Implementing Breast Cancer Survivorship National Cancer Centre Singapore

Size: px
Start display at page:

Download "Implementing Breast Cancer Survivorship National Cancer Centre Singapore"

Transcription

1 Team Members Implementing Breast Cancer Survivorship National Cancer Centre Singapore Dr Ho Gay Hui & Ms Tan Beng Le Surgical Oncology & Nursing Ms Tan Beng Le Ms Mabel Tan May Leng Ms Clair Khoo Ms Chan Mei Mei Dr Ho Gay Hui A/Prof Koong Heng Nung Dr Oey Chung Lie Dr Kathleen Thung Dr Khoo Sork Hoon Advanced Practice Nurse Advanced Practice Nurse (Intern) Advanced Practice Nurse, School of Health Sciences (Nursing), Nanyang Polytechnic Deputy Director, Nursing Senior Consultant, Surgical Oncology Head & Senior Consultant, Surgical Oncology, NCCS Senior Resident Physician Resident Physician Resident Physician The Need for Breast Cancer Survivorship Programme Breast cancer has been the TOP cancer among females in Singapore for many years. Almost 700 new cases of breast cancer seen by Surgical Breast Service on Outram Campus annually. From , NCCS treated approx 6,000 breast cancer patients and to date, 85% of them are surviving (> 5000 survivors). Cancer Survivorship Issues Medical / Physical cancer recurrence pain, lymphoedema of the arm, cardiac dysfunction lack of energy, feeling unwell fertility issues Psychological fear of cancer recurrence or cancer spreading depression, anxiety, uncertainty, isolation, sadness altered body image Social changes to lifestyle changes in interpersonal and sexual relationships concerns regarding health or life insurance employment, financial situation Existential and Spiritual sense of purpose or meaning appreciation of life The Need for Breast Cancer Survivorship Programme Rapidly growing pool of breast cancer survivors, requiring life-long follow-up Culturally, cancer survivors do not feel comfortable to be followed-up by GP or Family Physician. They prefer to be followed-up by cancer specialists at NCCS The Solution The Advanced Practice Nurse (APN)-led Breast Cancer Survivorship Programme (BCSP) - aims to provide holistic and quality care for survivors. Successful management of breast cancer includes enhancing quality of life and reducing unmet needs. 1

2 Role of APN Performs clinical assessment of patient for cancer recurrence & treatment-related side-effects: Provides general health education, eg, healthy lifestyle Recommends cervical & colorectal cancer screening, based on MOH GCP Guidelines Discusses patient s concerns & clinico-radiological findings with Dr Orders appropriate tests & imaging Coordinates follow-up care Referrals to other specialists when necessary Aug 2006 Oct 2006 Oct Oct 2007 Nov 2007 Apr 2008 Apr 2008 Sep 2008 Milestones Proposal to School of Nursing, NYP Collaborative Agreement between NCCS and NYP APN Internship & On-The-Job Training Applied for Healthcare Quality Improvement & Innovation Fund Grant, Ministry of Health (Apr 2008 July 2012) Piloted APN-led Breast Cancer Survivorship NCCS Applied to Cancer Research & Education Fund, NCCS Visits to Memorial-Sloan Kettering Cancer Center, New York City, & John Hopkins Avon Foundation Breast Center, Baltimore Conceptualisation & Preparatory Work Designed standardised follow-up protocol for APNs use to ensure systematic approach in clinical assessment. Developed a protocol and workflow for the management of survivors with abnormal FOBT results. Collaboration with SingHealth polyclinics to make Faecal Occult Blood Test (FOBT) and Pap smear more convenient for survivors. Breast Cancer Survivorship National Cancer Centre Singapore Patient Eligibility Criteria Patients who are under the care of Surgical Oncology Dept at NCCS No evidence of recurrence for at least 5 years since diagnosis/treatment Singapore citizens or residents No history of other types of cancer Do not have complex medical co-morbidities or physical disability Clinical Review by APN Performs health assessment: takes medical history performs physical examination reviews test results, eg., mammography, BMD Provides general health education - healthy lifestyle, diet, exercise, etc Recommends PAP smear and Faecal Occult Blood Test (FOBT) or screening colonoscopy, if appropriate 2

3 Breast Cancer Survivorship NCCS On the day of doctor s appointment, APN reviews the survivor Breast Cancer Survivorship NCCS On the day of doctor s appointment, APN reviews the survivor APN discusses patient s concerns, clinical findings and test results with Dr APN discusses patient s concerns, clinical findings and test results with Dr Dr reviews patient Dr reviews patient APNs track results of cancer screening tests & inform survivors; arrange further tests if necessary. APNs develop patient educational materials. APNs maintains a database. NCCS From April 2008 to July 2012, 313 breast cancer survivors participated in the programme with 792 clinic visits. Outcome of Our Survivors Recurrence of breast cancer 7 Mean age: Mean disease-free survival: Stage of disease at diagnosis: 62 years 11 years (max 25 years) New breast cancer 4 New colorectal cancer 3 New endometrial cancer 1 New stomach cancer 1 New thyroid cancer 1 Outcome of Our Survivors Results of Screening Tests No. of Examinations Abnormal Result Outcome of Survivors with Abnormal Results No. of Examinations Abnormal Result Outcome of Survivors with Abnormal Results Mammogram 779 Clinical Breast Examination (3.3%) 3 (1.0%) Needle biopsy results: - 3 new breast cancer - 1 recurrent cancer - 6 benign conditions Needle biopsy results: - 1 new breast cancer - 2 benign conditions Pap smear 119 FOBT (Faecal Occult Blood Test) 1 (0.8%) (13%) Colonoscopy 9 0 CIN III (pre-malignant cervical cancer) Colonoscopy findings: - 1 pre-cancerous polyp - 25 Benign findings (piles, polyps, etc) or normal 9 Benign findings (piles, polyps, etc) or normal 3

4 Patient Satisfaction with & Acceptability of the APN-Led Breast Cancer Survivorship Programme Objectives Determine level of patient satisfaction with and acceptance of care provided by APNs. Ascertain information needs of these survivors. Patient Satisfaction with & Acceptability Reference to published literature, modified for local context. 26-item questionnaire structured with positive words and measured using Likert scale format. Questionnaire available in English or Chinese Patient satisfaction level was evaluated based on survivors perceptions of: APN s communication skills APN s clinical knowledge and skills APN s adequacy in general health education Survivor s acceptance to long term follow-up care by APN alone, and see doctor only when necessary. Survivor s perception of the importance of various information needs. Medical care provided by APN was equivalent to that by Dr 4

5 103 consecutive patients were interviewed on the day of clinic appointment between 1 Oct Mar 2010 Survivors Assessment of APNs APNs had good clinical knowledge and skills: 100% APNs had good communication skills: 99% APNs provided adequate general health education: 98% Median age: Median Disease-free survival: 60 yrs 7 yrs Medical care provided by APNs was equivalent to that provided by the doctor: 90% Proportion of survivors who felt comfortable to be checked by an APN alone and only see the doctor when necessary for their future visit: 60% The relationship of acceptance to follow-up care by APN alone & be referred to the Dr only when necessary and others possible factors Possible Factors Statistic tests p value Age Group Fisher s Exact Test Disease_Free (Year) Mann-Whitney U Test Education Level Fisher s Exact Test Employment Status Chi-Square Test Presence of Financial Difficulty Fisher s Exact Test Stage of Disease at Diagnosis Chi-Square Test Type of Surgery Received Fisher s Exact Test Chemotherapy Chi-Square Test Results of Survey 99% survivors were satisfied with the care provided by APNs 84.5% survivors rated the care they received from as good or excellent. 75% would recommend the programme to others who require breast cancer follow-up care. Radiation Therapy Chi-Square Test Hormonal Therapy Chi-Square Test Rank Item % of pats ranked as Important 1 Long-term side effects of treatment, eg, arm swelling, pain, numbness,etc Fear of recurrence of breast cancer Lifestyle changes after breast cancer diagnosis, eg, diet, exercise 4 Hereditary factors, eg, could the cancer be passed on to family members? Feeling fatigued and decreased physical function Depression / anxiety Breast cancer related resources and support groups Use of complementary therapy / traditional medicine Acceptance by family and friends Body image concerns, eg, breast reconstruction Sexual health and fertility 21.4 Brochure to introduce BCSP to new survivors Brochure on Cervical & Colorectal Cancer Screening Guidelines 5

6 DVD to address the top 3 information needs Breast Cancer Survivorship Forum 2012 Summary The Breast Cancer Survivorship Programme can provide comprehensive and quality care for breast cancer survivors; APNs complement the doctors. Implementation of NCCS as a standard of care for breast cancer survivors in August Future Directions To establish BCSP as the main programme to provide long-term follow-up care for breast cancer NCCS, across the various clinical depts Establish collaboration with NHG polyclinics to enhance convenience for FOBT and Pap smear tests To expand the scope of APN-led clinical review: - psychosocial health assessment Acknowledgements Ms Chua Gek Phin & Ms Chan Mei Mei, Dept of Nursing, NCCS Ms Wong Luan Wah, Director, School of Health Sciences (Nursing), Nanyang Polytechnic Healthcare Quality Improvement & Innovation Fund, MOH Cancer Research & Education Fund, NCCS Conduct research on survivorship issues, eg. QoL To establish survivorship programmes for other tumour types 6

7 7

Is cancer a chronic disease? Prof. Dace Baltina Riga East University Hospital Ministry of Health

Is cancer a chronic disease? Prof. Dace Baltina Riga East University Hospital Ministry of Health Is cancer a chronic disease? Prof. Dace Baltina Riga East University Hospital Ministry of Health Cancer survival statistics 50% of adult cancer patients diagnosed in 2010-2011 in England and Wales are

More information

Throwing light on the consequences of cancer and its treatment

Throwing light on the consequences of cancer and its treatment Throwing light on the consequences of cancer and its treatment Lesley Smith Consequences of Treatment Programme Manager at Macmillan Cancer Support & the National Cancer Survivorship Initiative The London

More information

Cancer Survivorship Consortia International Research & Clinical Priorities: Australia

Cancer Survivorship Consortia International Research & Clinical Priorities: Australia Cancer Survivorship Consortia International Research & Clinical Priorities: Australia Afaf Girgis PhD Centre for Health Research & Psycho-oncology (CHeRP) Cancer Council NSW, University of Newcastle, Hunter

More information

Samantha A. Carlson, LMSW OSW-C Director of Social Services Kalamazoo, MI

Samantha A. Carlson, LMSW OSW-C Director of Social Services Kalamazoo, MI Samantha A. Carlson, LMSW OSW-C Director of Social Services Kalamazoo, MI Value of Survivorship Clinics: What they are, why the are being created, and supporting data and research Comprehensive Survivor

More information

The Late Consequences of Cancer Treatment The Impact & Management of the Late Effects of Pelvic Cancer Treatments

The Late Consequences of Cancer Treatment The Impact & Management of the Late Effects of Pelvic Cancer Treatments The Late Consequences of Cancer Treatment The Impact & Management of the Late Effects of Pelvic Cancer Treatments Lesley Smith Consequences of Treatment Programme Manager at Macmillan Cancer Support &

More information

Information Sources and Preferred Information Sources and Online Information Seeking Behaviour of Cancer Patients

Information Sources and Preferred Information Sources and Online Information Seeking Behaviour of Cancer Patients Information Sources and Preferred Information Sources and Online Information Seeking Behaviour of Cancer Patients G.P. Chua, RN, MN H.K. Tan, FRCSEd; PhD M. Gandhi, MSc 1 Introduction Information provision

More information

RICHARD FIELDING SCHOOL OF PUBLIC HEALTH, HKU, & JOCKEY CLUB INSTITUTE OF CANCER CARE, HONG KONG

RICHARD FIELDING SCHOOL OF PUBLIC HEALTH, HKU, & JOCKEY CLUB INSTITUTE OF CANCER CARE, HONG KONG TOWARD INTEGRATING DISTRESS MANAGEMENT INTO ROUTINE CANCER CARE: EXPERIENCES AMONG THE ASIAN PACIFIC PSYCHO- ONCOLOGY NETWORK UNDERSTANDING THE DISTRESS FOLLOWING A CANCER DIAGNOSIS RICHARD FIELDING SCHOOL

More information

th Medical Group Report Card

th Medical Group Report Card 2015 366th Medical Group Report Card What is Quality Healthcare? Quality healthcare can be defined as the extent to which patients get the care they need in a manner that most effectively protects or restores

More information

Quality of Life Instrument - Breast Cancer Patient Version

Quality of Life Instrument - Breast Cancer Patient Version NATIONAL MEDICAL CENTER AND BECKMAN RESEARCH INSTITUTE Dear Colleague: Quality of Life Instrument - Breast Cancer Patient Version The Quality of Life Instrument (BREAST CANCER PATIENT VERSION) is a forty-six

More information

COLORECTAL CANCER: A CHALLENGE FOR HEALTHY LIFESTYLE, SCREENING AND PROPER CARE

COLORECTAL CANCER: A CHALLENGE FOR HEALTHY LIFESTYLE, SCREENING AND PROPER CARE COLORECTAL CANCER: A CHALLENGE FOR HEALTHY LIFESTYLE, SCREENING AND PROPER CARE Brno, 29 May 2015: For the fourth time in a row, the second largest city of the Czech Republic will host the European Colorectal

More information

Establishing a Survivorship Program Within a Large Academic Medical Center

Establishing a Survivorship Program Within a Large Academic Medical Center Establishing a Survivorship Program Within a Large Academic Medical Center Andrew J. Ward FNP-BC Surgical Oncology, The University of Tennessee Medical Center Disclosures I have no disclosures. Program

More information

Faster Cancer Treatment: Using a health target as the platform for delivering sustainable system changes

Faster Cancer Treatment: Using a health target as the platform for delivering sustainable system changes Faster Cancer Treatment: Using a health target as the platform for delivering sustainable system changes Organisation Name: Ko Awatea, Counties Manukau Health Presenter: Bob Diepeveen HRT 1520 Innovations

More information

Transforming Cancer Follow-up

Transforming Cancer Follow-up Transforming Cancer Follow-up Mary Jo Thompson Macmillan TCFU Regional Programme Manager - NICaN Martha Magee Macmillan TCFU Project Manager WHSCT Strategic context Principles for Change Integrated care

More information

Cancer Survivorship in the U.S.A: Models of Follow-up Care

Cancer Survivorship in the U.S.A: Models of Follow-up Care National Cancer Institute U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Cancer Survivorship in the U.S.A: Models of Follow-up Care Julia H Rowland, PhD, Director Office of

More information

Colorectal Cancer- QI process and clinic success: A Case Study at Atascosa Health Center

Colorectal Cancer- QI process and clinic success: A Case Study at Atascosa Health Center Colorectal Cancer- QI process and clinic success: A Case Study at Atascosa Health Center Kaela Momtselidze Health Systems Manager Primary Care Systems American Cancer Society Sheri Frank Director of Corporate

More information

Certified Breast Care Nurse (CBCN ) Test Content Outline (Effective 2018)

Certified Breast Care Nurse (CBCN ) Test Content Outline (Effective 2018) Certified Breast Care Nurse (CBCN ) Test Content Outline (Effective 2018) I. Coordination of Care - 26% A. Breast health, screening, early detection, risk assessment and reduction 1. Issues related to

More information

Development and pilot testing of a comprehensive support package for bowel cancer survivors

Development and pilot testing of a comprehensive support package for bowel cancer survivors Development and pilot testing of a comprehensive support package for bowel cancer survivors Michael Jefford, Carl Baravelli, Megan Rogers, Penelope Schofield, Kerryann Lotfi-Jam, Meinir Krishnasamy, Carmel

More information

National Cancer Institute

National Cancer Institute Julia H. Rowland, Ph.D., Director! Office of Cancer Survivorship! National Cancer Institute National Institutes of Health DHHS Fitzhugh Mullan, N Engl J Med 1985; 313:270-273 Visibility of Cancer Survivorship

More information

Lynne S. Padgett PhD Rehabilitation Psychologist, Consultant

Lynne S. Padgett PhD Rehabilitation Psychologist, Consultant Lynne S. Padgett PhD Rehabilitation Psychologist, Consultant lynnepadgett@gmail.com WHAT HOW Financial challenges + Missed work + Dating/sexuality + Fatigue + Dizziness + Cognitive symptoms = National

More information

Tailoring Cancer Survivorship Treatment Summaries and Care Plans in the Era of Patient Centered Care

Tailoring Cancer Survivorship Treatment Summaries and Care Plans in the Era of Patient Centered Care Tailoring Cancer Survivorship Treatment Summaries and Care Plans in the Era of Patient Centered Care Michelle Shayne, MD, FACP Associate Professor of Medicine and Oncology Clinical Co Director, Judy DiMarzo

More information

Cancer Screening Program in GEORGIA

Cancer Screening Program in GEORGIA Cancer Screening Program in GEORGIA International Health Policy Forum May 4-6 2017 Tbilisi, Georgia Prof. Rema Gvamichava Director Georgian National Screening Center Epidemiology Breast, Cervical and Colorectal

More information

A Model of Shared-Care of the Cancer Survivor. Mary S. McCabe

A Model of Shared-Care of the Cancer Survivor. Mary S. McCabe A Model of Shared-Care of the Cancer Survivor Mary S. McCabe Survivorship Care: An International Endeavor Cancer Survivors Risks of Health Outcomes Comorbidities Lifestyle Behaviors Exposures Surgery Chemotherapy

More information

The Changing Cancer Patient Experience: What do we know and where should we go? Prof. Kerri Clough 22 September 2018

The Changing Cancer Patient Experience: What do we know and where should we go? Prof. Kerri Clough 22 September 2018 The Changing Cancer Patient Experience: What do we know and where should we go? Prof. Kerri Clough 22 September 2018 Who am I? A public heath professional Professor of cancer epidemiology Director of National

More information

16 May/June 2014 Energy Magazine

16 May/June 2014 Energy Magazine 16 Healing Touch An Integrative Therapy in Outpatient Oncology Debra Reis, MSN, RN, CNP, Program Coordinator - Healing Care, ProMedica Cancer Institute Tisha Jones, MSW, ProMedica Hickman Cancer Center

More information

Survivorship Care Plans in Gynae-oncology an interactive discussion

Survivorship Care Plans in Gynae-oncology an interactive discussion Survivorship Care Plans in Gynae-oncology an interactive discussion Nicole Kinnane Project Manager Australian Cancer Survivorship Centre Nurse Co-ordinator Gynae-oncology Peter Mac Survivorship Care Plans

More information

Adult cancer survivorship

Adult cancer survivorship Adult cancer survivorship Jennifer M. Jones, PhD Director of Research, Cancer Survivorship Program and Centre for Health Wellness and Cancer Survivorship (ELLICSR) Princess Margaret Cancer Centre, UHN

More information

CANCER SCREENING. Er Chaozer Department of General Medicine, Tan Tock Seng Hospital

CANCER SCREENING. Er Chaozer Department of General Medicine, Tan Tock Seng Hospital CANCER SCREENING Er Chaozer Department of General Medicine, Tan Tock Seng Hospital Introduction Screening average risk patients Benefits and harms from screening Early cancer detection early treatment

More information

A patient s guide to understanding. Cancer. Screening

A patient s guide to understanding. Cancer. Screening A patient s guide to understanding Cancer Screening Contents 04 06 10 12 Cancer Screening Who Should Go For Cancer Screening 05 Nasopharyngeal Carcinoma Colorectal Cancer 08 Lung Cancer Liver Cancer Breast

More information

NCIN Conference Feedback 2015

NCIN Conference Feedback 2015 NCIN Conference Feedback 2015 Parallel Sessions Treatments (Black type is the topic; blue type are comments) The use of population and research data in the development of guidelines for cancer treatment

More information

INFORMATION AND SUPPORTIVE CARE NEEDS OF INDIVIDUALS WITH BLADDER CANCER

INFORMATION AND SUPPORTIVE CARE NEEDS OF INDIVIDUALS WITH BLADDER CANCER INFORMATION AND SUPPORTIVE CARE NEEDS OF INDIVIDUALS WITH BLADDER CANCER ROBIN MORASH APN, URO-ONCOLOGY JUNE 23, 2018 www.ottawahospital.on.ca Affiliated with Affilié à PRESENTATION CONTENT Overview of

More information

Breast Health Quality Consortium. All Member Meeting Survivorship. March 30, 2016 BHQC. Breast Health Quality Consortium

Breast Health Quality Consortium. All Member Meeting Survivorship. March 30, 2016 BHQC. Breast Health Quality Consortium Breast Health Quality Consortium All Member Meeting Survivorship March 30, 2016 BHQC Breast Health Quality Consortium Breast Health Quality Consortium Goal: Reduce disparities in breast cancer mortality

More information

2017 CANCER ANNUAL REPORT

2017 CANCER ANNUAL REPORT 2017 CANCER ANNUAL REPORT A WORD FROM OUR LEADERSHIP We are pleased to present our 2017 Annual Report highlighting advances in state of the art cancer care at the Roper St. Francis Cancer Program. Our

More information

Oncology Report to the Community. Northwestern Medicine Central DuPage Hospital and Northwestern Medicine Delnor Hospital

Oncology Report to the Community. Northwestern Medicine Central DuPage Hospital and Northwestern Medicine Delnor Hospital Oncology Report to the Community Northwestern Medicine Central DuPage Hospital and Northwestern Medicine Delnor Hospital 1 Contents Letter from Leadership.... 1 Survivorship: Life After Cancer Treatment....

More information

A senior s guide for preventative healthcare services Ynolde F. Smith D.O.

A senior s guide for preventative healthcare services Ynolde F. Smith D.O. A senior s guide for preventative healthcare services Ynolde F. Smith D.O. What can we do to prevent disease? Exercise Eating Well Keep a healthy weight Injury prevention Mental Health Social issues (care

More information

Jan Feb Mar Apr May Jun Jul Aug Sep X X X X X X X. Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov X X X X X X X X X X X X X

Jan Feb Mar Apr May Jun Jul Aug Sep X X X X X X X. Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov X X X X X X X X X X X X X Primary Prevention Breast Cancer Prevention Member: Mammography reminder letters to female members ages 51.5-74 who are overdue to get a mammogram Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Providers:

More information

SURVIVORSHIP WITH LYMPHOMA APRIL SHAMY MD,CM JEWISH GENERAL HOSPITAL MCGILL UNIVERSITY

SURVIVORSHIP WITH LYMPHOMA APRIL SHAMY MD,CM JEWISH GENERAL HOSPITAL MCGILL UNIVERSITY SURVIVORSHIP WITH LYMPHOMA APRIL SHAMY MD,CM JEWISH GENERAL HOSPITAL MCGILL UNIVERSITY Some Statistics Approximately 1 in 2 Canadians develop cancer 25% of Canadians die of cancer 2009: 810,000 Canadians

More information

The Current Landscape of Nurse Navigators: Oncology and the Impact on Outcomes

The Current Landscape of Nurse Navigators: Oncology and the Impact on Outcomes The Current Landscape of Nurse Navigators: Oncology and the Impact on Outcomes SHERYL RILEY RN, OCN, CMCN DIRECTOR OF CLINICAL SERVICES SAI SYSTEMS SRILEY@SAISYSTEMS.COM 2015 SAI SYSTEMS INTERNATIONAL

More information

HTA commissioned call

HTA commissioned call HTA commissioned call BACKGROUND 2002 NICE Guidance for Early Breast Cancer Discharge asymptomatic patients from hospital follow-up by 3 years. 2007 Questioning specialists attitudes to breast cancer follow-up

More information

A RANDOMISED CONTROLLED TRIAL OF CONQUER FEAR DELIVERED IN A GROUP FORMAT

A RANDOMISED CONTROLLED TRIAL OF CONQUER FEAR DELIVERED IN A GROUP FORMAT A RANDOMISED CONTROLLED TRIAL OF CONQUER FEAR DELIVERED IN A GROUP FORMAT Nina Moeller Tauber, MSc. in psychology and Ph.D. fellow 1, Professor Robert Bobby Zachariae 1, Associate Professor Mia Skytte

More information

Prostate cancer was the most commonly diagnosed type of cancer among Peel and Ontario male seniors in 2002.

Prostate cancer was the most commonly diagnosed type of cancer among Peel and Ontario male seniors in 2002. Cancer HIGHLIGHTS Prostate, colorectal, and lung cancers accounted for almost half of all newly diagnosed cancers among Peel seniors in 22. The incidence rates of lung cancer in Ontario and Peel have decreased

More information

Consequences of cancer treatments

Consequences of cancer treatments Consequences of cancer treatments Karen Morgan Macmillan Consultant Radiographer 18 th July 2014 Background - UK / year Macmillan facts and figures 2 million are living with consequences of cancer treatment

More information

Survivorship. - Norman Vincent Peale

Survivorship. - Norman Vincent Peale Survivorship Become a possibilitarian. No matter how dark things seem to be or actually are, raise your sights and see possibilities - always see them, for they re always there. - Norman Vincent Peale

More information

Community Benefit Strategic Implementation Plan. Better together.

Community Benefit Strategic Implementation Plan. Better together. Community Benefit Strategic Implementation Plan 2016 2019 Better together. Table of Contents Introduction... 4 Priority 1: Community Health Infrastructure... 5 Objective 1.1: Focus resources strategically

More information

Addressing relationships following a breast cancer diagnosis: The impact on partners, children, and caregivers

Addressing relationships following a breast cancer diagnosis: The impact on partners, children, and caregivers Addressing relationships following a breast cancer diagnosis: The impact on partners, children, and caregivers Shoshana M. Rosenberg, ScD, MPH Dana-Farber Cancer Institute April 5, 2018 Why is it important

More information

Leading-edge cancer treatment + compassionate care

Leading-edge cancer treatment + compassionate care CARE + COVERAGE ˡ NORTHERN CALIFORNIA Leading-edge cancer treatment + compassionate care Working together to bring you hope and healing When you hear the word cancer, it can be a frightening, confusing

More information

Cancer Survivorship NEURO-ONCOLOGY PATIENT SURVIVORSHIP PLAN. Resources and Tools for the Multidisciplinary Team

Cancer Survivorship NEURO-ONCOLOGY PATIENT SURVIVORSHIP PLAN. Resources and Tools for the Multidisciplinary Team NEURO-ONCOLOGY PATIENT SURVIVORSHIP PLAN Cancer Survivorship Resources and Tools for the Multidisciplinary Team Your survivorship care plan is a summary of your tumor treatments and recommendations for

More information

RHODE ISLAND CANCER PREVENTION AND CONTROL

RHODE ISLAND CANCER PREVENTION AND CONTROL RHODE ISLAND CANCER PREVENTION AND CONTROL 2013 2018 STRATEGIC PLAN TABLE OF CONTENTS Purpose 1 The Partnership to Reduce Cancer 3 Prevention 4 Tobacco 4 Healthy Weight 6 Nutrition 6 Physical Activity

More information

THE BREAST CENTER AT MONTEFIORE NYACK HOSPITAL

THE BREAST CENTER AT MONTEFIORE NYACK HOSPITAL THE BREAST CENTER AT MONTEFIORE NYACK HOSPITAL COMPLETE BREAST CARE FROM THE TEAM THAT CARES I don t think I could get better care, more support, or encouragement at any of the bigger hospitals or cancer

More information

Multi-Professional Breast Cancer Pre-habilitation: Education and Self-Empowerment. Gillian McCollum Lymphoedema Lead Belfast HSC Trust

Multi-Professional Breast Cancer Pre-habilitation: Education and Self-Empowerment. Gillian McCollum Lymphoedema Lead Belfast HSC Trust Multi-Professional Breast Cancer Pre-habilitation: Education and Self-Empowerment Gillian McCollum Lymphoedema Lead Belfast HSC Trust Overview Background to the pathway Aims of the pathway How the pathway

More information

Karen Syrjala, PhD Co-Director, Survivorship Program

Karen Syrjala, PhD Co-Director, Survivorship Program Karen Syrjala, PhD Co-Director, Survivorship Program 1. Who are survivors of cancer? 2. Why do you care about your needs as a survivor? 3. What can you do to stay well as a survivor? Who are Survivors?

More information

Singapore Cancer Society, Breast Cancer Foundation & National Healthcare Group Diagnostics Jointly Launch a Community Mammobus Programme

Singapore Cancer Society, Breast Cancer Foundation & National Healthcare Group Diagnostics Jointly Launch a Community Mammobus Programme News Release For immediate release Singapore Cancer Society, Breast Cancer Foundation & National Healthcare Group Diagnostics Jointly Launch a Community Mammobus Programme Eligible women need only pay

More information

Complete breast care from the team that cares. Breast Center

Complete breast care from the team that cares. Breast Center Breast Center Complete breast care from the team that cares. Imaging Appointment: 845.348.8551 Surgical Consultation: 845.348.8507 nyackhospital.org/breastcenter 1 Complete breast care from the team that

More information

2. CANCER AND CANCER SCREENING

2. CANCER AND CANCER SCREENING 2. CANCER AND CANCER SCREENING INTRODUCTION The incidence of cancer and premature mortality from cancer are higher in Islington compared to the rest of England. Although death rates are reducing, this

More information

Late Effects after Cancer: Survivorship Care Planning

Late Effects after Cancer: Survivorship Care Planning Healthy for the Holidays: Late Effects after Cancer: Survivorship Care Planning Karen Syrjala, PhD Co-Director, Survivorship Program SURVIVORSHIP PROGRAM a member of the TODAY S S TOPICS Surviving cancer:

More information

NHS Bowel Cancer Screening Programme

NHS Bowel Cancer Screening Programme NHS Bowel Cancer Screening Programme Wolverhampton Bowel Cancer Screening Centre Annual Report April 2016 to March 2017 @RWT_NHS Introduction Bowel cancer is the fourth most common cancer in the UK after

More information

Prof Marion Eckert Rosemary Bryant AO Research Centre

Prof Marion Eckert Rosemary Bryant AO Research Centre Willingness of cancer survivors to complete patient reported outcomes (PRO) surveys: a pilot study at Flinders Centre for Innovation in Cancer (FCIC), South Australia Prof Marion Eckert Rosemary Bryant

More information

Bowel scope screening

Bowel scope screening NHS Bowel Cancer Screening Programme Bowel scope screening I ve been invited for NHS bowel scope screening. This leaflet gives you information to help you choose whether to have screening. NHS bowel scope

More information

Survivorship Guidelines. September 2013 (updated August 2015)

Survivorship Guidelines. September 2013 (updated August 2015) Survivorship Guidelines September 2013 (updated August 2015) CONTENTS Contents 1 Introduction... 3 2 Background... 3 3 Recommendations and Rationale... 4 Appendix 1: Holistic Needs Assessment... 9 Appendix

More information

COUNCIL RECOMMENDATION of 2 December 2003 on cancer screening (2003/878/EC)

COUNCIL RECOMMENDATION of 2 December 2003 on cancer screening (2003/878/EC) L 327/34 COUNCIL RECOMMDATION of 2 December 2003 on cancer screening (2003/878/EC) THE COUNCIL OF THE EUROPEAN UNION, Having regard to the Treaty establishing the European Community, and in particular

More information

Cancer in Halton. Halton Region Cancer Incidence and Mortality Report

Cancer in Halton. Halton Region Cancer Incidence and Mortality Report Cancer in Halton Halton Region Cancer Incidence and Mortality Report 2008 2012 The Regional Municipality of Halton March 2017 Reference: Halton Region Health Department, Cancer in Halton: Halton Region

More information

Watching and waiting : what it means for patients. Dr Christian Aldridge Consultant Dermatologist Cwm Taf NHS Trust

Watching and waiting : what it means for patients. Dr Christian Aldridge Consultant Dermatologist Cwm Taf NHS Trust Watching and waiting : what it means for patients Dr Christian Aldridge Consultant Dermatologist Cwm Taf NHS Trust Watching and waiting or...watching and worrying Once you have a cancer diagnosis, you

More information

CSQI BACKGROUNDER What is The Cancer Quality Council of Ontario (CQCO)? What does CQCO do? What is the Cancer System Quality Index?

CSQI BACKGROUNDER What is The Cancer Quality Council of Ontario (CQCO)? What does CQCO do? What is the Cancer System Quality Index? CSQI BACKGROUNDER What is The Cancer Quality Council of Ontario (CQCO)? Established in 2002 by the Ministry of Health and Long-Term Care (MOHLTC), the Cancer Quality Council of Ontario (CQCO) is an arm

More information

Do rural cancer patients present later than those in the city?

Do rural cancer patients present later than those in the city? Do rural cancer patients present later than those in the city? Dr Katie Hoff ( M.B.B.S.) Acknowledgements: Prof. J. Emery, V. Gray, D. Howting September 2011 BACKGROUND Cancer is a leading causes of death

More information

2017 CANCER REPORT. with data from 2016

2017 CANCER REPORT. with data from 2016 2017 CANCER REPORT with data from 2016 2017 HIGHLIGHTS, INITIATIVES AND ACCOMPLISHMENTS Continued designation of the Breast Care Center as a designated Breast Imaging Center of Excellence by the American

More information

Lymphedema. Kelly Reichart, DNP, RN. About 246,660 women

Lymphedema. Kelly Reichart, DNP, RN. About 246,660 women ADVANCED PRACTICE ASSOCIATE EDITOR DEBORAH "HUTCH" ALLEN, PhD, RN, CNS, FNP-BC, AOCNP Downloaded on 11 28 2018. Single-user license only. Copyright 2018 by the Oncology Nursing Society. For permission

More information

Colorectal cancer screening

Colorectal cancer screening 26 Colorectal cancer screening BETHAN GRAF AND JOHN MARTIN Colorectal cancer is theoretically a preventable disease and is ideally suited to a population screening programme, as there is a long premalignant

More information

This information explains the advice about familial breast cancer (breast cancer in the family) that is set out in NICE guideline CG164.

This information explains the advice about familial breast cancer (breast cancer in the family) that is set out in NICE guideline CG164. Familial breast cancer (breast cancer in the family) Information for the public Published: 1 June 2013 nice.org.uk About this information NICE guidelines provide advice on the care and support that should

More information

Updates In Cancer Screening: Navigating a Changing Landscape

Updates In Cancer Screening: Navigating a Changing Landscape Updates In Cancer Screening: Navigating a Changing Landscape Niharika Dixit, MD I have no conflict of interest. 1 Why Should You Care Trends in Cancer Incidence by Site United States. Siegal Et al: CA

More information

Lessons learnt from cancer screening programmes as an example for establishing the Czech National Coordination Centre

Lessons learnt from cancer screening programmes as an example for establishing the Czech National Coordination Centre Czech National Coordination Centre for Prevention of Serious Diseases CZ.03.2.63/0.0/0.0/15_039/0006904 Lessons learnt from cancer screening programmes as an example for establishing the Czech National

More information

Provincial Survivorship Forum 2014

Provincial Survivorship Forum 2014 Provincial Survivorship Forum 2014 Dr. Frances Wong BCCA-Fraser Valley Centre September 22, 2014 From diagnosis until end of life Diagnosis and Staging Treatment with Intent to Cure Palliative Treatment

More information

THE ONE STOP CLINIC FOR BREAST LESIONS. Philippe Vielh MD, PhD For the Breast Cancer Group Institut de cancérologie Gustave Roussy Villejuif, France

THE ONE STOP CLINIC FOR BREAST LESIONS. Philippe Vielh MD, PhD For the Breast Cancer Group Institut de cancérologie Gustave Roussy Villejuif, France THE ONE STOP CLINIC FOR BREAST LESIONS Philippe Vielh MD, PhD For the Breast Cancer Group Institut de cancérologie Gustave Roussy Villejuif, France CONTEXT IN 2004 French breast cancer screening program

More information

7.14 Young Person and Adult (YPA) Screening Programmes

7.14 Young Person and Adult (YPA) Screening Programmes 7. ADULT SECTION 7.14 Young Person and Adult (YPA) Screening Programmes Screening is a process of identifying apparently healthy people who are at increased risk of a disease or condition, to offer information,

More information

Green Lake County Resource Sheet

Green Lake County Resource Sheet Green Lake County Resource Sheet Listed below are a few of the many helpful cancer-related resources available in Green Lake County. If resources/services are not available within the county, this document

More information

CANCER LEADERSHIP COUNCIL

CANCER LEADERSHIP COUNCIL CANCER LEADERSHIP COUNCIL A PATIENT-CENTERED FORUM OF NATIONAL ADVOCACY ORGANIZATIONS ADDRESSING PUBLIC POLICY ISSUES IN CANCER November 17, 2015 Andy Slavitt Acting Administrator Centers for Medicare

More information

Cancer Survivorship: What to Monitor and When to Intervene. Hyman B. Muss, MD 31 th Miami Breast Cancer Conference 2014

Cancer Survivorship: What to Monitor and When to Intervene. Hyman B. Muss, MD 31 th Miami Breast Cancer Conference 2014 Cancer Survivorship: What to Monitor and When to Intervene Hyman B. Muss, MD 31 th Miami Breast Cancer Conference 2014 Breast Cancer 2013 Incidence Mortality CA: A Cancer Journal for Clinicians pages 52-62,

More information

The Cambridge Breast Unit

The Cambridge Breast Unit The Addenbrooke s Hospital Cambridge Cambridge Follow up- Why?- Medical Monitor and treat Acute side effects of treatment Early detection of Local and Regional Recurrences (Curative) Early detection of

More information

Cancer Education and Screening Programs 2018

Cancer Education and Screening Programs 2018 Lakeshore Region Cancer Network Chicago, Illinois Cancer and Screening Programs 2018 A Partnership with Unite Here Health Mark M. Connolly Sheila & Robert Hulseman Center for Cancer and Specialty Care

More information

The burden of Colorectal Cancer in Asia. Dr Saunthari Somasundaram

The burden of Colorectal Cancer in Asia. Dr Saunthari Somasundaram q The burden of Colorectal Cancer in Asia Dr Saunthari Somasundaram Globocan 2018: Colon Cancer Tomorrow (Incidence) Global Patterns and Trends in Colorectal Cancer Incidence and Mortality Arnold M,Sierra

More information

Dietary supplement use in cancer patients: is there a link to psychosocial wellbeing?

Dietary supplement use in cancer patients: is there a link to psychosocial wellbeing? Dietary supplement use in cancer patients: is there a link to psychosocial wellbeing? Kathryn Taylor Clinical Psychologist St George s Cancer Care Centre St George s Cancer Care Centre Dietary supplements

More information

My Cancer Portal y MCP Steering Group Jan 2016

My Cancer Portal y MCP Steering Group Jan 2016 My Cancer Portal Transforming Care After Treatment -TCAT Increased survivorship of patients with cancer Survivorship comes with a legacy Investment into detecting cancer early (DCE) Better treatments High

More information

New Approaches to Survivor Health Care

New Approaches to Survivor Health Care New Approaches to Survivor Health Care May 14, 2007 Survivorship Care Models Mary S. McCabe, RN Ms. McCabe is the Director of the Cancer Survivorship Program at Memorial Sloan-Kettering Cancer Center.

More information

Overview...3. Cancer Program.4. Breast Cancer with 5-year Survival Analysis...6. Systemic Therapy.7. Stage of Breast Cancer Diagnosed in

Overview...3. Cancer Program.4. Breast Cancer with 5-year Survival Analysis...6. Systemic Therapy.7. Stage of Breast Cancer Diagnosed in 2011 Annual Report Table Of Contents Overview...3 Cancer Program.4 Breast Cancer with 5-year Survival Analysis...6 Systemic.7 Stage of Breast Cancer Diagnosed in 2008..8 Radiation and Systemic Only...9

More information

Breast Cancer Diagnosis, Treatment and Follow-up

Breast Cancer Diagnosis, Treatment and Follow-up Breast Cancer Diagnosis, Treatment and Follow-up What is breast cancer? Each of the body s organs, including the breast, is made up of many types of cells. Normally, healthy cells grow and divide to produce

More information

Demonstrate understanding of the history of cancer survivorship

Demonstrate understanding of the history of cancer survivorship Define Survivorship Demonstrate understanding of the history of cancer survivorship State the requirements of the Commission on Cancer of the American College of Surgeons Standard of Survivorship According

More information

Physiotherapy in Breast Cancer: developing clinical practice

Physiotherapy in Breast Cancer: developing clinical practice Physiotherapy in Breast Cancer: developing clinical practice Dr Karen Robb Macmillan Cancer Rehabilitation Strategy Development Manager Consultant Physiotherapist Member of Macmillan Consequences of Cancer

More information

Enhancing Quality of Life for Cancer Survivors in South Dakota. Outcomes from the South Dakota Cancer Survivorship Program

Enhancing Quality of Life for Cancer Survivors in South Dakota. Outcomes from the South Dakota Cancer Survivorship Program Enhancing Quality of Life for Cancer Survivors in South Dakota Outcomes from the South Dakota Cancer Survivorship Program The South Dakota Survivorship Program was funded through cooperative agreement

More information

BREAST CANCER SITE STUDY REPORT By Robert O. Maganini, M.D., F.A.C.S. Breast Surgeon, Alexian Brothers Medical Group

BREAST CANCER SITE STUDY REPORT By Robert O. Maganini, M.D., F.A.C.S. Breast Surgeon, Alexian Brothers Medical Group BREAST CANCER SITE STUDY REPORT By Robert O. Maganini, M.D., F.A.C.S. Breast Surgeon, Alexian Brothers Medical Group Breast cancer is the most common cancer diagnosed in women around the world. In the

More information

Caring for a Patient with Colorectal Cancer. Objectives. Poll question. UNC Cancer Network Presented on 10/15/18. For Educational Use Only 1

Caring for a Patient with Colorectal Cancer. Objectives. Poll question. UNC Cancer Network Presented on 10/15/18. For Educational Use Only 1 Caring for a Patient with Colorectal Cancer Tammy Triglianos RN, APRN-BC, AOCNP Nurse Practitioner, GI Oncology 10/15/2018 Objectives Describe common signs and symptoms of colorectal cancer Understand

More information

FIRST SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT IN SINGAPORE

FIRST SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT IN SINGAPORE EMBARGOED TILL 18 OCTOBER, 2:30PM MEDIA RELEASE FIRST SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT IN SINGAPORE The first simultaneous pancreas and kidney (SPK) transplant in Singapore was successfully

More information

INTEGRATIVE ONCOLOGY

INTEGRATIVE ONCOLOGY INTEGRATIVE ONCOLOGY Shauna Birdsall, ND, FABNO Director of Naturopathic Medicine and Integrative Oncology Cancer Treatment Centers of America Learning Objectives: Describe Integrative Oncology. Discuss

More information

Diploma in Oncology and Palliative Care for Health Care Professionals 專業護理人員進修之腫瘤及紓緩護理文憑 HS031B

Diploma in Oncology and Palliative Care for Health Care Professionals 專業護理人員進修之腫瘤及紓緩護理文憑 HS031B Diploma in Oncology and Palliative Care for Health Care 專業護理人員進修之腫瘤及紓緩護理文憑 HS031B Module 1 Haematological Oncology for Health Care (NUHS4032) Module 2 General Oncology for Health Care (NUHS4028) Module

More information

Annual Report. Public Health Screening Programmes TO 31 MARCH Extract: Chapter 3 : Planning for Bowel Screening Programme

Annual Report. Public Health Screening Programmes TO 31 MARCH Extract: Chapter 3 : Planning for Bowel Screening Programme Public Health Screening Programmes Annual Report TO 31 MARCH 2007 Extract: Chapter 3 : Planning for Bowel Screening Programme Version 1.0 Published: 18 December 2007 1 Contents INTRODUCTION...3 SUMMARY...5

More information

Cancer , The Patient Education Institute, Inc. ocf80101 Last reviewed: 06/08/2016 1

Cancer , The Patient Education Institute, Inc.   ocf80101 Last reviewed: 06/08/2016 1 Cancer Introduction Cancer begins in your cells, which are the building blocks of your body. Extra cells can form a mass called a tumor. Some tumors aren t cancerous, while other ones are. Cells from cancerous

More information

The United States national accreditation program for breast centers: a model for excellence in breast disease evaluation and management

The United States national accreditation program for breast centers: a model for excellence in breast disease evaluation and management Review Article Page 1 of 5 The United States national accreditation program for breast centers: a model for excellence in breast disease evaluation and management David P. Winchester American College of

More information

A targeted orientation and information program for newly diagnosed cancer patients at St. Vincent s Hospital

A targeted orientation and information program for newly diagnosed cancer patients at St. Vincent s Hospital A targeted orientation and information program for newly diagnosed cancer patients at St. Vincent s Hospital Dr Carrie Lethborg Ms Rosie Brown Funded by: Western and Central Melbourne Integrated Cancer

More information

Guidelines for Breast, Cervical and Colorectal Cancer Screening

Guidelines for Breast, Cervical and Colorectal Cancer Screening Guidelines for Breast, Cervical and Colorectal Cancer Screening Your recommendation counts. Talk to your patients about screening for cancer. CancerCare Manitoba provides organized, population-based screening

More information

BreastScreen Singapore: Lessons Learnt

BreastScreen Singapore: Lessons Learnt BreastScreen Singapore: Lessons Learnt Anushka Mangharam Manager, Screening Policy & Planning Department Regional Health & Community Outreach Division Health Promotion Board, Singapore Outline Singapore:

More information

Incorporating a Survivorship Clinic/Visit Into Practice

Incorporating a Survivorship Clinic/Visit Into Practice Incorporating a Survivorship Clinic/Visit Into Practice Pretest Question #1 Meeting the compliance requirements for the CoC Standard 3.3 for survivorship care plans (SCPs) includes which of the following:

More information

Early Detection Works Breast and Cervical Cancer Detection Program in Kansas. Welcome!

Early Detection Works Breast and Cervical Cancer Detection Program in Kansas. Welcome! Early Detection Works Breast and Cervical Cancer Detection Program in Kansas Welcome! Our Mission: Protect and improve the health and environment for all Kansas residents. Early Detection Does Work 1.)

More information

Evidence Based Resource Stratified Guidelines for Improving Breast Cancer Outcomes

Evidence Based Resource Stratified Guidelines for Improving Breast Cancer Outcomes Evidence Based Resource Stratified Guidelines for Improving Breast Cancer Outcomes Jo Anne Zujewski, M.D. Medical Oncologist Specialist in Breast Cancer Bethesda, Maryland Tbilisi, Georgia October 2013

More information