2014-2015 Commission on Cancer Update

for

Massachusetts Cancer Liaison Physicians

Massachusetts Chapter American College Surgeons

Peter Hopewood MD FACSCoC State Chair

Congratulations to the following Hospitals CoC accredited during 2014

St. Elizabeth’s Medical Center BrightonGood Samaritan Medical Center BrocktonMercy Medical Center SpringfieldSignature Healthcare Brockton HospitalHealth Alliance Hospitals LeominsterSteward Carney Hospital DorchesterTufts Medical Center BostonSouth Shore Hospital South WeymouthLahey Clinic Hospital BurlingtonBeth Israel Deaconess Medical Center BostonSturdy Memorial Hospital AttleboroFalmouth Hospital FalmouthLowell General Hospital LowellHolyoke Medical Center HolyokeMilford Regional Medical Center MilfordNoble Hospital WestfieldCooley Dickinson Hospital NorthamptonMetrowest Medical Center FraminghamWinchester Hospital WinchesterDana Farber/Brigham & Women’s Cancer Center BostonLawrence General Hospital LawrenceBoston Medical Center BostonMount Auburn Hospital CambridgeNortheast Hospital Corporation BeverlyBeth Israel Deaconess Hospital Needham

SPECIAL RECOGNITION COMMISSION ON CANCER 2013

OUTSTANDING ACHIEVEMENT AWARD

GOOD SAMARITAN MEDICAL CENTER

BROCKTON, MASS

CANCER LIAISON PHYSICIANRICHARD SAMAHA MD

Cudos to these Hospitals≥ 20% Referral rates to

American Cancer Society (ACS)

Lawrence General HospitalHoly Family Medical CenterUMass Medical Center St. Vincent HospitalMercy Medical Center Falmouth HospitalCape Cod HospitalMass General Hospital Beth Israel Deaconess Medical Center

High 5↑ the Highest !!

UMass Medical Center 50%Mercy Medical Center ≤ 50%

MGH ≈ 40%

HOW DID THEY DO IT ?

American Cancer Society (ACS) Patient Navigators ACS Cancer Resource Volunteers

Contact your ACS representative for more information about these programs

2014 Winner CoC Paper Competition

Massachusetts Chapter ACS

Primary Retroperitoneal Sarcomas: Rate of Microscopic Organ Invasion, Rationale, and PrognosisMark Fairweather, MD1, Jiping Wang, MD, PhD1, 4, Vickie Y Jo, MD 2, 4, Elizabeth H. Baldini, MD, MPH 3, 4, Monica M. Bertagnolli, MD1, 4, Chandrajit P. Raut, MD, MSc1, 4

1Department of Surgery, Division of Surgical Oncology, Brigham and Women’s Hospital and Dana-Farber Cancer Institute, Boston, MA; 2Department of Pathology, Brigham and Women’s Hospital and Dana-Farber Cancer Institute, Boston, MA, 3Department of Radiation Oncology, Brigham and Women’s Hospital and Dana-Farber Cancer Institute, Boston, MA, 4Center for Sarcoma and Bone Oncology, Dana-Farber Cancer Institute, Boston MA

This was presented at the annual meeting of the Massachusetts Chapter of the American College of Surgeons December 6 at UMass

COLORECTAL CANCER UPDATE

usingNCDB, CDC and MA. DPH Data

EVERY MARCH ISCOLORECTAL CANCER AWARENESS MONTH

Take advantage of the National Buzz to market your Screening and Treatment Programs

Public Opinion per CDC

80% CRC SCREENING BY 2018

“80 x 18”America’s New Goal!

National Statistics

COLORECTAL CANCER MASSACHUSETTS

Why is cancer prevention and control important in Massachusetts?

Reason #1: Cancer is the leading cause of death in Massachusetts, surpassing heart

disease and stroke.

Every year over 36,000 Massachusetts residents are diagnosed with cancer and nearly 13,000 die from

cancer.

16

Massachusetts Comprehensive Cancer Prevention and Control Plan 2012-2016www.macompcancer.org

17Massachusetts Comprehensive Cancer Prevention and Control Plan 2012-2016

www.macompcancer.org

Age-Adjusted Incidence and Mortality Rates for Selected Cancers in Massachusetts, 2004-2008

162.2133.5

48.5

6 1.4

71.651.1

23.8 22.2 16.70

20406080

100120140160180

Lung Prostate Breast Colorectal Cervical

Per 1

00,0

00

Incidence Mortality

Colorectal Ca Trends Massachusetts

Men Women

Incidence 2000-2012 MassachusettsColon Cancer Rectal Cancer(note the different scales used)0-750 scale 0-200 scale

DIFFERENCE IN AGE AT PRESENTATION2011 Mass.

Colon Older Increases Rectal Older Decreases

Stage at Diagnosis 2011 Mass.

Colon Bell Curve peak Stage II Rectal Descending Peak Stage I

sObserved Chart Colon 'C180','C181','C182','C183','C184','C185','C186','C187','C188','C189','C260' (C)2014 National Cancer Data Base Generated on Nov-04-2014Observed Chart Colon 'C180','C181','C182','C183','C184','C185','C186','C187','C188','C189','C260' (C)2014 National Cancer Data Base Generated on Nov-04-2014

Observed Chart Rectum 'C209' (C)2014 National Cancer Data Base Generated on Nov-04-2014Observed Chart Rectum 'C209' (C)2014 National Cancer Data Base Generated on Nov-04-2014

CRC 5 years Survival by StageAll CoC cases from 2003-2006

Colon Cancer Rectal Cancer

Observed Chart Rectum 'C209' (C)2014 National Cancer Data Base Generated on Nov-04-2014Observed Chart Rectum 'C209' (C)2014 National Cancer Data Base Generated on Nov-04-2014

Observed Chart Colon 'C180','C181','C182','C183','C184','C185','C186','C187','C188','C189','C260' (C)2014 National Cancer Data Base Generated on Nov-04-2014Observed Chart Colon 'C180','C181','C182','C183','C184','C185','C186','C187','C188','C189','C260' (C)2014 National Cancer Data Base Generated on Nov-04-2014

Mortality Colorectal Ca Massachusetts

RECTAL CANCER CAN WE IMPROVE OUTCOMES?

The following proposal for Rectal Cancer Centers of Excellence

was approved by the American College of Surgeons

Here is What You Need to Know

NOV 2014OVER 120OSTRiChMEMBERS

MASSACHUSTTS MEMBERS

BAYSTATECAPE COD HEALTHLAHEY CLINICMGHSOUTHCOAST

Bayfront Medical Center (St. Petersburg, FL) Baylor University Medical Center (Dallas, TX) Baystate Medical Center Boca Raton Regional Hospital / FAU School of Medicine Boone Hospital Center (Columbia, MO) California Pacific Medical Center Cape Cod Health Carilion Clinic Carle Foundation Hospital Center for Digestive and Liver Disease Central Michigan University College of Medicine (Mount Pleasant, MI) Cleveland Clinic (Cleveland, OH) Cleveland Clinic Florida (Westin, FL) Coastal Carolina Hospital (S.C.) Colorectal Surgery Associates (Kansas City) Dartmouth-Hitchcock Medical Center (Lebanon, NH) Duke University Medical Center (Durham, NC) Emory University Enloe Medical Center (Chico, CA) Fairview Southdale Hospital (Edina, MN) Florida Hospital (Tampa, FL) Geisinger Medical Center (Danville, PA) George Washington University Gulf Coast Veterans Health Care System Hima Hospital Caguas (Caguas, Puerto Rico) Indiana University Inova Fairfax Medical Campus (Falls Church, VA) Jersey Shore University Medical Center (Neptune, NJ) Johns Hopkins University (Baltimore, MD) John Muir Medical Center (Walnut Creek, CA) Kaiser Permanente (Houston, TX) Kaiser Permanente Los Angeles Medical Center Lahey Clinic (Burlington, MA) Lankenau Medical Center

Lovelace Medical Center (Albuquerque, New Mexico) Massachusetts General Hospital (Boston, MA) Mayo Clinic (Rochester, MN) Mayo Clinic Florida (Jacksonville, FL) Mayo Clinic Scottsdale MD Anderson Cancer Center (Houston, TX) Medical College of Wisconsin (Milwaukee, WI) Medstar Greater Baltimore Medical Center MedStar Health Medstar Washington Hospital Center Memorial Sloan Kettering Cancer Center (New York, NY) Mercy Medical Center (DesMoines, IA) Meridian Health Methodist Dallas Medical Center Moffitt Cancer Center Montefiore medical center - Albert Einstein College of Medicine Mount Sinai Hospital/Manhattan Surgical Associates Mount Sinai Beth Israel Monmouth Medical Center (Monmouth, NJ) Naval Medical Center Portsmouth Northern Inyo Hospital (Bishop, CA) Norwalk Hospital (Norwalk, CT) Ochsner Clinic (New Orleans, LA) Ohio State University Oregon Health and Sciences University (Portland, OR) Parkview Health System (Ft. Wayne, IN) Peninsula Medical Clinic Penn State/Milton Hershey Medical Center Presbyterian Hospital Dallas ProMedica Health System (Toledo, OH) Roper Hospital Roswell Park Cancer Institute Shady Grove Adventist Hospital Southcoast Health (Massachussetts) Providence Cancer Center/Providence Portland Medical Center (Portland, OR) Spectrum Health, Ferguson Clinic (Grand Rapids, MI)

St Francis Hospital (Memphis, TN) St. Clair HospitaLStanford University School of Medicine Summa Health System (Akron, OH) Surgery Group of Los Angeles Swedish Medical Center/Providence Heath and Services The Oregon Clinic Union Hospital (Elkton,MD) University Hospitals Case Medical Center (Cleveland, OH) University of Arkansas Medical Center University of Cincinnati University of Illinois College of Medicine at Peoria University of Kentucky University of Maryland (Baltimore, MD) University of Michigan (Ann Arbor, MI) University of Minnesota (Minneapolis, MN) University of Nebraska Medical Center University of Nevada School of Medicine (Reno, NV) University of North Carolina (Chapel Hill, NC) University of Oklahoma University of Rochester (Rochester, NY) University of South Florida University of Southern California Keck School of Medicine University of Texas Southwestern Medical Center University of Toronto (Toronto, Canada) University of Virginia Medical Center (Charlottesville, VA) University of Washington (Seattle, WA) University of Wisconsin ValleyCare Health System (Canfield, OH) Valley Health, Winchester Medical Center Vanderbilt University Virginia Hospital Center Washington University in St. Louis (St. Louis, MO) Weill Cornell Medical College

Let’s Work Together Make Colorectal Cancer a Disease of the Past !