Lake Charles Memorial Health System. Community Outreach Annual Report on Cancer 2015

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1 Lake Charles Memorial Health System Community Outreach Annual Report on Cancer 2015

2 Highlighting Colorectal Cancer Colon and rectal cancers are the third most commonly diagnosed cancers and cause the third highest number of cancer deaths for men and women in the United States. This first half of this presentation contains information on colorectal cancer, including national and state statistics, risk factors, diagnosis and treatment options. The second half of this presentation contains information on all cancer-related outreach and support efforts conducted by Memorial Health System and our local partnering organizations in 2015.

3 Most Commonly Diagnosed Cancers and Mortality Rates among Men in the U.S. Type of Cancer Estimated U.S. New Cases 2015 Estimated U.S. Mortality Rate 2015 Prostate 220,800 27,540 Lung and 115,610 86,380 Bronchus Colon and Rectum 69,090 26,100 Projected cases are based on incidence data during from 49 states and the District of Columbia, as reported by the North American Association of Central Cancer Registries (NAACCR). Projected deaths are based on US mortality data from , National Center for Health Statistics, Centers for Disease Control and Prevention. American Cancer Society, Surveillance Research 2015

4 Most Commonly Diagnosed Cancers and Mortality Rates Among Women in the U.S. Type of Cancer Estimated U.S. New Cases 2015 Estimated U.S. Mortality Rate 2015 Breast 231,840 40,290 Lung and 105,590 71,660 Bronchus Colon and Rectum 63,610 23,600 Projected cases are based on incidence data during from 49 states and the District of Columbia, as reported by the North American Association of Central Cancer Registries (NAACCR). Projected deaths are based on US mortality data from , National Center for Health Statistics, Centers for Disease Control and Prevention. American Cancer Society, Surveillance Research 2015

5 Most Commonly Diagnosed Cancers in Louisiana and Type of Cancer Mortality Rates Estimated New Cases 2015 Estimated Mortality Rate 2015 Prostate 3, Lung & Bronchus 3,380 2,610 Colon & Rectum 2, Breast (Women) 2,

6 Incidence Rates

7 Incidence Rates

8 Risk Factors Poor Diet Diet high in red meats and processed meats, and lacking in fruits, vegetables and whole grains Lack of Physical Activity Obesity Smoking Heavy Alcohol Use Age People age 50+ Personal or Family History of Colorectal Cancer, Polyps or Inflammatory Bowel Disease

9 Cajun Heritage and Colorectal Cancer Research has shown that Cajun Americans have a disproportionately high rate of colorectal cancer. Further study is needed to rule out environmental factors and determine if the higher colorectal cancer rates in the Cajun population is a genetic susceptibility. For more information, visit: ectal-cancer-cajun-americans.aspx

10 Signs and Symptoms of Colorectal Cancer There are often no symptoms of colorectal cancer until it becomes a very advanced stage, which is why screenings are important. When symptoms do occur, they include: A change in bowel habits that lasts more than a few days The feeling of needing to have a bowel movement that doesn t go away even after doing so Rectal bleeding or blood in the stool Abdominal pain or cramping Fatigue Unintentional weight loss

11 Diagnosis of Colorectal Cancer As with all cancers, an early diagnosis can help play a major role in colorectal cancer survival. The best way to ensure an early diagnosis, or even prevent colorectal cancer, is to have regular colorectal cancer screenings. During a colonoscopy, polyps can often be found and removed before they have an opportunity to become cancerous. If cancer is detected, the stage of the cancer is determined.

12 Colorectal Cancer Staging Colorectal cancer staging is determined by how far the cancer has grown into the wall of the intestine, if it s spread to other nearby areas and if it s spread to the lymph nodes. The stage of cancer determines prognosis and the next course of treatment. For more information on colorectal cancer staging, visit: detailedguide/colorectal-cancer-staged

13 Colorectal Cancer Screening Various forms of colorectal cancer screenings are available. Consult your physician for more information on each type of testing to find out which is best for you. Fecal Occult Blood Testing Offered at Memorial each spring, free of charge and open to the public Stool DNA Test Sigmoidoscopy Colonoscopy Double Contrast Barium Enema CT Colonography (Virtual Colonoscopy) Most patients begin colorectal cancer screenings at age 50, and are recommended to have a new screening done every 10 years. Patients with high risk factors for developing colorectal cancer will often be advised to receive screenings earlier than age 50 and more often than every 10 years. If you have risk factors, such as a family history of colorectal cancer, consult your physician about the best screening schedule for you.

14 Colorectal Cancer Treatment Surgery Chemotherapy Targeted Therapy Radiation Therapy

15 Surgical Treatment of Colorectal Cancer Most often the main treatment for early stage colorectal cancer. Polypectomy and Local Excision Done with colonoscope during colonoscopy Colectomy Surgery to remove all or part of the colon and nearby lymph nodes Diverting Colostomy For patients with tumors blocking the colon and not allowing anything to move through, causing a great deal of nausea, vomiting and pain in the patient. Surgery is done to divert the part of the colon containing the tumor, and a stoma is placed so that the patient can begin cancer treatments without the severe blockage symptoms.

16 Chemotherapy Colorectal Cancer Treatment Chemotherapy Drugs that work by attacking fast-growing cells, such as cancer cells. Systemic Chemotherapy Drugs are injected into a vein or taken by mouth and pass through the bloodstream, reaching all areas of the body. Regional Chemotherapy Drugs are injected directly into an artery leading to the part of the body containing the tumor. Side effects are reduced because the drugs don t reach all areas of the body. This treatment is used less often than systemic chemo. Adjuvant Chemotherapy Chemo given after surgery, once all visible cancer has been removed. Can help prevent cancer from returning by killing smaller cells that may have remained after surgery. Neoadjuvant Chemotherapy Chemo given before surgery to shrink tumor and make surgery easier.

17 Targeted Therapy Colorectal Targeted Therapy Cancer Treatment Drugs that attack specific parts of cancer cells. Can be used instead of, or in addition to, chemotherapy. Different, but typically less severe side effects than chemotherapy. Given intravenously.

18 Radiation Therapy Colorectal Cancer Treatment High energy beams of radiation are specifically targeted to kill cancer cells. Often combined with chemotherapy to more effectively treat colon and rectal cancers. External Beam Radiation Therapy Radiation focused on cancer from a machine outside the body. Endocavitary Radiation Therapy Used for some rectal cancers, an instrument is placed into the rectum, where it delivers high-intensity radiation. Brachytherapy Small pellets of radioactive material are put into a tube that was inserted into, or next to, the cancer. The radiation from the pellets only travels a short distance, which limits the effects on the other areas of the body.

19 Cancer Outreach at Memorial

20 Programs Addressing Community Needs in 2015 Screening Programs 2015 Colorectal Cancer Screening Date Test Pickup March 17-19, Test Return March 31-April 2, 2015 Identified Areas of Community Need Required annual screening. Promoting early identification and better management of chronic diseases. Providing better access to screenings with the goal of decreasing late-stage diagnoses. Summary of Effectiveness 141 Kits Distributed 62 Kits Returned (44%) 4 Kits Positive for Fecal Occult Blood (3%) 58 Kits Negative Letters sent to positives encouraging follow up with physician. Guideline Used National Comprehensive Cancer Network (NCCN)

22 Programs Addressing Community Needs in 2015 Screening Programs CT Low Dose Lung Cancer Screening Date Ongoing Identified Areas of Community Need Required annual screening. Promoting early identification and better management of chronic diseases. Providing better access to screenings with the goal of decreasing late-stage diagnoses. Summary of Effectiveness 23 patients scanned 4 patients were advised to follow up with physician within one year 1 patient was advised to follow up with physician within six months 18 negatives Flyers mailed to 18,900 members of the community to promote the lung cancer screening and smoking cessation All Memorial Medical group primary care and cancer care physicians were sent a packet providing information on the screening and smoking cessation programs to pass along to their patients Guideline Used National Comprehensive Cancer Network (NCCN) Notes Offered to patients with referral from their physicians, for a low, flat fee of $250 for those whose insurance plans do not cover the screening. For more information, download the brochure

23 Programs Addressing Community Needs in 2015 Prevention Programs Get Healthy, Stay Healthy Wellness Program Date Ongoing Identified Areas of Community Need Establishing a wellness program to promote preventative activities to Memorial employees, local industry employees, and the community at large through seminars, screenings, exercise plans, health coaching and dietary counseling Summary of Effectiveness 1,330 currently enrolled in program Participants are given access to Wellsteps wellness tracking software education tools, healthy topic seminars and presentations, annual health screenings, physician referrals and diet and exercise counseling Guideline Used Wellsteps and American Cancer Society (ACS) For more information, please visit:

24 Programs Addressing Community Needs in 2015 Prevention Programs Free Smoking Cessation Classes Date Ongoing Identified Areas of Community Need Supporting and partnering with health organizations and community agencies that foster awareness, education and access to prevention and management of chronic diseases Improving access to healthcare services for the impoverished, uninsured and under-insured Promoting early identification and better management of chronic diseases through healthier eating, increased physical activity and living a tobacco-free lifestyle Summary of Effectiveness 92 people enrolled in the classes in 2015 Through the Get Healthy, Stay Healthy Wellness Program, Memorial employees who smoke are encouraged to enroll in the class Guideline Used American Cancer Society (ACS) LSU Tobacco Control Initiative Notes Classes offered every month by JoAnn Brooks, Tobacco Treatment Specialist through the LSU Tobacco Control Initiative at Moss Memorial campus.

26 Programs Addressing Community Needs in 2015 Prevention Programs Memorial Health System Smoke-Free Campuses Date September 1, Ongoing Identified Areas of Community Need Supporting and partnering with health organizations and community agencies that foster awareness, education and access to prevention and management of chronic diseases Promoting a tobacco-free lifestyle Summary of Effectiveness Educational opportunities and resources for Memorial patients and employees through Louisiana Tobacco Free Living and smoking cessation classes through LSU Tobacco Control Initiative at Moss Memorial campus Main Campus September 1 Approximately 50 employees, patients and guests received smoking cessation information during promotion of the health system going smoke-free. Women s Campus September 2 Approximately 20 received smoking cessation information Moss Memorial September 3 Approximately 25 received smoking cessation information Employees and patients were encouraged to use the opportunity of Memorial going smoke-free as a reason to quit smoking. Guideline Used American Cancer Society (ACS) LSU Tobacco Control Initiative Louisiana Tobacco Free Living

27 Smoking Cessation On September 1, 2015, all Memorial Health System campuses went smoke free! This includes all tobacco products and vaping devices. For more information on Memorial s new smoke free status, visit lcmh.com/smoking. Please visit lcmh.com/cessation for information on smoking cessation resources available. Every cigarette causes damage. It s never too late to quit!

29 Programs Addressing Community Needs in 2015 Community Education and Health Fairs Colon Health: What You Don t Know Could Be Hurting You seminar with Dr. Frank Marrero Date March 27, 2015 Identified Areas of Community Need Promoting early identification and better management of chronic diseases Summary of Effectiveness 50 people attended The importance of colorectal cancer screenings, the different types of colorectal cancer screenings available, and what to look for in a GI physician and screening to ensure most effective outcomes Guideline Used NCCN ACS

31 Lake Charles Memorial Community Education on Cancer 2015 Community Education and Health Fairs Iowa Walmart Health Fair January 20, 2015 Representatives from the Wellness program discussed healthy lifestyles, Memorial s cancer services and Patient Navigation program 75 Attended Iowa, Louisiana Walmart SOWELA Community College Health Fair April 15, 2015 and April 20, 2015 Representatives from the Wellness program discussed healthy lifestyles, Memorial s cancer services and cancer Patient Navigation program 115 Attended 4/15, 52 Attended 4/20 SOWELA Technical Community College Lake Charles Campus Martin Luther King Senior Center Health Fair April 30, 2015 Representatives from the Wellness program discussed healthy lifestyles including how eating right and exercising can lead to the prevention of cancer and other chronic diseases 50 Attended Martin Luther King Senior Center

32 Lake Charles Memorial Community Education on Cancer in 2015 Community Education and Health Fairs City of Lake Charles Employee Health Fair May 5-7, 2015 Representatives from the Wellness program discussed healthy lifestyles and promoted smoking cessation classes, cancer Patient Navigation program, and the importance of regular primary care checkups Approximately 500 Attended Various City of Lake Charles Employment Locations Colon and Digestive Health Talk with Dr. Khaled Nour for Phillips 66 Employees May 13, 2015 Dr. Nour, gastroenterologist, discussed overall digestive health and the importance of colorectal cancer screenings in the early detection/prevention of colorectal cancer. 52 Attended Phillips 66 in Westlake, LA Louisiana Athletic Trainers Conference June 3-5, 2015 Representatives from the Wellness program discussed healthy lifestyles including, our smoking cessation classes and cancer Patient Navigation services 45 Attended Isle of Capri Casino

33 Lake Charles Memorial Community Education on Cancer in 2015 Community Education and Health Fairs Firestone Health Fair September 12, 2015 Representatives from the Wellness program discussed healthy lifestyles, cancer services and smoking cessation classes offered at Memorial, and the Patient Navigation program Approximately 300 Attended West Calcasieu Cameron Arena Louisiana Pigment Health Fair September 26, 2015 Representatives from the Wellness program discussed healthy lifestyles, Memorial s cancer services, smoking cessation program and cancer Patient Navigation program 150 Attended Burton Coliseum Phillips 66 Employee Health Fair and Screening October 7, 2015 Representatives from the Wellness program and Memorial Cancer Center gave information about our cancer services and smoking cessation program and did biometric screenings of all participating employees 200 Attended Phillips 66 in Westlake, LA

34 Lake Charles Memorial Community Education on Cancer in 2015 Community Education and Health Fairs SOWELA Community College Health Fair October 14, 2015 Representatives from the Wellness program discussed breast cancer prevention and detection and healthy eating 150 Attended SOWELA Technical Community College Lake Charles Campus Calcasieu Council on Aging Halloween Health Fair October 30, 2015 Memorial representative had a table and discussed cancer services and Patient Navigation program, CT Lung Scan, breast cancer prevention and detection and smoking cessation classes Approximately 450 Attended Sulphur Parks and Recreation Center Westlake Chemical Health Fair November 12, 2015 Representatives from the Wellness program distributed information on the CT lung cancer screening, smoking cessation program and healthy eating 250 Attended Westlake Chemical Great American Smokeout November 19, 2015 Memorial representatives had tables with smoking cessation information and resources set up at the main campus and Memorial for Women. Approximately 150 people Memorial Hospital and Memorial Hospital for Women

35 Lake Charles Memorial Community Education on Cancer in 2015 Print Media Colorectal Cancer Screening Ads and Press Release 3/4/2015 Distributed to various local print media to promote annual Colorectal Cancer Screening Colon Health seminar Ads and and Press Release 3/11/2015 Distributed to various local print media to promote seminar with gastroenterologist Dr. Frank Marrero New Prostate Cancer-Fighting Drug Available Spring 2015 Issue of Memorial Medical Milestones contained this article in which Dr. James Maze, radiologist, discussed Xofigo injections to treat prostate cancer that has metastasized New Diagnostics in the Fight Against Lung Cancer Summer 2015 Issue of Memorial Medical Milestones contained this article in which Dr. Clifford Courville, pulmonologist, discussed endobronchial ultrasound (EBUS) Jambalaya News Breast Health Issue Early October 2015 Issue of Jambalaya News was sponsored by Memorial and contained a cover feature on breast cancer survivor Rachel Meer s medical journey from diagnosis to completion of treatment. Story also featured Lenore Hayes, Patient Navigator _150 Jambalaya News Men s Health Issue Late October 2015 Issue of Jambalaya News was sponsored by Memorial and contained a cover feature on men s health issues and included information about lung, colorectal and prostate cancer screenings for men _150

36 Lake Charles Memorial Community Education on Cancer in 2015 Broadcast Media Cancer Support Group 2/4/15 on KPLC Midday Colorectal Cancer Screening 3/18/15 on KPLC Midday Divas N Denim benefitting Cancer Care Fund at Memorial 4/16/15 on KPLC Midday Memorial Going Smoke Free 9/2/15 on KPLC Midday Beyond the Pink program sponsorship 10/12/15 on KPLC, later on KPLCTV.com Breast Cancer Radiation Oncology Treatments 10/28/15 on KPLC Midday CT Lung Scan Cancer Screening 11/11/15 on KPLC Midday

37 Lake Charles Memorial Community Education on Cancer in 2015 Digital Media Ongoing - Monthly Cancer E-Newsletter Sent to Subscribers 1/6/15 Support Groups at LCMH Facebook 1/23/15 African American Male Cessation Initiative Event at SWLA Center for Health Services Facebook 2/18/15 Physician Spotlight on Dr. Thomas Strong, Surgeon Facebook 3/10/15 LCMH Received Nine Awards at ACS Evening of Recognition Facebook 3/10/15 Memorial offers free colorectal cancer screening Facebook 3/17/15 Memorial offers free colorectal cancer screening Facebook 3/20/15 Colon Health seminar promotion Facebook 3/23/15 Memorial Cancer Center is now treating patients with Xofigo injections to treat late stage prostate cancer Facebook 3/27/15 Colon Health seminar promotion Facebook 4/1/15 Physician Spotlight on Dr. Michael Broussard, Oncologist Facebook 4/28/15 Featured Cancer Survivor Ringing the Bell Facebook 5/7/15 Oncology Nurse Spotlight 1 Facebook 5/15/15 Oncology Nurse Spotlight 2 Facebook 5/22/15 Oncology Nurse Spotlight 3 Facebook

38 Lake Charles Memorial Community Education on Cancer in 2015 Digital Media 5/29/15 Oncology Nurse Spotlight 4 Facebook 6/10/15 Physician Spotlight on Dr. William Moss, Surgeon Facebook 8/11/15 Memorial Going Smoke Free - Facebook 8/17/15 CT Lung Scan Cancer Screening Facebook 8/31/15 Memorial Going Smoke Free Facebook 9/1/15 Memorial Goes Smoke Free Facebook 9/28/15 Breast Health Starts Here Facebook 10/1/15 Jambalaya News Rachel Meer cover - Facebook 10/2/15 Breast Health Starts Here - Facebook 10/7/15 Phillips 66 Health Fair - Facebook 10/9/15 Mammograms and Breast Health Facebook 10/12/15 Beyond the Pink sponsorship on KPLCTV.com 11/4/15 Physician Spotlight on Dr. Sarpreet Basra, Gastroenterologist - Facebook 11/19/15 Great American Smokeout - Facebook 11/20/15 CT Lung Scan Cancer Screening - Facebook 12/9/15 Physician Spotlight on Dr. Craig Broussard, Pulmonologist

39 Support Services Available LCMH Patient Navigator Program Lenore Hayes, Patient Navigator, helps and guides patients through their continuum of care at Memorial, from diagnosis to completion of treatment.

40 Support Services Available Support Groups Life, Hope, Courage Cancer Support Group For those newly diagnosed, in treatment, or who have completed treatment. Family members welcome. Meets on the second Wednesday of each month from 11:45am 1pm in the Medical Staff Office at Memorial s Main Campus. Call for more details. Bosom Buddies Breast Cancer Support Group Meets on the second Tuesday of each month at 6pm. Contact the American Cancer Society at for more information. Sisters Surviving Cancer Support Group Meets on the third Tuesday of each month at 6pm at Lake Charles Memorial Hospital. Contact the American Cancer Society at for more information.

41 Support Services Available Support Groups Man to Man Prostate Cancer Support Group Meets on the third Mondayof the month at 6pm. Contact the American Cancer Society at for more information. Look Good Feel Better A free program that helps women look their best during cancer treatment. Contact the American Cancer Society at for more information. I Can Cope An educational program for cancer patients and their families on the cancer process, financial impact of cancer, nutrition, pain management, treatment, side effects, emotions, self-esteem and community resources. Contact the American Cancer Society at for more information. Cherish Life with Cancer Support Group Meets every third Tuesday of the month at 10am at Cross Roads Church, Overflow Building, 338 Hwy 171 in Moss Bluff. For more information, contact Roxanne Thibodeaux at

42 Sources American Cancer Society. Cancer Facts and Figures (2015). cerfactsfigures2015/index American Cancer Society. Colorectal Cancer Facts and Figures olorectal-cancer-facts-and-figures

Lake Charles Memorial Health System. Community Outreach Annual Report on Cancer 2016

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