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2007 Cancer Report

Cancer Site Analysis: Lung Cancer

Contents:
  • Cancer Program review
  • Cancer site distribution for 2006
  • Cancer Registry data summary for 2006
  • 2006 Lung Cancer Study by John T. Peters, DO, MSPH
  • Explanation of a cancer registry

Our Cancer Program

The Oncology Committee of Manatee Memorial Hospital (MMH) is pleased to present this brief overview of the MMH Cancer Program.  The MMH Cancer Program is approved by the American College of Surgeons Commission on Cancer (CoC) as a Community Hospital Cancer Program (CHCP). Approved hospitals must demonstrate availability of all major modalities of cancer treatment and meet rigorous requirements for multidisciplinary medical and hospital staff interaction, patient support services, community outreach activities, quality improvement and outcomes analyses.

In 2007 the MMH Cancer Program actively sponsored and supported cancer patient services and activities including the following:
  • Support groups and individual counseling
  • Cancer topics at Monthly Updates open to the community
  • Tobacco awareness activity directed at high school students
  • Breast cancer awareness activity
  • Implementing breast mammogram and digital mammography
  • Breast cancer imaging topic at educational conference
  • Process to facilitate access to cancer therapy drugs for indigent patients
MMH frequently collaborates with the American Cancer Society, the American Lung Association, the Manatee County Health Department and the Wellness Community to provide cancer support and educational services to its cancer patient population.

Summary of Cancer Registry Data for 2006

A total of 709 new cancer patients were treated at MMH during 2006. Of these, 497 (70%) were analytic (newly diagnosed) and 212 (30%) were non-analytic (diagnosed and completed first-course therapy elsewhere). “Cancer” patients is a slight misnomer. Since January 1, 2004, cancer registries have been required by federal and state legislation to also collect and report benign brain tumors.

The demographic distributions of our patient population are important.  They demonstrate how well MMH is reaching the community as a whole and help identify increasing areas of our population that may need additional services.  In 2006, the total cancer patient population was divided equally with 50% men and 50% women. The racial distribution was 90% white, 8% black and 2% other races. Of the analytic patient population, 60% were 65 years old or older. Age of analytic patients is reviewed because the age at diagnosis is equivalent to the age when they first presented at the hospital. Age at presentation is helpful information for hospital administrators who plan cancer services for their patient population.

Age at Diagnosis
Click on the chart for larger image.

Determining the stage or extent of cancer is critical to making treatment decisions. The overall AJCC stage distribution of MMH analytic cancer cases is as follows:
  • Stage 0 – 5%
  • Stage 1 – 16%
  • Stage 2 – 9%
  • Stage 3 – 12%
  • Stage 4 – 19%
  • Stage Unknown – 28%
  • Stage Not Applicable – 12%
Stage distributions for individual primary sites can be found on the MMH site distribution table:

2006 Primary Cancer Sites distribution table (PDF)

The five most frequent analytic cancers at MMH in 2006 were breast (22%), lung (20%), colorectal (12%), non-Hodgkin lymphoma (4%) and thyroid (3%).  Per Cancer Facts & Figures 2006, published by the American Cancer Society, the five most common cancers in the United States in 2006 were prostate, breast, lung, colorectal and melanoma. The most recent Florida Cancer Data System data, from 2003, show lung cancer the most common, followed by prostate, breast, colorectal and bladder. A chart comparing the frequency of the five most common MMH cancer sites to the same sites for the U.S. and Florida is provided.

Five Frequent Cancers
Click on the chart for larger image.

Following is a cancer site analysis by John T. Peters, DO, MSPH, pulmonary medicine, on lung cancer at MMH. Unless stated otherwise, the statistical graphs and tables found in this study include only analytic cases. Some graphs show a comparison between MMH and the 14 CHCP hospitals in Florida, which include MMH. The data source for the CHCP facilities is the National Cancer Data Base (NCDB) sponsored jointly by the American College of Surgeons and the American Cancer Society.

2007 Cancer Report Links

Cancer/Oncology

2007 Cancer Report

2007 Lung Cancer Study

Definitions of Terms

2007 Oncology Committee

Manatee Memorial Hospital's Cancer Program is approved by the Commission on Cancer of the American College of Surgeons

K. Telukuntla, M.D.
Chair
Medical Oncology

T. Farrell, M.D.
Pathology
ACoS Cancer Liaison Physician for Manatee Memorial Hospital

A. S. Hassan, M.D.
Surgery

C. H. Amar Inalsingh, M.D.
Radiation Oncology

M. Lehman, M.D.
Pathology

Y. Nadiminti, M.D.
Medical Oncology

J. Pecoraro, M.D.
Surgery

P. Ray, M.D.
Radiation Oncology

L. Silverman, M.D.
Radiation Oncology

G. Skarulis, M.D.
Pathology

J. Wasserman, D.O.
Radiology

Non-Physician Members:

T. Buchanan, RN
Director, P.I. & Risk Management

B. Chambliss
Director, Marketing & Community Relations

S. Drackett, PharmD
Pharmacy

N. Dugas, RN
Director, Outpatient Services

G. Fisher, DMin
Chaplain

J. Hawkins, RN
Manager, Oncology Unit

B. Heinz, RHIA
Director, Health Information Management

E. Honig, RN, OCN
Director, Care Coordination

P. Jefferson, RN
Director, Imaging Services

H. Lewis, BS, CTR
Cancer Registrar

C. Malloy, RN
Administration, Chief Nursing Officer

D. Mann, RN
Director, Women's and Children's and Medical Surgical Services


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