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Page 1: annual report 2020 - Appalachian Regional Healthcare System

annual report 2020

Page 2: annual report 2020 - Appalachian Regional Healthcare System

2 | Seby B. Jones Regional Cancer Center Annual Report

Cancer CommitteeThe Cancer Committee is a multidisciplinary committee comprised of, but not limited to, representatives from surgery, medical oncology, radiation oncology, diagnostic radiology, pathology, administration, nursing, social services, cancer registry and quality assurance. The Cancer Committee is responsible for establishing the quality improvement priorities of the cancer program.

Cancer Resource AllianceThe Cancer Resource Alliance (CRA) is a comprehensive team of healthcare professionals, business partners, cancer caregivers and cancer survivor volunteers. The Alliance was established in 2006 as an outreach arm of Seby B. Jones Regional Cancer Center (SBJRCC) in Watauga County, the American Cancer Society and the Rural Healthcare Initiative of Avery County. The CRA presence in Watauga and Avery counties is further committed to helping Seby B. Jones Regional Cancer Center qualifying patients and their families with support services and programs.

MembersCynthia Ballenger, MD, Radiation OncologistAnne-Corinne Beaver, MD, Surgeon, Cancer Liaison PhysicianKim Bianca, MSN, RN, Program AdministratorBeverly Bowen, Pharmacist Melanie Childers, Director of Pastoral CareAngie Del Nero, MSW, Cancer Center Social WorkerRobin Fox, RN, Director of Care ManagementAmy Freeman, MEd, CTR, Cancer RegistryClair Harwood, LCI, GeneticsPatrick Holmes, MD, RadiologistStephanie Johnson, NP-C, Cancer CenterCandy Jones, RN, Community OutreachEddy Maillot, Senior Director, Clinical Service LinesBetty Mize, CTR, Cancer Registry Ken Neuvirth, RN, MSN, Senior Director of Oncology

Donna Owens, Clinical Research RNRomualdo Talento, MD, PathologistPaul Saconn, MD, Radiation OncologistDebbie Shook, RN, Director of Oncology NursingLaura Shroyer, RD, DieticianJane Smart, RN, American Cancer SocietyAllan Smith, MD, PathologistAnna L. Sobol, MD, Chair, Medical OncologistVicki Stevens, Director of MarketingKhurram Tariq, MD, Medical OncologistDonna Tate, FNP, Palliative CareJillian Tremblay, PA-C, Cancer CenterGinger Warren, DNP, Palliative CareKevin Wolfe, MD, Pulmonary Medicine Paul Young, RN, OCN, Oncology Nurse Navigator

BoardRandy (Doc) McCoy, ChairpersonAngie Del Nero, TreasurerBetty Mize, SecretaryMark Saia, Community MemberTrina McCoy, Community MemberKathy Rimmer, Community MemberIrene Sawyer, Community MemberCandy Jones, Community OutreachDebbie Shook, Cancer Center AdministratorAddie Cardwell, FoundationKen Neuvirth, RN, MSN, Senior Director of Oncology

Advisory CommitteeRandy (Doc) McCoy, ChairpersonAngie Del Nero, TreasurerBetty Mize, SecretaryDebbie Shook, Cancer Center AdministratorCandy Jones, Community OutreachLynette Hartley, Cancer Center RNBeth Andrews, Community Member Debra Brewer, Community MemberMary Morgan, Community MemberJoe Sinford, Community MemberJoanie Venza, Community Member

Page 3: annual report 2020 - Appalachian Regional Healthcare System

2020 | 3

New Senior Director of Oncology Services

Cynthia Ballenger, MDRadiation Oncology

The Seby B. Jones Regional Cancer Center was also thrilled to add a Radiation Oncologist to their team in 2020.

Cindy Ballenger, MD, obtained her medical degree from the University of North Carolina at Chapel Hill (UNC), graduating with honors. She completed her internship at Moses H. Cone Hospital and residency at UNC. Dr. Ballenger is board certified in Radiation Oncology. Prior to joining the team at Seby B. Jones Regional Cancer Center, she practiced in Greenville, NC.

Outside of work, Dr. Ballenger’s greatest joy is spending time with her family, human and furry. She also loves watching N.C. State Wolfpack football and basketball games, going to the theater, cycling and playing sports with her twin sons.

At the end of May 2020, Seby B. Jones Regional Cancer Center (SBJRCC) welcomed Kenneth Neuvirth, RN, MSN, CNML as the Senior Director of Oncology after he served as Interim Director from UNC Healthcare, working closely with Debbie Shook, Oncology Director and the Cancer Center staff.

“After several months of living in this area and getting to know so many amazing people throughout ARHS I decided to apply for the position full time. The amazing commitment that the organization shows the staff and community made the decision to relocate to Boone easy for me,” he says. “The team at the Cancer Center and throughout ARHS (Appalachian Regional Healthcare System) have been amazing. The advent of the pandemic complicated meeting many face-to-face but people have gone out of their way to assist me and my family with the transition. I really enjoy the challenge of my new role and I am excited to become more entrenched in the community.”

Kenneth’s passion for working with oncology patients, is exemplified in his long and varied career in the field, which began in 2001 at the Mayo Clinic in Rochester, MN. After accepting the position of Patient Service’s Manager III Oncology, UNC Healthcare, Chapel Hill, he and his family relocated to Durham, NC. “As I grew as a nurse and administrator it was clear that being involved in oncology was very important to me. The strength and wisdom that the patients and families I have had the honor to know and assist, have and will

New Radiation Oncologist

continue to be, the driving force in the work that I enjoy doing,” Kenneth says.

He, along with his team at SBJRCC, is committed to serving the communities in the High Country. They are excited to offer new treatment options that no longer require their patients to leave the mountain like SBRT (Stereotactic body radiation therapy), which will be available in 2021. With the Cancer Center’s affiliation with UNC, an expanded research capability is on the horizon for SBJRCC.

“I envision growth in our Radiation Oncology program due to the amazing addition of Dr. Cynthia Ballenger. I also hope to see an expansion of services in our Medical Oncology department. Our four medical oncology providers are a great team and show amazing dedication to our community,” Kenneth says. “I hope to work towards the addition of a new cancer center in our community as we continue to grow and outgrow our space. Providing state of the art treatment closer to home is very important to our team. As I have gotten to know some of the community members that show amazing dedication to our program, I can’t imagine this program not becoming even greater than it is.”

Kenneth Neuvirth, RN, MSNSenior Director of Oncology

Page 4: annual report 2020 - Appalachian Regional Healthcare System

4 | Seby B. Jones Regional Cancer Center Annual Report

Wings of Hope butterfly exhibit brings beauty and color to cancer patientsUntil recently, when radiation oncology patients entered the long hallway at Seby B. Jones Regional Cancer Center to receive their treatments, they were greeted with a long blank wall, no windows or decoration and dim lighting. The radiation therapy team expressed a need for something to brighten and beautify the journey for patients. They brought their idea to the Cancer Resource Alliance (CRA) Art Committee, and the Wings of Hope project was born. The group chose origami butterflies as a way to create a vibrant wall of color. Around the world, people view the butterfly as representing endurance, change, transformation and hope.

The Art Committee created opportunities for patients, caregivers, and supporters to make origami butterflies. Mary Morgan, a member of the Art Committee, took on the task of making pre-folded butterflies so that it would be easy for many to participate, and she also helped patients and caregivers make their own butterflies. Each person was encouraged to personalize their butterfly in some way—with words of hope, their name or name of a loved one, and/or date of completion of treatment.

During the last six months of 2019, hundreds of butterflies were folded from papers of many different colors and patterns. After the butterflies were personalized, they were ready to be part of the Wings of Hope wall.

Ruby Harper (center) placed a butterfly after finishing her radiation treatments, surrounded by Radiation Therapists Melanie Thomas, Amy Isaacs, Katie Neibaur, and Holly Fletcher (left-right).

CRA Art Committee Members left to right: Donna Warren, Nancy Beltz, Mary Morgan, Sue Creech and Beth Andrews

On January 4, 2020, the Art Committee gathered to begin the installation of butterflies, choosing a Saturday so patients receiving treatment would not be disturbed. As the art committee members worked, a wave of colors began to fill the 16-foot-long plexiglass display, creating a rainbow effect. The impact of the colors was immediately transformative and uplifting.

Each member of the Art Committee has been touched by cancer in some way; many are cancer survivors. They know from personal experience how important it is to create uplifting opportunities for patients and caregivers going through this journey.

As patients complete their last radiation treatment, they will be invited to make and personalize their own butterflies to celebrate the completion of their treatment. Another plexiglass panel will soon be added so this display can continue to grow and be a symbol of hope for future patients.

The Cancer Resource Alliance (CRA) is a comprehensive team of healthcare professionals, business partners, cancer caregivers and cancer survivor volunteers. This group was established in 2006 as an outreach arm of Seby B. Jones Regional Cancer Center.

Page 5: annual report 2020 - Appalachian Regional Healthcare System

2020 | 5

Emergency FundsTransportation 17003.49Medication 9381.15Utilities 12671.3Housing 7903.99Medical Supplies/DME/Lymphedema 6182.76Nutrition 4003.49Medical Care/Home Health 5519.05Misc 975.96

Emergency Funds

Transportation Medication Utilities Housing Medical Supplies/DME/Lymphedema Nutrition Medical Care/Home Health Misc

Community Partnership

Cancer Patient Emergency Fund10/01/19 - 9/30/20

27%

15%12%

6%

20%

10%

9% 1% Transportation $17,003.49

Medication $9,381.15

Utilities $12,671.30

Housing $7,903.99

Medical Supplies $6,182.76

Nutrition $4,003.49

Medical/Home Care $5,519.05

Misc $975.96

Total $63,641.19

CRA Funds10/01/19 - 9/30/20

In FY 2020, CRA funds were used in support of:RadianceThanksgiving DinnersPink DayLighting of the TreePatient Celebration at ChetolaFly Fishing RetreatBreast Cancer FundGraduation BoxesLearn more about these programs at apprhs.org/cra

Volunteers10/01/19 - 9/30/20

13 Volunteers clocked a total of 897 hoursDolores AmorosoJohn BarbourRebecca BattistaJenny CarpenterDella CritcherSamuel GallantDodie Glowa

Sandy HansenHarold HedgeJanice JohnsonMary Lee JonesRose Marie OldfieldDema Spann

Community Giving Thank you to all clubs, organizations and individuals that raised money for the Cancer Center this year. Bras for a Cause, Mining for a Purpose and Pink Day Jewelry Sale raised $24,949 for Cancer Resource Alliance. Grover Robbins Golf Tournament (Wells Fargo made a donation before the event was canceled due to COVID-19), Virtual Pretty in Pink (watch the video at apprhs.org/pretty-in-pink-2020/) and Six Pence Pub raised $25,855 for the Cancer Patient Emergency Fund. Grandfather Golf and Country Club’s Lady Golf Association raised $25,095 for the Avery Cancer Patient Emergency Fund. ARHS Employee Giving raised $2,695.88 for the Cancer Center Unrestricted Fund and Wilma Redmond Mammography Fund. Kilograms for Mammograms raised $4,695 for the Wilma Redmond Mammography Fund. Lighting of the Tree raised $870 for the Cancer Center. Col. Benjamin and Ruth Covington gave a very generous donation to the Cancer Center for new Infusion Suite recliners. Together, these organizations, events and individuals raised $104,159.88.

Cancer Patient, Marvin Miller in a new Infusion Suite recliner

Page 6: annual report 2020 - Appalachian Regional Healthcare System

6 | Seby B. Jones Regional Cancer Center Annual Report

New Cancer Cases Diagnosed at Watauga Medical CenterDates of Service 1/1/19 – 6/30/20

Cancer Center at a Glance

Imaging: PET, CT, MRI, US • Pathology • EBUS • Nuc Med

Women’s Health Services: Digital & 3-D Mam

mography,

Stereotactic Needle Biopsy, Breast Ultrasound,Breast Needle Localization • Laboratory

F

ree H

ealth

Fairs

, Scre

enings &

Prevention

Smok

ing C

essati

on Program

Phys

ician

Lec

tures

• Public

School Education

Fitn

ess &

Well

ness C

enter • Health Tips

Radiation O

ncology: IM

RT, IGRT, EBRT & SBRT N

uclear Medicine • Pain Management Clinic

Chemo • M

edical Oncology Clinical Trials • Hidden Scar

Support ServicesCancer Navigation Program:

RN Navigation, Financial Navigation,Social Resource Navigation, Breast Navigation, Counseling NavigationGenetic Counseling • Survivorship

Nursing Quality Council • Support GroupsPastoral Care • Medical Library

Rehabilitation Services • PharmacyCancer Conference/Tumor Board

On-Site Rehabilitation SupportNutrition Counseling

Volunteer ServicesPalliative Care

Cancer Resource Alliance

• Fly

Fish

ing R

etre

at

Massage and M

usic Th

erap

ies

Lymphedema Th erapy

- W

ound

Car

e

THRIVE Oncology Prog

ram •

Radi

ance

2 M2 F 4

18 M15 F33

9 M2 F 11

10 M10 F20

69 M63 F 132

124 M134 F 258

69 M79 F 148

Page 7: annual report 2020 - Appalachian Regional Healthcare System

2020 | 7

Top 5 Sites - Local, State & National ComparisonBreast, Prostate, Lung & Bronchus, Urinary Bladder & Melanoma of the Skin

2019 Top 5 Sites - Local, State & National Comparison

* Seby B. Jones Regional Cancer Center Registry - 2019 Analytic Cases** American Cancer Society estimated new 2020 cancer cases in NC: from 2020 Cancer Facts & Figures***American Cancer Society estimated new 2020 cancer cases in US: from 2020 Cancer Facts & Figures

SBJRCC* NC** US*** Breast 20.51% 15.67% 15.45% Prostate 16.82% 12.08% 10.62% Lung & Bronchus 9.68% 14.21% 12.67% Urinary Bladder 6.91% 4.21% 4.51% Melanoma of Skin 5.76% 6.17% 5.55%

SBJRCC* NC** US***Breast 89 9340 279,100Prostate 73 7200 191,930Lung & Bronchus 42 8470 228,820Urinary Bladder 30 2510 81,400Melanoma of Skin 25 3680 100,350

Perc

ent o

f cas

es25%

20%

15%

10%

5%

0%

Page 8: annual report 2020 - Appalachian Regional Healthcare System

8 | Seby B. Jones Regional Cancer Center Annual Report

Lung & Bronchus Cancer Comparison Report

Prostate Cancer Comparison Report

Breast Cancer Comparison Report

Chatham

Person

Swain

Macon

Madison

Burke

Caldwell

Wilkes

Surry

Rowan

Davie

Johnston

Duplin

Brunswick

Hertford

Gates

Bertie

Wayne

Pasquotank

Hyde

Nash

Onslow

Wilson

Watauga

Graham

Beaufort

Currituck

PamlicoClay

Lincoln

Wake

Franklin

Hoke

HarnettStanly

Union Anson

Yadkin ForsythGuilford

Rockingham

Moore

Robeson Bladen

Pender

Columbus

Jones

Craven

Carteret

Greene

Pitt

Warren

Dare

Camden

Cherokee

Jackson

HaywoodBuncombe

Polk

Rutherford

Gaston

Catawba

Ashe

McDowell

Mitchell

CabarrusLee

Davidson

Durham

RandolphIredell

Stokes

Lenoir

Sampson

Martin Tyrrell

Perquimans

Vance

Edgecombe

Cleveland

Yancey

Henderson

Alexander

Avery

Alleghany

Caswell

GranvilleOrange

Alamance

Northampton

Halifax

Washington

Chowan

Cumberland

HanoverNew

MecklenburgMontgomery

Scotland

Transylvania

Richmond

Age Adjusted Rates per100,000 Female Population

94.7 - 127.1127.2 - 150.3150.4 - 170.1170.2 - 196.1

North CarolinaFemale Breast Cancer Incidence Rates

2013 - 2017

Note: Information is subject to change as files are updated.May 2020State Center for Health Statistics

NC Rate = 163.9US Rate = 126.0

Chatham

Person

Swain

Macon

Madison

Burke

Caldwell

Wilkes

Surry

Rowan

Davie

Johnston

Duplin

Brunswick

Hertford

Gates

Bertie

Wayne

Pasquotank

Hyde

Nash

Onslow

Wilson

Watauga

Graham

Beaufort

Currituck

PamlicoClay

Lincoln

Wake

Franklin

Hoke

HarnettStanly

Union Anson

Yadkin ForsythGuilford

Rockingham

Moore

Robeson Bladen

Pender

Columbus

Jones

Craven

Carteret

Greene

Pitt

Warren

Dare

Camden

Cherokee

Jackson

HaywoodBuncombe

Polk

Rutherford

Gaston

Catawba

Ashe

McDowell

Mitchell

CabarrusLee

Davidson

Durham

RandolphIredell

Stokes

Lenoir

Sampson

Martin Tyrrell

Perquimans

Vance

Edgecombe

Cleveland

Yancey

Henderson

Alexander

Avery

Alleghany

Caswell

GranvilleOrange

Alamance

Northampton

Halifax

Washington

Chowan

Cumberland

HanoverNew

MecklenburgMontgomery

Scotland

Transylvania

Richmond

Age Adjusted Rates per100,000 Male Population

49.0 - 93.293.3 - 112.2112.3 - 130.1130.2 - 169.9

North CarolinaProstate Cancer Incidence Rates

2013 - 2017

Note: Information is subject to change as files are updated.May 2020State Center for Health Statistics

NC Rate = 117.4US Rate = 105.0

Chatham

Person

Swain

Macon

Madison

Burke

Caldwell

Wilkes

Surry

Rowan

Davie

Johnston

Duplin

Brunswick

Hertford

Gates

Bertie

Wayne

Pasquotank

Hyde

Nash

Onslow

Wilson

Watauga

Graham

Beaufort

Currituck

PamlicoClay

Lincoln

Wake

Franklin

Hoke

HarnettStanly

Union Anson

Yadkin ForsythGuilford

Rockingham

Moore

Robeson Bladen

Pender

Columbus

Jones

Craven

Carteret

Greene

Pitt

Warren

Dare

Camden

Cherokee

Jackson

HaywoodBuncombe

Polk

Rutherford

Gaston

Catawba

Ashe

McDowell

Mitchell

CabarrusLee

Davidson

Durham

RandolphIredell

Stokes

Lenoir

Sampson

Martin Tyrrell

Perquimans

Vance

Edgecombe

Cleveland

Yancey

Henderson

Alexander

Avery

Alleghany

Caswell

GranvilleOrange

Alamance

Northampton

Halifax

Washington

Chowan

Cumberland

HanoverNew

MecklenburgMontgomery

Scotland

Transylvania

Richmond

Age Adjusted Ratesper 100,000 Population

46.3 - 61.561.6 - 70.971.0 - 80.080.1 - 100.4

North CarolinaLung and Bronchus Cancer Incidence Rates

2013 - 2017

May 2020State Center for Health Statistics

NC Rate = 67.8US Rate = 58.0

Note: Information is subject to change as files are updated.

Page 9: annual report 2020 - Appalachian Regional Healthcare System

2020 | 9

Annual Report of Cancer Registry DataSeby B. Jones Regional Cancer Center of Watauga Medical Center

2019 Summary by Body System, Gender, Class, Status and AJCC Stage Report

Total (%) Male Female Analytic Alive Expired Stage 0 Stage I Stage II Stage III Stage IVStage

Unknown or N/A

11 (2.5%) 8 3 11 10 1 0 1 0 1 1 83 (0.7%) 1 2 3 3 0 0 1 0 0 0 21 (0.2%) 1 0 1 1 0 0 0 0 1 0 04 (0.9%) 3 1 4 3 1 0 0 0 0 1 33 (0.7%) 3 0 3 3 0 0 0 0 0 0 343 (9.9%) 24 19 43 22 21 2 8 2 7 7 177 (1.6%) 6 1 7 1 6 0 1 0 1 0 54 (0.9%) 3 1 4 3 1 0 1 0 1 0 216 (3.7%) 8 8 16 10 6 1 4 1 3 5 2

Cecum 6 4 2 6 3 3 0 3 0 0 3 0Ascending Colon 1 0 1 1 0 1 0 1 0 0 0 0Hepatic Flexure 1 1 0 1 1 0 0 0 0 1 0 0Transverse Colon 1 0 1 1 1 0 0 0 1 0 0 0Sigmoid Colon 5 1 4 5 5 0 1 0 0 2 1 1Large Intestine, NOS 2 2 0 2 0 2 0 0 0 0 1 1

6 (1.4%) 3 3 6 6 0 1 2 0 2 0 1Rectosigmoid Junction 1 0 1 1 1 0 0 1 0 0 0 0Rectum 5 3 2 5 5 0 1 1 0 2 0 1

1 (0.2%) 0 1 1 1 0 0 0 1 0 0 03 (0.7%) 2 1 3 1 2 0 0 0 0 0 3

Liver 2 2 0 2 1 1 0 0 0 0 0 2Intrahepatic Bile Duct 1 0 1 1 0 1 0 0 0 0 0 1

6 (1.4%) 2 4 6 0 6 0 0 0 0 2 450 (11.5%) 27 23 50 29 21 0 2 2 3 5 351 (0.2%) 0 1 1 1 0 0 0 0 0 1 07 (1.6%) 6 1 7 5 2 0 0 1 0 0 642 (9.7%) 21 21 42 23 19 0 2 1 3 4 291 (0.2%) 0 1 1 1 0 0 0 0 1 0 01 (0.2%) 0 1 1 1 0 0 0 0 1 0 027 (6.2%) 20 7 27 25 2 7 11 1 0 0 825 (5.8%) 18 7 25 23 2 7 11 1 0 0 62 (0.5%) 2 0 2 2 0 0 0 0 0 0 289 (20.5%) 0 89 89 88 1 13 56 2 3 1 521 (4.8%) 0 21 21 18 3 0 3 2 3 1 113 (0.7%) 0 3 3 1 2 0 0 0 0 0 314 (3.2%) 0 14 14 13 1 0 3 2 2 1 62 (0.5%) 0 2 2 2 0 0 0 0 1 0 11 (0.2%) 0 1 1 1 0 0 0 0 0 0 01 (0.2%) 0 1 1 1 0 0 0 0 0 0 176 (17.5%) 76 0 76 72 4 0 2 7 3 3 6173 (16.8%) 73 0 73 69 4 0 2 6 3 3 592 (0.5%) 2 0 2 2 0 0 0 0 0 0 21 (0.2%) 1 0 1 1 0 0 0 1 0 0 040 (9.2%) 28 12 40 35 5 0 2 2 4 0 2730 (6.9%) 22 8 30 25 5 0 0 1 3 0 228 (1.8%) 6 2 8 8 0 0 2 1 1 0 42 (0.5%) 0 2 2 2 0 0 0 0 0 0 13 (0.7%) 3 0 3 0 3 0 0 0 0 0 03 (0.7%) 3 0 3 0 3 0 0 0 0 0 05 (1.2%) 2 3 5 5 0 0 5 0 0 0 05 (1.2%) 2 3 5 5 0 0 5 0 0 0 022 (5.1%) 13 9 22 17 5 0 1 0 0 0 182 (0.5%) 2 0 2 1 1 0 0 0 0 0 220 (4.6%) 11 9 20 16 4 0 1 0 0 0 16

NHL - Nodal 14 8 6 14 11 3 0 1 0 0 0 12NHL - Extranodal 6 3 3 6 5 1 0 0 0 0 0 4

15 (3.5%) 8 7 15 14 1 0 0 0 0 0 09 (2.1%) 5 4 9 6 3 0 0 0 0 0 15 (1.2%) 3 2 5 4 1 0 0 0 0 0 13 (0.7%) 1 2 3 2 1 0 0 0 0 0 01 (0.2%) 1 0 1 0 1 0 0 0 0 0 022 (5.1%) 12 10 22 10 12 0 0 0 0 0 0434 226 208 434 352 82 22 91 18 25 18 191

MISCELLANEOUSOther Leukemia

Total

Hodgkin LymphomaLYMPHOMA

MYELOMA

Non-Hodgkin Lymphoma

LEUKEMIA

Myeloid & Monocytic LeukemiaLymphocytic Leukemia

UreterKidney & Renal Pelvis

BrainBRAIN & OTHER NERVOUS SYSTEM

ThyroidENDOCRINE SYSTEM

ProstateMALE GENITAL SYSTEM

PenisTestis

Urinary BladderURINARY SYSTEM

BREAST

Cervix UteriFEMALE GENITAL SYSTEM

OvaryCorpus & Uterus, NOS

VulvaVagina

SOFT TISSUELung & Bronchus

SKIN EXCLUDING BASAL & SQUAMOUSSoft Tissue (including Heart)

Other Non-Epithelial SkinMelanoma -- Skin

Liver & Intrahepatic Bile DuctAnus, Anal Canal & Anorectum

RESPIRATORY SYSTEMPancreas

LarynxNose, Nasal Cavity & Middle Ear

DIGESTIVE SYSTEMOropharynx

Colon Excluding RectumStomachEsophagus

Rectum & Rectosigmoid

Primary Site

TongueORAL CAVITY & PHARYNX

TonsilSalivary Glands

Page 10: annual report 2020 - Appalachian Regional Healthcare System

10 | Seby B. Jones Regional Cancer Center Annual Report

Top Sites, Grouped by Gender

Top 7 Cancer Sites for Womenat WMC 2013-2019

Top 7 Cancer Sites for Menat WMC 2013-2019

2019 Newly Diagnosed Cancers by GenderMale (226)

Female (208)

2019 Newly Diagnosed Cancers by GenderMale (226) 226Female (208) 208 2019 Newly Diagnosed Cancers by Gender

Male (226) Female (208)

52%48%

0

10

20

30

40

50

60

70

80

90

2013 2014 2015 2016 2017 2018 2019Prostate 14 17 29 74 76 86 73

Lung & Bronchus 28 29 37 27 27 26 21

Non-Hodgkin Lymphoma 9 12 3 11 8 7 11

Colon & Rectum 16 15 28 11 21 13 11

Melanoma of the skin 9 14 8 11 19 18 18

Bladder 13 14 20 24 38 16 22

Oral Cavity & Pharynx 5 12 12 10 8 9 8

0

20

40

60

80

100

120

2013 2014 2015 2016 2017 2018 2019Breast 83 110 87 93 101 67 89

Lung & Bronchus 30 25 16 23 16 29 21

Colon & Rectum 11 14 12 18 12 14 11

Non-Hodgkin Lymphoma 7 10 6 8 9 5 9

Thyroid 7 10 7 6 3 6 3

Uterine 7 10 4 12 9 10 14

Leukemia 11 7 6 6 4 4 4

Num

ber o

f cas

esN

umbe

r of c

ases

Page 11: annual report 2020 - Appalachian Regional Healthcare System

2020 | 11

2020 Cancer Cases presented by SiteBreast (128) 128Lung (29) 29Colon (17) 17Melanoma (7) 7Lymphoma (3) 3All others (17) 17

2020 Cancer Cases Presented By Site

Breast (128) Lung (29) Colon (17) Melanoma (7) Lymphoma (3) All others (17)

Seby B. Jones Regional Cancer Center, Cancer Registry Data

2020 Age of Diagnosis of all Cancer Cases

under 40 (15)

40-49 (21)

50-59 (65)

60-69 (130)

70-79 (133)

80-89 (63)

90 and over (7)

2020 Cancer Conference/Tumor Board SummaryDates of Service 1/2/20 - 11/25/20

38 Conferences held201 Cases presented

2020 Cancer Cases Presented by Site

Breast (128)

Lung (29)

Colon (17)

Melanoma (7)

Lymphoma (3)

All others (17)

64%14%

8%4%

2%

8%

2020 Age of Diagnosis of all Cancer Casesunder 40 (15) 1540-49 (21) 2150-59 (65) 6560-69 (130) 13070-79 (133) 13380-89 (63) 6390 and over (7) 7

2020 Cancer Cases Presented By Site

under 40 (15) 40-49 (21) 50-59 (65) 60-69 (130) 70-79 (133) 80-89 (63) 90 and over (7)

3% 5%

15%

30%

31%

14%2%

Page 12: annual report 2020 - Appalachian Regional Healthcare System

Medical Oncology(828) 262-4332 • Fax: (828) 265-5514Located on the campus of Watauga Medical Center338 Deerfield Road | Boone, NC 28607Monday - Friday 8:00 am - 5:00 pm

Radiation Oncology(828) 262-4342 • Fax: (828) 262-4414Located on the campus of Watauga Medical Center338 Deerfield Road | Boone, NC 28607Monday - Friday 8:00 am - 5:00 pm

apprhs.org/cancercenter

Seby B. Jones Regional Cancer Center is located on the Watauga Medical Center campus. Watauga Medical Center is a member of Appalachian Regional Healthcare System.

Seby B. Jones Regional Cancer Center, consisting of medical oncology and radiation oncology, opened in 1993 on the Watauga Medical Center campus. In 2002, an 8,000 square-foot addition was opened to accommodate the growing regional demand for medical oncology services. The Cancer Center offers a multidisciplinary approach to the prevention, diagnosis and treatment of cancers. Through advanced technology and a highly trained staff, the center offers exceptional diagnostic and treatment procedures that include radiation, chemotherapy, biotherapy, immunotherapy, prostate brachytherapy and hormonal treatments.

The Cancer Center was among the first facilities in North Carolina to offer a new treatment modality called intensity modulated radiation therapy, or IMRT. This unique form of treatment is the most advanced method available to deliver high-dose radiation to destroy cancer cells while minimizing risk to normal tissues. IGRT (image guided radiation therapy) is the added component of a high quality x-ray system, or “on-board” imager, that allows quick and precise adjustments of a patient’s target volume for greater accuracy. Examples of sensitive tissues that can now be “sculpted” around include the prostate, spinal cord, optic nerve and salivary glands.

The American College of Surgeons awarded the Commission on Cancer® Three Year Certification of Accreditation to Seby B. Jones Regional Cancer Center in October 2019 and is accredited through 2022. The Cancer Center has been CoC accredited since 1997. Designation status: Accredited Community Cancer Program.

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