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Northeast Case for Action: Colorectal Cancer, Mr. Mark Hartman

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Mark Hartman's opening presentation for the 2013 Regional Oncology Conference.

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Northeast Case for Action: Colorectal Cancer, Mr. Mark Hartman

  1. 1. The Case for Action Colorectal Cancer in the Northeast Mark Hartman Vice President Cancer Services and Medical Imaging, HSN; Regional Vice President Northeast, Cancer Care Ontario
  2. 2. Faculty/Presenter Disclosure Faculty: Mark Hartman Relationships with commercial interests: •Grants/Research Support: None •Speakers Bureau/Honoraria: None •Consulting Fees: None
  3. 3. The Colorectal Cancer Burden Incidence: 2 in NE nd Data source: Cancer Care Ontario (Ontario Cancer Registry, 2010 for SEER*Stat Release 8 Feb. 2011).
  4. 4. The Colorectal Cancer Burden Deaths: 2nd in NE Data source: Cancer Care Ontario (Ontario Cancer Registry, 2010 for SEER*Stat Release 8 Feb. 2011).
  5. 5. The Northeast 474 New Cases Highest Incidence in Ontario 55 vs 47.7 per 100,000 180 Deaths
  6. 6. Stage at Diagnosis: An Opportunity Estimated 5 yr relative survival IV 50% 5% III 55% II 87% I 96%
  7. 7. Colorectal Screening 45% 25%
  8. 8. Screening Follow Up +ve FOBT(n=955) Colonoscopy(n=701) 27% no colonoscopy within 6mo
  9. 9. Diagnosis in the Northeast FOBT +ve Colonoscopy: 81% within 8 weeks +ve Family Hx Colonoscopy: 86% within 26 weeks Pathology Turnaround Time: 85% with 2 weeks
  10. 10. Radiation Treatment
  11. 11. Systemic Treatment 89%
  12. 12. Surgery and Pathology <10%
  13. 13. Outcomes NE= 65%
  14. 14. Outcomes
  15. 15. Prevalence NE~2550
  16. 16. Patient Experience 42%
  17. 17. Summary Standards are being established Foundational systems are in place Progress is being made Many opportunities for improved outcomes and experiences
  18. 18. References • Cancer System Quality Index 2013: http://www.csqi.on.ca/cms/One.aspx?portalId=258922&pageId=274113 • INSIGHT ON COLORECTAL CANCER: News and information on colorectal cancer and screening in Ontario, volume seven, December 2008, Cancer Care Ontario • ColonCancerCheck Program Report 2010, https://www.cancercare.on.ca/cms/One.aspx? portalId=1377&pageId=226298 • Cancer Statistics 2007, Cancer Care Ontario, https://www.cancercare.on.ca/cms/One.aspx? portalId=1377&pageId=8630

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