table of contents: chairman and cancer …€¦ · statistical data † supporting services †...

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TABLE OF CONTENTS: CHAIRMAN AND CANCER LIAISON REPORTS • FOCUS, BREAST CANCERSTATISTICAL DATA • SUPPORTING SERVICES • COMMUNITY OUTREACH • EDUCATION

I am pleased to present the report from the Cancer Committee and Center for Cancer Care at Western Baptist Hospital. My report includes an overview of the various facets of the cancer program. Included in the packet are an overview of the 2008 Registry data, an in-depth report on our experience with breast cancer and focused reports on various services offered at Western Baptist.

The cancer program is multifaceted, serving patients from Kentucky, Illinois, Missouri and Tennessee. The cancer program remains the largest Certifi ed Comprehensive Community Cancer Program in this area. As a Certifi ed Comprehensive Community Cancer Program, we continue to demonstrate excellence at coordinating care, identifying patients with malignancy, following treatment outcomes and reporting selected outcomes to the American College of Surgeons for nationwide comparison.

The Cancer Committee monitors the cancer program closely. The Cancer Committee is composed of multidisciplinary physician members, as well as allied health professionals involved in patient care. The committee meets every other month to discuss all clinical, educational and programmatic activities related to cancer care. The committee works closely with Western Baptist Hospital’s administration to offer suggestions for program improvement.

Chairman’s Report James R. Gould, M.D., F.A.C.P.

James R. Gould, M.D., F.A.C.P. Medical OncologyChair, Cancer Committee

James RR GGouldldld MM DD FF AA CC PP

An important facet of the program is data reporting to a national registry. Through the Tumor Registry, the Cancer Committee takes part in providing registry and outcome analysis of all cancers treated at this facility. This includes participation in the National Cancer Data Base Project which compares our data with more than 1500 programs [to include university programs] nationwide. Surveillance is conducted as outlined by the American Joint Committee on Cancer, and the American College of Surgeons.

A second facet of the cancer program is the coordination of therapies among the specialists who deal with malignancy. For 22 years, coordination of patient care has been discussed at weekly noon-time Tumor Conferences at Western Baptist. A patient discussed at this conference receives multiple “second opinions.” If appropriate, recommendations from university consultants are brought to the table. The recommendations of the treating physician are routinely compared with published guidelines, such as the guidelines from the National Comprehensive Cancer Network. When all items have been brought to the table, the primary physician decides which recommendations are appropriate for the particular patient.

Another facet of the cancer program is education of the medical staff on cancer-related topics at the monthly evening Tumor Conference. The conference showcases local, regional and national experts who update older topics and who bring new concepts for consideration.

An additional facet is community outreach. The Cancer Committee works with both the Kentucky Community Cancer Program and the American Cancer Society to disseminate cancer education, promote cancer awareness, and to conduct community screenings for cancers of the skin, prostate, oral cavity and colorectum. Cancer support services include coordination

of transportation through the American Cancer Society.

The most important facet of the cancer program at Western Baptist is patient care! Care includes state-of-the-art diagnostics, da-Vinci robotic surgery, on-site and consultative pathology services, computer-aided radiation therapy, and the latest in medication delivery. Cancer patients who require admission are placed on the 34-bed Oncology Unit on the 6th fl oor at Western Baptist, where all facets of the program can be brought to the patient.

This year, the tumor type selected for a focused review by the Cancer Committee is breast cancer. Although a detailed reporting on our breast cancer data is reported by Dr. Dan Howard, I would call your attention to pages 8 and 9. Review the graphs and note that the overall survival for all patients with breast cancer identifi ed at WBH is equivalent or better than that reported nationwide.

It is again my pleasure to work with and to represent the fi ne team of individuals who comprise the Cancer Committee: the registrars, oncology nurses, case managers, social workers, nursing staff, administrators, and physicians of several specialties. My thanks to each of them for their individual contributions to the strength of this program during 2008-2009.

2 2010 Oncology Annual Report

There are many new important initiatives under way at the Commission on Cancer (COC) for 2010. The accreditation standards for the COC approved cancer programs will undergo revision over the next two years with compliance to begin in 2012.

As a COC-approved program, Western Baptist Hospital will begin to integrate clinical staging (before treatment) of newly diagnosed cancer with recognized treatment guidelines and closely monitor outcomes as they relate to national standards and benchmarks. As the American College of Surgeons clinical liaison physician at Western Baptist Hospital, I will be responsible for monitoring and interpreting our National Cancer Data Base data and employ this information to evaluate and improve our quality of cancer care.

Every three years, all COC-approved cancer programs undergo an intense review from a represent-ative from the American College of Surgeons to insure that they continue to provide cancer care at the highest level. Following

the review three years ago (2007), Western Baptist Hospital received the American College of Surgeons Commission On Cancer Outstanding Achievement Award given to only 15 percent of the top 1500 hospitals approved by the COC. I and the cancer committee at Western Baptist Hospital are confi dent that this recognition will be repeated again this year.

2010 Annual Oncology Report James P. O’Rourke, M.D., F.A.C.S., F.C.C.P.

James P. O’Rourke, M.D., F.A.C.S., F.C.C.P.Thoracic SurgeryCOC Cancer Liaison Physician

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3Western Baptist Hospital

Progress in imaging,

digital mammography and MRI, combined with individualized therapies

– based on genetic profi ling – and surgery

that improves a woman’s appearance, have the potential to change breast cancer as we

know it.

SymptomsMost breast cancers have no symptoms and can be diagnosed at an earlier stage with mammography. Look for:

• A sore or ulceration on or around the nipple

• New onset of nipple retraction on only one side

• Bloody nipple drainage

• Skin dimpling

Risk factorsFemale – One in eight women and one in 800 men will get breast cancer.

Age – Most breast cancers are found in women older than 50. Breast cancer does occur in younger women in their 40s, 30s, and rarely 20s, but it is less common. Just because a woman is in her 30s doesn’t protect her from having breast cancer.

Family history – If a close female relative such as mother, sister, maternal aunt or daughter is diagnosed with breast cancer, your risk nearly doubles. However, since 10 times as many women do not have a family history, most new cancers are diagnosed in women with NO family history.

Previous history of breast cancer – The highest risk breast is the remaining breast in someone who has already been

treated for breast cancer. The incidence increases by 1 to 2 percent each year after diagnosis.

Chest wall irradiation – Radiation to the chest for young women with Hodgkin’s Disease signifi cantly increases subsequent incidence of breast cancer.

Breast cancer genes – BrCa1 and BrCa2 are breast cancer genes that were publicized in the mid 1990s. They are associated with 5 to 10 percent of breast cancers thus increasing your risk of breast cancer by 80 to 90 percent, and increasing your risk of ovarian cancer by 40 to 50 percent. Genetic testing is easily available now and is covered by most insurance plans. Consider testing if:

• Breast cancer under age 50

• Bilateral breast cancers

• Multiple breast cancers in multiple generations on either side of the family

• Any male breast cancer

• Any ovarian cancer

A typical ductal hyperplasia – This is a high risk condition diagnosed only by a biopsy. It requires no specifi c treatment but does increase risk similarly to family history.

Breast FOCUS SITE REPORT:

Are youthe one?One in eight women will develop breast cancer in her lifetime. It is the most common cancer in women and the second leading cause of cancer death after lung cancer. The American Cancer Society estimates approximately 192,000 new cases of breast cancer per year with 40,000 deaths. Most women with breast cancer live many years and lead productive lives.

Daniel Howard, M.D.General SurgeonDaniel Howard M D


CancerOthers – Obesity, use of hormone replacement therapy, early menstrua-tion, no pregnancies or childbearing after 30, and alcohol use, all slightly increase risk.

ScreeningBreast cancer screening has been one of the most effective public health initiatives in the last 50 years.

Mammography – This two view X-ray of each breast looks for tiny groups of microcalcifi cations or masses. Digital mammography provides better images, less radiation and is faster.These services are available at the newly-renovated Baptist ImagingCenter (see back page). Most normal risk women should start annual mammographic screening at 40. If there is a family history, then screening should start at 30, or 10 years prior to the youngest family member’s age at diagnosis.

Clinical breast exam – A yearly breast exam by your own physician (i.e. family physician, internist, OB/GYN, or surgeon) is a valuable reassessment of your breast tissue. Ten to 15 percent of cancers do not show up on mammography, so this exam will help to fi nd those exceptions. It is also helpful for women doing self-breast exam as reassurance that they are not missing anything suspicious.

Breast MRI – This technology is very helpful in

evaluating new breast cancers. It appears to lower

the incidence of additional surgeries, but there has

not yet been demonstrated a long term survival

benefi t. Screening MRI is valuable in known BrCa

mutation cancers as an annual exam. It is also

valuable in any woman with a lifetime risk higher than

20 percent.

Other screening toolsUltrasound – This tool is effective in evaluating

abnormalities to determine a need for biopsy.

HALO – HALO is a new technology using a modifi ed

breast pump to obtain fl uid or cells for a PAP smear.

This is particularly useful in younger women to

determine previously unsuspected atypia. Long term

studies are still lacking, but appear promising.

Self-breast exam – Monthly self-breast exam has been promoted for many years, but lately its value has been questioned. Clearly in women who have become familiar with their own breasts, it is a valuable tool. Many women, however, fi nd it quite stressful and fearful and anxiety is generated by this simple process.

• Learn what is normal for you. This may take months or years depending on how often you check.

• Breast cancer is not subtle. You are looking for obvious changes that are not hard to fi nd.

Daniel Howard, M.D. General Surgeon

(continue to p. 6)


FOCUS SITE REPORT:DiagnosisMost breast cancers today are diagnosed with a needle biopsy.

OTHER OPTIONS:

Stereotactic guided biopsy For mammographic abnormalities, this technique uses multiple angle images to precisely guide the core needle biopsy. Specimen mammography is frequently used to confi rm removal of the lesion.

Ultrasound guided biopsy

For ultrasound visible lesions, this technique allows real time visualization and biopsy of suspicious breast masses. This is particularly valuable for any palpable, mammographic or MRI lesions that can be seen with ultrasound.

MRI guided biopsy

This can be used, but 80 to 90 percent of signifi cant MRI fi ndings can be seen on repeat targeted ultrasound or the mammogram.

Needle localization

A wire is placed in the area of interest by a radiologist or surgeon. The area is then removed in a surgical procedure.

Excisional biopsy

Occasionally a palpable abnormality may be removed in the operating room for diagnosis.

Types of breast cancer

Ductal Carcinoma In-Situ or DCIS is a common pre-cancerous condition. It usually presents with clustered microcalcifi cations on mammography. It is treated locally with surgery alone or surgery plus radiation therapy. Left untreated, this will progress to infi ltrating ductal carcinoma.

Infi ltrating Ductal Carcinoma – known as the most common type of breast cancer – begins in the duct system of the breast and may present as a palpable, mammographic or ultrasound abnormality.

Infi ltrating Lobular Carcinoma accounts for only 5 to 10 percent of breast cancers, but it is more diffi cult to diagnose. It is treated similarly to ductal carcinoma.

ER/PR - Estrogen and progesterone receptors have long been shown to have a

positive prognosis. These tumors are “hormone fed” and tend to respond well

to Tamoxifen and Aromatase Inhibitors.

Her2/neu - Previously, this gene was a poor prognostic indicator. Recently

developed Herceptin, a targeted therapy, has proven very effective against

these tumors.

Triple Negative - Tumors are negative for ER/PR and Her2/neu and are more

aggressive and have a worse prognosis. They are more commonly seen in

younger women. They are extremely sensitive to chemotherapy and are

occasionally treated before surgery to reduce the tumor size.

Oncotype Dx – This test is used in determining which low risk patients will

benefi t from chemotherapy. In node negative, ER positive tumors, this 21 gene

test will give a calculated recurrence score. Low scores are associated with good

prognosis and little benefi t from chemotherapy. High scores show signifi cant

benefi t from chemotherapy. There are large ongoing clinical trials to assess the

effects in the intermediate group.

Genetic testingNew tests are available to help categorize breast cancers and individualize treatment.


Treatment

One in eight

women and one in

800 men will get

breast cancer.

Surgical

Partial mastectomy – Also called “lumpectomy,”

this technique removes the cancer with a margin of

normal tissue. This requires some type of radiation

therapy to the remaining breast tissue.

Sentinel node biopsy – The injection of dye into

the breast identifi es the fi rst nodes where the cancer

is likely to spread. The nodes can be removed, leaving

the rest of the axillary lymph nodes intact.

Simple mastectomy – This removes the breast, skin

and the nipple, but leaves muscles and axillary nodes.

Modifi ed radical mastectomy – For 40 years, this

has been the standard breast cancer operation and is

a simple mastectomy plus all of the axillary nodes.

Axillary node dissection – This is removal of

axillary nodes when the sentinel node is positive or

when there is gross lymph node involvement.

Skin sparing mastectomy – This simple mastectomy

leaves the skin envelope for reconstruction. It is

appropriate for most women.

Nipple sparing mastectomy – This is new

technology for small tumors with no nipple

involvement. It appears to be safe in preliminary

studies and results in a far superior cosmetic result.

This may someday be the procedure of choice for

breast cancer.

Oncoplastic Surgery – A new concept in breast

cancer surgery combining oncologic, surgical and

plastic surgery principles to provide the best possible

cosmetic results after cancer surgery. Ultimately the

goal is to have women look better than they did

before their cancer surgery.

Radiation

Option 1 – Thirty-three treatments of whole

breast radiation over six and a half weeks.

Option 2 – Twice daily brachytherapy with a

MammoSite catheter for fi ve days.

Systemic treatment

Hormonal – Systemic hormone blockers treat

ER/PR positive tumors.

• Tamoxifen – Premenopausal women

• Arimidex, Aromasin, Femara - Postmenopausal

women, generally fi ve years of treatment

ChemotherapyAdjuvant lowers the chances of recurrences if

given after surgery.

Neo-adjuvant is given before

surgery to shrink the tumor for

a less extensive surgery.


Breast Cancer5-Year Cumulative Survival Rate

Years from Diagnosis

Western Baptist Hospital

(A CommunityComprehensive

Cancer Program)

% Surviving

Baptist

Healthcare

System

Community Comprehensive

Cancer Programs

(530 Programs)

% Surviving

ACSSouth Region

AL, KY, MS, TN

(88 Programs)

% Surviving

1 96.9 96.6 97.0 96.3

2 94.3 93.3 93.7 92.4

3 92.5 90.6 90.4 88.4

4 89.8 87.2 87.3 84.9

5 86.8 84.2 84.4 81.8

Statistics are from the National Cancer Data Base as reported on the American College of Surgeons Web site under NCDB Survival Reports section. Latest years posted are 1998 to 2002.

Comparison is made of Western Baptist Hospital survival rates to other Community Comprehensive Cancer Programs (COMP) and to the American Cancer Society South Region. Western Baptist Hospital’s survival percentages were either comparable or exceeded other reported fi ve-year survival rates.

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Upcoming EventsSaturday, May 8Skin Cancer ScreeningReservations required: (270) 442-1310

Tuesday, May 11Brunch Bunch - 10 a.m. to noonNeurologist and stroke specialist,Jacqueline Carter, M.D. Reservations required: (270) 575-2895

Thursday, May 20Stroke Luncheon - Noon to 1 p.m.Neurologist and stroke specialist,Jacqueline Carter, M.D.Reservations required: (270) 575-2895

Friday, June 4Baptist Imaging CenterGrand Opening - 11 a.m. to 1 p.m.Tours, food and giveawaysNo registration required.

Top 5 Primary Cancer Sites2008 Frequency by Gender Comparison

Western Baptist Hospital 2008Kentucky Cancer Registry (KCR) 2008National ACS Percent of Total Cases Diagnosed 2008

Lung

31%20%15%

Prostate

14%20%25%

Colorectal

11%12%10%

Non-Hodgkin’s Melanoma

4%4%5%

Bladder

8%6%7%

Total: 483

Breast

33%29%26%

Lung

22%16%14%

Colorectal

7%10%10%

Non-Hodgkin’s Lymphoma

4%3%4%

Malignant Melanoma

3%4%4%

Total: 483

2004 to 2008 All Cancer CasesAnalytic Case Counts by Year

1000

900

800

700

600

500

400

300

200

100

02004 2005 2006 2007 2008200 200 2002006

844 828913 897

988

Case Year

Num

ber

of C

ases

200180160140120100806040200

2004 2005 2006 2007 2008

2004 to 2008 Breast CancerAnalytic Case Counts by Year

124 127144

162 164

Case Year

Num

ber

of C

ases

Men Women


Breast Study Summary

westernbaptist.com

Therapy Type

Surgery

Radiotherapy

Chemotherapy

Non-Defi nitive Surgery

Hormone

Number of Cases0 25 50 75 100 125 150 175 200 225 250 275 300 325 350 375

208

7971

67

67

171

48

70

12368

Analytic Breast Cancer 1st Course2004 to 2008 Therapy Comparison

County at Diagnosis

Weakley, TNAdair

McLeanWhite, ILDaviess

Williamson, ILAlexander, IL

Other County Outside KYTrigg

HopkinsObion, TNHardin, IL

Unknown County Outside KYPulaski, ILSaline, IL

FultonCallowayHickman

CrittendenJohnson, IL

CaldwellPope, IL

LyonLivingston

CarlisleBallard

Massac, ILMarshall

GravesMcCracken

Number of Cases0 25 50 75 100 125 150 175 200 225 250 275 300 325 350 375

1111122233444

1417

1921

273034

4874

93256

12

2004 to 2008 Breast Cancer CasesCounty at Diagnosis

2004 to 2008 Analytic Breast Cancer CasesStage at Diagnosis by Year

100

90

80

70

60

50

40

30

20

10

0

22

4031

2415

46 43

166

2620

5545

64

21

95

2004 2005 2006 2007 2008

Num

ber

of C

ases

Diagnosis Year

STAGE 0 STAGE I STAGE II STAGE III STAGE IV STAGE UNK

38

15

5 5 410

4

35

74

35

2004 2008

66

19

8776

44

25

1

Newly diagnosed breast cancer cases at Western Baptist Hospital increased from 124 in 2004 to 164 in 2008. For the years 2004 to 2008, 73 percent of new breast case patients were 50 to 79 years old, compared to 19 percent before age 49 and only 8 percent were 80 or older. The majority of patients received a combination of therapy types as part of their treatment plans. • 45 percent of patients had chemotherapy • 55 percent radiation therapy • 95 percent surgery

Geographically for our area, cases by county were: • 36 percent McCracken • 13 percent Graves • 10 percent Marshall • 7 percent Massac • 5 percent Ballard • 29 percent from other western Kentucky and southern Illinois counties

The Surveillance Epidemiology and End Results (SEER), which provides cancer information statistics, shows national stage distribution of breast cancer cases to be 60 percent (WBH 55 percent) diagnosed while the cancer is still confi ned to the breast (localized); 33 percent (WBH 39 percent) diagnosed after the breast has spread to regional lymph nodes or directly beyond the primary site; 5 percent (WBH 4 percent) diagnosed after the cancer has already metastasized (distant stage and for the remaining 2 percent (WBH 2 percent) the staging information was unknown.

When looking at distribution by race, 94 percent of patients were white, 4 percent African-American and 2 percent other for WBH. According to the American Cancer Society Web site (www.cancer.org), approximately 10 percent of all new breast cancer patients are African-American. Breast cancer is 100 times less common among men than women. About 1,910 (1 percent) of new invasive breast cancer cases will be diagnosed among men. For 2004-2008 WBH had 7 (about 1 percent) cases of male breast cancer.

ConclusionWestern Baptist Hospital data is in accordance with national statistics. Study data is provided by the Western Baptist Hospital registry.

Most Western Baptist patients receive a combination of treatment for breast cancer.

Most Western Baptist breast cancer patients are from western Kentucky.


Western Baptist Hospital’s Center for Cancer Care incorporates the area’s most innovative technology with an experienced and dedicated team trained in providing radiation treatment to cancer patients with compassion.

Before a patient’s fi rst treatment, he or she meets with a radiation oncologist to determine what kind of radiation will be most effective. The team includes a nurse practitioner, physicist, dosimetrist, registered radiation therapists and oncology certifi ed nurses.

A Continuing Quality Improvement Program is in place to meet the high standards of the American College of Radiology and the American College of Surgeons accreditations. Program members coordinate efforts to ensure continuous improvements of patient care and outcomes.

The Radiation Oncology Department services include:

Eclipse TreatmentPlanning System

This comprehensive system is used to develop complex radiation therapy planning. Dosimetrists, physicists and physicians can effi ciently create and tailor the best treatment plans. Often used for diagnostic purposes, CT, MRI and PET (Positron Emission Tomography) scans are also used in radiation treatment planning. These technologies offer a clear picture of the patient’s body, which allows precision planning for treatment involving 3D, IMRT or IGRT treatments.

Oldelft Simulatorwith CAT ExtensionThe area targeted for radiation treatment is outlined with X-ray digital images, fl uoroscopy, or Computed Tomography (CT). The Oldelft Simulator provides all

Supporting ServicesRadiation Therapy

Medical/Oncology Unit

Oncology RegistryThe Oncology Registry keeps a database of all cancer patients diagnosed and/or treated at Western Baptist Hospital since 1995.

This information is vital for program improvements, administrative planning and the reporting of patient outcomes. It is a valuable resource for researchers from the National Cancer Institute and other agencies seeking to determine the most effective treatment methods.

Accreditation by the Commission on Cancer of the American College of Surgeons requires the registry to perform timely updates on cases. Registry personnel are trained to collect patient treatment information, provide statistical data as requested, participate in weekly tumor conferences and assist with community early detection programs.

The registry staff works closely with the American Cancer Society and the Kentucky Cancer Program.

For more information, phone the registry at (270) 575-2823.

da Vinci TechnologyWestern Baptist Hospital is the fi rst hospital in western Kentucky to offer the da Vinci robotic system. Both patients and physicians benefi t. Most patients having prostate surgery now experience less post-operative pain and a shorter hospital stay.

The system seamlessly translates the surgeon’s hand, wrist and fi nger movements into precise, real-time movements of surgical instruments inside the patient – reaching areas they could not reach with traditional surgery with minimal incisions. This adds a new level of convenience for the patients. Other benefi ts include:

• Reduced trauma to the body

• Reduced blood loss and need for transfusions

• Less risk of infection

• Faster recovery and return to normal daily activities

• Less scarring

The medical/oncology unit on the sixth fl oor of Western Baptist Hospital, features 34 beds including two suites, one isolation room and a specially-equipped radiation therapy room.

The unit averages 24 patients a day and is staffed by seven medical oncologists, two radiation oncologists and registered nurses, including two oncology-certifi ed and other chemotherapy-certifi ed nurses. All are members of several hospital committees, including the Radiation Safety Committee, Cancer Committee, Quality Improvement Council,

Patient Education Committee, Oncology Nurses Society, Pain Management Team and the American Cancer Society Board.

The newly-renovated chemo-therapy unit, conveniently located on the hospital’s fi rst fl oor, provides services for more than 1500 patients a year. The center is led by a caring and compassionate staff. Their personal experiences make it easier to work with and educate patients and families.

Also available are social services, case management, chaplain and home health services.


MammoSiteThis therapy uses radiation to target breast cancer from inside the breast and is completed in fi ve days. It targets the tissue surrounding the original tumor, minimizing exposure to the rest of the breast, skin, ribs, lungs and heart. MammoSite makes it easier for more women to consider lumpectomy.

IGRT (Image-guided RadiationTherapy)IGRT treats prostate cancer and more by combining imaging and treatment capabilities on a single machine. Because tumors can move, IGRT allows doctors to see and track the tumor at the time of treatment. Very fi ne adjustments can be made to your position to pinpont radiation therapy treatment protecting healthy tissue. This accuracy results in higher radiation doses to the tumor and increases control, eliminating the cancer.

methods of imaging to help pinpoint the tumor area. The simulation goal is to determine the treatment position that will be used daily, to make devices that will help the patient maintain that position, and to obtain the necessary images for treatment planning. CT scans are used to pinpoint the tumor. The images are used to develop a treatment plan to protect the patient’s healthy tissue and isolate the radiation beam directly to the tumor.

Linear AcceleratorThe linear accelerator delivers the radiation treatment. It produces ionizing radiation to destroy cancer cells.

Photon/Electron Radiation Photon radiation is used to reach deep tumors. Electron radiation is used for the outer layers of the skin. The physician decides which form of radiation to use based on the cancer type and location.

IMRT (Intensity Modulated Radiation Therapy)This noninvasive procedure allows for pinpoint delivery of radiation therapy, resulting in better tumor control with less toxicity. Better control results in less damage to the healthy tissues and organs surrounding the tumor, increasing a patient’s chance of a better quality of life.

Low Dose and HighDose BrachytherapyTiny radioactive sources about the size of a grain of rice are inserted in or around the cancer. The seeds are removed after several minutes. This offers greater accessibility to the site with shorter treatment time, improved patient comfort, more precise treatment capabilities and less side effects on normal tissue. It primarily is an outpatient service.

Nearly everyone has been touched by cancer in some way, whether through a personal experience or through the experience of a family member or friend. They can be reassured by knowing a team of healthcare professionals, dedicated to their health and wellness, meets weekly in tumor conferences.

For 22 years, team interaction advances the skill and profi ciency for all involved, including:

Medical andAllied Health StaffSharing the common goal of providing the best care possible,these two groups meet weekly

in tumor conferences. Physicians from surgery, medical oncology, radiation oncology, diagnostic radiology and pathology discuss and contribute to complex cancer cases. Ten percent of the members of the cancer care team must attend tumor conferences. Allied health professionals also are encouraged to attend.

PatientsTumor conferences provide a free consultative service to the patients. The committee of experts shares knowledge and expertise to help and heal patients.

Many treatments used today resulted from clinical trials. Clinical trials involving people are the fi nal step in a long process that begins with research in a lab with animal testing.

Strict guidelines called protocols are followed during clinical trials to offer high-quality cancer care. Clinical trial participation gives individuals the opportunity to volunteer to help others and improve cancer treatment. Participants may be the fi rst to benefi t from new treatments.

Clinical trial participation is available through local medical oncologists or by referral. For more information, contact a medical oncologist or the Western Baptist Oncology Registry at (270) 575-2823.

Tumor Conference Celebrates 22 Years Clinical Trials


Speakers Bureau – If your civic group or service organization would like to educate members on different healthcare topics, phone the Speakers Bureau at (270) 575-2807.

Brunch Bunch – Cancer prevention is a frequent topic at Brunch Bunch meetings, free health education lunch seminars held quarterly in the Baptist Heart Center auditorium. Phone (270) 575-2851 for information.

Health Fairs – Western Baptist provides educational displays and materials, as well as screenings, at community events. The Kentucky Cancer Program offers SmokeCheck™ carbon monoxide tests for smokers and the Dermascan™ Unit to show how sun damage can lead to future skin cancers.

Smoking Cessation – The Kentucky Cancer Program offers the Cooper Clayton Smoking Cessation Program to help people break the habit through free classes for individuals, businesses or organizations. The program is co-sponsored by Western Baptist Hospital and other community and healthcare agencies. For more information, phone (270) 442-1310.

At the 2009 Great American Smokeout Day, Ramesh Alwarappan, M.D., hospitalist

at Western Baptist, and William Conyer, M.D., primary care physician at Baptist Prime Care, provided consultation, prescription discounts and sample drugs at Quit Now for 42 participants. KCP and ACS provided booths, along with screenings offered by Western Baptist. To get a free smoking cessation packet fi lled with info to help you Quit Now, phone (270) 575-2895.

HealthSource – Western Baptist’s free quarterly health magazine features new procedures and technology, upcoming classes, events and health screenings and general health information. Subscribe to HealthSource online at westernbaptist.com or by phoning (270) 575-2797.

HealthBreak – These 90-second television and radio programs, sponsored by Western Baptist, feature topics ranging from cancer to cardiac care. They air weekly on WPSD Local 6 and KFVS 12, as well as local radio stations, and are archived online at westernbaptist.com and paducahsun.com.

Web site – Visitors to the Baptist Online Cancer Resource Center at westernbaptist.com can get a wealth of cancer-related information on risk factors, symptoms, treatment options and more. The site also provides information on how to prepare and

what to expect before, during and after a procedure.

Western Baptist eNews – E-mailed monthly to subscribers, eNews features new technologies, procedures and services at Western Baptist, including upcoming free health screenings and events. To subscribe for the free service, phone (270) 575-2797 or e-mail [email protected].

Prevention and Awareness Programs

Community Outreach


American Cancer Society Information CenterTrained information specialists assist cancer patients, their families and the public 24 hours a day, seven days a week at the American Cancer Society’s toll-free number: 1-800-227-2345. Specialists provide current information on transportation, housing, fi nancial assistance, support groups, American Cancer Society programs and other local resources. Cancer information also is available online at cancer.org.

National Cancer Institutes Cancer Information CenterNCI’s central Web site, cancer.gov, has extensive information on cancer prevention, diagnosis, treatment, statistics, research, clinical trials and news, as well as links to other NCI Web sites. Trained cancer control specialists are available at the toll-free hotline (1-800-4-CANCER) to answer questions and provide cancer education materials.

Local Cancer Resource GuideThe Kentucky Cancer Program publishes the PATHFINDER, a local cancer resource guide for cancer patients and their families. The guide is available at Western Baptist or by phoning the Kentucky Cancer Program at (270) 442-1310.

College Scholarship ProgramThe American Cancer Society’s College Scholarship Programgives young cancer survivorsthe opportunity to pursue an

undergraduate degree from an accredited university, community college or vocational/technical school. The American Cancer Society Mid-South Division’s College Scholarship Program awards a $1,000 scholarship per student per academic school year. For deadline and application information, phone 1-800-227-2345 or visit cancer.org.

I Can CopeThe American Cancer Society’s I Can Cope program is an online educational program for people facing cancer—either personally, or as a friend or family caregiver. It provides information about cancer diagnosis and treatment and offers practical help in coping with emotional issues. The I Can Cope program highlights issues, including pain control, nutrition and fi nance management for cancer patients. To register for the program, visit cancer.org/icancope.

Look Good…Feel BetterThe American Cancer Society’s Look Good…Feel Better is a beauty program for women going through or recently completing treatment. ACS-trained volunteer cosmetologists teach makeup techniques, skincare and options related to hair loss, such as wigs, turbans and scarves. The American Cancer Society provides wigs, bras and other prosthetic items, and each participant receives a free cosmetics kit. To register for a session, phone 1-800-227-2345.

Reach to RecoveryThe American Cancer Society volunteer visitation program matches breast cancer survivors with those concerned about breast cancer. Whether the person has been diagnosed with breast cancer, had surgery or found a suspicious lump, a Reach volunteer lends an ear, shares resources and offers emotional support. To schedule a visit, phone 1-800-227-2345.

Road to RecoveryRoad to Recovery is an American Cancer Society program that provides cancer patients with transportation to and from medical facilities for treatment. Volunteer drivers help keep them on their regular treatment schedule. To schedule a ride, phone 1-800-227-2345.

Man-to-ManThe American Cancer Society helps men and their families cope with prostate cancer. Specialists in various fi elds share information on medical topics and quality-of-life issues. For more information, phone 1-800-227-2345 or visit cancer.org.

Treatment And Emotional Support

Western Baptist Hospital partners with the American Cancer Society and the Kentucky Cancer Program to educate cancer patients and their families on prevention through early detection. These efforts help accomplish that goal.


Purchase Area Mastectomy Association (PAMA)Western Baptist Hospital and the Kentucky Cancer program hosted the annual PAMA education meeting on Oct. 16, 2009, for 74 newly diagnosed breast cancer patients and survivors. Oncologist James Gould, M.D., presented a “Breast Cancer Update” session.

Faces of CancerWestern Baptist Hospital hosted “Faces of Cancer” Oct. 12 to 16, 2009, in the Atrium of Doctors Building 2. “Faces of Cancer”, a J Nash Photography photographic tribute to Purchase Area cancer survivors, is Kentucky Cancer Program’s celebration of cancer survivors featuring eight portraits and survival stories. “Faces of Cancer” featured Erica Stuart from McCracken County who was diagnosed with Retinblastoma at three years old. Erica’s mom, Elaine Stuart, works at Western Baptist Hospital.

Skin Cancer ScreeningsWestern Baptist Hospital, Kentucky Cancer Program and other healthcare agencies teamed up to offer free skin cancer screenings. On May 16, 2009, dermatologists Hal Ford, M.D., Evelyn Jones, M.D., and Doug Wilson, M.D., along with physician assistants Lisa Boget and Tolly Johnson, screened 118 participants.

Relay For Life of McCracken CountyWestern Baptist Hospital employees raised $53,488 for the 2009 Relay for Life. That put Western Baptist second in the state for fundraising, helping push McCracken County Relay to the fi rst place county in the state.

Head and Neck ScreeningWestern Baptist Hospital offered a free head and neck cancer screening on May 1, 2009. Physicians screened 89 participants. The Kentucky Cancer Program, Amercian Cancer Society and Pfi zer provided educational booths. Participating physicians include Shawn Jones, M.D., Daren Kest, D.O., J. Randall Resser, M.D., Mark Rusten, M.D., and James Zellmer, M.D.

Projects

Chairman/Medical OncologyJames Gould, M.D.

ACoS Cancer Liaison/Thoracic SurgeryJames O’Rourke, M.D.

Radiation OncologyPeter Locken, M.D.Jeffrey Triplett, M.D.

Medical Oncology/Physician Liaison RegistryLuis Concepcion, M.D.

Pain ManagementIrvin Smith, M.D.

RadiologyDan Hatfi eld, M.D.

PathologyCarolyn Watson, M.D.

General SurgeryEdwin Grogan, M.D.

ENT/SurgeryJohn Resser, M.D.

Urology/SurgeryDonald Spicer, M.D.

DermatologyGary McMillan, M.D.

PHYSICIAN MEMBERS

ANCILLARY MEMBERS

Cancer Committee Members

Survivor Resource KitsThe Kentucky Cancer Program provides a free Survivor Resource Kit to newly diagnosed cancer patients. The kit includes a LiveStrong Survivorship Notebook, education materials and a guide to community services. The resource kit is available at Western Baptist Hospital or by phoning the Kentucky Cancer Program at (270) 442-1310.

AdministrationBonnie Schrock, V.P. of Patient Services

EducationPat Reiter, Director

Medical/OncologyMary White, R.N., Director

Oncology RegistryBetty Copeland, C.T.R.,

Donna Schmidt, R.T., C.T.R., ACIM Registry Coordinator

Cancer ProgramMichael Tutor, Oncology Manager

Social ServicesLindsey JonesOncology, L.S.W.

Radiation TherapyTonya Rittenberry, R.T.

QualityMeri Curtis, R.N., C.P.H.Q., Director

Pastoral CareJames Wright, DirectorKevin Traughber, Chaplain

MarketingKathryn Joyner, Coordinator

PharmacyBarry Eadens, Director

Kentucky Cancer ProgramJamie Smith,Cancer Control Specialist

American Cancer SocietyMary Huff, HealthInitiative Representative


Cancer EducationNoon Tumor Conferences

Attendance HoursPhysicians 520 48Other healthcare professionals 988

Total 1508 48

Evening Tumor Conferences (Physicians, Nurses and Radiologic Technologists)

Date Title of Program Attendance Hours

09-23-08 Softening the Blow of Treatment Related Complications: The Example of Genetic Testing to Prevent 5-FU Toxicity 16 1

10-28-08 What’s New in Breast Cancer Diagnosis & Treatment 24 1

02-24-09 Use of Genomic Markers in the Diagnois and Treatment of Early StageBreast Cancer 26 1

03-24-09 VTE in Cancer Patients 15 1

08-25-09 Diagnosis, Staging & Treatment Options for Early Non-Small Cell Lung Cancer 35 1Total 116 5

Grand Rounds PhysiciansDate Title of Program Attendance Hours

11-18-08 Palliative Medicine: The Subspecialty, Economics and Practice 32 1Total 32 1

Grand Total 1656 53

Self Study Offerings Credits Participants

Acute and Chronic Pain: Assessment and Management 4 59Administering Chemotherapy: One Nurses Story 2 10Cancer 101 2 12Chemotherapy Agents: General Safety for Nurses 2 8Childhood Leukemia and Lymphoma 3 2Colorectal Cancer: Are You at Risk? 2 14End of Life for CNA’s 2 11Nurses Guide to Chemotherapy and other Anti-Cancer Drugs 3 13Ovarian Cancer 1 4Pain Control and Symptom Management 1 8Perspectives on Breast Cancer 1 21Testicular Cancer 1 9The Mystery of John Doe: An End of Life Story 4 7

Total 28 178

Nursing Education September 2008 - August 2009

Oncology Educational Programs Credits Participants3-3-09 Treatment Modalities for mAIPC 1 246-2-09 Treatment of Platinum-Sensitive Advanced Ovarian Cancer 1 177-7-09 Update on Metastatic Colorectal Cancer: KRAS and Bright Study 1 168-4-09 Radiation Therapy Update 2009 1 5

Total 4 62


Center for Cancer Care2501 Kentucky Ave.Paducah, KY 42003

NON-PROFITU.S. POSTAGE

PAIDWESTERN BAPTIST

HOSPITAL

For more informationAmericanCancer Society1-800-ACS-2345cancer.org

Mary Huff, Health Initiative Representative

KentuckyCancer Program(270) 442-1310kycancerprogram.org

Jamie Smith, Cancer Control Specialist

Treating You Well.

westernbaptist.com

(270) 575-2918

W E S E E I M A G I N G I N A W H O L E

N E W W A Y.CARE BEYOND ANYTHING YOU EXPECT

AT THE EXPANDED BAPTIST IMAGING CENTER

Baptist Imaging Center Open House11 a.m. to 1 p.m., June 4

Tours • Info • Refreshments • Prizes

Next Door Parking at 28th and Kentucky Avenue

270-575-2918 • www.westernbaptist.com

T H E H O S P I TA L O U R R E G I O N P R E F E R S 2 TO 1

Western Baptist HospitalBaptist Health Line(270) 575-2918westernbaptist.com

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