Download 2.2 - Dr Ramesh THIT Bangalore 16-10-15

OncoCollect ™
Collection of Real World Data in Oncology
Dr Ramesh B V Nimmagadda
Director, Medical Oncology
Apollo Speciality Cancer hospital, Chennai
&
Managing Trustee
Ramesh Nimmagadda Cancer Foundation
1
1) E M R
2) Clinical Data Collection for Analysis
Are two different things
2
THE HARD TRUTH IN 2015
3
Medical Oncologists- USA vs. India
4
New Cases
1.6 Million / Yr
1 Million / Yr
Workload standard recommendations Canada
 Workload for MO in teaching RCCs be set at 158 new patients per year.
 Workload for MO in nonteaching RCCs be set at 173 new patients per year.
 Annual workload increase would require an additional medical oncologist .
 New workload standards be implemented over a three year period starting
in fiscal 1999/2000.
 Additional data be gathered periodically to determine the workload
standard and manpower requirements due to changing treatments.
5
MO needed estimations for India
1 Million new and 1.8 million prevalent cases
•
•
•
•
•
6
170 new patients per MO we need 5882
340 new patients per MO we need 2941
510 new patients per MO we need 1960
680 new patients per MO we need 1470
850 new patients per MO we need 1176
1) E M R
2) Clinical Data Collection for Analysis
Are two different things and
both are needed but should be
kept separate, in India for sure.
7
Breast Cancer 1999-2008
8
Early Breast Cancer 99-08 Lymph Node
70%
60%
50%
58%
42%
50% 50%
40%
+Ve
30%
-Ve
20%
10%
0%
1999-03
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
Early Breast Cancer 99-08 Taxane Use
NoTaxane
Taxane
2004-08
OncoCollect ™
11
What does it Do...?
Localized Database, Enabled for pooling in the Cloud
without Patient Identity Information.
- Encrypted patient identity data
- Flexible Dynamic Data Elements, screens on the fly
- Responsive Design
- Medical Coding
- Microsoft .NET Platform
- SQL Server 2012
- Export to excel and Cloud without Patient Identity Parameters
- Built-in Formulas to facilitate Analysis, Statistics and follow ups
- Graphical representation of Events
12
www.rncf.in
OncoCollect ™
Master (Live
Studies
Update)
A
13
Institution - A
Institution - B
Institution - C
Institution - D
B
C
Principal Investigator
will have access to
download Pooled
data of his group’s
study
-
Data pooled without
patient / Consultant
Identities
D
---- BLADDER CA STUDY
--- BREAST CA STUDY
--- BREAST CA STUDY
-
---- COLON CA STUDY
---- COLON CA STUDY
---- BLADDER CA STUDY
www.rncf.in
Ramesh Nimmagadda Cancer Foundation
Main Objective
 Establish a common platform for data collection in oncology for
Treatment and outcomes across the country.
 Enable individuals and institutions to form groups and pool
data for analysis .
 Enable easy analysis of this data by both individuals and the
institutions, to constantly refine their treatments to suit their
local conditions.
14
www.rncf.in
Ramesh Nimmagadda Cancer Foundation
Vision
• To Create a repository of Indian data on Treatment and
Outcomes to formulate India-Specific treatment guidelines
for cancer Based on Indian Data
www.rncf.in
15
Ramesh Nimmagadda Cancer Foundation
OncoCollect ™ Installed so far ..
1) Apollo Specialty Cancer Hospital, Chennai
2) Mahavir Cancer Sansthan, Patna
3) Tata Medical Centre, Kolkata
4) Basavtharakam Indo American Cancer Hospital
& Research Institute, Hyderabad
5) Rajiv Gandhi Cancer Institute & Research
Centre, New Delhi
National
Cancer
Grid
Accepted
6) Chennai Breast Centre, Chennai
7) G K N M Hospital, Coimbatore
Approximately 100000 New patients / Year are seen in these centers
16
www.rncf.in
www.rncf.in
Ramesh Nimmagadda Cancer Foundation
1) 1200 Breast Cancer patient data from
Chennai Breast Centre, Chennai
2) 750 Lymphoma patient data from
Tata Medical Centre, Kolkata
3) 165 Triple –Ve Breast Cancer patient data from
Chennai Breast Centre, Chennai
To be presented at ISMPO ISO Biennial Conference
6-8 Nov 2015 in Mumbai
17
www.rncf.in
Ramesh Nimmagadda Cancer Foundation
OncoCollect ™ is owned by RNCF
OncoCollect ™ is provided free of cost to all
involved with treatment of Cancer in India
and willing to collect Clinical Data.
www.rncf.in
18
www.rncf.in
Thank You
19
20
Establishing Common Minimum Data Collection in the Country
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
UHID
Sex
District
State
Postal Code
•
•
Consumed from the EMR
•
•
•
•
Age at Diagnosis
•
Second Oncology Consultation
•
Site Of Primary
•
Date Of Diagnosis
•
Histology
•
M Metastases
Diagnosis & Staging •
pT TumourSize
pN LymphNodes
Pathalogical Stage
cT Tumor Size
cN Lymph Nodes
Clinical Stage
•
•
Surgery
Surgical Procedure
Date Of Surgery
Radio Therapy
R/T Site
R/T Start Date
R/T End Date
1st line Systemic Therapy
1st Line Drug Group
1st Line Hormone Therapy
1st Line Systemic Therapy Type
1st Recurrence Pattern
Status
Recurrence
Treatment
Outcome
www.rncf.in
Breast Cancer 1999-2008