Breast Cancer Services in Ireland
|
|
- Miranda Lee
- 5 years ago
- Views:
Transcription
1 Breast Cancer Services in Ireland European Commission Joint Research Centre, Ispra March 14 th 2013 Dr Jerome Coffey MD, FRCPI, FRCR, FFR RCSI Radiation Oncology Advisor on behalf of Dr Susan O Reilly MB, FRCPC, FRCPI National Director, National Cancer Control Programme
2
3
4
5 The Challenges in Ireland 2013 Growth in incidence and prevalence of cancer. Mediocre survival up to Growth in cancer services. Fiscal constraints and recruitment moratorium. Rapid emergence of effective new diagnostic tests and treatments for cancer all at significant additional costs.
6 Growth in Incidence of Invasive Cancers All invasive 26,283 38,379 54, year growth rate 108%
7 The Opportunities Increasing International and National focus on cancer prevention: education, facilitation and empowerment of society to address tobacco (Public Health Act 2004), alcohol, obesity, diet, exercise and sun exposure. Population screening programmes BreastCheck, CervicalCheck, BowelScreen (2012). Strong Department of Health and Health Service Executive support for the National Cancer Control Programme s new and existing strategies and services.
8 The Opportunities 2 Collaborative initiatives to improve population and patient pathways for diagnosis and care (public health, primary care, acute hospital services). -Building on base of successful implementation of the National Strategy for Cancer Control. -Referral to Designated Cancer Centres (8). -High volume, expert oncologists. -Multidisciplinary review.
9 BreastCheck National Screening Programme Free digital mammogram every 2 years for women aged Women invited either to a mobile or screening unit Aim to detect breast cancer at the earliest possible stage when easier to treat with a higher chance of a good outcome
10 BreastCheck National Screening Programme In 12 years of breast screening, BreastCheck has Screened over 371,200 women aged Provided over 835,500 mammograms. Detected over 5,400 breast cancers. Major expansion Completed national rollout 2011.
11 BreastCheck National Screening Programme In 2011, BreastCheck Invited 172,076 women for a free mammogram 72.2% of women accepted their invitation Screened 125,329 women (4,500 more than 2010) Detected 832 breast cancers Annual Report
12
13
14
15 Comparison No. hospitals carrying out surgery 2005, 2010, No. hospitals Lung Breast Rectal Prostate Oesophageal Cancer Surgery
16 Symptomatic Breast Clinics Electronic referral from GPs to 8 hospitals. GP Guidelines. Rapid access to diagnosis and treatments. Key Performance Measurements published monthly. Annual Quality, Audit & Safety Conference. Annual Reports
17 Healthlink in conjunction with the NCCP and the GPIT Group e-referrals from accredited GP software systems to the 8 designated cancer centres Breast, Prostate & Lung Referral generated from within the patient file, delivered to the cancer team, response within 5 working days Immediate acknowledgment indicating successful delivery of referral Response from the cancer team integrated with the patient file providing a complete record of the referral/response process.
18 Symptomatic Breast Clinics Attendances * Urgent 12,533 13,759 14,087 Non urgent 25,078 24,196 24,279 All attendances 37,631 37,955 38,336 no. primary cancers 2,012 2,145 2,118 % primary cancers 5.4% 5.7% 5.5%
19 Standard 1. Access 1(a) Urgent attendances seen in < 10 working days Target: > 95% 1(b) Routine attendances seen in <12 weeks Target: > 95% 1(c) Urgent imaging (mammo or ultrasound) if S4/S5 Target: > 90% 1(d) Routine imaging (mammo or ultrasound) <12 weeks Target: > 90%
20 Standard 2. Imaging 2(a) Pre-op assessment. Patients with primary operable breast cancer shall have pre-op mammo and U/S Target: >95% 2(b) Targeted imaging. A patient >35 years with a clinically palpable focal abnormality shall have mammo and targeted U/S Target: >95% 2(c) Core biopsies shall be image-guided if R3, R4 or R5 imaging abnormality identified. Target: >90% 2(d) Every consultant radiologist shall report >1,000 mammos per year
21 Standard 3. Diagnosis 3 (a) Non operative diagnosis Patients with invasive breast cancer shall be diagnosed without an operative procedure [open biopsy]. Target >90% 3(b) Timely discussion For patients urgently triaged by the cancer centre and subsequently diagnosed with a primary breast cancer, the interval between attendance at the first clinic and discussion at the MDM shall not exceed 10 working days.target >90%
22 Standard 4. Multidisciplinary Care 4(a) Breast investigations that generate a histopathology report shall be discussed at MDM. Target >95% 4(b) All patients with a diagnosis of breast cancer from the symptomatic service shall be discussed at MDM. Target >95%
23 Standard 5 Time to treatment 5(a) Surgery 5(a) Surgical intervention shall be carried out within 4 weeks (20 working days) of the MDM when a B5 or C5 is first identified, provided surgery is the first treatment Target: >90%
24 Standard 5 Time to treatment 5(b,c) Time to radiotherapy 5(b) For patients, where adjuvant chemotherapy is not deemed necessary but require radiation therapy, patients shall commence RT within 12 weeks of the final surgical procedure. Target: >90% 5(c) For patients, requiring adjuvant chemotherapy and radiation therapy, patients shall RT within 4 weeks of the last chemotherapy administration. Target: >90%
25 Standard 5 Time to treatment 5(d) Time to chemotherapy 5(d) For patients, where adjuvant chemotherapy is required, administration shall commence within 8 weeks of the final surgical procedure. Target: >90%
26 Standard 6 Surgery Accurate Localisation Patients with a clinically occult lesion, that is classified as an S2, shall have wire-guided localisation pre-operatively. Target: >95% Patients with a clinically occult lesion who have a wire-guided wide local excision shall have specimen mammography. Target: >95%
27 Standard 7 Surgery Axillary Staging Patients with a diagnosis of primary operable invasive breast cancer shall have an ultrasound of the axillary nodes. Target >95% The number of patients with sonographically normal lymph nodes and where the FNA or core biopsy does not demonstrate metastases and who have sentinel lymph node biopsies shall be documented.
28 Standard 8 All consultant surgeons should assess and operate on a minimum of 50 new patients with breast cancer per year.
29 Standard 9 For patients who have breast conserving surgery, 95% or more patients should have three or fewer therapeutic operations.
30 Standard 10: Pathology Pathology reports shall include a standard set of prognostic indicators that will be available to the multidisciplinary team in a timely fashion. For patients with primary invasive breast cancer: Tumour type, grade, size, lymphovascular invasion and posterior margin status were recorded for their highest grade tumour.
31 Standard 10: Pathology ER, HER-2 status is recorded for the highest grade tumour. Axillary lymph node status, where sampled, shall be recorded. Radial margin status shall be documented for all patients who have wide local excision of a primary invasive breast cancer. The histopathology report will be available within 10 working days.
32 National Radiation Oncology Programme St Luke s Radiation Oncology Network now fully developed: 2 new Dublin centres opened in 2011, in addition to St Luke s Hospital. 50% increase in capacity. 100 million approved to build new facilities in Cork and Galway to accommodate increase in demand (opening 2017). National Treatment Guidelines developed and in final review. Cross Border planning with Northern Ireland to address radiotherapy needs for the North West in new Altnagelvin centre (2016).
33 National Medical Oncology and Haemato- Oncology Programmes Evidence-based national guidelines, treatment protocols Quality and safety policies for safe drug delivery NCCP Technology Review Committee for oncology drugs and related molecular tests implemented March National oncology drug budget implemented in 2013.
34 National Cancer Drug Management Oral drugs: PCRS 50% of expenditure. Parenteral drugs: Individual hospitals. Overall spend 150m per annum. Growth rate: 15% per annum in hospitals. New drugs > 45,000/QALY. Patients increase by 5% per annum.
35 National Cancer Drug Management 2 1. Implementation of central funding for high cost drugs 2013 onwards. 2. Protocols / Order Sets / Patient information. 3. Registration by diagnosis. 4. Financial / reimbursement process for new drugs.
36 National Tumour Groups Initiated May 2011: GI, Breast, GU, Lung, Gynaecology Role: Development and promulgation of site-specific, evidence-based multidisciplinary clinical practice guidelines. Adopt / Adapt / Innovate Initial leadership representatives from: Surgical, Medical & Radiation Oncology Pathology & Diagnostic Imaging Related experts e.g. Respirology, Gastroenterology
37 Age standardised survival at 5 years for cancers diagnosed in (all), (Ireland) and (others) Source: Irish data NCRI 2008 & international data Lancet 2010
38 Irish cancer survival can improve by up to 10% by successful implementation of well-organised cancer control systems.
39 Critical Success Factors Population-based screening Early diagnosis / Stage Shift Multidisciplinary Teams High Volume / Expert Centres National Standards / Guidelines / Protocols / Policies / Processes
NATIONAL CANCER CONTROL PROGRAMME NATIONAL STRATEGY FOR THE SAFE ADMINISTATION OF CANCER DRUGS
NATIONAL CANCER CONTROL PROGRAMME NATIONAL STRATEGY FOR THE SAFE ADMINISTATION OF CANCER DRUGS Dr Susan O Reilly MB, FRCPC, FRCPI National Director National Cancer Control Programme IMSN Networking for
More informationNational Breast Cancer Audit next steps. Martin Lee
National Breast Cancer Audit next steps Martin Lee National Cancer Audits Current Bowel Cancer Head & Neck Cancer Lung cancer Oesophagogastric cancer New Prostate Cancer - undergoing procurement Breast
More informationCork University Hospital - Cork, Ireland
- Cork, Ireland General Information New breast cancer cases treated per year 336 Breast multidisciplinarity team members 25 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists and
More informationGuideline for the Management of Patients Suitable for Immediate Breast Reconstruction
Version History Guideline for the Management of Patients Suitable for Immediate Breast Reconstruction Version Summary of change Date Issued 2.0 Endorsed by the Governance Committee 20.02.08 2.1 Circulated
More informationWaterford Regional Hospital - Waterford City, Ireland
- Waterford City, Ireland General Information New breast cancer cases treated per year 200 Breast multidisciplinarity team members 12 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationAnnual Clinical Performance Measurement Report 2013
Annual Clinical Performance Measurement Report 2013 1. Contents 01 02 03 04 General Hospital Measures pg 5 Hand Hygiene pg 11 Heart & Vascular pg 13 Cancer Centre pg 19 3. 2014 / Cancer Centre constantly
More informationProgramme Report
Programme Report 2015-2016 Contents Introduction from the Head of Screening, National Screening Service 2 Highlights of 2015-2016 4 Programme report 5 References 19 Introduction from the Head of Screening,
More informationNCIN Breast Cancer Workshop 13 March 2014 Hilton Metropole, NEC, Birmingham. Kieran Horgan, Dick Rainsbury, Mark Sibbering, Gill lawrence
NCIN Breast Cancer Workshop 13 March 2014 Hilton Metropole, NEC, Birmingham Kieran Horgan, Dick Rainsbury, Mark Sibbering, Gill lawrence 1 Interactive Workshop Session Professor Kieran Horgan Workshop
More informationQuality Standards for Diagnosis and Treatment in Breast Units Across Greater Manchester
Quality Standards for Diagnosis and Treatment in Breast Units Across Greater Manchester Greater Manchester Cancer Clinical Director: Mr Mohammed Absar Pathway Manager: Rebecca Price Pathway approval: 24
More informationBreast Cancer Staging
Breast Cancer Staging Symposium on Best Practice in Recording Cancer Stage Royal College of Pathologists 10 June 2011 Dr Gill Lawrence, Director Tel: 0121 415 8129 Fax: 0121 414 7712 Email: gill.lawrence@wmciu.nhs.uk
More informationClinica Medellin - Medellin, Colombia
- Medellin, Colombia General Information New breast cancer cases treated per year 150 Breast multidisciplinarity team members 12 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationBreast Cancer MultiDisciplinary Approach
Breast Cancer MultiDisciplinary Approach October 30, 2012 Kristi Dolcetti RN, CON, CBPNC-IC OTN Bookings Regional Cancer Care is booking indirect Patient visits for our Multidisciplinary Cancer Conferences
More informationBarlavento Medical Centre - Portimão, Portugal
- Portimão, Portugal General Information New breast cancer cases treated per year 150 Breast multidisciplinarity team members 9 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationNational Center of Oncology - Yerevan, Armenia
- Yerevan, Armenia General Information New breast cancer cases treated per year 450 Breast multidisciplinarity team members 13 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationSan Donato Hospital - Azienda USL TOSCANA SUDEST Arezzo - Arezzo, Italy
San Donato Hospital - Azienda USL TOSCANA SUDEST Arezzo - Arezzo, Italy General Information New breast cancer cases treated per year 255 Breast multidisciplinarity team members 18 Radiologists, surgeons,
More informationBreast Cancer Screening and Treatment Mrs Belinda Scott Breast Surgeon Breast Associates Auckland
Breast Cancer Screening and Treatment 2009 Mrs Belinda Scott Breast Surgeon Breast Associates Auckland BREAST CANCER THE PROBLEM 1.1 million women per year 410,000 deaths each year Increasing incidence
More informationIntroduction 1. Executive Summary 5
Roman_pages 20-09-2005 21:01 Pagina IX Table of contents Introduction 1 Executive Summary 5 1. Epidemiological guidelines for quality assurance in breast cancer screening 15 1.10 Introduction 17 1.20 Local
More information2015 Public Outcomes Report Cancer Program Practice Profile Reports 2013 Breast and Colon Cancer
As a Commission on Cancer (CoC)-accredited cancer program, HealthEast ensures that patients with cancer are treated according to nationally accepted measures. Measures for Quality of Cancer Care Each year,
More informationBREAST CANCER 2010 COMPARATIVE AUDIT REPORT
SOUTH EAST SCOTLAND CANCER PROSPECTIVE CANCER AUDIT BREAST CANCER 2010 COMPARATIVE AUDIT REPORT Dr Jeremy Thomas, NHS Lothian Chair, Breast Group Miss Fawzia Ashkanani, NHS Dumfries and Galloway Mr Matthew
More informationJessa Hospital - Hasselt, Belgium
- Hasselt, Belgium General Information New breast cancer cases treated per year 336 Breast multidisciplinarity team members 19 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More information16/09/2015. ACOSOG Z011 changing practice. Presentation outline. Nodal mets #1 prognostic tool. Less surgery no change in oncologic outcomes
ACOSOG Z011 changing practice The end of axillary US/FNA? Preoperative staging of the axilla in the era of Z011 Adena S Scheer MD MSc FRCSC Surgical Oncologist, St. Michael s Hospital Assistant Professor,
More informationCandiolo Cancer Institute - FPO, IRCCS - Candiolo, Italy
- Candiolo, Italy General Information New breast cancer cases trea Breast multidisciplinarity tea Radiologists, surgeons, pathologists, medica The mission of the Institute for Cancer Research and Treatment
More informationANNEX 1 OBJECTIVES. At the completion of the training period, the fellow should be able to:
1 ANNEX 1 OBJECTIVES At the completion of the training period, the fellow should be able to: 1. Breast Surgery Evaluate and manage common benign and malignant breast conditions. Assess the indications
More informationTata Memorial Hospital - Mumbai, India
- Mumbai, India General Information New breast cancer cases treated per year 4400 Breast multidisciplinarity team members 21 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists and
More informationService Improvement - Strategic. Service Improvement - Strategic. Regional Oncology Communications and Health Promotions
Service Improvement - Strategic Service Improvement - Strategic Regional Oncology Communications and Health Promotions Development of Radiation Oncology Services The evaluation process for the development
More informationBreast Cancer Services in Germany
Breast Cancer Services in Germany COUNTRY DELEGATES WORKSHOP Ispra (VA) - 13 and 14 March 2013 Karen Budewig, Federal Ministry of Health, Germany Vanessa Kääb-Sanyal, Mammography-Screening-Program, Germany
More informationUnexplained National Differences in the Management of DCIS Revealed by Audit: the Sloane Project Experience
Unexplained National Differences in the Management of DCIS Revealed by Audit: the Sloane Project Experience NCIN Annual Conference, National Motorcycle Museum June 2008 Dr Gill Lawrence West Midlands Cancer
More informationBreast Unit - University of Heidelberg - Heidelberg, Germany
- Heidelberg, Germany General Information New breast cancer cases treated per year 600 Breast multidisciplinarity team members 17 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationMamma Centrum / Zelený Pruh - Prague, Czech Republic
- Prague, Czech Republic General Information New breast cancer cases treated per year 490 Breast multidisciplinarity team members 29 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationBrustzentrum Marienhospital Bottrop - Bottrop, Germany
- Bottrop, Germany General Information New breast cancer cases treated per year 210 Breast multidisciplinarity team members 11 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationNicosia, Cyprus. Nicosia General Hospital/Bank of Cyprus Oncology Centre 1/6. General Information
- Nicosia, Cyprus General Information New breast cancer cases treated per year 150 Breast multidisciplinarity team members 16 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationBreast Cancer? Breast cancer is the most common. What s New in. Janet s Case
Focus on CME at The University of Calgary What s New in Breast Cancer? Theresa Trotter, MD, FRCPC Breast cancer is the most common malignancy affecting women in Canada, accounting for almost a third of
More informationFaster Cancer Treatment Indicators: Use cases
Faster Cancer Treatment Indicators: Use cases 2014 Date: October 2014 Version: Owner: Status: v01 Ministry of Health Cancer Services Final Citation: Ministry of Health. 2014. Faster Cancer Treatment Indicators:
More informationAlfa Cure Oncology Center - Cairo, Egypt
- Cairo, Egypt General Information New breast cancer cases treated per year 600 Breast multidisciplinarity team members 19 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists and
More informationChris Hani Baragwanath Academic Hospital - Johannesburg, South Africa
- Johannesburg, South Africa General Information New breast cancer cases treated per year 355 Breast multidisciplinarity team members 15 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationCivic Hospital of Sanremo ASL 1 Imperiese - Sanremo, Italy
- Sanremo, Italy General Information New breast cancer cases treated per year 188 Breast multidisciplinarity team members 10 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists and
More informationNational Cancer Peer Review Sarcoma. Julia Hill Acting Deputy National Co-ordinator
National Cancer Peer Review Sarcoma Julia Hill Acting Deputy National Co-ordinator Improving Outcomes Guidance The Intentions of Improving Outcomes for People with Sarcoma Changes in the provision of care
More informationAlexandrovska Hospital - Sofia, Bulgaria
- Sofia, Bulgaria General Information New breast cancer cases treated per year 190 Breast multidisciplinarity team members 8 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists and
More informationOspedale Perrino - Brindisi, Italy
- Brindisi, Italy General Information New breast cancer cases treated per year 215 Breast multidisciplinarity team members 17 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationBreast cancer screening programme: France. Dr. Rosemary Ancelle-Park Department of health Office for chronic diseases
Breast cancer screening programme: France Dr. Rosemary Ancelle-Park Department of health Office for chronic diseases French health care system General population of 65 Million GP clinics = 32 200 Radiology
More informationDyson Center for Cancer Care - Poughkeepsie, New York, United States of America
- Poughkeepsie, New York, United States of America General Information New breast cancer cases treated per year 323 Breast multidisciplinarity team members 14 Radiologists, surgeons, pathologists, medical
More informationGroote Schuur Academic Hospital - Cape Town, South Africa
- Cape Town, South Africa General Information New breast cancer cases treated per year 400 Breast multidisciplinarity team members 7 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationGalway University Hospital. Downloaded 22-Apr :29:21.
Symptomatic breast care services annual report 2009 University Hospital Galway including the satellite symptomatic breast care service at Letterkenny general hospital Item type Authors Publisher Report
More informationBreastScreen Victoria Annual Statistical Report
BreastScreen Victoria Annual Statistical Report 005 Produced by: BreastScreen Victoria Coordination Unit Level, Pelham Street, Carlton South Victoria 05 PH 0 9660 6888 FX 0 966 88 EM info@breastscreen.org.au
More informationHow can surgeons help the Radiation Oncologists?
How can surgeons help the Radiation Oncologists? Lorna Weir BC Surgical Oncology fall breast cancer update Oct 24, 2009 Disclosure no conflict of interest Outline Introduction OR reports Marking of surgical
More informationBreast Clinica de la Mama and Italian Hospital - La Plata, Argentina
- La Plata, Argentina General Information New breast cancer cases treated per year 382 Breast multidisciplinarity team members 18 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationIppocration Hospital University of Athens - Athens, Greece
- Athens, Greece General Information New breast cancer cases treated per year 250 Breast multidisciplinarity team members 11 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists and
More informationNAPBC Standards. Continuum of Care for Breast Abnormalities. NAPBC Standards Manual. Cindy Burgin #70
#70 NAPBC Standards Cindy Burgin March 18, 2014 I have no financial conflicts of interest, but wish I did! Copyright NAPBC 2014 Content cannot be reproduced or repurposed without written permission of
More informationClinical oncology workforce: the case for expansion Faculty of Clinical Oncology
www.rcr.ac.uk Clinical oncology workforce: the case for expansion Faculty of Clinical Oncology www.rcr.ac.uk Contents Foreword 2 1. Background information 3 What do clinical oncologists do? 3 Why is the
More informationVU. PROGRAMCONTENT. \- B. Obstetrics and Gynecology. ,---J- Abdominatr and pelvie preeedures. A. Breast diseases
VU. PROGRAMCONTENT A. Breast diseases \- B. Obstetrics and Gynecology C. Physics as applied to mammography, ultrasound, CT, MRI D. Radiation protection E. Use of drugs in radiology, including sedation
More informationWHERE NEXT FOR CANCER SERVICES IN NORTHERN IRELAND? AN EVALUATION OF PRIORITIES TO IMPROVE PATIENT CARE
WHERE NEXT FOR CANCER SERVICES IN NORTHERN IRELAND? AN EVALUATION OF PRIORITIES TO IMPROVE PATIENT CARE EXECUTIVE SUMMARY Incidence of cancer is rising, with one in two people born after 1960 expected
More informationAudit Report. Breast Cancer Quality Performance Indicators. Patients diagnosed during Published: February 2018
Breast Cancer Managed Clinical Network Audit Report Breast Cancer Quality Performance Indicators Patients diagnosed during 2016 Published: February 2018 Mr Douglas Brown NOSCAN Breast Cancer MCN Clinical
More informationThis working paper has been prepared by Dr Elizabeth Roberts, Director of Breast Test Wales, a member of the Cancer Services Expert Group (CSEG).
BREAST CANCER This working paper has been prepared by Dr Elizabeth Roberts, Director of Breast Test Wales, a member of the Cancer Services Expert Group (CSEG). Material used in the report has been drawn
More informationHOSPITAL MODELO - LA CORUÑA, Spain
- LA CORUÑA, Spain General Information New breast cancer cases treated per year 150 Breast multidisciplinarity team members 8 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
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 informationUniversity Hospital for Tumors, University Hospital Center Sestre Milosrdnice - Zagreb, Croatia
University Hospital for Tumors, University Hospital Center Sestre Milosrdnice - Zagreb, Croatia General Information New breast cancer cases treated per year 873 Breast multidisciplinarity team members
More informationBreast Cancer. Most common cancer among women in the US. 2nd leading cause of death in women. Mortality rates though have declined
Breast Cancer Most common cancer among women in the US 2nd leading cause of death in women Mortality rates though have declined 1 in 8 women will develop breast cancer Breast Cancer Breast cancer increases
More informationTable of contents. Page 2 of 40
Page 1 of 40 Table of contents Introduction... 4 1. Background Information... 6 1a: Referral source for the New Zealand episodes... 6 1b. Invasive and DCIS episodes by referral source... 7 1d. Age of the
More informationCairo Oncology Center - Giza, Egypt
- Giza, Egypt General Information New breast cancer cases treated per year 421 Breast multidisciplinarity team members 18 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists and
More informationAudit Report Report of the 2011 Clinical Audit Data
Breast Cancer Managed Clinical Network Audit Report Report of the 2011 Clinical Audit Data Dr Ruth Adamson Consultant Pathologist MCN Clinical Lead Tom Kane MCN Manager Julie McMahon Information Officer
More informationEUSOMA GUIDELINES Prof Robert Mansel President Elect EUSOMA Cardiff University. mansel
EUSOMA GUIDELINES Prof Robert Mansel President Elect EUSOMA Cardiff University mansel No disclosures to reveal Prof RE Mansel mansel BU Guidelines The requirements of a specialist breast unit CRITERIA
More informationNational Cancer Programme. Work Plan 2015/16
National Cancer Programme Work Plan 2015/16 Citation: Ministry of Health. 2015. National Cancer Programme: Work plan 2015/16. Wellington: Ministry of Health. Published in October 2015 by the Ministry of
More informationBreast Cancer. Saima Saeed MD
Breast Cancer Saima Saeed MD Breast Cancer Most common cancer among women in the US 2nd leading cause of death in women 1 in 8 women will develop breast cancer Incidence/mortality rates have declined Breast
More informationWhat is Cancer? Petra Ketterl, MD Medical Oncology and Functional Medicine
What is Cancer? Petra Ketterl, MD Medical Oncology and Functional Medicine What is Cancer? Layman s terms: cancer starts when cells grow out of control (in any place in the body) and crowd out normal cells
More informationGuven Hospital - Ankara, Turkey
- Ankara, Turkey General Information New breast cancer cases treated per year 180 Breast multidisciplinarity team members 9 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists and
More informationBreastScreen Victoria Annual Statistical Report
BreastScreen Victoria Annual Statistical Report 29 BREASTSCREEN VICTORIA: ANNUAL STATISTICAL REPORT, 29 Produced by: BreastScreen Victoria Coordination Unit Level, 3 Pelham Street, Carlton South Victoria
More informationHospital Universitari La Fe - Valencia, Spain
- Valencia, Spain General Information New breast cancer cases treated per year 180 Breast multidisciplinarity team members 13 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationStandards Deficiency Resolution
Standards Deficiency Resolution If a deficiency or deficiencies are identified during the survey process, the center has 12 months from the date of survey to complete the deficiency resolution process.
More informationAppendix 4 Urology Care Pathways
Appendix 4 Urology Care Pathways Cancer Care Pathways outline the steps and stages in the patient journey from referral through to diagnostics, staging, treatment, follow up, rehabilitation and if applicable
More informationNational Cancer Programme. Work Plan 2014/15
National Cancer Programme Work Plan 2014/15 Citation: Ministry of Health. 2014. National Cancer Programme: Work Plan 2014/15. Wellington: Ministry of Health. Published in December 2014 by the Ministry
More informationBreastScreen Aotearoa Annual Report 2015
BreastScreen Aotearoa Annual Report 2015 EARLY AND LOCALLY ADVANCED BREAST CANCER PATIENTS DIAGNOSED IN NEW ZEALAND IN 2015 Prepared for Ministry of Health, New Zealand Version 1.0 Date November 2017 Prepared
More informationIstituto Clinico S. Anna - Brescia, Italy
- Brescia, Italy General Information New breast cancer cases treated per year 250 Breast multidisciplinarity team members 13 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists and
More informationSurgery for Breast Cancer
Surgery for Breast Cancer 1750 Mastectomy - Petit 1894 Radical mastectomy Halsted Extended, Super radical mastectomy 1948 Modified radical mastectomy Patey 1950-60 WLE & RT Baclesse, Mustakallio 1981-85
More informationPrediction of Postoperative Tumor Size in Breast Cancer Patients by Clinical Assessment, Mammography and Ultrasonography
Prediction of Postoperative Tumor Size in Breast Cancer Patients by Clinical Assessment, Mammography and Ultrasonography Eyad Fawzi AlSaeed 1 and Mutahir A. Tunio 2* 1 Consultant Radiation Oncology, Chairman
More information- Pisa, Italy. Azienda Ospedaliero-Universitaria Di Pisa - Ospedale S. Chiara 1/6. General Information
- Pisa, Italy General Information New breast cancer cases treated per year 650 Breast multidisciplinarity team members 20 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists and
More informationMaking the Most of Your Cancer Registry
www.champsods.com Making the Most of Your Cancer Registry Presenter: Toni Hare, Vice President CHAMPS Oncology Data Services Picture of girl here December 11, 2009 Learning Objectives Upon completion of
More informationSmilow Cancer Hospital at Yale-New Haven - New Haven, United States
- New Haven, United States General Information New breast cancer cases treated per year 966 Breast multidisciplinarity team members 32 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationSan Giovanni Addolorata Hospital - Rome, Italy
- Rome, Italy General Information New breast cancer cases treated per year 411 Breast multidisciplinarity team members 19 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists and
More informationThe early detection programme for breast cancer
Making a wellinformed decision The early detection programme for breast cancer Why are women offered a mammogram through the quality controlled screening programme? Women between 50 and 69 years of age
More informationBrustzentrum Universitaets Frauenklinik Tuebingen
- Tuebingen, Germany General Information New breast cancer cases treated per year 600 Breast multidisciplinarity team members 16 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationBreastScreen Victoria Annual Statistical Report
BreastScreen Victoria Annual Statistical Report 2010 BREASTSCREEN VICTORIA: ANNUAL STATISTICAL REPORT, 2010 Produced by: BreastScreen Victoria Coordination Unit Level 1, 31 Pelham Street, Carlton South
More informationAZ Sint-Lucas Brugge - Brugge, Belgium
- Brugge, Belgium General Information New breast cancer cases treated per year 180 Breast multidisciplinarity team members 14 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More information2011 Fairview Ridges Hospital Oncology Annual Report
2011 Fairview Ridges Hospital Oncology Annual Report Fairview Ridges Hospital would like to thank the members of the Cancer Committee for their hard work and dedication to improving the screening, treatment
More informationWest Hertfordshire Hospital NHS Trust - Watford, United Kingdom
- Watford, United Kingdom General Information New breast cancer cases treated per year 350 Breast multidisciplinarity team members 17 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationNational Accreditation Program For Breast Centers Standards Manual 2017 EDITION. makes a difference ACCREDITATION
National Accreditation Program For Breast Centers Standards Manual 2017 EDITION makes a difference ACCREDITATION 1 STANDARD 1.1 Level of Responsibility and Accountability The organizational structure of
More informationGuy's & St. Thomas' NHS Foundation Trust - London, United Kingdom of Great Britain and Northern Ireland
- London, United Kingdom of Great Britain and Northern Ireland General Information New breast cancer cases treated per year 376 Breast multidisciplinarity team members 26 Radiologists, surgeons, pathologists,
More informationUniversity Clinical Center Banja Luka, Breast Center - Banja Luka, Bosnia and Herzegovina
- Banja Luka, Bosnia and Herzegovina General Information New breast cancer cases treated per year 245 Breast multidisciplinarity team members 23 Radiologists, surgeons, pathologists, medical oncologists,
More informationSurgical Oncology/Clinical Center Sarajevo - Sarajevo, Bosnia and Herzegovina
- Sarajevo, Bosnia and Herzegovina General Information New breast cancer cases treated per year 200 Breast multidisciplinarity team members 24 Radiologists, surgeons, pathologists, medical oncologists,
More informationRe-audit of Radiotherapy Waiting Times 2005
Abstract Re-audit of Radiotherapy Waiting Times 2005 E. Summers, M Williams Royal College of Radiologists, 38 Portland Place, London W1B 4JQ, UK Aim: To determine current waiting times for radiotherapy
More informationHaemato-oncology Clinical Forum. 20 th June 2013
Haemato-oncology Clinical Forum 20 th June 2013 Welcome Dr Majid Kazmi, LCA Haemato-oncology Pathway Group Chair Purpose of today Provide an update on progress of the LCA to date Identify priorities for
More informationBasavatarakam Indo American Cancer Hospital and Research Institute - Hyderabad, Telangana, India
Basavatarakam Indo American Cancer Hospital and Research Institute - Hyderabad, Telangana, India General Information New breast cancer cases treated per year 1200 Breast multidisciplinarity team members
More informationCancer Screening Nottingham City Joint Strategic Needs Assessment April 2009
Cancer Screening Nottingham City Joint Strategic Needs Assessment April 2009 Introduction Cancer screening aims to detect disease at an early stage in people with no symptoms, when treatment is more likely
More informationBreast Cancer Pathway Map
Care Ontario Pathway Map 03.18 Printer Friendly Version Note: print 11x17 landscape for best results, some features and content are only available on web version of pathway map Prevention Screening Diagnosis
More informationUnknown Primary Service for patients at Chesterfield Royal Hospital
Unknown Primary Service for patients at Chesterfield Royal Hospital David Brooks Macmillan Consultant in Palliative Medicine Louise Merriman GP Cancer Lead With thanks to Macmillan Cancer Support, who
More information!"#$ Oncology Outcomes Report
!"#$ Oncology Outcomes Report The Cleveland Clinic Florida Cancer Institute is dedicated to the comprehensive care of patients with cancer. Oncologists collaborate with a variety of physicians across multiple
More informationBrustzentrum Mittelland Kantonsspitäler Aarau/Olten - Aarau, Switzerland
- Aarau, Switzerland General Information New breast cancer cases treated per year 216 Breast multidisciplinarity team members 15 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists
More informationCase Scenario 1. 2/15/2011 The patient received IMRT 45 Gy at 1.8 Gy per fraction for 25 fractions.
Case Scenario 1 1/3/11 A 57 year old white female presents for her annual mammogram and is found to have a suspicious area of calcification, spread out over at least 4 centimeters. She is scheduled to
More informationCOLORECTAL CARCINOMA
QUICK REFERENCE FOR HEALTHCARE PROVIDERS MANAGEMENT OF COLORECTAL CARCINOMA Ministry of Health Malaysia Malaysian Society of Colorectal Surgeons Malaysian Society of Gastroenterology & Hepatology Malaysian
More informationTHE 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