Download Oncology Program 2013 Annual Report

Oncology Program 2013 Annual Report
Prevention Programs
On March 15, Dr. James Surrell, a colorectal surgeon, spoke on WLUC TV 6 on colon cancer screening
guidelines and how a recent patient had three cancerous polyps removed during his first routine
colonoscopy. He encouraged the community to follow NCCN guidelines for colon cancer screening by
having a colonoscopy at age 50 and one every 10 years after that.
In October of 2013, the Cancer Program in conjunction with the Radiology department had a booth in
the main lobby of the hospital for breast cancer awareness month. We provided screening guidelines
for mammography and cancer prevention pamphlets from the American Cancer Society to the public.
Danielle Haanpaa, Cancer Care Coordinator, provided a Wild Wellness: Lunch and Learn for hospital
employees regarding cancer prevention. Two discussions were held and approximately 20 employees
attended each one. Handouts from Centers for Disease Control and Prevention on screening and
prevention guidelines were provided for attendees.
The Mining Journal interviewed a patient with breast cancer, the genetics counselor, and the patient
navigator to stress the importance of self-breast exams, annual mammograms after age 40, and genetic
testing for those with a breast cancer diagnosis. The patient was 34, found her own lump and tested
positive for the BRAC2 gene mutation. The article was very educational to the public about how gene
mutations affect families and who should be tested. The patient’s aunt tested positive for the gene
mutation and subsequently chose a double mastectomy to prevent cancer.
Dr. Siemers and Dr. Thieme participated in the Public TV 13 program “Ask the Doctors” on June 13. This
is an hour long program in which the public can call in and ask questions of the physicians.
Support Groups
The Cancer Program provides two support groups annually.
Breast Cancer support group meets each month on the second Tuesday through June and then
picks up again in September. Video conferencing is available for the Munising and Baraga
communities. Each meeting provided a speaker on various topics of the attendee’s selection.
Average attendance is 10 women per session.
General Cancer support group meets each month every other Tuesday through June and then
picks up once per month in September. We average 13 attendees per meeting.
National Survivors Day
Marquette General Cancer Center sponsored a National Cancer Survivor’s Day on June 3, 2013. The
event was held at Presque Isle Park Pavilion. Healthy snacks were provided by the Sweet Water Café
and a survivorship mural was created by participants. The American Cancer Society and LIVESTRONG
were onsite to provide information on cancer prevention, survivorship and screening to the public. Two
registered dieticians provided information on using spices to make food taste better and the benefits of
a healthy diet to prevent cancer. Approximately 130 people attended the event
Screening Programs
Our 2012 overall cancer burden for Marquette General Hospital indicated that breast cancer has the
highest incidence with lung, colon, and prostate cancers following. With the utilization of
mammography for breast cancer screening, we are able to diagnose most breast cancers, 60%, at a
localized stage. This means that the cancer hasn’t spread to outside of the breast to lymph nodes or
other organs. Colon Cancer is diagnosed at the localized level 42% of the time. Our Colon Site
Committee decided, based on that information, we should do a colorectal screening in March of 2013 to
try to catch early stage colon cancers. March is also Colon Cancer Awareness Month. We partnered
with our primary care physicians and used the FIT testing device. The advantage of the FIT test over
other colorectal testing modalities is only one fecal sample is needed instead of three.
Number of Kits
Mailed out
234
Returned to MGH
for processing
55
Return Rate
Percentage
24%
Number of
Negative Tests
48
Number of
Positive Tests
7
All seven of the patients with a positive FIT test received a follow-up colonoscopy. There were 4
patients that had negative results and 3 patients that had polyps removed. One of the patients with
polyp removal had benign or negative results and two of the patients had tubular adenoma, or polyps
that contained cancer cells.
Monitoring Compliance with Evidence-Based Practice
Each year, we perform studies to assess whether patients are being treated utilizing evidence-based
national treatment guidelines. One of the studies conducted is for patients with stage III colon cancer.
Chemotherapy after surgery must be considered or administered within 4 months of after surgery. The
national standard is for 100% of these patients to receive this treatment. Every single patient at
Marquette General met this standard in 2013.