Mercy s Cancer Program 2014 Update
|
|
- Brian Holmes
- 5 years ago
- Views:
Transcription
1 Mercy s Cancer Program 2014 Update Mercy Hospital & Medical Center is accredited Academic Comprehensive Cancer Program by the American College of Surgeon s Commission on Cancer. This study is directed by the Mercy s Cancer Committee related to Standard 4.6: Assessment of Evaluation and Treatment Planning. Prostate Cancer patients initially diagnosed at Mercy are compared to their national counterparts, reviewing and analyzing incidence, screening and detection, demographics, stage at presentation, initial course of treatment and survival. Incidence: Prostate cancer remains the most common non-skin cancer in men. The American Cancer Society estimates that 233,000 1 new prostate cancers will be diagnosed in the U.S. in 2014, accounting for 27% of the total estimated new male cancers. The incidence of prostate cancer at Mercy mirrors the American Cancer Society s National statistics, however Mercy s incidence may be a little lower due to changes in the screening process and some of the unfavorable publicity PSA testing has received in the last two years. Nationally, the overall number of prostate biopsies has dropped by 15% over the last 2 years. 1 Cancer Facts & Figures pg 19 Age at Diagnosis: As with any cancer, early detection of prostate cancer is the key to better survival. Prostate cancer is much more common as a man ages, increasing with every decade of a man s lifetime. This begins primarily at the 5th decade which is about the time PSA and digital rectal exam screening should begin. Current best practice is to screen African Americans at age 45, Caucasians and other ethnicities at age 50, and individuals with a family history at age 40. Screening involves PSA and digital rectal exam. Most recommend stopping screening at age 75, however this can be controversial. Below are the official American Urology Association guidelines for prostate cancer screening in response to the United States Preventative Task Force s recommendations on prostate cancer screening.
2 Screening and Detection: The American Urology Association (AUA) recognizes that the interpretation of an asymptomatic patient s PSA level is a nuanced exercise that must be tailored to the patient in question. Therefore, the AUA no longer recommends one single PSA threshold for biopsy. Although previous thresholds such as 2.5 and 4.0 ng/ml have been used in the past, the AUA now recommends that the decision to biopsy should take into account the patient s digital rectal exam results, age, ethnicity, comorbidities, and prior biopsy history in addition to their serum PSA level. In order to increase the efficacy of serum PSA interpretation, a number of performance variables are used clinically. These include age-adjusted PSA, density, velocity, and the free-to-complexed PSA ratio. a. Age Adjusted PSA: Since PSA normally rises with age, age-adjusted thresholds have been described. Benign growth of the prostate that normally occurs with age is the most common cause of PSA elevation. Roughly 70% of patients with an elevated PSA level between 4 and 10 will have a negative prostate biopsy. Conversely, there is no level of PSA at which you can guarantee a patient that they do not have cancer. Moreover, the absolute PSA level does not predict whether or not prostate cancer is harmful. b. PSA Density: Another strategy used to improve the results of PSA screening is the calculation of PSA density by measuring prostate volume and dividing the absolute PSA level by the prostate volume (in ml). Prostate volume measurements can be obtained by either trans rectal ultrasound or MRI. By these criteria, a PSA density threshold of 0.15 or greater is an indication for prostate biopsy. c. PSA Velocity: Since prostate cancer presumably grows faster than normal prostate, PSA velocity (or change in PSA levels over time) is another strategy to detect prostate cancers in men with "normal" PSA levels. PSA values fluctuate significantly over time due to physiological variation, thus PSA velocity is best determined using at least 3 measurements obtained over a 2-year period. The threshold value for PSA velocity is dependent on the total PSA. The threshold is 0.35 ng/ml/year for PSA values < 4 ng/ml and 0.75 ng/ml/year for patients with total PSA values >4 ng/ml. d. Free-Complexed PSA: PSA exists in the serum in two forms, free and complexed to protease inhibitors. Patients with prostate cancer tend to have a higher percentage of PSA complexed to protease inhibitors and thus the percentage of free PSA within the serum is used to add information to the total PSA in patients with PSA levels between 4 and 10 and help determine the degree of suspicion for biopsy. Although there again is no agreement on the best threshold value for free PSA, values above 25% reliably predict the absence of clinically significant prostate cancer. Race/Ethnicity: African Americans in particular seem to have a higher death rate from prostate cancer, earlier onset of the disease, a higher incidence, more aggressive disease, and a higher stage at presentation. The graph shown above reinforces this race disparity, and reflects Mercy s population being a higher mix of African Americans. The Urology Department at Mercy Hospital has made a considerable grass roots community outreach for education and free screenings to help diagnose this diverse group at an earlier, more treatable stage. Outreach activities are held primarily through church and community groups.
3 Stage at Diagnosis: We are pleased to share Mercy s stage at diagnosis mirrors the National Cancer Data Base statistics. This is particularly important since we serve higher number of African Americans that commonly present at a later stage. Early stage diagnosis is important for cure and is at risk as a result of the National Health Institute s push to reduce screening efforts. This push is not currently supported by the American Urological Association. In addition there are many new genetic markers now being used to help predict the aggressiveness of the cancers, similar to breast cancer, that will help to define better treatment protocols for patients. Treatment: The treatment for prostate cancer is highly variable and is treated with robotic surgery, radiation, hormonal therapy, chemo therapy, active surveillance, as well as combinations of all of these treatments. These treatment protocols are highly individualized to each patient and take into account a number of variables including stage at diagnosis, grade, co-morbidities and age. Overall Mercy is in line with the National Cancer Data Base statistics on the treatment of prostate cancer, but changes are anticipated as new and exciting treatments have been exploding on the scene in the last two years. New hormone, immune and radiopharmaceutical therapies are all involved primarily in treatment of higher stage disease, but as these modalities are found to be more effective, these evolving therapies will most likely be incorporated into the treatment plan of earlier disease stages.
4 Survival: The Survival of men with prostate cancer at Mercy is compared here to the NCDB data. As can be seen, the five year survival of patients treated at Mercy is 9% lower than national statistics. This difference in survival statistics is likely to be explained by Mercy s high risk patient cohort who, as seen in prior graphs, are more likely to be African American who experience earlier onset of the disease, a higher rate of incidence, and more aggressive disease. Survival: Although these graphs do not reflect the national survival trend, there is a trend now that survival is improving. With genetic markers and new treatment protocols, an overall improvement in survival is expected in the next few years. Prostate cancer is 20 years behind breast cancer treatments, protocols, tissue sparing procedures, and survival, but has shown a significant increase in the last two years.
5 Cohort of Patients at Mercy: These 3 graphs below reinforce that we are serving a local population with a much lower income then the ACS statistics. It is commendable that Mercy is able to treat this cohort of patients as effectively as other cohorts with the barriers of access to care, racial disparity, and high percentage of at-risk African American patients. Mercy provides academic level treatments and services that are evidence based and can be compared to any hospital in quality and availability. In summary, prostate cancer is reaching a new high in the development of new genetic markers, immune therapies, and other exciting new treatments. Offering access to an academic level, full continuum of cancer care to an underserved and high-risk population, Mercy provides a holistic approach to care which includes nutritional support, psychological support, patient navigation, and social services. Mercy hosts a very active US2 Prostate Support group that has met monthly at Mercy for the last 20 years. Screening needs to be continued in this especially high-risk population, and our grass-roots community outreach will continue. Prostate cancer is seeing rapid and exceptional progress in care, as seen previously in breast cancer care, which has led to focal tissue sparing surgery, treatment protocols based on genetic and tissue markers, and a plethora of new treatments to treat all stages of the disease. John Cudecki, MD Cancer Committee Chairman Daniel Vicencio, MD Cancer Liaison Physician
MODULE 8: PROSTATE CANCER: SCREENING & MANAGEMENT
MODULE 8: PROSTATE CANCER: SCREENING & MANAGEMENT KEYWORDS: Prostate cancer, PSA, Screening, Radical Prostatectomy LEARNING OBJECTIVES At the end of this clerkship, the medical student will be able to:
More informationIf you have aggressive cancer, you would want treatment in time for a cure.
Prostate cancer: PSA screening, biopsy, new technologies The treatment/cure should never be worse than the disease. If you have aggressive cancer, you would want treatment in time for a cure. What is PSA?
More informationScreening and Diagnosis Prostate Cancer
Screening and Diagnosis Prostate Cancer Daniel Heng MD MPH FRCPC Chair, Genitourinary Tumor Group Tom Baker Cancer Center University of Calgary, Canada @DrDanielHeng Outline Screening Evidence Recommendations
More informationTable of Contents
I. Situation Analysis II. Executive Summary III. Scope of Work: 2019 Table of Contents http://prostatecanceradvisorycouncil.org/ Situation Analysis The Florida Prostate Cancer Advisory Council (PCAC) was
More informationConsensus and Controversies in Cancer of Prostate BASIS FOR FURHTER STUDIES. Luis A. Linares MD FACRO Medical Director
BASIS FOR FURHTER STUDIES Main controversies In prostate Cancer: 1-Screening 2-Management Observation Surgery Standard Laparoscopic Robotic Radiation: (no discussion on Cryosurgery-RF etc.) Standard SBRT
More informationScreening for Prostate Cancer US Preventive Services Task Force Recommendation Statement
Clinical Review & Education JAMA US Preventive Services Task Force RECOMMENDATION STATEMENT Screening for Prostate Cancer US Preventive Services Task Force Recommendation Statement US Preventive Services
More informationPSA To screen or not to screen? Darrel Drachenberg, MD, FRCSC
PSA To screen or not to screen? Darrel Drachenberg, MD, FRCSC Disclosures Faculty / Speaker s name: Darrel Drachenberg Relationships with commercial interests: Grants/Research Support: None Speakers Bureau/Honoraria:
More informationTable of Contents. I. Situation Analysis II. Executive Summary III. Scope of Work: 2017
I. Situation Analysis II. Executive Summary III. Scope of Work: 2017 Table of Contents In 2004 the Prostate Cancer Advisory Council (PCAC) was established by state statute 381.911. The Council is housed
More informationSMOKING CESSATION ATTEMPTS
SMOKING CESSATION ATTEMPTS Mississippi, the Nation, and Healthy People 2010 Smoking cessation attempts (or the number of smokers who attempted to quit smoking and stopped for one day or longer in the previous
More informationNewer Aspects of Prostate Cancer Underwriting
Newer Aspects of Prostate Cancer Underwriting Presented By: Jack Swanson, M.D. Keith Hoffman, NFP Moments Made Possible Objectives To review and discuss Conflicting messages about PSA testing Cautions
More informationQuestions and Answers About the Prostate-Specific Antigen (PSA) Test
CANCER FACTS N a t i o n a l C a n c e r I n s t i t u t e N a t i o n a l I n s t i t u t e s o f H e a l t h D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s Questions and Answers
More informationShared Decision Making in Breast and Prostate Cancer Screening. An Update and a Patient-Centered Approach. Sharon K. Hull, MD, MPH July, 2017
Shared Decision Making in Breast and Prostate Cancer Screening An Update and a Patient-Centered Approach Sharon K. Hull, MD, MPH July, 2017 Overview Epidemiology of Breast and Prostate Cancer Controversies
More informationPROSTATE CANCER 2012 REPORT
Lewis Cancer & Research Pavilion PROSTATE CANCER 2012 REPORT SELECTED A NATIONAL CANCER INSTITUTE COMMUNITY CANCER CENTER PROGRAM. 2 St. Joseph s/candler Mission and Vision Mission Rooted in God s love,
More informationPROSTATE CANCER: Meeting a Community Need
outcomes REPORT 2017 PROSTATE CANCER: Meeting a Community Need 1 in 6 men will be diagnosed with prostate cancer in their lifetime. 1 southnassau.org/cancer outcomes REPORT 2017 Within the primary service
More informationElevated PSA. Dr.Nesaretnam Barr Kumarakulasinghe Associate Consultant Medical Oncology National University Cancer Institute, Singapore 9 th July 2017
Elevated PSA Dr.Nesaretnam Barr Kumarakulasinghe Associate Consultant Medical Oncology National University Cancer Institute, Singapore 9 th July 2017 Issues we will cover today.. The measurement of PSA,
More informationQuestions and Answers about Prostate Cancer Screening with the Prostate-Specific Antigen Test
Questions and Answers about Prostate Cancer Screening with the Prostate-Specific Antigen Test About Cancer Care Ontario s recommendations for prostate-specific antigen (PSA) screening 1. What does Cancer
More informationYour Guide to Prostate Cancer
Your Guide to Prostate Cancer If you face a diagnosis of prostate cancer, what s next? We can help. A prostate cancer diagnosis can be overwhelming. The good news is that while prostate cancer can be serious,
More informationWhat Your Employees Need to Know About Prostate Cancer
What Your Employees Need to Know About Prostate Cancer 1 Who We Are Houston's oldest & largest chapter of a international prostate cancer support organization - non-profit 501(c)3 25 Years of service to
More informationProstate Cancer. What Are the Risk Factors? Prostate cancer is the second leading cancer that causes death to men in the U.S.
Prostate cancer is the second leading cancer that causes death to men in the U.S. What Are the Risk Factors? Prostate cancer is unusual because it does not behave the same way in all men. Sometimes the
More informationPSA Screening and Prostate Cancer. Rishi Modh, MD
PSA Screening and Prostate Cancer Rishi Modh, MD ABOUT ME From Tampa Bay Went to Berkeley Prep University of Miami for Undergraduate - 4 years University of Miami for Medical School - 4 Years University
More informationWhen to worry, when to test?
Focus on CME at the University of Calgary Prostate Cancer: When to worry, when to test? Bryan J. Donnelly, MSc, MCh, FRCSI, FRCSC Presented at a Canadian College of Family Practitioner s conference (October
More informationTHE UROLOGY GROUP
THE UROLOGY GROUP www.urologygroupvirginia.com 1860 Town Center Drive Suite 150/160 Reston, VA 20190 703-480-0220 19415 Deerfield Avenue Suite 112 Leesburg, VA 20176 703-724-1195 224-D Cornwall Street,
More informationThe Challenge of Cancer Screening Part One Prostate Cancer and Lung Cancer Screening
The Challenge of Cancer Screening Part One Prostate Cancer and Lung Cancer Screening The Challenge of Cancer Screening Part One Prostate Cancer and Lung Cancer Screening By Marsha Fountain, RN, MSN The
More informationMercy s 2013 Cancer Program Annual Report
Mercy s 2013 Cancer Program Annual Report Mercy Hospital & Medical Center is accredited by the Commission on Cancer as an Academic Comprehensive Cancer Program. This study directed by the Mercy s Cancer
More informationFOR PATIENTS DIAGNOSED WITH EARLY-STAGE PROSTATE CANCER. Discover a test that can help you on your treatment journey
FOR PATIENTS DIAGNOSED WITH EARLY-STAGE PROSTATE CANCER Discover a test that can help you on your treatment journey Jim G. Oncotype DX GPS patient navigating prostate cancer since 2014 Not all prostate
More informationUpdates 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 informationProstate-Specific Antigen (PSA) Test
Prostate-Specific Antigen (PSA) Test What is the PSA test? Prostate-specific antigen, or PSA, is a protein produced by normal, as well as malignant, cells of the prostate gland. The PSA test measures the
More informationGREATER BALTIMORE MEDICAL CENTER SANDRA & MALCOLM BERMAN CANCER INSTITUTE
GREATER BALTIMORE MEDICAL CENTER SANDRA & MALCOLM BERMAN CANCER INSTITUTE CANCER REGISTRY REPORT The Cancer Data Management System/Cancer Registry collects data on all types of cancer diagnosed or treated
More information2011 PROSTATE BRACHYTHERAPY STUDY
20 PROSTATE BRACHYTHERAPY STUDY CRITERIA Patients receiving prostate brachytherapy at Cox from 2002-200. In this study, we will look at patients with the following prognostic features: PSA
More informationProstate Cancer Screening: Con. Laurence Klotz Professor of Surgery, Sunnybrook HSC University of Toronto
Prostate Cancer Screening: Con Laurence Klotz Professor of Surgery, Sunnybrook HSC University of Toronto / Why not PSA screening? Overdiagnosis Overtreatment Risk benefit ratio unfavorable Flaws of PSA
More informationQuestionnaire. 1) Do you see men over the age of 40? 1. Yes 2. No
Questionnaire 1) Do you see men over the age of 40? 1. Yes 2. No 2) In what state do you practice? (drop-down menu of 50 states and District of Columbia) 3) What is your medical specialty? (Please select
More information2015 Patient Outcomes Report
2015 Patient Outcomes Report Message from the Breast Leadership Team and Cancer Committee: On behalf of the Breast Leadership Team and Cancer Committee of The Hospitals, we are pleased to present to you
More informationProstate Cancer Screening. Eric Shreve, MD Bend Urology Associates
Prostate Cancer Screening Eric Shreve, MD Bend Urology Associates University of Cincinnati Medical Center University of Iowa Hospitals and Clinics PSA Human kallikrein 3 Semenogelin is substrate Concentration
More informationProstate Cancer. David Wilkinson MD Gulfshore Urology
Prostate Cancer David Wilkinson MD Gulfshore Urology What is the Prostate? Male Sexual Gland Adds nutrients and fluids for sperm This fluid is added to sperm during ejaculation Urethra (urine channel)
More informationThe Evolving Role of PSA for Prostate Cancer. The Evolving Role of PSA for Prostate Cancer: 10/30/2017
The Evolving Role of PSA for Prostate Cancer Adele Marie Caruso, DNP, CRNP Adult Nurse Practitioner Perelman School of Medicine at the University of Pennsylvania November 4, 2017 The Evolving Role of PSA
More informationHealth care reform: Continuing the prostate screening debate; Where does patient navigation belong?
University of Arkansas for Medical Sciences From the SelectedWorks of Michael Preston November 4, 2013 Health care reform: Continuing the prostate screening debate; Where does patient navigation belong?
More informationHealth Screening Update: Prostate Cancer Zamip Patel, MD FSACOFP Convention August 1 st, 2015
Health Screening Update: Prostate Cancer Zamip Patel, MD FSACOFP Convention August 1 st, 2015 Outline Epidemiology of prostate cancer Purpose of screening Method of screening Contemporary screening trials
More informationMaria Parham Cancer Center Henderson NC Annual Report 2013
Maria Parham Cancer Center Henderson NC Annual Report 2013 2013 has been a vibrant year of change for the Maria Parham Cancer Center, changes aimed at improving the quality of patient care as well as patient
More informationNavigating the Stream: Prostate Cancer and Early Detection. Ifeanyi Ani, M.D. TPMG Urology Newport News
Navigating the Stream: Prostate Cancer and Early Detection Ifeanyi Ani, M.D. TPMG Urology Newport News Understand epidemiology of prostate cancer Discuss PSA screening and PSA controversy Review tools
More informationAllinaHealthSystems 1
2018 Dimensions in Oncology Genitourinary Cancer Disclosures I have no financial or commercial relationships relevant to this presentation. Matthew O Shaughnessy, MD, PhD Director of Urologic Oncology
More informationPROSTATE CANCER 101 WHAT IS PROSTATE CANCER?
PROSTATE CANCER 101 WHAT IS PROSTATE CANCER? Prostate cancer is cancer that begins in the prostate. The prostate is a walnut-shaped gland in the male reproductive system located below the bladder and in
More informationProstate Cancer CALIFORNIA COALITION. Fighting Prostate Cancer in California since 1997.
CALIFORNIA Prostate Cancer COALITION Fighting Prostate Cancer in California since 1997. A Proud Participant in the National Alliance of State Prostate Cancer Coalitions WHAT IS CANCER? According to the
More informationProstate Cancer. Biomedical Engineering for Global Health. Lecture Fourteen. Early Detection. Prostate Cancer: Statistics
Biomedical Engineering for Global Health Lecture Fourteen Prostate Cancer Early Detection Prostate Cancer: Statistics Prostate gland contributes enzymes, nutrients and other secretions to semen. United
More informationOFFICE OF THE UNDER SECRETARY OF DEFENSE 4000 DEFENSE PENTAGON WASHINGTON, DC
OFFICE OF THE UNDER SECRETARY OF DEFENSE 4000 DEFENSE PENTAGON WASHINGTON, DC 20301-4000 PERSONNEL AND READINESS The Honorable Adam Smith APR - 5 2019 Chairman Committee on Armed Services U.S. House of
More informationDiagnosis and management of prostate cancer in the
Diagnosis and management of prostate cancer in the Jeremy Teoh ( 張源津 ) Assistant Professor, Department of Surgery, The Chinese University of Hong Kong. Email: jeremyteoh@surgery.cuhk.edu.hk Estimated age-standardised
More informationProstate Cancer Screening: Risks and Benefits across the Ages
Prostate Cancer Screening: Risks and Benefits across the Ages 7 th Annual Symposium on Men s Health Continuing Progress: New Gains, New Challenges June 10, 2009 Michael J. Barry, MD General Medicine Unit
More informationUnderstanding the risk of recurrence after primary treatment for prostate cancer. Aditya Bagrodia, MD
Understanding the risk of recurrence after primary treatment for prostate cancer Aditya Bagrodia, MD Aditya.bagrodia@utsouthwestern.edu 423-967-5848 Outline and objectives Prostate cancer demographics
More informationA 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 informationNICE BULLETIN Diagnosis & treatment of prostate cancer
Diagnosis & treatment of prostate cancer NICE provided the content for this booklet which is independent of any company or product advertised Diagnosis and treatment of prostate cancer Introduction In
More informationCancer 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 informationThe Selenium and Vitamin E Prevention Trial
The largest-ever-prostate cancer prevention trial is now underway. The study will include a total of 32,400 men and is sponsored by the National Cancer Institute and a network of researchers known as the
More informationPROSTATE CANCER 101 WHAT IS PROSTATE CANCER?
PROSTATE CANCER 101 WHAT IS PROSTATE CANCER? Prostate cancer is cancer that begins in the prostate. The prostate is a walnut-shaped gland in the male reproductive system located below the bladder and in
More information10/2/2018 OBJECTIVES PROSTATE HEALTH BACKGROUND THE PROSTATE HEALTH INDEX PHI*: BETTER PROSTATE CANCER DETECTION
THE PROSTATE HEALTH INDEX PHI*: BETTER PROSTATE CANCER DETECTION Lenette Walters, MS, MT(ASCP) Medical Affairs Manager Beckman Coulter, Inc. *phi is a calculation using the values from PSA, fpsa and p2psa
More informationThe New CP 3 R Application And Revisions To Standard 4.6 Integration Of The NCDB With The Accreditation Process
The New CP 3 R Application And Revisions To Standard 4.6 Integration Of The NCDB With The Accreditation Process Wednesday, April 29, 2009 at 11 AM Central M. Asa Carter, CTR Manager, Approvals and Standards
More informationObjectives. Prostate Cancer Screening and Surgical Management
Prostate Cancer Screening and Surgical Management Dr. Ken Jacobsohn Director, Minimally Invasive Urologic Surgery Assistant Professor, Department of Urology Medical College of Wisconsin Objectives Update
More informationSaving. Kidneys. Prostate Cancer
Saving Kidneys 10 Prostate Cancer This booklet will tell you more about the prostate cancer. It will also help you understand this disease in a better way. You will also come to know the causes and treatment
More informationScreening for Prostate Cancer with the Prostate Specific Antigen (PSA) Test: Recommendations 2014
Screening for Prostate Cancer with the Prostate Specific Antigen (PSA) Test: Recommendations 2014 Canadian Task Force on Preventive Health Care October 2014 Putting Prevention into Practice Canadian Task
More informationPROSTATE CANCER Amit Gupta MD MPH
PROSTATE CANCER Amit Gupta MD MPH Depts. of Urology and Epidemiology Amit-Gupta-1@uiowa.edu dramitgupta@gmail.com Tel: 319-384-5251 OUTLINE PSA screening controversy How to use PSA more effectively Treatment
More informationProstate Case Scenario 1
Prostate Case Scenario 1 H&P 5/12/16: A 57-year-old Hispanic male presents with frequency of micturition, urinary urgency, and hesitancy associated with a weak stream. Over the past several weeks, he has
More informationTools, Reports, and Resources
Tools, Reports, and Resources What the National Cancer Database (NCDB) does for CoC-Accredited Programs By using the NCDB, CoC-accredited programs can proactively improve delivery and quality of care for
More informationShould I get screened for prostate cancer? What you should know about the PSA test
Should I get screened for prostate cancer? What you should know about the PSA test Should I get screened for prostate cancer? What you should know about the PSA test > What is PSA? Prostate-specific antigen
More information2018 Community Outreach Report
4.1 Prevention Program Lung Cancer Prevention 2018 Community Outreach Report The focus on prevention of lung cancer was chosen by the Cancer Committee because lung cancer is the leading cause of death
More informationFinancial Disclosure. Learning Objectives. Review and Impact of the NCDB PUF. Moderator: Sandra Wong, MD, MS, FACS, FASCO
Review and Impact of the NCDB PUF Moderator: Sandra Wong, MD, MS, FACS, FASCO Financial Disclosure I do not have personal financial relationships with any commercial interests Learning Objectives At the
More informationFinancial Disclosures. Prostate Cancer Screening and Surgical Management
Prostate Cancer Screening and Surgical Management Dr. Ken Jacobsohn Director, Minimally Invasive Urologic Surgery Assistant Professor, Department of Urology Medical College of Wisconsin Financial Disclosures
More informationControversy Surrounds Question of Who Needs to be Treated for Prostate Cancer No One Size Fits All Diagnosis or Treatment
For Immediate Release Media Contact: Nancy Sergeant, Sergeant Marketing, 973-334-6666, nsergeant@sergeantmarketing.com Mary Appelmann, Sergeant Marketing, 973-263-6392, mappelmann@sergeantmarketing.com
More informationDAYS IN PANCREATIC CANCER
HOSPITAL AND MEDICAL CARE DAYS IN PANCREATIC CANCER Annals of Surgical Oncology, March 27, 2012 Casey B. Duncan, Kristin M. Sheffield, Daniel W. Branch, Yimei Han, Yong-Fang g Kuo, James S. Goodwin, Taylor
More informationOverview. What is Cancer? Prostate Cancer 3/2/2014. Davis A Romney, MD Ironwood Cancer and Research Centers Feb 18, 2014
Prostate Cancer Davis A Romney, MD Ironwood Cancer and Research Centers Feb 18, 2014 Overview Start with the basics: Definition of cancer Most common cancers in men Prostate, lung, and colon cancers Cancer
More information3/6/2018 PROSTATE CANCER IN 2018 OBJECTIVE WHAT IS THE PROSTATE? WHAT DOES IT DO? Rahul Mehan, MD
PROSTATE CANCER IN 2018 Rahul Mehan, MD East Valley Urology Center 6116 E Arbor Ave, Bldg 2, Suite 108 Mesa, AZ 85206 rmehan@evucenter.com www.evucenter.com Snapchat: Dr.NoodleKing OBJECTIVE Offer interactive
More information2011 Cancer Program Annual Report
2011 Cancer Program Annual Report 2011 I CANCER PROGRAM Annual Report I 1 Message from the Medical Director Bachar Dergham, MD At Marymount Hospital, we deliver exceptional care, without exception. We
More informationPSA levels during midlife and risk of aggressive prostate cancer in African American men
PSA levels during midlife and risk of aggressive prostate cancer in African American men Kathryn Wilson, Sc.D. Research Scientist Department of Epidemiology PHEN 12th Annual African American Prostate Cancer
More informationIntroduction. Growths in the prostate can be benign (not cancer) or malignant (cancer).
This information was taken from urologyhealth.org. Feel free to explore their website to learn more. Another trusted website with good information is the national comprehensive cancer network (nccn.org).
More informationExamining the Efficacy of Screening with Prostate- Specific Antigen Testing in Reducing Prostate Cancer Mortality
St. Catherine University SOPHIA Master of Arts/Science in Nursing Scholarly Projects Nursing 5-2012 Examining the Efficacy of Screening with Prostate- Specific Antigen Testing in Reducing Prostate Cancer
More informationAFTER DIAGNOSIS: PROSTATE CANCER Understanding Your Treatment Options
AFTER DIAGNOSIS: PROSTATE CANCER Understanding Your Treatment Options INTRODUCTION This booklet describes how prostate cancer develops, how it affects the body and the current treatment methods. Although
More informationNEWS A Publication of Vantage Oncology, Tri-State Radiation Oncology Centers - TROC
Oral, Head & Neck Cancer Screening Conducted Dr. Mark Logan, Midwest ENT Surgery 25 Patients Required Routine Follow up w/ PCP On Thursday, April 26th Evansville Cancer Center/ Vantage Oncology hosted
More informationProstate Cancer Prevention with finasteride/proscar or dutasteride/avodart? Compiled by Charles (Chuck) Maack Prostate Cancer Advocate/Activist
Prostate Cancer Prevention with finasteride/proscar or dutasteride/avodart? Compiled by Charles (Chuck) Maack Prostate Cancer Advocate/Activist Disclaimer: Please recognize that I am not a Medical Doctor.
More informationLet s look a minute at the evidence supporting current cancer screening recommendations.
I m Dr. Therese Bevers, Medical Director of the Cancer Prevention Center and Professor of Clinical Cancer Prevention at The University of Texas MD Anderson Cancer Center. Today s lecture is on screening
More informationPROSTATE CANCER. Mr. Jawad Islam. Consultant Urologist. MBBS, MSc, FRCS(Ed), FEBU, FRCS(Urology) People Centred Positive Compassion Excellence
PROSTATE CANCER Mr. Jawad Islam MBBS, MSc, FRCS(Ed), FEBU, FRCS(Urology) Consultant Urologist Where is prostate located and what is its function? What is prostate cancer? How common is prostate cancer?
More informationThe 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 informationProstate cancer screening: a wobble Balance. Elias NAOUM PGY-4 Urology Hotel-Dieu de France Universite Saint Joseph
Prostate cancer screening: a wobble Balance Elias NAOUM PGY-4 Urology Hotel-Dieu de France Universite Saint Joseph Epidemiology Most common non skin malignancy in men in developed countries Third leading
More informationOtis W. Brawley, MD, MACP, FASCO, FACE
Otis W. Brawley, MD, MACP, FASCO, FACE Chief Medical and Scientific Officer American Cancer Society Professor of Hematology, Medical Oncology, Medicine and Epidemiology Emory University Atlanta, Georgia
More informationProstate Cancer. What is prostate cancer?
Scan for mobile link. Prostate Cancer Prostate cancer is a tumor of the prostate gland, which is located in front of the rectum and below the bladder. Your doctor may perform a physical exam, prostate-specific
More informationQuality of Life After Modern Treatment Options for Prostate Cancer Ronald Chen, MD, MPH
Quality of Life After Modern Treatment Options I will be presenting some recently published data on the quality of life after modern treatment options for prostate cancer. My name is Dr. Ronald Chen. I'm
More informationWorship in Pink Tri-Cities Region Toolkit. KomenEastTN.org/worship. Susan G. Komen East Tennessee
Worship in Pink Susan G. Komen East Tennessee 2018 Tri-Cities Region Toolkit KomenEastTN.org/worship Welcome Susan G. Komen East Tennessee continues to be proud to partner with East Tennessee churches
More informationProstate MRI Hamidreza Abdi, MD,FEBU Post Doctoral Fellow Vancouver Prostate Centre UBC Department of Urologic Sciences May-20144
Prostate MRI Hamidreza Abdi, MD,FEBU Post Doctoral Fellow Vancouver Prostate Centre UBC Department of Urologic Sciences May-20144 Objectives: Detection of prostate cancer the need for better imaging What
More informationProstate Biopsy. Prostate Biopsy. We canʼt go backwards: Screening has helped!
We canʼt go backwards: Screening has helped! Robert E. Donohue M.D. Denver V.A. Medical Center University of Colorado Prostate Biopsy Is cure necessary; when it is possible? Is cure possible; when it is
More informationTHE HISTORY AND EVOLUTION OF PROSTATE CANCER DIAGNOSIS AND TREATMENT BY: DR. ANDREW GROLLMAN ALBUQUERQUE UROLOGY ASSOCIATES
THE HISTORY AND EVOLUTION OF PROSTATE CANCER DIAGNOSIS AND TREATMENT BY: DR. ANDREW GROLLMAN ALBUQUERQUE UROLOGY ASSOCIATES OVERVIEW Diagnosis Laboratory Tests PSA Free and Total PSA PCA-3 4K Score The
More information2016 Oncology Institute Annual Report
2016 Oncology Institute Annual Report Message from the Cancer Committee: On behalf of the Cancer Committee of The Methodist Hospitals, we are pleased to present to you our 2016 Oncology Institute Annual
More information2013 ANNUAL CANCER REPORT
213 ANNUAL CANCER REPORT CONTENTS EXECUTIVE SUMMARY 1 CANCER PROGRAM OUTCOMES Cancer Volume for the System 1 Cancer Volume by Hospital Location 2 COMMISSION ON CANCER ACCREDITATION AND THE NATIONAL CANCER
More informationChallenging Cases. With Q&A Panel
Challenging Cases With Q&A Panel Case Studies Index Patient #1 Jeffrey Wieder, MD Case # 1 72 year old healthy male with mild HTN Early 2011: Preop bone scan and pelvic CT = no mets Radical prostatectomy
More informationFrom the 2016 Hospitals of Regina Foundation Annual Report
From the 2016 Hospitals of Regina Foundation Annual Report 534 men received biopsies at the Prostate Assessment Centre during 2016. Two copies of PROSTATE FOR DUMMIES have been added to our library and
More informationMRI in the Enhanced Detection of Prostate Cancer: What Urologists Need to Know
MRI in the Enhanced Detection of Prostate Cancer: What Urologists Need to Know Michael S. Cookson, MD, FACS Professor and Chair Department of Urology Director of Prostate and Urologic Oncology University
More informationProstate Specific Antigen (PSA) Growth Curves: A Method to Improve Prostate Cancer Screening
University of South Carolina Scholar Commons Theses and Dissertations 5-8-2015 Prostate Specific Antigen (PSA) Growth Curves: A Method to Improve Prostate Cancer Screening Azza Shoaibi University of South
More informationProstate-Specific Antigen Best Practice Statement: 2009 Update
Prostate-Specific Antigen Best Practice Statement: 2009 Update Prostate-Specific Antigen Best Practice Statement Update Panel Members: Peter Carroll, MD, Chair Peter C. Albertsen, MD, Vice Chair Kirsten
More informationPROSTATE CANCER CONTENT CREATED BY. Learn more at
PROSTATE CANCER CONTENT CREATED BY Learn more at www.health.harvard.edu TALK WITH YOUR DOCTOR Table of Contents Ask your doctor about screening and treatment options. WHAT IS PROSTATE CANCER? 4 WATCHFUL
More informationProstate Cancer Update 2017
Prostate Cancer Update 2017 Arthur L. Burnett, MD, MBA, FACS Patrick C. Walsh Distinguished Professor of Urology The James Buchanan Brady Urological Institute The Johns Hopkins Medical Institutions Baltimore,
More informationHEALTH CARE DISPARITIES. Bhuvana Ramaswamy MD MRCP The Ohio State University Comprehensive Cancer Center
HEALTH CARE DISPARITIES Bhuvana Ramaswamy MD MRCP The Ohio State University Comprehensive Cancer Center Goals Understand the epidemiology of breast cancer Understand the broad management of breast cancer
More informationBREAST 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 informationProstate Cancer Screening. A Decision Guide
Prostate Cancer Screening A Decision Guide This booklet was developed by the U.S. Department of Health and Human Services, Centers for Disease Control and Prevention (CDC). Is screening right for you?
More informationMR-US Fusion Guided Biopsy: Is it fulfilling expectations?
MR-US Fusion Guided Biopsy: Is it fulfilling expectations? Kenneth L. Gage MD, PhD Assistant Member Department of Diagnostic Imaging and Interventional Radiology 4 th Annual New Frontiers in Urologic Oncology
More informationPage 1. Selected Controversies. Cancer Screening! Selected Controversies. Breast Cancer Screening. ! Using Best Evidence to Guide Practice!
Cancer Screening!! Using Best Evidence to Guide Practice! Judith M.E. Walsh, MD, MPH! Division of General Internal Medicine! Womenʼs Health Center of Excellence University of California, San Francisco!
More information