community events. A weekend bereavement camp to help brothers and sisters who have lost a sibling through the grieving process. 16th Annual Spring Memorial Service was offered for families and staff of the Children’s Center for Integrative Medicine Community Forum 2 0 0 3 Cancer and Blood Disorders. (September 23) Lunch and Learn: Putting Illness in Its Kay L. Moore, MD, FAAP, a well respected local pediatri- Place is an educational series for parents of children cian, recently completed a fellowship in Integrative who have cancer or a blood disorder (spring and fall.) Medicine. She provided an overview of the concept of Integrative Medicine, popular complementary therapies and answered questions from the audience. 7 Palmetto Health South Carolina Cancer Center
  • 9. Family Telephone Support Healing Icons Group for Blood Cancers (September – October) R e p o r t A telephone support group intended for patients who A five-session support group designed for grieving have blood disorders including leukemia, lymphoma adults to use art to discover their inner resources for and myeloma. coping with grief. Bridging the Bereavement Gap Second Tuesdays A six-week series of educational programs designed to A new way of providing support and information to help those who have lost a loved one through the grief cancer patients and families was launched in September. process towards hope and healing. Individual groups for prostate, women’s cancer, leukemia, lymphoma and myeloma, and families of patients were all O n c o l o g y Community Support Lasting Impressions held concurrently. Teen Support Group A support group and program designed for teenagers Women’s Cancers with cancer. The group focused on self care and provided an oppor- tunity for women to meet and share with other women Arts & Healing® who have ovarian, cervical and uterine cancers (started Using a variety of artists, this series of programs for in September.) cancer patients and families helps them learn positive ways to express feelings, increase coping skills, Handling the Holidays uncover inner resources and find a deep wellspring (November 4 and 11) Y e a r of emotional healing. Helping adults who have experienced a loss learn how to cope during the holiday season. Bloch Foundation Cancer Survivors Garden Preparing for the Holidays Worked with the Cultural Council of Richland and Part of the bereavement programs, this class was offered Lexington counties and other community sponsors to for parents whose children had died. S t a t i s t i c a l create and develop the Richard and Annette Bloch Cancer Survivors Garden at Maxcy Gregg Park. Healing Service (November 11) Tools for Healthier Living A special program conducted by a pastor and social A monthly mind/body series that focused on learning worker to help cancer patients and families learn about and practicing approaches to decrease stress and emotional, physical and spiritual healing. improve health. Celebrating the Holidays A seasonal program offering inpatient parties and fulfilling “wish list” items for patients and their families. 2 0 0 3 8 Palmetto Health South Carolina Cancer Center
  • 10. GOAL: Advance the Palmetto Family Group Health South Carolina A monthly support group for family members of breast R e p o r t cancer survivors; the group met at the same time as the Comprehensive Breast Center. Bosom Buddies support group. “Sentinel Lymph Node Examination Weekly Breast Cancer Conferences by Frozen Section in Breast Cancer were held at both Palmetto Health Baptist and Richland Patients” for the purpose of pre-treatment planning and presenta- Published by James C. Reynolds, MD, in the June tion of follow-up cases. 2003 issue of The Journal of the South Carolina Medical Association. O n c o l o g y Buddy Call 19 Nationally recognized Buddy Call program promoting Lymphedema Education monthly breast self-examination (BSE) cosponsored by The monthly program offered lymphedema prevention Palmetto Health’s South Carolina Comprehensive Breast and treatment information for patients following breast Center and CBS affiliate WLTX-19. Over 84,000 women cancer surgery. participated in the program to date. Breast Cancer 13th Annual First Ladies’ Walk for Life: A Grand Affair Steps Against Breast Cancer (January 16) (October 4) The Palmetto Health South Carolina Comprehensive 9,100 people registered for this three-mile walk to Y e a r Breast Center booth at the annual senior health fair held increase awareness, education and the early detection at the SC State Fairgrounds attracted some 6,000-8,000 of breast cancer. participants throughout the day. Breast Self-Exam Shower Cards MARYS Explaining how to perform monthly breast and (Also known as Meeting And Reviving Your Spirit.) testicular self-exams, these cards were distributed to S t a t i s t i c a l Celia Saxon Health Center was the site of the initial all Palmetto Health Columbia employees as part of an kickoff in April for an ongoing program intended for initiative to heighten awareness of preventive healthcare African American breast cancer patients. and the early detection of cancer. 8th Annual Spring Breast South Carolina Comprehensive Symposium Breast Center Progress Report (May 3) (October 15) The symposium is for physicians, nurses and other A formal presentation on the progress towards achieving healthcare professionals interested in the current con- desired goals and objectives presented to the medical, cepts of diagnosis and management of breast cancer. administrative and ancillary support staff of the Featured speakers included Frank A. Vicini, MD, Comprehensive Breast Center. Radiation Oncology at William Beaumont Hospital; and Andrew D. Seidman, MD, Breast Cancer Medicine Breast Cancer Awareness Fair November 8 2 0 0 3 Service of Memorial Sloan-Kettering Cancer Center. “Let’s Talk About It - Come and Get the Facts and Bosom Buddies Celebrate Life.” A health fair at Francis Burns United A monthly support group for breast cancer survivors. Methodist Church designed to educate African American women in the community to improve screening and the early detection of breast cancer. 9 Palmetto Health South Carolina Cancer Center
  • 11. Awareness Initiatives The Breast Cancer Nurse Navigators provided educational presentations to various audiences in the community throughout the year. Some of those audiences included students, faculty and parents at Allen University, A.C. Flora High School, the University of South Carolina and area elementary schools. Numerous other presentations were provided at churches, local businesses and community health fairs to reach out to thousands of South Carolinians. R e p o r t The following poster was presented at the American Society of Breast Diseases Conference in Dallas, Tex., summarizing the achievements of the South Carolina Comprehensive Breast Center (April 10-12, 2003): O n c o l o g y Breast Cancer Y e a r S t a t i s t i c a l 2 0 0 3 10 Palmetto Health South Carolina Cancer Center
  • 12. Life Table Survival by Best AJCC Stage - Female Breast Palmetto Health 1995-1996 100 R e p o r t 80 Percent Surviving 60 O n c o l o g y 40 Breast Cancer 20 0 3 6 9 12 15 18 21 24 27 30 33 36 39 42 45 48 51 54 57 60 Number of Months Stage 0 Stage 1 Stage 2 Stage 3 Stage 4 Y e a r Source: Cancer Data Management, Palmetto Health Life Table Survival by Best AJCC Stage - Female Breast National* 1995-1996 100 S t a t i s t i c a l 80 60 Percent Surviving 40 20 2 0 0 3 0 1 year 2 years 3 years 4 years 5 years Number of Years Stage 0 Stage 1 Stage 2 Stage 3 Stage 4 *Source: NCDB, Commission on Cancer, ACoS/ACS 11 Palmetto Health South Carolina Cancer Center
  • 13. Life Table Survival by Best AJCC Stage - Female Breast Palmetto Health 1998-2003 100 R e p o r t 80 60 Percent Surviving 40 O n c o l o g y 20 Breast Cancer 0 0 3 6 9 12 15 18 21 24 27 30 33 36 39 42 45 48 51 54 57 60 Number of Months Stage 0 Stage 1 Stage 2 Stage 3 Stage 4 Y e a r Source: Cancer Data Management, Palmetto Health Life Table Survival by Best AJCC Stage - Female Breast National* 1998-2003 100 S t a t i s t i c a l 80 60 Percent Surviving 40 20 2 0 0 3 0 0 3 6 9 12 15 18 21 24 27 30 33 36 39 42 45 48 51 54 57 60 Number of Months Stage 0 Stage 1 Stage 2 Stage 3 Stage 4 *Source: CIRF (Cancer Information Reference File), IMPAC/MRS 12 Palmetto Health South Carolina Cancer Center
  • 14. GOAL: Advance the Palmetto Health Harambé Prostate Cancer Center. Benedict College hosts an annual African American R e p o r t Heritage Celebration Month called Harambé. Through this event, Palmetto Health’s Cancer Health Initiative was able to screen men who would not ordinarily come to Changing the Legacy… churches or established clinics. One hundred men were Prostate Cancer Town Hall Meeting, screened through this effort. Real Men Checkin’ It Out, Harambé, and HealthWorks HealthWorks These and other prostate cancer screenings were con- The Palmetto Health Cancer Health Initiative worked ducted throughout the year. Through these collaborative with HealthWorks, Palmetto Health’s employee wellness O n c o l o g y Palmetto Health efforts, close to 2,000 men were screened and occupational health department, to target area for prostate cancer in 2003. worksites for uninsured and underinsured workers. Through this effort, 530 men were screened for prostate Changing the Legacy… cancer. Screening services were performed at the South Prostate Cancer Town Hall Meeting Carolina Department of Transportation, South Carolina (September 4) Department of Mental Health, Brennan Elementary Palmetto Health’s Cancer Health Initiative sponsored its School, DHEC, Hyatt Park Elementary School, second Town Hall Meeting. The purpose of the meeting Department of Social Services, Ridgeview High School was cancer education and prevention to communities of and Columbia High School. color. Nationally known motivational speaker and prostate cancer survivor Les Brown was the keynote Y e a r Prostate Cancer Community Forum Prostate Cancer speaker for the event. A physician panel was available for (July 29) a question and answer period. Two events were held with An educational program designed for community an estimated total of 1,000 people in attendance. participants to learn more about the latest advances in the treatment of prostate cancer with prostate seed Real Men Checkin’ It Out implants. Palmetto Health is one of the first ten sites in Palmetto Health’s Cancer Health Initiative and the SC S t a t i s t i c a l the nation to acquire the new delivery system, called DHEC Office of Minority Health teamed up to offer a Nucletron FIRST. The system arrived in June and the church based mini-grant program to promote awareness, first patients were treated in July. education and screenings for prostate cancer. The hugely successful faith-based program is in its fourth year of Monthly Prostate Cancer Conferences funding. Twenty-eight churches were given a stipend of These were held to discuss pre-treatment planning, up to $1,500 each to recruit at least 40 men. Through this review of best practices and discussion of the latest effort 914 men were screened. Since its inception in 2000, scientific research. the program has awarded more than $200,000 to nearly 80 churches and civic organizations. Prostate Cancer Group A monthly support group designed for prostate cancer survivors and their wife or significant other. 2 0 0 3 13 Palmetto Health South Carolina Cancer Center
  • 15. R e p o r t Method of Detection - 2003 Analytic Prostate Cancer Method of Detection - 2003 Analytic Prostate Cancer Palmetto Health 301 Cases* Palmetto Health 249 Cases* 300 300 268 250 250 217 200 200 *Total does not include patients referred by Cases Cases *Total includes all referrals Moncrief Army Hospital or Dorn VA Hospital O n c o l o g y 150 150 100 100 50 50 9 12 11 8 12 11 1 1 0 Elevated Abnormal Pain Other Not 0 Elevated Abnormal Pain Other Not PSA DRE Specified PSA DRE Specified Source: Cancer Data Management, Palmetto Health Source: Cancer Data Management, Palmetto Health Y e a r Prostate Cancer First Course Therapy - 2003 Analytic Prostate T1 First Course Therapy - 2003 Analytic Prostate T1 Palmetto Health 110 Cases* Palmetto Health 83 Cases* S t a t i s t i c a l 80 80 70 66 70 60 60 *Total does not include patients referred by *Total includes all referrals Moncrief Army Hospital or Dorn VA Hospital 50 50 Cases Cases 47 40 40 29 30 30 22 20 20 10 5 4 10 5 4 3 3 3 2 0 Radiation Hormone/ Hormone No Surgery Surgery/ 0 2 0 0 3 Radiation Hormone/ Hormone No Surgery Surgery/ Radiation Treatment Radiation Radiation Treatment Radiation Source: Cancer Data Management, Palmetto Health Source: Cancer Data Management, Palmetto Health 14 Palmetto Health South Carolina Cancer Center
  • 16. R e p o r t First Course Therapy - 2003 Analytic Prostate T2 First Course Therapy - 2003 Analytic Prostate T2 Palmetto Health 150 Cases* Palmetto Health 126 Cases* 100 100 84 84 80 80 *Total does not include patients referred by *Total includes all referrals Moncrief Army Hospital or Dorn VA Hospital 60 60 Cases Cases O n c o l o g y 39 40 40 22 21 20 20 15 2 2 1 1 2 1 1 1 0 Surgery Radiation Hormone/ Hormone/ No Hormone/ Hormone/ 0 Surgery Radiation Hormone/ Hormone/ Hormone/ Hormone/ No Radiation Surgery/ Treatment Radiation/ Surgery Radiation Surgery/ Radiation/ Surgery Treatment Radiation Chemo Radiation Chemo Source: Cancer Data Management, Palmetto Health Source: Cancer Data Management, Palmetto Health Y e a r Prostate Cancer First Course Therapy - 2003 Analytic Prostate T3 First Course Therapy - 2003 Analytic Prostate T3 Palmetto Health 31 Cases* Palmetto Health 29 Cases* S t a t i s t i c a l 100 100 80 80 *Total includes all referrals *Total does not include patients referred by Moncrief Army Hospital or Dorn VA Hospital 60 60 Cases Cases 40 40 20 18 20 18 6 3 3 5 3 3 1 0 0 2 0 0 3 Surgery Hormone/ Surgery/ Hormone Radiation Surgery Hormone/ Surgery/ Hormone Radiation Radiation Radiation Radiation Source: Cancer Data Management, Palmetto Health Source: Cancer Data Management, Palmetto Health 15 Palmetto Health South Carolina Cancer Center
  • 17. Age at Diagnosis by AJCC Stage 2003 Analytic Cases - Prostate Palmetto Health 301 Cases* Age at Diagnosis Stage 2 Stage 3 Stage 4 N/A Total Percent 0-29 0 0 0 0 0 0 R e p o r t 30-39 1 0 0 0 1 0.3% 40-49 9 0 0 0 9 2.9% 50-59 82 11 4 0 97 32.2% 60-69 95 10 5 2 112 37.2% 70-79 63 6 2 0 71 23.5% 80-89 8 0 1 0 9 2.9% 90+ 1 0 1 0 2 0.6% Total 259 27 13 2 301 O n c o l o g y *Total includes all referrals Age at Diagnosis by AJCC Stage 2003 Analytic Cases - Prostate Palmetto Health 249 Cases** Age at Diagnosis Stage 2 Stage 3 Stage 4 N/A Total Percent 0-29 0 0 0 0 0 0 30-39 1 0 0 0 1 0.4% 40-49 6 0 0 0 6 2.4% 50-59 64 10 4 0 78 31.3% Y e a r Prostate Cancer 60-69 76 10 4 2 92 36.9% 70-79 53 6 2 0 61 24.4% 80-89 8 0 1 0 9 3.6% 90+ 1 0 1 0 2 0.8% Total 209 26 12 2 249 S t a t i s t i c a l **Total does not include patients referred by Moncrief Army Hospital or Dorn VA Hospital Source: Cancer Data Management, Palmetto Health 2003 Analytic Prostate by Gleason Score 2003 Analytic Prostate by Gleason Score Palmetto Health 301 Cases* Palmetto Health 249 Cases* 150 150 134 120 120 104 107 *Total does not include patients *Total includes all referrals referred by Moncrief Army Hospital or Dorn VA Hospital 90 90 87 Cases Cases 60 60 2 0 0 3 34 29 30 30 8 11 8 9 5 5 4 5 0 0 Gleason Gleason Gleason Gleason Gleason Gleason Not Gleason Gleason Gleason Gleason Gleason Gleason Not 5 6 7 8 9 10 Specified 5 6 7 8 9 10 Specified Source: Cancer Data Management, Palmetto Health Source: Cancer Data Management, Palmetto Health 16 Palmetto Health South Carolina Cancer Center
  • 18. Life Table Survival by Best AJCC Stage - Prostate Palmetto Health 1995-1996 100 R e p o r t 80 60 Percent Surviving 40 O n c o l o g y 20 0 0 3 6 9 12 15 18 21 24 27 30 33 36 39 42 45 48 51 54 57 60 Number of Months Stage 1 Stage 2 Stage 3 Stage 4 Y e a r Source: Cancer Data Management, Palmetto Health Prostate Cancer Life Table Survival by Best AJCC Stage - Prostate National* 1995-1996 100 S t a t i s t i c a l 80 Percent Surviving 60 40 2 0 0 3 20 1 year 2 years 3 years 4 years 5 years Number of Years Stage 1 Stage 2 Stage 3 Stage 4 *Source: NCDB, Commission on Cancer, ACoS/ACS 17 Palmetto Health South Carolina Cancer Center
  • 19. Life Table Survival by Best AJCC Stage - Prostate Palmetto Health 1998-2003 100 R e p o r t 80 60 Percent Surviving 40 O n c o l o g y 20 0 0 3 6 9 12 15 18 21 24 27 30 33 36 39 42 45 48 51 54 57 60 Number of Months Stage 1 Stage 2 Stage 3 Stage 4 Y e a r Source: Cancer Data Management, Palmetto Health Prostate Cancer Life Table Survival by Best AJCC Stage - Prostate National* 1998-2003 100 S t a t i s t i c a l 80 60 Percent Surviving 40 20 2 0 0 3 0 0 3 6 9 12 15 18 21 24 27 30 33 36 39 42 45 48 51 54 57 60 Number of Months Stage 1 Stage 2 Stage 3 Stage 4 *Source: CIRF (Cancer Information Reference File), IMPAC/MRS 18 Palmetto Health South Carolina Cancer Center
  • 20. GOAL: Begin plans for a Comprehensive Colorectal Cancer Awareness GI/Colorectal Cancer Center. (March 25) R e p o r t An educational dinner program featuring motiva- tional speaker and cancer survivor Eddie Leigh was held for colorectal cancer patients, their families Colorectal Cancer Awareness Walk and the community. (March 8) More than 400 people participated in the third The first site-specific Gastrointestinal (GI) annual walk at Riverfront Park to raise awareness Cancer Conference was held October 21. about colorectal cancer and the importance of early This CME-approved monthly, multidisciplinary detection through screening. conference focused on case presentations for collab- O n c o l o g y orative treatment planning. 2003 Analytic Digestive System Cancers 2003 Analytic Colon - Distribution by Subsite Palmetto Health Palmetto Health Rectum C180-Cecum 15.2% Stomach C187-Sigmoid 24.5% 9.9% 28.1% All Other C182-Ascending 18.3% Pancreas 17.3% 7.1% Y e a r Esophagus 6.2% C188-Overlap Colon 0.7% C186-Descending 43.2% 9.4% C189-Colon-NOS 2.9% C185-Splenic C183-Hepatic 2.9% C184-Transverse 5.8% C181-Appendix 5.8% S t a t i s t i c a l Source: Cancer Data Management, Palmetto Health 2.9% Source: Cancer Data Management, Palmetto Health 2003 Analytic Colon - Male vs. Female by Age at Diagnosis Palmetto Health *139 cases GI/Colorectal Cancer 20 18 17 17 17 15 15 14 12 10 Cases 10 8 2 0 0 3 5 4 3 2 1 1 0 0 0 0-29 30-39 40-49 50-59 60-69 70-79 80-89 90+ Age Distribution Male Female Source: Cancer Data Management, Palmetto Health *Duplicate patients merged 19 Palmetto Health South Carolina Cancer Center
  • 21. First Course Therapy - 2003 Analytic Colon Palmetto Health 139 Cases* R e p o r t 100 91 80 Cases 60 40 36 O n c o l o g y 20 4 3 3 2 0 Surgery Surgery/ All Chemo No Palliative Chemo Other Treatment Surgery Source: Cancer Data Management, Palmetto Health *Duplicate patients merged Y e a r S t a t i s t i c a l Age at Diagnosis by AJCC Stage 2003 Analytic Cases - Colon Palmetto Health 139 Cases Age at Diagnosis Stage 0 Stage 1 Stage 2 Stage 3 Stage 4 N/A Total Percent GI/Colorectal Cancer 0-29 0 0 0 0 1 0 1 0.7% 30-39 0 1 1 1 1 0 4 2.9% 40-49 1 1 0 4 5 1 12 8.6% 50-59 4 7 3 7 13 0 34 24.5% 60-69 3 4 9 5 3 1 25 18.0% 70-79 3 10 5 9 5 0 32 23.0% 80-89 2 9 5 7 5 1 29 20.9% 90+ 0 0 0 2 0 0 2 1.4% 2 0 0 3 Total 13 32 23 35 33 3 139 Source: Cancer Data Management, Palmetto Health 20 Palmetto Health South Carolina Cancer Center
  • 22. Life Table Survival by Best AJCC Stage - Colon Palmetto Health 1995-1996 100 R e p o r t 80 60 Percent Surviving O n c o l o g y 40 20 0 0 3 6 9 12 15 18 21 24 27 30 33 36 39 42 45 48 51 54 57 60 Number of Months Stage 0 Stage 1 Stage 2 Stage 3 Stage 4 Y e a r Source: Cancer Data Management, Palmetto Health Life Table Survival by Best AJCC Stage - Colon National* 1995-1996 100 S t a t i s t i c a l 80 GI/Colorectal Cancer 60 Percent Surviving 40 2 0 0 3 20 0 1 year 2 years 3 years 4 years 5 years Number of Years Stage 0 Stage 1 Stage 2 Stage 3 Stage 4 *Source: NCDB, Commission on Cancer, ACoS/ACS 21 Palmetto Health South Carolina Cancer Center
  • 23. Life Table Survival by Best AJCC Stage - Colon Palmetto Health 1998-2003 100 R e p o r t 80 60 Percent Surviving O n c o l o g y 40 20 0 0 3 6 9 12 15 18 21 24 27 30 33 36 39 42 45 48 51 54 57 60 Number of Months Stage 0 Stage 1 Stage 2 Stage 3 Stage 4 Y e a r Source: Cancer Data Management, Palmetto Health Life Table Survival by Best AJCC Stage - Colon National* 1998-2003 100 S t a t i s t i c a l 80 GI/Colorectal Cancer 60 Percent Surviving 40 20 2 0 0 3 0 0 3 6 9 12 15 18 21 24 27 30 33 36 39 42 45 48 51 54 57 60 Number of Months Stage 0 Stage 1 Stage 2 Stage 3 Stage 4 Source: CIRF (Cancer Information Reference File), IMPAC/MRS 22 Palmetto Health South Carolina Cancer Center
  • 24. 2003 Analytic Cases - Frequency of Cancer Palmetto Health Baptist R e p o r t Prostate Bronchus & Lung 15.6% 13.4% Colon 7.1% Bladder O n c o l o g y 5.5% Breast All Other 28.3% 30.2% Y e a r 2003 Analytic Cases - Frequency of Cancer Palmetto Health Richland S t a t i s t i c a l Prostate Bronchus & Lung 12.5% 12.9% Corpus Uteri 8.7% Colon 6.6% General Summary 2 0 0 3 Breast 20.8% All Other 38.5% Source: Cancer Data Management, Palmetto Health 23 Palmetto Health South Carolina Cancer Center
  • 25. GOAL: GOAL: Support clinical and Monitor and introduce promising basic research. new technologies and services. R e p o r t EVALUATION: Palmetto Health continued to support basic EVALUATION: The completion of 2003 marks the first full research through its relationship with the University of year of mammosite treatments for breast cancer, the start South Carolina and grant endeavors. Further develop- of Nucletron FIRST prostate seed implants in the treat- ment of coordinated efforts in basic research and popula- ment of prostate cancer, and approved funding for the tion studies is demonstrated by the collaboration of the purchase of full field digital mammography equipment, South Carolina Cancer Center and Medical University of expected to arrive in 2004. Palmetto Health finalized O n c o l o g y South Carolina in epidemiological research. Clinical plans to transform hospital based radiation oncology to research continues to advance affiliations with the a community based partnership with physicians. Community Clinical Oncology Program (CCOP), and Pediatric Oncology/Hematology services was approved through the participation of medical staff in promising for a grant-supported position to conduct a late effects pharmaceutical studies. Preliminary steps were taken to clinic that should be operational in mid 2004. The establish an IRB approved South Carolina Cancer Center Palmetto Richland Advocacy Program (PRAP) completed Tissue Bank which was previously piloted with breast a third grant-supported year working with youth who cancer tissue (for the purpose of gene microarray work). have chronic illnesses such as sickle cell disease induced The Cancer Tissue Bank located in 14 Medical Park will strokes, brain tumors and hemophilia. PRAP has been expand to include more than breast cancer tissue; tissue successful in securing additional funding to continue Y e a r will be made available to researchers under protocols. through 2004. Ian Thompson, MD, the creator of the Prostate Cancer Prevention Trial (PCPT), discussed the importance of this national trial during a brunch celebration of our local PCPT participants’ commitment S t a t i s t i c a l to the prevention of prostate cancer (January 11.) Research and New Technology 2 0 0 3 24 Palmetto Health South Carolina Cancer Center
  • 26. Statistical Summary of Cancer Data Statistical Year 2003 R e p o r t Palmetto Health Baptist Total Cases 1,221 Analytic Cases 1,134 Top Five Sites Breast, Prostate, Lung, Colon, Bladder Patient Population 68.2% Caucasian, 28% African-American, 3.7% Other Distribution by County Richland 50.7%, Lexington, 18.2%, Kershaw 7.0%, Newberry 5.4%, O n c o l o g y Fairfield 4.8%, Orangeburg 2.6%, other 11.1% Early Stage Disease (Stage Group 0, I, II) 61.1% Palmetto Health Richland Total Cases 1,123 Analytic Cases 990 Top Five Sites Breast, Lung, Prostate, Corpus Uteri, Colon Patient Population 57.1% Caucasian, 41.3% African-American, 1.5% Other Distribution by County Richland 45.3%, Lexington 10.5%, Kershaw 7.6%, Sumter 5.1%, Y e a r Orangeburg 4.6%, Fairfield 3.8%, Newberry 2.7%, other 20.4% Early Stage Disease (Stage Group 0, I, II) 52.8% S t a t i s t i c a l Cancer Data Management Activity Analytic Year 2003 2003 Palmetto Health Baptist 2003 Palmetto Health Richland Complete Database 22,703 20,488 Total Cases 1,221 1,123 Analytic Cases 1,134 990 % Analytic Cases 92.7% 88.0% Follow-up Rate 95.8% 94.8% General Summary Cases Presented at Cancer Conference 614 449 General 116 96 Breast 458 313 Prostate 31 31 2 0 0 3 GI 9 9 % Analytic Cases Presented 54.1% 45.3% % Prospective Cases Presented at Cancer Conference 99.8% 99.1% Average Physician Attendance At Cancer Conference 20 17 Cases AJCC Staged by Managing Physician 90.6% 94.4% Clinical Trials 21% 18% 25 Palmetto Health South Carolina Cancer Center
  • 27. All Cases Diagnosed and/or Treated Palmetto Health Baptist AGE GROUP PRIMARY SITE 0-29 30-39 40-49 50-59 60-69 70-79 80-89 90+ Cases R e p o r t ORAL CAVITY/PHARYNX 17 Tongue 1 0 1 1 0 1 0 0 4 Mouth 0 0 0 0 0 1 1 0 2 Parotid Gland 0 0 0 0 0 1 2 0 3 Tonsil 0 1 1 1 2 0 0 0 5 Pyriform Sinus 0 0 0 0 1 1 0 0 2 Pharynx 0 0 0 0 1 0 0 0 1 DIGESTIVE SYSTEM 190 Esophagus 0 0 2 2 2 1 1 0 8 Stomach 0 0 0 4 6 3 0 0 13 Small Intestine 0 0 1 5 2 1 0 0 9 O n c o l o g y Colon 1 2 7 18 17 19 14 2 80 Rectosigmoid Junction 0 0 2 2 4 3 0 0 11 Rectum 0 1 5 10 4 8 3 0 31 Anus and Anal Canal 0 1 2 3 1 4 1 0 12 Liver 1 0 0 1 1 2 0 0 5 Gallbladder 0 0 0 0 1 0 1 0 2 Pancreas 0 0 1 0 3 8 1 0 13 Other and Unspecified Biliary Tract 0 0 1 1 1 2 1 0 6 RESPIRATORY SYSTEM 161 Larynx 0 0 2 1 4 1 1 0 9 Bronchus and Lung 0 1 4 36 47 50 13 1 152 BONES/JOINTS/ARTICULAR CARTILAGE 1 0 0 0 0 0 0 0 1 HEMATOPOIETIC/RETICULO-ENDOTHELIAL SYSTEM 0 2 1 3 5 6 2 0 19 Y e a r SKIN 0 0 3 4 1 3 0 0 11 PERIPHERAL NERVES/AUTONOMIC NERVOUS SYSTEM 0 0 1 0 1 0 0 0 2 RETROPERITONEUM AND PERITONEUM 0 0 1 1 1 0 0 0 3 SOFT TISSUE 0 0 4 1 2 0 1 0 8 BREAST 1 13 64 91 74 49 28 1 321 FEMALE GENITAL ORGANS 29 Vulva 1 0 0 0 0 0 0 0 1 S t a t i s t i c a l Cervix Uteri 0 0 1 2 0 1 1 0 5 Corpus Uteri 0 1 4 3 5 3 2 0 18 Ovary 0 0 1 0 1 1 1 0 4 Other and Unspecified Female Genital Organs 0 0 0 0 1 0 0 0 1 MALE GENITAL ORGANS 190 Penis 0 0 0 0 1 0 0 0 1 Prostate 0 1 4 66 66 34 5 1 177 Testes 4 5 0 1 0 0 0 0 10 URINARY TRACT 110 Kidney 0 0 8 2 10 10 3 1 34 Renal Pelvis 0 0 0 1 2 4 0 0 7 Ureter 0 0 0 1 2 1 3 0 7 General Summary Bladder 1 0 1 13 13 22 12 0 62 EYE AND BRAIN 13 Eye and Adnexa 0 1 0 0 0 0 0 0 1 Brain 1 0 0 4 2 3 2 0 12 THYROID AND ADRENAL GLANDS 29 2 0 0 3 Thyroid Gland 5 8 8 3 1 2 1 0 28 Adrenal Gland 0 0 0 0 0 1 0 0 1 OTHER AND ILL-DEFINED SITES 0 0 0 1 0 0 0 0 1 LYMPH NODES 1 1 3 1 4 8 0 0 18 UNKNOWN PRIMARY SITE 0 0 4 3 2 1 3 0 13 ALL SITES 18 38 136 288 291 255 103 6 1,134 26 Palmetto Health South Carolina Cancer Center
  • 28. All Cases Diagnosed and/or Treated Palmetto Health Richland AGE GROUP PRIMARY SITE 0-29 30-39 40-49 50-59 60-69 70-79 80-89 90+ Cases R e p o r t ORAL CAVITY/PHARYNX 36 Lip 0 0 0 0 1 0 0 0 1 Tongue 0 0 2 4 4 1 0 0 11 Mouth 0 0 3 2 1 1 0 0 7 Parotid Gland 0 0 0 0 0 0 1 0 1 Tonsil 0 0 3 0 2 0 0 0 5 Oropharynx 0 0 0 1 0 2 0 0 3 Nasopharynx 1 0 1 0 1 0 0 0 3 Pyriform Sinus 0 0 1 1 0 1 0 0 3 Hypopharynx 0 0 0 1 0 1 0 0 2 DIGESTIVE SYSTEM 149 O n c o l o g y Esophagus 0 0 3 5 1 3 1 0 13 Stomach 0 0 3 6 5 8 1 0 23 Small Intestine 1 0 0 2 0 0 0 0 3 Colon 0 2 6 19 8 13 17 0 65 Rectosigmoid Junction 0 0 0 3 1 2 0 0 6 Rectum 0 0 3 5 6 3 4 0 21 Liver 2 0 1 0 0 2 2 0 7 Pancreas 0 2 0 1 4 1 2 1 11 RESPIRATORY SYSTEM AND INTRATHORACIC ORGANS 147 Larynx 0 0 4 5 3 2 0 0 14 Bronchus and Lung 0 1 13 22 40 45 6 1 128 Thymus 0 0 0 0 1 0 0 0 1 Heart/Mediastinum 2 0 0 1 1 0 0 0 4 Y e a r BONES/JOINTS/ARTICULAR CARTILAGE 7 1 0 2 0 1 0 0 11 HEMATOPOIETIC/RETICULO-ENDOTHELIAL SYSTEM 6 3 1 3 4 7 3 1 28 SKIN 3 2 0 4 1 4 1 0 15 RETROPERITONEUM AND PERITONEUM 1 0 0 4 0 0 0 0 5 SOFT TISSUE 2 1 1 1 0 1 1 0 7 BREAST 1 17 38 51 52 36 11 0 206 FEMALE GENITAL ORGANS 181 S t a t i s t i c a l Vulva 0 0 2 0 0 1 1 1 5 Cervix Uteri 4 4 6 12 3 4 1 1 35 Corpus Uteri 3 8 20 19 27 9 1 87 Ovary 1 1 2 10 13 16 5 0 48 Other and Unspecified Female Genital Organs 0 0 0 1 2 0 1 0 4 MALE GENITAL ORGANS 127 Prostate 0 0 5 31 46 37 4 1 124 Testes 1 1 0 0 0 0 0 0 2 Other and Unspecified Male Genital Organs 0 0 0 0 1 0 0 0 1 URINARY TRACT 15 Kidney 0 1 1 4 0 1 0 0 7 Renal Pelvis 0 0 1 0 0 0 0 0 1 General Summary Ureter 0 0 0 0 0 0 1 0 1 Bladder 0 0 0 0 2 2 1 0 5 Other Urinary Organs 0 0 0 0 0 1 0 0 1 EYE AND BRAIN 22 Eye and Adnexa 0 1 0 0 0 0 0 0 1 2 0 0 3 Brain 8 3 2 4 1 1 2 0 21 THYROID/OTHER ENDOCRINE GLANDS 7 Thyroid Gland 1 2 0 0 2 0 0 0 5 Adrenal Gland 0 0 0 0 0 1 0 0 1 Other Endocrine Glands 1 0 0 0 0 0 0 0 1 OTHER AND ILL-DEFINED SITES 1 0 0 0 1 0 0 0 2 LYMPH NODES 3 3 6 4 2 4 0 0 22 UNKNOWN PRIMARY SITE 0 0 0 3 4 2 3 0 12 ALL SITES 46 48 116 232 234 231 78 7 990 27 Palmetto Health South Carolina Cancer Center
  • 29. 2003 Oncology Annual Report Contributors Mary A. Ackerman, M.D Gwendolyn Green, RN John W. Popp Jr., MD R e p o r t Julian Adams, MD Stanley Greenberg, MD William Rambo, MD Joseph M. Albert, MD Janet Groves John C. Rawl, MD Elizabeth Allen, MSW Paul Guerry III, MD Shelby Reece, RN, MN J.R. Allison, MD Crickett Harris, RN James C. Reynolds, MD Stanton Atkins, MD Chuck Heaton, MD Neal Reynolds, MD Gene Ayers, MD James R. Hebert, MSPH, ScD A.J. Richards, MD William H. Babcock, MD Sue Heiney, RN, PhD, FAAN Chad Rubin, MD Phillip E. Baldwin, MD Nichole Hendry, C-PA William Savoca, MD Nancy Barnes, RN James H. Herlong, MD Caitlin Schmidt, MD O n c o l o g y John Bayard, MD Carey Hite, MD Debra D. Seale, RN, MN Karen Baxley, RN, MN Jennifer Hooks, PA Paresh Shah, MD John G. Beasley, MD Charles Hubbard Jr, MD Joseph Sheppe, MD Richard Bell, MD George Jenkins, MD John Singerling, MHA John Boon, MD Spence Jenkins, MD Bessie Smith, RN Anna Bouknight, MD Betty Johnson, RN Robert E. Smith Jr., MD Raleigh J. Boulware, MD Ram Kalus, MD Barbara Smoak, RN Karen Brooks, MS, CGC Donna Keisler, CTR Lisa Spigner John Brown, MD John Kewkirk, MD Rosemond Squirewell, RN Rex Brugh, MD Phillip W. Kinder, MD Louise Stepp, LMSW Donna Bucalo Elvira Kisteneff, MD Melton Stuckey, MD Douglas M. Bull, MD Holly Knight, RNC, MN Darin Sutton, MD Y e a r Robert Bunch, MD Kristy Koon, BA John Sutton III, MD Ronald Burns, MD Brent Krantz, MD C. Alden Sweatman Jr, MD William M. Butler, MD Fred Kudrik, MD Daniel Sylvester, MD Heidi Campbell, RN Alice Lathrop, Asc. RT (R) Scott W. Taber, MD Neal P. Christiansen, MD John Lauver, MD Nguyen Thieu, MD Donnie Coker, MHA Isabel Law, RN John Thomas, MD S t a t i s t i c a l Atwell Coleman, MD William Lewis, MD David Tribble, MD Perry Covington, PharmD Mark Lovern, MD James B. Tribble, MD Tommy E. Cupples, MD Sandra Lunden, MA, RHIA, CPHQ, CTR Diane Truesdale, MD Everett Dargan, MD Jason Lynn, MD Allan Walls, MD Donen Davis, MD Chinway Majmundar, MD Richard Wassermann, MD Martin Dommers, MD Auturo Marchand, MD Judy Weathersbee, BS, ARRT(R)(QM) Mary Ellen Doyle, FACHE Mark Mayson, MD John Webb Thomas Edmunds Jr, MD L. Joseph McElveen, MD James R. Wells, MD Elaine Elkins, RN William Meredith, MD Jeffrey A. Welsh, MD Carolyn Evans, RN, OCN Harry Metropol, MD Thomas White, PhD Karen Ferguson, PA Stephen Metropol, MD Jimmy Williams, MD Tonya Flake, RN Balbir Minhas, MD Dennis Wilson, MD Harold Freidman, MD Joan Minor, RN, BSN, OCN Gerald Wilson, MD Samuel Freidman, MD Martin Mirra, MD Bartlett J. Witherspoon, MD Jeanette Fulton, MD Joe Modzelewski, MD Rudolph Wise, MD 2 0 0 3 Jorge Galan, MD Phyllis Moorer, RT (R)(M) Dottye Wodogaza, RN, OCN Burnett W. Gallman, MD Kevin Morgan, MD John E. Wofford, MD Edsel Garrick, MD Sidney Morrison, MD Ben W. Wright Jr, MD David Gatti, MD William Neglia, MD Theresa Williamson Thomas Glazebrook, MD John Newkirk, MD Ann Vandersteenhoven, MD Francisco Gonzalez, MD James Nottingham, MD Jacob Vandersteenhoven, MD Kathleen K. Goodwin, RN Tally Parrot, MD Robert Young, PhD Kenneth Grant, MD George Postic, MD Mohammed Yousufuddin, MD Larry Grant, MD Dalton Prickett, MD 28 Palmetto Health South Carolina Cancer Center
  • 30. Content Coordination Scottie Dye R e p o r t Donna Keisler Sandra E. Lunden Debra D. Seale Cancer Data Management Staff January 2003 – December 2004 Pamela Commins Stacy Gurley O n c o l o g y Rebecca Heaberlin, RHIT, CTR Faith Johnson Angela Jones Donna Keisler, CTR Kristen Lauing Dyonne Louden, CTR Sandra Lunden, MA, RHIA, CPHQ, CTR Vicki McLain, RHIT, CTR Monique Motley Patricia Peake Y e a r Laura Willis, RHIA, CTR Brandi Zanfardino, RHIT • The 2003 Statistical Year Oncology Report is in loving memory of our friend, Sandy Lunden (1948 -2004), Manager of Palmetto Health South Carolina Cancer Center - Cancer Data Management department; S t a t i s t i c a l respected colleague and courageous cancer survivor. • Links to other web sites: American College of Surgeons Commission on Cancer http://www.facs.org/cancer/ National Comprehensive Cancer Network http://www.nccn.org South Carolina Cancer Alliance 2 0 0 3 http://www.sccanceralliance.org/tiki-index.php SC DHEC Central Cancer Registry http://www.scdhec.net/co/phsis/biostatistics/SCCCR/scccrmain.htm http://www.scdhec.net/co/phsis/biostatistics/SCCCR/AboutARegistry.htm 29 Palmetto Health South Carolina Cancer Center
  • 31. 2 0 0 3 S t a t i s t i c a l Ye a r O n c o l o g y R e p o r t Seven Richland Medical Park Columbia, South Carolina 29203 and Taylor at Marion Street Columbia, South Carolina 29220 p a l m e t t o h e a l t h . o r g 803-296-3000 Patients are admitted to this facility and are rendered services without distinction due to race, color, national origin, handicapping condition or age.