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a year in review 20 15 contents 3 4 Letter from the Chairman Welcome New Oncology Team Members Prostate Screening Leads to Diagnosis and Treatment 5 Center for Clinical Research Advances Quality Care 6 No Cancer Patient is Alone 7 Community Forums and Presentations Cancer Screenings Cancer Registry Activity Report Cancer Registry Statistical Summary Top Five Cancer Sites at Martin Health System 2014 Analytic Cases Age and Gender Diagnosis 2014 Facts and Figures Leading Sites of New Cancer Cases and Deaths – 2015 Estimates 2015 Cancer Program Committee How Big is Your Brave Philanthropy and Oncology Services Definition of Terms 2 | Cancer Annual Report 2015 8 9 10 11 12 13 14 15 16 17 18 19 MISSION STATEMENT A multidisciplinary team providing quality, individualized, whole person care devoted to improving the lives of all cancer patients. VISION To be the premier destination for cancer care on the Treasure Coast through caring professionals, leading technology, cutting edge research, and compassionate support services. VALUES Patients first through: Collaboration, Accountability, Respect and Excellence. letter from the chair This has been a very rewarding year for those of us at the Robert and Carol Weissman Cancer Center at Martin Health. For the third consecutive survey cycle, our multidisciplinary team has earned the highest possible level of accreditation that a comprehensive community cancer program can receive from the Commission on Cancer. The Commission assesses our physician credentials, cancer committee membership, community outreach, clinical education activity and more. In addition to full accreditation, the Commission awarded the cancer center a commendation for excellence in numerous areas. We couldn’t be more pleased—for both the cancer center and the more than 2,000 patients we serve each year. You can read more about the rigorous guidelines of this prestigious award at www.facs.org/cancer. What makes the Robert and Carol Weissman Cancer Center so remarkable? I would say, first and foremost, it is our people. Our team draws from many different disciplines that include board-certified specialists, oncology nurses and technicians, cancer patient navigators, a social worker and an oncology dietitian. These caring and committed professionals bring together their expertise and experience to provide the very best treatment for our patients. With support from our very generous community, we are also fortunate to be able to offer some of the best cancer treatment technology right here on the Treasure Coast. When we learned that Martin and St. Lucie counties had higher incidences of lung cancer than the state average, we created the Center for Lung Health and acquired the cutting-edge TrueBeam radiotherapy system last year. In conjunction with this, we introduced a low-dose CT screening for lung cancer, with the goal of finding cancers early when they are most treatable. In the first 200 patients who participated in the screening, five lung cancers were uncovered and treated! Our lung cancer navigator worked with these patients—and many others—to provide information and resources, ease the anxiety of being diagnosed with cancer, and/or helping to remove any barriers to services. This program has been a major success, creating lung cancer awareness, and providing a way for those who are at risk to be proactive and get screened. The cancer center is driven by the mission of Martin Health System – to provide exceptional health care, hope and compassion, to every person, every time. So as we strive to eradicate cancer by using the most effective ways to prevent and diagnose it, we are also dedicated to ensuring our patients receive the highest level of care, from a caring and compassionate oncology team, within a comforting and healing environment. Alpana Desai, MD Chair, Cancer Program Committee and Cancer Liaison Physician 3 | Cancer Annual Report 2015 welcome new oncology team members Craig Wengler, MD, Breast Surgical Oncologist Craig Wengler, MD, was happy to return home to Stuart, Florida where he was born and raised. He joined Martin Health Physician Group after completing a Breast Surgical Oncology fellowship at Cleveland Clinic in Ohio. During his fellowship, Dr. Wengler had the opportunity to see more of the science and research behind the most effective breast cancer treatments. “This is one cancer we’re starting to beat,” Dr. Wengler said. “We’re really making strides in the right direction.” Dr. Wengler returned to his hometown to help those on the Treasure Coast who have been diagnosed with breast cancer. “I am fortunate to be surrounded by incredibly knowledgeable, helpful, and well-rounded physicians, nurses, and support staff who help me provide the best patient care possible,” he said. Dr. Wengler sees patients in Stuart and Port St. Lucie. In addition to breast cancer surgery, he treats benign breast disease, performs breast and lymph node biopsies, specializes in high-risk breast surveillance, and performs nipple-sparing mastectomies and oncoplastic surgery for breast cancer. 4 | Cancer Annual Report 2015 Michael Burke, MD, Radiation Oncologist When Michael Burke, MD, joined the Robert and Carol Weissman Cancer Center last year, he brought with him 24 years of experience in a practice he finds extremely rewarding. After obtaining his medical degree from Georgetown University School of Medicine, Dr. Burke completed his residency in radiation oncology at the University of Kansas Medical Center. Prior to joining Martin Health System, he was medical director in radiation oncology at Vassar Brothers Medical Center in New York and medical director in radiation oncology at Delta Medix Cancer Center in Pennsylvania. As a radiation oncologist, Dr. Burke spends a great deal of time both with his patients and in front of the computer to provide advanced treatment delivery. “There is a lot that goes on behind the scenes in meticulous treatment planning in order to deliver significant dosages of radiation to cancer cells without damaging the surrounding normal tissue,” he said. “Here at Martin Health, we have the most advanced equipment available and a great team including our three radiation oncologists, a physicist, dosimetrist, therapists, nurses and office staff. I am truly blessed to be here.” prostate screening leads to diagnosis and treatment In February 2015, Gary Ferguson heard an announcement at his church about a free prostate cancer screening and thought he should attend. For the 59-year-old who rarely saw a doctor, this turned out to be a life-saving decision. The screening uncovered Stage 3 prostate cancer. When Gary received his diagnosis, he didn’t have any health insurance. With assistance from Marisa Baskin, oncology social worker, Gary was able to submit applications for Medicare, Medicaid and SSI. Additional support from Volunteers in Medicine made it possible for Gary to pursue surgery. Gary was shocked. He wasn’t a smoker and never felt sick or had any symptoms. He was referred to Stuart urologist, Michael Lustgarten, MD. “Gary remained very upbeat throughout his treatment,” Baskin said. “His positive attitude made his experience so much better.” “It’s very typical for patients to have prostate cancer and not have any symptoms,” Dr. Lustgarten said. “We were fortunate we caught Gary’s cancer when we did. It had spread to seminal vesicles—which is why we also prescribed radiation treatment following the surgery.” For Gary, the care he received was life-saving. “They really care about you at the Cancer Center,” he said. “I felt like I’ve known the staff for a long time.” Over the next six weeks following his surgery, Gary traveled to the Robert and Carol Weissman Cancer Center from his home in Hobe Sound five days a week for radiation therapy. He completed his treatments in November. Gary Ferguson (left) and Michael Lustgarten, MD The annual free prostate cancer screening is offered through the Robert and Carol Weissman Cancer Center’s community outreach initiative with the goal of decreasing the number of patients with late stage disease. All patients with positive findings receive follow-up care and financial assistance screening for those who are uninsured and underinsured. 5 | Cancer Annual Report 2015 center for clinical research advances quality of care Clinical Research at Martin Health (left to right) Kensington Daigle, RN Belinda Russell Thomas Calkins Mary Allison, RN Kristen Sweeney, RN, Manager Davy Thach Cathryn Connelly, RN clinical research employs six staff and has two locations: at the Robert and Carol Weissman Cancer Center in Stuart and at Tradition Medical Center in Port St. Lucie. University and OneBlood. Affiliation with the Moffitt Cancer Center provides the community with an extension of services for referrals, research and clinical trials. The Martin Health System Center for Clinical Research plays a key role in helping research the effectiveness of potential new drug therapies, advancing clinical technologies and finding new methods of detecting and treating cancer. This research is critical to advancing the quality of care we offer at the Robert and Carol Weissman Cancer Center. For more than 10 years, the Center for Clinical Research has successfully collaborated with industry sponsors, biotech companies and local life science organizations to promote research activities. Utilizing a comprehensive clinical research infrastructure, the center supports sponsors and investigators in the initiation, conduct and reporting of clinical research that can help understand human conditions and aid in the development of new therapies. Relationships with life sciences, pharmaceutical companies and government-funded programs enable the research department to participate in multi-therapeutic clinical trials. The research department focuses on trials that bring the latest science to patients in our community. Led by Moti Ramgopal, MD, medical director, and Kristen Sweeney, manager, the center for Partner organizations include the Moffitt Cancer Center in Tampa, MRI Global, Florida Gulf Coast Moti Ramgopal, MD 6 | Cancer Annual Report 2015 As part of the research community, our clinical research center strives to develop a program to elevate awareness of clinical trial opportunities, provide greater access to clinical trials and deliver high-quality clinical data while meeting all regulatory regulations. no cancer patient is alone Our Oncology Support Team (left to right) Mary Smith, Breast Health Navigator Kim Pacewicz, Lung Health Navigator Maria Baskin, Social Worker For anyone diagnosed with cancer, learning how to fight the disease can be an emotional, frightening experience with more questions than answers. Currently our navigation program is comprised of two breast health navigators, one lung health navigator and two oncology social workers. At the Robert and Carol Weissman Cancer Center, our oncology nurse navigators help patients navigate through the complex health care barriers, from screening to survivorship or end of life. These navigators provide information and resources, minimize barriers to services and help expedite access to care in order to reduce anxiety and ease the patient’s cancer journey as much as is possible. “I’ve always loved working with oncology patients,” said Mary Smith, breast health navigator. “As a navigator, I feel like I am really making a differencealleviating our patients’ concerns, connecting them with resources and making sure they understand their options and their prescribed course of treatment, tests and therapies.” Just as our oncology nurse navigators provide the necessary clinical support, our oncology social worker provides the necessary psychosocial support. The oncology social worker oversees the distress screening process that patients undergo prior to beginning cancer treatment. Distress screening provides the patient, care team and social worker with a deeper understanding of current anxieties, fears, challenges or worries; the team then provides additional assessment and interventions as necessary. Completing cancer treatment can be an overwhelming accomplishment. Our patients receive individualized post-treatment care plans and care summaries. This not only provides direction for follow- up, but also enhances communication among each patient’s various physicians. “When someone receives a cancer diagnosis, their world is turned upside down and they don’t know who to turn to,” Smith said. “It’s such a relief when they discover someone is there who is knowledgeable and supportive, and can be an advocate for them.” 7 | Cancer Annual Report 2015 community forums and presentations Director of Oncology Services, Cheryl Larschan, RN, BSN, OCN, (left) and Kaushal Gundavda, Assitant Vice President of Oncology and Research Services. January 27, 2015 Lung Cancer: How Medical Research, Advanced Technology and Early Detection Are Saving Lives Dennis J. Tishko, MD, Center for Lung Health Tradition Medical Center August 22, 2015 Friends in Pink 8th Annual Friendship Luncheon Willoughby Golf Club, Stuart October 9, 2015 Breast Cancer Todd Horkins, MD Temple Beit Hayam, Stuart 8 | Cancer Annual Report 2015 October 21, 2015 Breast Cancer and Genetic Testing Craig Wengler, MD Indian River State College, Fort Pierce December 8, 2015 What You Don’t Know CAN Hurt You: New Ways to Think About Cancer Dennis J. Tishko, MD, Center for Lung Health Harbor Ridge Yacht and Country Club, Palm City “ The team of doctors and staff at Martin Health are fantastic! ” – Kim, patient cancer screenings Prostate Cancer Screening February 24, 2015 This annual prostate cancer screening was held on February 24 at the Robert and Carol Weissman Cancer Center with a panel of three physicians. A total of 86 participants were screened, with nine percent having a PSA result higher than 4.0. Participants included 61 Caucasians, 21 African Americans and four Hispanic Clinical findings: Normal – 56 Abnormal – 2 BPH (Benign Prostatic Hyperplasia) – 28 Lung Cancer Screenings July 2014 – October 2015 As part of the Robert and Carol Weissman Cancer Center, the Center for Lung Health at Martin Health System has been committed to addressing the high lung cancer mortality rates in Martin and St. Lucie counties. Starting in July 2014, a low-dose CT lung cancer screening has been offered through the Center for Lung Health. In the first 15 months of the screening campaign, the center surpassed national benchmarks by completing 694 scans and diagnosing 14 patients with lung cancer. (National benchmarks are one diagnosis per 320 scans.) Screening results: Six (6) patients diagnosed with Stage 1 Three (3) patients diagnosed with Stage 2 Two (2) patients diagnosed with Stage 3 Three (3) patients diagnosed with Stage 4 Dennis Tishko, MD All diagnoses were non-small cell lung cancer: 8 adenocarcinomas, 4 squamous cell, 1 large cell neuroendocrine and 1 adenosquamous carcinoma. The low dose CT lung screening program will continue to be offered at a reduced price for those patients who are not covered by insurance. Digital Mammography Screenings October 2015 In recognition of National Breast Cancer Awareness Month, digital mammography screenings were offered at a reduced rate. “ Thank you Martin Health for everything. All the people I met here have blessed me beyond compare. – Stephen, patient ” 9 | Cancer Annual Report 2015 cancer registry activity report The cancer registry is vital to the success of any cancer program. Here at Martin Health System, the cancer registry strives to surpass the expectations of the Cancer Committee and the standards set forth by the American College of Surgeons Commission on Cancer. The registry sets its focus to exceed in these areas as it is essential to accurately evaluate and impact the future management of cancer and the outcomes of patient survival. The evidence-based medicine of today recognizes the skill and abilities of the cancer registrar. At Martin Health System, Certified Tumor Registrars (CTR), maintain certification from the National Cancer Registrars Association and possess the clinical and technical knowledge skills necessary to maintain each component of the diseaserelated data collection consistent with medical, administrative, ethical, legal, and accreditation requirements of the health care delivery system. The primary role of the cancer registry at Martin Health, like cancer registries worldwide, is to collect data on all cases of cancer, including benign brain and central nervous system tumors 10 | Cancer Annual Report 2015 Martin Health System received the 2014 Jean Byers Award for Excellence in Cancer Registration. Martin Health System Cancer Registry is a nine-time recipient of this award. The prestigious award is given based on the level of accordance with national standards for timeliness and completeness of data registry. The award recognizes excellence in these key constituents of running an exceptional registry program. diagnosed and or treated at Martin Health. Cancer cases identified are abstracted by recording all details in tumor histology, size, location, and stage of disease at diagnosis, as well as collecting data on diagnostic testing and all treatment received by our patients. As required by law, the data is reported to the Florida Cancer Data System and voluntary submitted to the American College of Surgeons Commission on Cancer’s National Cancer Data Base. Ultimately, the data is used at the local, state and national levels for research, assessment of treatment effectiveness, allocation of resources and identifying trends in cancer incidence and mortality. The cancer registry also assists Martin Health System’s Center for Clinical Research by providing statistics on the number of patients at MHS diagnosed with specific type and stage of cancer. This information is useful to determine which clinical trials to open that would provide the greatest benefit to our patients. The cancer registry also provides direct, clinical data to H. Lee Moffitt Cancer Center/M2Gen, for patients who enrolled in the Total Cancer Care Program improving efficiency to the research process. The cancer registry maintains a database of 17,138 patients. Lifetime follow-up of our patients is a significant component of the registry and is essential to accurately assess the effectiveness of treatment modalities and patient survival. The registry currently follows 7,589 patients on annual basis. The cancer registry staff also coordinates weekly cancer conferences held at Martin Health System. Through the commitment of many physicians at Martin Health System, 193 cancer cases were discussed at cancer conference in 2015. The weekly conference permits a multidisciplinary team approach to the cancer care of our patients. The conferences are well attended by medical staff members and representatives from all specialties and departments involved in the care of our cancer patients. Review and discussion of cases may include diagnosis, methods of diagnosis, visual presentation of pathology slides and radiographic films, cancer staging and treatment plans. Cases can be scheduled for presentation by calling the cancer registry at 772.223.5945, ext. 13706. cancer registry statistical summary (left to right) Maria Loyola Karan Boyles Patricia Weston, CTR Lisa Borodemos, CTR Nancy Maul, CTR “ My wife will beat her fight with breast cancer – thanks to all the wonderful caregivers here at Martin Health! – Bill, patient’s husband ” The American Cancer Society’s publication, Cancer Facts and Figures 2015, estimates 114,040 new cancer cases diagnosed in Florida, with an estimate of 43,050 deaths from the disease. National estimates of new cancer diagnosis is 1,658,370 with an estimated 589,430 deaths, making cancer the second leading cause of death in the nation surpassed only by heart disease. To date the cancer registry staff at Martin Health has accessioned 1,684 new cancer cases into the cancer registry database for the 2014 reporting year. The cancer cases reported in these statistics reflect cases from Martin Medical Center, Martin Hospital South and Tradition Medical Center. Of the 1,684 cases, 1,335 cases are analytic (first diagnosed and/or treated at Martin Health), and 349 cases are non- analytic (first diagnosed and/or treated elsewhere). There was a higher incidence reported in the female population with 923 newly accessioned cases and 761 in male cases. Cancer was most frequently diagnosed in the 60–69 age groups for both males and females. The most frequently diagnosed cancer sites at Martin Health System in 2014 continues to be breast cancer which comprises 27 percent of the total analytic cases, lung cancer at 16 percent, colorectal cancer at 8 percent, bladder cancer at 7 percent and prostate cancer at 6 percent. Other sites account for the remaining 36 percent of cases. 11 | Cancer Annual Report 2015 top five cancer sites at martin health system Breast 27% Lung 16% Colorectal Other 8% 36% Bladder 6% Prostate 9% 12 | Cancer Annual Report 2015 2014 analytic cases age and gender diagnosis 250 200 150 100 50 Male Female 0 10 - 19 20 - 29 30 - 39 40 - 49 50 - 59 60 - 69 70 - 79 80 - 89 Age at Diagnosis 13 | Cancer Annual Report 2015 2014 facts and figures 2014 Estimation of New Cancer Incidence in United States Oral Cavity 3% Colon6% Rectum2% Pancreas3% Lung and Bronchus 13% Melanoma of the Skin 5% Breast14% Uterine Corpus 3% Ovary1% Prostate14% Urinary Bladder 4% Kidney & Renal Pelvis 4% Thyroid4% Non-Hodgkin’s Lymphoma 4% Leukemia3% All other sites 16% 14 | Cancer Annual Report 2015 2014 Actual Percentage of New Cancer Incidence at Martin Health System Oral Cavity 2% Colon6% Rectum3% Pancreas2% Lung and Bronchus 16% Melanoma of the Skin 3% Breast27% Uterine Corpus 2% Ovary1% Prostate6% Urinary Bladder 7% Kidney & Renal Pelvis 2% Thyroid3% Non-Hodgkin’s Lymphoma 3% Leukemia2% All other sites 16% leading sites of new cancer cases and deaths – 2015 estimates Estimated New Cases* MALE Prostate 220,800 (26%) Lung & Bronchus 115,610 (14%) Colon & Rectum 69,090 (8%) Urinary Bladder 56,320 (7%) Melanoma of the Skin 42,670 (5%) Non-HodgkinLymphoma 39,850 (5%) Kidney & Renal Pelvis 38,270 (5%) Oral Cavity & Pharynx 32,670 (4%) Leukemia 30,900 (4%) Liver & Intrahepatic Bile Duct 25,510 (3%) All Sites 848,200 (100%) FEMALE Breast 231,840 (29%) Lung & Bronchus 105,590 (13%) Colon & Rectum 63,610 (8%) Uterine Corpus 54,870 (7%) Thyroid 47,230 (6%) Non-Hodgkin lymphoma 32,000 (4%) Melanoma of the Skin 31,200 (4%) Pancreas 24,120 (3%) Leukemia 23,370 (3%) Kidney & Renal Pelvis 23,290 (3%) All Sites 810,170 (100%) Estimated Deaths MALE Lung & Bronchus 86,380 (28%) Prostate 27,540 (9%) Colon & Rectum 26,100 (8%) Pancreas 20,710 (7%) Liver & Intrahepatic Bile Duct 17,030 (5%) Leukemia 14,210 (5%) Esophagus 12,600 (4%) Urinary Bladder 11,510 (4%) Non-Hodgkin Lymphoma 11,480 (4%) Kidney & Renal Pelvis 9,070 (3%) All Sites 312,150 (100%) FEMALE Lung & bronchus 71,660 (26%) Breast 40,290 (15%) Colon & Rectum 23,600 (9%) Pancreas 19,850 (7%) Ovary 14,180 (5%) Leukemia 10,240 (4%) Uterine Corpus 10,170 (4%) Non-Hodgkin Lymphoma 8,310 (3%) Liver & Intrahepatic Bile Duct 7,520 (3%) Brain & Other Nervous System 6,380 (2%) All Sites 277,280 (100%) *Excludes basal cell and squamous cell skin cancers and in situ carcinoma except urinary bladder. ©2015, American Cancer Society, Inc., Surveillance Research 15 | Cancer Annual Report 2015 2015 cancer program committee Required Physician Membership Alpana Desai, MD, Chair F. Nicholas Garcia, MD, Interventional Radiology James M. Hayes, MD, Pathology Michael E. Lustgarten, MD, Urology Kiran Reddy, MD, Radiation Oncology Dennis J. Tishko, MD, Cancer Liaison Physician Program Activity Coordinators Marisa Baskin, MSW, Psychosocial Services Coordinator Karan Boyles, Cancer Conference Coordinator Marie DeGrosa, Community Outreach Coordinator Fernando Petry, DO, Quality Improvement Coordinator Kristen Sweeney, RN, BSN, CCRC, Clinical Research Coordinator Patricia Weston, CTR, Cancer Registry Quality Coordinator 16 | Cancer Annual Report 2015 Non-Physician Membership Dorothy Artioli, MS, Health and Fitness Ken Chu, PhD, DABR, PEng, Radiation Oncology Kaushal Gundavda, MBA, MHA, Assistant Vice President, Oncology & Research Services Maria Heimer, RN, OCN, Radiation Oncology Bonnie Gulko, RD/LD, Cancer Center Dietitian Cheryl Larschan, RN, OCN, Director, Oncology Services Lindsay Mattino, RN, BA, Manager, Inpatient Oncology Carrie Oscarson, RN, BSN, OCN, Outpatient Oncology Services Kim Pacewicz, RN, MHA, OCN, Lung Health Navigator Michele Richardson, Account Representative, Hospital Systems, American Cancer Society Andrea Schwerdt, RN, OCN, Inpatient Oncology Services Carolyn Shore, RN, OCN, CBCN, Breast Health Navigator Mary Smith, RN, OCN, Breast Health Navigator Joseph Thagard, Rph, Pharmacy Invited Physician Membership Guillermo Abesada-Terk, Jr., MD, Oncology/ Hematology Bernice Burkarth, MD, Treasure Coast Palliative Care Michael Burke, MD, Radiation Oncology Jorge G. Castillo, MD, Radiation Oncology Alexander DeBonet, Pain Control Specialist Todd Horkins, MD, Radiology Nicholas O. Iannotti, MD, Oncology/Hematology Avron Lipschitz, MD, Plastic Surgery Gerardo Olivera, MD, Psychiatry Devang Patel, MD, Pulmonology Kiran Reddy, MD, Radiation Oncology Seth D. Rosen, MD, Oncology/Hematology Denise Sanderson, MD, General Surgery/Breast Surgery Michael Skehan, MD, Sr. VP, Chief Medical Officer Paul M. Swanson, MD, Oncology/Hematology James J. Vopal, MD, DDS, General Surgery Craig A. Wengler MD, Breast Surgery Michael S. Wertheim, MD, Oncology/Hematology Heather Yeckes-Rodin, MD, Oncology/Hematology how big is your brave? Cancer survivors, caregivers and their families and friends are greeted by the comforting words of their peers when they visit the second floor of the Robert and Carol Weissman Cancer Center. One wall is covered with a growing collection of sticky notes containing the inspirational thoughts and feelings of other cancer survivors such as: “Everyday is a gift” and “You can do this and it is ok to let people help you.” The series is part of a “How Big is Your Brave” campaign organized by Jane Broderick, of Stuart. Broderick came up with the idea in 2014 while working on a charity golf tournament. She saw it as a way “to celebrate the bravery” exhibited by people who live with any kind of serious illness. The campaign raises money through t-shirt sales; a portion of the proceeds are designated to the cancer center, among other charitable causes. For Broderick, who chose to support the cancer center in honor of her parents’ battles with cancer, the campaign has special meaning. “It means to me that every single day that people live with any kind of issue, they have to be brave just to function in daily life,” she said. While she has not yet posted a “How Big is Your Brave” sticky note of her own, Broderick said she would share two messages: “Live your life, not your cancer” and “Celebrate the bravery behind the smile.” 17 | Cancer Annual Report 2015 philanthropy and oncology services The generosity of our community makes it possible for the Robert and Carol Weissman Cancer Center to provide patients on the Treasure Coast with the best cancer care close to home. With When Lindsay Hansen was diagnosed with Stage 3 breast cancer, she found the breast health navigator to be a tremendous support. The breast health navigator program is made possible through the support of the Martin Health Foundation. philanthropic dollars, we are able to purchase state of the art technology, life-saving equipment and continuing education for staff. We wish to extend our sincere thanks to all those donors who have supported comprehensive cancer services here in our community. Learn how gifts to the Martin Health Foundation can transform the care we provide. Visit GIVEmhf.org. 18 | Cancer Annual Report 2015 “ The whole team was always there for me. I knew in my heart ” I was with the right people. Lindsay Hansen definition of terms Analytic – The class of case that describes all cases initially diagnosed or receiving the first course of therapy at Martin Health. Non-analytic – The class of case that Celebrating National Cancer Survivor’s Day, June 5, 2015 describes those cases initially diagnosed or received their first course of treatment at another hospital. This category includes patients being treated for recurrent disease and all historic primaries. Stage of Disease – Staging describes the extent or severity of an individual’s cancer based on the extent of the original (primary) tumor and the extent of spread in the body. Knowing the state of the disease helps the doctor plan a treatment and determine a prognosis. The Cancer Registry uses the AJCC staging system, 7th edition developed by the American Joint Committee on Cancer. Survival – Survival calculated from date of best confirmation of diagnosis to date of last contact for analytic cases only. Survival rates were calculated using the life table Method. 19 | Cancer Annual Report 2015 ACCREDITED PROGRAM In 2015, the cancer program at Martin Health System received Three-Year Approval with Commendation by the Commission on Cancer of the American College of Surgeons, which demonstrates the comprehensive scope of our cancer programs. This is the third survey cycle in which we have received accreditation with commendation, also earning the Outstanding Achievement award in 2012. To learn more about the services available at the Robert and Carol Weissman Cancer Center, visit martinhealth.org/cancer or call 772.288.5858. 3732-15