2014-2015 Commission on Cancer Update for Massachusetts Cancer Liaison Physicians Massachusetts Chapter American College Surgeons Peter Hopewood MD FACS CoC State Chair Congratulations to the following Hospitals CoC accredited during 2014 St. Elizabeth’s Medical Center Brighton Good Samaritan Medical Center Brockton Mercy Medical Center Springfield Signature Healthcare Brockton Hospital Health Alliance Hospitals Leominster Steward Carney Hospital Dorchester Tufts Medical Center Boston South Shore Hospital South Weymouth Lahey Clinic Hospital Burlington Beth Israel Deaconess Medical Center Boston Sturdy Memorial Hospital Attleboro Falmouth Hospital Falmouth Lowell General Hospital Lowell Holyoke Medical Center Holyoke Milford Regional Medical Center Milford Noble Hospital Westfield Cooley Dickinson Hospital Northampton Metrowest Medical Center Framingham Winchester Hospital Winchester Dana Farber/Brigham & Women’s Cancer Center Boston Lawrence General Hospital Lawrence Boston Medical Center Boston Mount Auburn Hospital Cambridge Northeast Hospital Corporation Beverly Beth Israel Deaconess Hospital Needham SPECIAL RECOGNITION COMMISSION ON CANCER 2013 OUTSTANDING ACHIEVEMENT AWARD GOOD SAMARITAN MEDICAL CENTER BROCKTON, MASS CANCER LIAISON PHYSICIAN RICHARD SAMAHA MD Cudos to these Hospitals ≥ 20% Referral rates to American Cancer Society (ACS) Lawrence General Hospital Holy Family Medical Center UMass Medical Center St. Vincent Hospital Mercy Medical Center Falmouth Hospital Cape Cod Hospital Mass 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 Prognosis Mark 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 DanaFarber 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 using NCDB, CDC and MA. DPH Data EVERY MARCH IS COLORECTAL 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. Massachusetts Comprehensive Cancer Prevention and Control Plan 2012-2016 www.macompcancer.org 16 Per 100,000 Age-Adjusted Incidence and Mortality Rates for Selected Cancers in Massachusetts, 2004-2008 180 160 140 120 100 80 60 40 20 0 162.2 133.5 71.6 48.5 51.1 23.8 Lung Prostate 22.2 Breast Incidence 16.7 6 1.4 Colorectal Cervical Mortality Massachusetts Comprehensive Cancer Prevention and Control Plan 2012-2016 www.macompcancer.org 17 Colorectal Ca Trends Massachusetts Men Women Incidence 2000-2012 Massachusetts Colon Cancer Rectal Cancer (note the different scales used) 0-750 scale 0-200 scale DIFFERENCE IN AGE AT PRESENTATION 2011 Mass. Colon Older Increases Rectal Older Decreases Stage at Diagnosis 2011 Mass. Colon Bell Curve peak Stage II Rectal Descending Peak Stage I Observed Chart Colon 'C180','C181','C182','C183','C184','C185','C186','C187','C188','C189','C260' (C)2014 National Cancer Data Base Generated on Nov-04-2014 s Observed Chart Rectum 'C209' (C)2014 National Cancer Data Base Generated on Nov-04-2014 CRC 5 years Survival by Stage All CoC cases from 2003-2006 Colon Cancer Rectal Cancer Observed 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-04-2014 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 2014 OVER 120 OSTRiCh MEMBERS MASSACHUSTTS MEMBERS BAYSTATE CAPE COD HEALTH LAHEY CLINIC MGH SOUTHCOAST 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 !