LUNG CANCERLUNG CANCER2003-20062003-2006

Johns Hopkins HospitalJohns Hopkins HospitalLung Cancer, Non-Small Cell 2003-2006, All Lung Cancer, Non-Small Cell 2003-2006, All CasesCasesn=1364n=1364

285

25

301

38

335

38

304

380

50

100

150

200

250

300

350

Num

ber

2003 2004 2005 2006

Analytic Non-Analytic•Analytic - Initially Diagnosed and/or received all or part of 1st course treatment at JHH

•**Non-Analytic - Initially diagnosed & treated elsewhere to JHH for treatment of recurrent, metastatic or progression of disease.

Johns Hopkins HospitalJohns Hopkins HospitalLung Cancer, Non-Small Cell 2003-2006, All Lung Cancer, Non-Small Cell 2003-2006, All CasesCasesby Class of Case, n=1364by Class of Case, n=1364

MaleMale FemaleFemale TotalTotal

Class 0Class 0 2525 1313 3838

Class 1Class 1 390390 335335 725725

Class 2Class 2 245245 217217 462462

Class 3Class 3 7373 6666 139139

TotalTotal 733733 631631 13641364

Analytic: Class 0, 1, 2Non-Analytic: Class 3

Johns Hopkins HospitalJohns Hopkins HospitalLung Cancer, Non-Small Cell 2003-2006, All Lung Cancer, Non-Small Cell 2003-2006, All CasesCasesAge at Diagnosis n=1364Age at Diagnosis n=1364

0%

5%

10%

15%

20%

25%

30%

35%

Female(630) 0.3% 0.7% 5.3% 9.5% 14.8% 11.5% 4.0%

Male(732) 0.3% 0.7% 4.8% 10.9% 17.3% 14.6% 5.1%

0 - 29 30 - 39 40 - 49 50 - 59 60 - 69 70 - 79 80+

72

130

202158

55

10/104/4 66

149

236199

69

Johns Hopkins HospitalJohns Hopkins HospitalLung Cancer, Non-Small Cell 2003-2006, All Lung Cancer, Non-Small Cell 2003-2006, All CasesCasesby Race n=1364by Race n=1364

0%

10%

20%

30%

40%

50%

60%

70%

80%

Female 34% 11% 0.3% 1%

Male 39% 13% 1% 2%

CaucasionAfrican

AmericanHispanic Other

460

531149

178 4/8 18/16

Johns Hopkins HospitalJohns Hopkins HospitalLung Cancer, Non-Small Cell 2003-2006, All Lung Cancer, Non-Small Cell 2003-2006, All CasesCasesMaryland by County n=1018Maryland by County n=1018

Harford Co6%

All Other19%

Baltimore Co24%

Anne Anne Co6%

Mont Co6%

Prince Geo Co5%

Baltimore City34%

Johns Hopkins HospitalJohns Hopkins HospitalLung Cancer, Non-Small Cell 2003-2006, All Lung Cancer, Non-Small Cell 2003-2006, All CasesCasesby State n=1364by State n=1364

VA5%

All Other7%

PA7%

DE4%

FL1%

DC1%

MD75%

Johns Hopkins HospitalJohns Hopkins HospitalLung Cancer, Non-Small Cell 2003-2006, Lung Cancer, Non-Small Cell 2003-2006, Analytic Class 1 & 2 by AJCC Stage n=1182Analytic Class 1 & 2 by AJCC Stage n=1182

0%

5%

10%

15%

20%

25%

30%

35%

Female (551) 13.8% 3.2% 11.9% 14.9% 3.3%

Male (631) 14.8% 2.6% 14.3% 19.5% 2.1%

AJCC I AJCC II AJCC III AJCC IV UNK

157

175

38

31

141

176

231169

3925

There were 4 class 0

Johns Hopkins HospitalJohns Hopkins HospitalLung Cancer, Non-Small Cell 2003-2006, Lung Cancer, Non-Small Cell 2003-2006, Analytic Class 1&2 by Treatment, n=1182Analytic Class 1&2 by Treatment, n=1182

No Tx8%

Chemo13%

Rad9%

Rad/ Chemo16%

Surg/ Chemo10%

Surg/ Rad/ Chemo7%

All Other5%

Surgery32%

Johns Hopkins HospitalJohns Hopkins HospitalLung Cancer, Non-Small Cell JHH vs MD vs Lung Cancer, Non-Small Cell JHH vs MD vs National Treatment, AJCC I 2003-2004National Treatment, AJCC I 2003-2004

Percentage %Percentage %

MarylandMaryland JHH JHHNationalNational

Surgery OnlySurgery Only 68.668.6 79.8 79.8 63.763.7

RadiationRadiation 5.85.8 2.1 2.1 9.59.5

Radiation & ChemotherapyRadiation & Chemotherapy 3.23.2 1.5 1.5 4.84.8

Chemotherapy onlyChemotherapy only 2.02.0 0.9 0.9 1.91.9

Surgery, Radiation & ChemotherapySurgery, Radiation & Chemotherapy 1.41.4 1.8 1.8 1.71.7

OtherOther 9.99.9 13.5 13.5 8.08.0

No TreatmentNo Treatment 9.09.0 0.3 0.3 10.210.2

TOTALTOTAL 100100 100 100 100100

Source NCDB, Commission on Cancer, ACoS/ACS

Johns Hopkins HospitalJohns Hopkins HospitalLung Cancer, Non-Small Cell JHH vs MD vs Lung Cancer, Non-Small Cell JHH vs MD vs National Treatment, AJCC II 2003-2004National Treatment, AJCC II 2003-2004

Percentage %Percentage %

MarylandMaryland JHH JHHNationalNational

Surgery OnlySurgery Only 12.412.4 30.4 30.4 33.833.8

RadiationRadiation 8.38.3 2.9 2.9 9.89.8

Radiation & ChemotherapyRadiation & Chemotherapy 32.432.4 1.4 1.4 12.812.8

Chemotherapy onlyChemotherapy only 13.613.6 4.3 4.3 3.43.4

Surgery, Radiation & ChemotherapySurgery, Radiation & Chemotherapy 10.310.3 15.9 15.9 9.59.5

OtherOther 9.19.1 43.4 43.4 20.020.0

No TreatmentNo Treatment 13.913.9 1.4 1.4 10.610.6

TOTALTOTAL 100100 100 100 100100

Source NCDB, Commission on Cancer, ACoS/ACS

Johns Hopkins HospitalJohns Hopkins HospitalLung Cancer, Non-Small Cell JHH vs MD vs Lung Cancer, Non-Small Cell JHH vs MD vs National Treatment, AJCC III 2003-2004National Treatment, AJCC III 2003-2004

Percentage %Percentage %

MarylandMaryland JHH JHHNationalNational

Surgery OnlySurgery Only 5.75.7 12.0 12.0 6.76.7

RadiationRadiation 9.19.1 8.4 8.4 13.413.4

Radiation & ChemotherapyRadiation & Chemotherapy 38.638.6 24.7 24.7 35.435.4

Chemotherapy onlyChemotherapy only 14.714.7 17.5 17.5 11.811.8

Surgery, Radiation & ChemotherapySurgery, Radiation & Chemotherapy 8.68.6 13.3 13.3 6.26.2

OtherOther 6.46.4 15.9 15.9 7.17.1

No TreatmentNo Treatment 16.816.8 8.1 8.1 19.319.3

TOTALTOTAL 100100 100 100 100100

Source NCDB, Commission on Cancer, ACoS/ACS

Johns Hopkins HospitalJohns Hopkins HospitalLung Cancer, Non-Small Cell JHH vs MD vs Lung Cancer, Non-Small Cell JHH vs MD vs National Treatment, AJCC IV 2003-2004National Treatment, AJCC IV 2003-2004

Percentage %Percentage %

MarylandMaryland JHH JHHNationalNational

Surgery OnlySurgery Only 2.52.5 3.2 3.2 1.71.7

RadiationRadiation 19.119.1 17.9 17.9 22.122.1

Radiation & ChemotherapyRadiation & Chemotherapy 20.920.9 23.8 23.8 24.224.2

Chemotherapy onlyChemotherapy only 23.023.0 24.6 24.6 19.719.7

Surgery, Radiation & ChemotherapySurgery, Radiation & Chemotherapy 1.21.2 4.9 4.9 1.01.0

OtherOther 5.35.3 12.0 12.0 4.64.6

No TreatmentNo Treatment 27.927.9 13.5 13.5 26.626.6

TOTALTOTAL 100100 100 100 100100

Source NCDB, Commission on Cancer, ACoS/ACS

Johns Hopkins HospitalJohns Hopkins HospitalLung Cancer, Non-Small Cell, 1998-1999, Lung Cancer, Non-Small Cell, 1998-1999, Analytic Class 1&2. Relative Survival n=474Analytic Class 1&2. Relative Survival n=474

0

10

20

30

40

50

60

70

80

90

100

0 12 24 36 48 60

Year

Perc

enta

ge

AJCC I AJCC I I AJCC I I I AJCC IV

Relative 5 Year SurvivalRelative 5 Year SurvivalLung Cancer, Non-Small Cell, 1998-1999, State Lung Cancer, Non-Small Cell, 1998-1999, State of Maryland, n = 3382of Maryland, n = 3382

0

10

20

30

40

50

60

70

80

90

100

0 12 24 36 48 60

Year

Perc

enta

ge

AJCC I AJCC I I AJCC I I I AJCC IV

Source NCDB, Commission on Cancer, ACoS/ACS

Relative 5 Year SurvivalRelative 5 Year SurvivalLung Cancer, Non-Small Cell, 1998-1999, Lung Cancer, Non-Small Cell, 1998-1999, Teaching Hospitals, n = 52313Teaching Hospitals, n = 52313

0

10

20

30

40

50

60

70

80

90

100

0 12 24 36 48 60

Year

Perc

enta

ge

AJCC I AJCC I I AJCC I I I AJCC IV

Source NCDB, Commission on Cancer, ACoS/ACS

Relative 5 Year SurvivalRelative 5 Year SurvivalNSCLC 1998-1999, JHH vs MD vs National AJCC NSCLC 1998-1999, JHH vs MD vs National AJCC Stage IStage I

0

10

20

30

40

50

60

70

80

90

100

0 12 24 36 48 60

Year

Perc

enta

ge

JHH National Maryland

Source NCDB, Commission on Cancer, ACoS/ACS

Relative 5 Year SurvivalRelative 5 Year SurvivalNSCLC 1998-1999, JHH vs MD vs National AJCC NSCLC 1998-1999, JHH vs MD vs National AJCC Stage IIStage II

0

10

20

30

40

50

60

70

80

90

100

0 12 24 36 48 60

Year

Perc

enta

ge

JHH National Maryland

Source NCDB, Commission on Cancer, ACoS/ACS

Relative 5 Year SurvivalRelative 5 Year SurvivalNSCLC 1998-1999, JHH vs MD vs National AJCC NSCLC 1998-1999, JHH vs MD vs National AJCC Stage IIIStage III

0

10

20

30

40

50

60

70

80

90

100

0 12 24 36 48 60

Year

Perc

enta

ge

JHH National Maryland

Source NCDB, Commission on Cancer, ACoS/ACS

Relative 5 Year SurvivalRelative 5 Year SurvivalNSCLC 1998-1999, JHH vs MD vs National AJCC NSCLC 1998-1999, JHH vs MD vs National AJCC Stage IVStage IV

0

10

20

30

40

50

60

70

80

90

100

0 12 24 36 48 60

Year

Perc

enta

ge

JHH National Maryland

Source NCDB, Commission on Cancer, ACoS/ACS