Together... The Strength to Fight Cancer Annual Cancer Report December 2013
2 Memorial Hospital and Health Care Center How do you know Memorial Hospital has high quality cancer care? The American College of Surgeons Commission on Cancer s national accreditation process is considered the gold standard for cancer programs. You can be assured of the quality at Memorial Hospital and Health Care Center because the Commission awarded our program their highest level of recognition for program excellence in 2012. This OUTSTANDING ACHIEVEMENT AWARD was only given to 76 programs across the nation which means our cancer center is in the top 15% in the country. Memorial Hospital s cancer program has been accredited for 17 years. Accreditation involves rigorous evaluation of data submissions and performance reviews, including a site survey every three years. The accreditation with commendation means high ratings were received for 76 special quality standards in 2012. According to the Commission, This level of excellence assures the highest quality of care for patients close to their home.
Annual Cancer Report 3 The award also represents the strong focus our integrative medicine programs have placed on individualized care, which centers around our patients specific needs. The commission surveyor noted that our patient support programs (started here in 2008) have grown significantly providing specialized psychological and spiritual support services for men, women and families that are not available in many programs of our size. WHAT MAKES US THE RIGHT PLACE FOR CANCER CARE? Our patient-care team has extensive skill and experience in the treatment of adult cancers. While almost twothirds of our patients have breast, colon, or lung cancer, we also treat kidney, urinary, prostate, and ovarian cancers, melanoma, and a variety of lymphoid and other neoplasms. The Lange-Fuhs Cancer Center combines top quality medical oncology and radiation services with integrative medicine in a warm, peaceful, supportive environment. The team of board-certified physicians, oncology-certified nurses, pharmacists, therapists, and support staff are committed to superior, compassionate, and individualized care. Our team embraces both conventional and complementary therapies. This combined approach truly sets us apart from other cancer centers and actually begins before the patient ever arrives for the first appointment. When a patient is referred to the Lange-Fuhs Cancer Center, a staff member will make an introductory phone call to the patient to familiarize them with our services and answer questions. We recognize that receiving a
4 Memorial Hospital and Health Care Center cancer diagnosis is a frightening time in one s life and comes with worry and anxiety. We want to ease those worries and concerns as soon as possible. Once a patient completes the initial appointment, comments regarding the kindness and compassion received are often heard from patients, as well as the professional, yet familylike care experienced from the entire team. We take the concept of providing whole-person, patientcentered care very seriously. The Lange-Fuhs Cancer Center offers several components of integrative medicine specifically aimed at treating body, mind, and spirit. These include massage therapy, reflexology, volunteer companioning, a women s support group, a men s discussion group, Celebrate Today, and artistic expression (Creating Hope ). In fact, the Creating Hope group completed a beautiful 2013 calendar, which incorporated artwork from several members. The Look Good Feel Better program is offered in partnership with the American Cancer Society. All integrative medicine components are offered free of charge to patients and their families, and truly become integrated into one s overall treatment plan. Behind the scenes, many groups within the hospital work hand-in-hand to coordinate the service planning. These include the Women s Center, Pathology, Radiology, Palliative Care, Pastoral Care, Pharmacy, and many others.
Annual Cancer Report 5 SHOULD I CHOOSE MEMORIAL HOSPITAL IF I HAVE BREAST CANCER? Absolutely! Research shows we find and treat breast cancer at earlier stages than other cancer centers. In a recent study of breast cancer which started in 2008, we found that we have, primarily through the work of our Women s Center, a greater rate of early detection of breast cancer than other programs. Our team stays current with all new research, development, and treatment methods. Early detection of breast cancer improves the success of treatment. Our community education programs have spent the past seven years bringing information to community groups, employer groups, and students regarding the importance of self-surveillance and regularly scheduled mammograms. Breast cancer is a disease of uncontrolled cell growth in tissues of the breast. Approximately 232,000 new cases of breast cancer will be diagnosed in the United States in the coming year. There has been an increase in the early detection of breast cancer, largely due to more women getting screening mammograms and better general education of the public. At Memorial Hospital, we completed a two-year quality study of our breast cancer patients and compared our data to national data for the same period. The data shows that we identify and treat a larger percentage of women under age 50 and a larger percentage of patients in early stages (stages 0 and I) than the national averages for these two groups. Early diagnosis is significant because those with early stage disease have greater chances of becoming cancer free.
6 Memorial Hospital and Health Care Center The following charts show some of the differences and similarities for breast cancer cases at our hospital when compared to the national cancer database which uses averages from 442 community hospitals. In the graph of treatments, more Memorial Hospital patients receive all three methods (surgery, radiation, and hormone therapy) than the national average. Without consideration for stage or age, Memorial Hospital s overall patient survival rates approximate that of the national rates. In overview, the data shows that we meet or exceed the significant factors in quality breast cancer care when our program is compared to national averages. If you, a friend, or a loved one has breast cancer or any other type of cancer and are 18 years of age or older, please call us at 996-0626 with any questions you may have. Whether you are a current or past patient of the Lange-Fuhs Cancer Center, or somewhere else, we will assist you with getting supportive services or any information you may need. 30% Age Group of Breast Cancer Patients Diagnosed 2008-2010 25% 20% 15% 10% 5% 0% Under 20 20-29 30-39 40-49 50-59 60-69 70-79 80-89 90 and over AGE MEMORIAL HOSPITAL AGE COMMUNITY HOSPITALS
Annual Cancer Report 7 45% Stage of Breast Cancer Patients Diagnosed in 2008-2010 40% 35% 30% 25% 20% 15% 10% 5% 0% Stage O Stage I Stage II Stage III Stage IV Stage NA UNK Stage STAGE MEMORIAL HOSPITAL STAGE COMMUNITY HOSPITALS Note: More patients are detected with cancer at an early stage at Memorial Hospital when compared to the national average. Treatment of Breast Cancer Patients 2008-2010 No 1st Course Rx. Other Specified Therapy Surgery, Chemo, Hormone Therapy Surgery, Radiation, Chemo, Hormones Surgey & Hormone Therapy Surgery, Radiation, Hormone Therapy Surgery, Radiation, Chemo Surgery & Chemotherapy Surgery & Radiation Surgery only 0.00% 5.00% 10.00% 15.00% 20.00% 25.00% 30.00% TREATMENT 1st Course Rx Community Hospitals TREATMENT 1st Course Rx Memorial Hospital
8 Memorial Hospital and Health Care Center BREAST CANCER QUICK FACTS You are never too young to develop breast cancer! Breast self-exams should begin by the age of 20 or earlier. Regular mammogram screenings for adults are still the best way to detect breast cancer. The first sign of breast cancer usually shows up on a woman s mammogram before it can be felt or any other symptoms are detected. Because of targeted treatments, women are surviving breast cancer and living longer lives. There are different types of breast cancer, so we use different therapies for treatment. The molecular makeup of an individual s own tumor determines their treatment. As women age, their risk for breast cancer increases. Seventy-seven percent of women with breast cancer are over age 50. Breast cancer is the leading cause of cancer death in women between the ages of 15 and 54, and the secondleading cause of cancer death in women 55 to 74. According to the American Cancer Society, breast cancer risk factors you can control include postmenopausal obesity, use of postmenopausal hormones, alcohol consumption, and physical inactivity. One in eight women will get breast cancer in their lifetime. Ninety-six percent of women who find and treat breast cancer early will be cancer free after five years. If you suffer from depression, anxiety, nausea, lack-ofappetite or other symptoms related to your cancer or its treatment, there is help. Be sure to ask your doctor. Statistics taken from American Cancer Society, National Cancer Institute, and Komen Foundation
Annual Cancer Report 9 HOW MANY CANCER CASES ARE IDENTIFIED ANNUALLY AT MEMORIAL HOSPITAL? Over 330 people are diagnosed with cancer each year at our facility. The following pages describe the volume of all cancers identified at Memorial Hospital by cancer site for men and for women compared to the national rates for these groups.
10 Memorial Hospital and Health Care Center MHHCC 2012 Cancer Incidence By Site and Sex Compared Nationally These charts illustrate the total number of analytic cancer cases (those diagnosed and/or treated initially at MHHCC) in 2011 and breaks them down by site of origin and sex. National estimates are provided by the American Cancer Society: 2012 Cancer Facts & Figures. Excluded from the comparison are basal and squamous cell skin cancers, benign brain, and hematopoietic cases. Memorial Hospital and Health Care Center 2012 Incidence of Cancer by Site Number of Cases Unknown Primary Ovary Uterus/Cervix Hodgkins Esophagus Tonsil Multiple Myeloma Endometrium Thyroid Pancreas Kidney Tongue Leukemia Rectum Non-Hodgkins Other Melanoma Bladder Prostate Colon Lung Breast 2 2 4 4 4 5 5 6 7 8 9 9 11 11 14 17 17 17 30 35 57 58
Annual Cancer Report 11 Males Primary Site MHHCC National n=167 n=848,170 Lung 32 19% 116,470 14% Prostate 30 18% 241,740 29% Colon & Rectum 25 15% 73,420 9% Urinary Bladder 15 9% 55,600 7% Other 15 9% 127,380 15% Tongue 9 5% 9,040 1% Melanoma 9 5% 44,250 5% Lymphoma 8 5% 43,120 5% Leukemia 7 4% 26,830 3% Multiple Myeloma 5 3% 12,190 1% Esophagus 4 2% 13,950 2% Pancreas 3 2% 22,090 3% Kidney 3 2% 40,250 5% Thyroid 1 1% 13,250 2% Testis 1 1% 8,590 1% Females Primary Site MHHCC National n=165 n=790,740 Breast 58 35% 226,870 29% Lung 25 15% 109,690 14% Colon & Rectum 21 13% 70,040 9% Lymphoma 10 6% 36,070 5% Other 8 5% 129,190 16% Melanoma 8 5% 9,510 1% Uterine Corpus 7 4% 47,130 6% Kidney 6 4% 24,520 3% Thyroid 6 4% 43,210 5% Pancreas 5 3% 21,830 3% Leukemia 4 2% 20,320 3% Cervix 3 2% 12,170 2% Urinary Bladder 2 1% 17,910 2% Ovary 2 1% 22,280 3%
12 Memorial Hospital and Health Care Center WHO OVERSEES THE ACTIVITIES OF THE CANCER PROGRAM? Each year, the Cancer Committee of MHHCC is responsible for monitoring, assessing, and identifying changes needed to maintain compliance with the American College of Surgeons Commission on Cancer standards for accreditation. Accreditation ensures that quality care is provided to patients in a safe environment. Committee members are as follows: Physician Committee Members: Robert Mandal, MD Medical Oncology Karim Anwar, MD Medical Oncology Crystal Reed, MD Radiation Oncology Charles Tollett, Jr., MD Surgery Joseph Munning, MD Internal Medicine, ACoS Liaison Daniel Weaver, MD Pathology Greg Brown, MD Pathology - Cancer Committee Chair Cindy Casey, DO Radiology Ancillary Committee Members: Cheryle Daunhauer, BA Cancer Center Manager Allyson Hoffman, BSW/LSW Social Services, Psychosocial Coordinator Ann Hostetter, RN, OCN Medical Oncology Brenda Knies, RN Palliative Care Linda Lett, RN Radiation Oncology Paula McCarter, RN, OCN Quality Improvement Medical Oncology Shawna Verkamp, RHIT, CTR Cancer Registrar Tana Scott, RN, OCN Navigation Charlotte Stephenson, NP Oncology Research and Survivorship Susan Weisheit, BS Health and Wellness/Outreach Angela Hoagland, Pharm D Director of Pharmacy and Oncology Services
Annual Cancer Report 13 WHAT MAKES MEMORIAL HOSPITAL S CANCER PROGRAM STAND OUT FROM OTHER CANCER PROGRAMS? We were awarded the highest national quality rating in 2012 by the Commission on Cancer. Integrative medicine and strategies regarding patient-centered care were implemented here years before they became part of the quality standards defined by the Commission on Cancer. During 2008 through 2012, only a few community cancer centers had begun to implement programs reflecting the principles of patient-centered, personalized care. The reason for our early focus on bringing this personal type of care to our patients is simple - we always want our cancer care to reflect the core values of Memorial Hospital: Respect for Human Dignity, Compassionate Caring, Stewardship, Quality, and Justice. Our most recent program developments have included the expansion of patient navigation and survivorship services. We are committed to caring for our patients with excellence, quality, and compassion and will continue the journey through cancer with them side by side. Having cancer doesn t mean that you need to travel to a big city to receive treatment, especially when services, clinical expertise, and genuine patient-centered care are right here in Jasper.
HOW CAN I GET MORE INFORMATION ABOUT LANGE-FUHS CANCER CENTER? If you or your loved one has been diagnosed with cancer and need more information, please call Lange-Fuhs Cancer Center at (812) 996-0626 weekdays between 7:00 a.m. and 4:30 p.m. or stop in to see us. Our entrance is located on Dorbett Street between 9th Street and 13th Street in Jasper, Indiana. You can also read about us on Memorial Hospital s website at www.mhhcc.org. You have our commitment to treat you like family while also providing you with the best, evidencebased cancer care available.
Memorial Hospital Mission Statement: Christ s healing mission of compassion empowers us to be for others through quality and excellence. Memorial Hospital Core Values: Respect for Human Dignity Compassionate Caring Stewardship Quality Justice For more information on the Lange-Fuhs Cancer Center or any of its services, please call (812) 996-0626.