st. dominic`s cancer services

ST. DOMINIC’S CANCER SERVICES
C ANC E R P ROGRAM 2014 ANNUAL REPORT
2013 STATISTIC AL D ATA
table of contents
1 L et t er s
4
O nco lo gy Ser v ices
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Qua lit y I m pro v em e n t s
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Co m m unit y I nv o lv e me n t
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Ca ncer Pro gr a m Pr ac t i c e P rofi l e Re p or t s
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Co m prehensiv e Ca n c e r S e r v i c e s
18 2 0 1 4 Clinica l Tr ia ls
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N ew in 2 0 1 4
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2 0 1 3 St a t ist ica l I nf or mat i on
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O nco lo gy Phy sicia n s
letters
For more than 65 years, St. Dominic’s has
played a major role in the overall health and
wellness of Mississippi residents. As part of our
organization’s mission of healing, St. Dominic’s
Cancer Services has remained committed
to the fight against cancer through refining
and improving treatment options and the
innovative work performed by our excellent
treatment team.
The cancer program at St. Dominic’s is
led by exceptional physicians and experts
who continue to focus on prevention, early
detection and individualized treatment options
for the numerous forms of this disease. The
research and clinical trials conducted at
St. Dominic’s have helped to advance diagnostic
imaging, radiation technology, chemotherapeutic
drugs and early diagnosis. These clinical trials
have helped improve the precision of cancer
treatments and both the quality of life and life
expectancy for patients. With Palliative Care
becoming a recognized board-certified specialty
– and a formal department within St. Dominic’s
– the physicians, nurses, supporting staff and
other team leaders who provide compassionate
care have been able to practice an integrated
team approach when helping patients and
families understand their diagnosis and
treatment options.
Representatives of St. Dominic’s also volunteer
in the community through numerous screening
and educational events. Through these programs,
St. Dominic’s is able to participate in bringing
important education to the people in surrounding
communities about cancer prevention and early
detection. Current, active programs include: Drive
to Inspire, Relay for Life, Great Lengths, Camp
Bluebird and Making Strides.
As you read through this year’s report, you will
find more details about how we work together
at St. Dominic’s Cancer Services and in the
community to deliver compassionate care and
carry out our mission of healing.
We would like to extend our sincere gratitude
to each of you who partner with us to provide
this ministry of healing and education to our
community. For more information about
our cancer services, visit stdom.com or call
St. Dominic’s Cancer Services at 601-200-8000.
Claude W. Harbarger, FACHE
President, St. Dominic Health Services
Lester K. Diamond, FACHE
President, St. Dominic Hospital
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2014 CANCER PROGRAM
chairman’s report
This year, St. Dominic’s was awarded two distinct
Screening Center of Excellence designations.
The first came from the Lung Cancer Alliance
and the second named St. Dominic’s as a
Designated Lung Cancer Screening Center
through the American College of Radiation.
These designations demonstrate St. Dominic’s
commitment to responsible screenings.
St. Dominic’s also continues to lead the way
providing cutting-edge technology with the
purchase of the 3T MRI. The 3T MRI machine is
a state-of-the-art, powerful piece of equipment
that generates fantastic magnetic resonance
image clarity which allows for a more accurate
diagnosis and potential for improvement in
patient outcomes.
St. Dominic’s continues to support the American
Cancer Society, the Cancer League and Relay
for Life by participating in many events and
screenings such as “Drive to Inspire,” Cancer
League’s Cancer Gala, and local Relay for Life
events. This year, during the month of October
St. Dominic’s was involved in several events to
promote breast cancer awareness. St. Dominic’s
partnered with Comcast and Patty Peck Honda
for the “Drive to Inspire” event, which was a
huge success in bringing awareness about breast
cancer and early detection. St. Dominic’s also
partnered with The Outlets of Mississippi in Pearl
for the first annual “Shop Pink” event. This event
raised money for the many women’s programs
and services at St. Dominic’s. The list of events
and screenings that St. Dominic’s participates
in to bring awareness about cancer continues
throughout the year.
We are most excited to share our many
accomplishments from this year with you. It
is our hope that you will review and share the
information in this 2014 Annual Cancer Report.
This report will provide you with an overview
of the services offered during 2014 and the
statistical data from 2013. For more information
visit stdom.com or call St. Dominic’s Cancer
Center at 601-200-8000.
St. Dominic’s Cancer Program
continues to grow each year, yet our
commitment to compassion and the
treatment of cancer remains the same.
As Chairman of St. Dominic’s Cancer
Committee, I am proud to present the
2014 Annual Cancer Report.
This year, St. Dominic’s was pleased to announce
the restructuring and expansion of the Palliative
Care service line. The Palliative Care team
expanded to include five medicine specialists
and was recognized as a board-certified
specialty in which national standards have been
established. Palliative Care is now recognized as
a formal department of St. Dominic Hospital.
MANUBHAI S. PATEL, MD
Chairman, St. Dominic Cancer Committee
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ONCOLOGY NURSING STAFF:
FRONT ROW: Kayana Bradley, RN; Charles Walker, RN; Racheal White RN;
BACK ROW: Krystal Luss, RN; Mandy White, RN; Chong Wang, RN;
Fleasha Jones, RN; Lacey Steward, RN, BSN, OCN - Nurse Manager,
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Oncology/Hematology and Wilma Sulton, RN, OCN
oncology services
CANCER CONFERENCES
ONCOLOGY NAVIGATOR
MEDICAL ONCOLOGY UNITS
Cancer Conferences are an essential forum
to provide multidisciplinary consultative
services for patients as well as offer education
to physicians and allied health professionals.
St. Dominic’s Oncology Navigator is a nurse who is
available to help cancer patients and their loved ones
on the journey from diagnosis through treatment
and beyond. The Navigator provides individualized
support and information tailored to patients.
Weekly Cancer Conferences are held every
Wednesday at 7 a.m. in St. Dominic’s Education
Services. All members of the Medical Staff are
invited to attend and present cases.
The Oncology nursing team works
collaboratively with the dietitians, pharmacists,
social services, pastoral care services, navigator
and palliative care to meet the unique physical, emotional and spiritual needs of each patient
and family.
The Oncology Navigation Program
Benefits Patients through:
A total of 198 cases, with 198 (100 percent)
of these being prospective, were presented
to Cancer Conference for discussion.
• Improved and more timely access to
healthcare services and information
• Fewer delayed and missed patient appointments
• Increased satisfaction with the healthcare
experience
Medical Oncology Unit Consists of:
• 24 acute beds on the inpatient oncology
unit
• Outpatient chemotherapy clinic
•
Certified/trained chemotherapy nurses and
an oncology nurse practitioner
The following physicians presented
cases at Cancer Conference and Breast
Cancer Conference for 2013:
Jonathan Adkins, MD
Reginald Martin, MD
Eric Balfour, MD
Manu Patel, MD
David Carroll, MD
Steve Patterson, MD
Nicole Cleveland, MD
Guangzhi Qu, MD
Nosratollah
Paul Seago, MD
Ghaemmaghami, MD
Pat Scanlon, MD
Bobby Graham, MD
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quality improvements in 2014
HANDS OF HOPE
CANCER BOUTIQUE
In July of 2013, St. Dominic’s opened its Cancer
Boutique, a special boutique committed to helping cancer patients and survivors look and
feel their best before, during and after cancer
treatment.
The first of its kind in the Jackson area, the
boutique offers products and services that help
minimize the effects of cancer therapy.
St. Dominic’s Cancer Boutique carries a large
assortment of surgical garments, mastectomy
bras, mastectomy forms and swimwear,
lymphedema sleeves, head scarves and wraps,
DermaQol Skincare, wicking garments for night
sweats and specialty gift items. The boutique
also offers one-on-one care for mastectomy
patients, including a private fitting room and
mastectomy fitter.
The boutique now offers general and specialty
massage services in addition to its mastectomy
prosthetics, services and gift boutique. The
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JENNY MILLER, RN, BSN, OCN
St. Dominic’s Breast Health Navigator
The navigator provides individualized support
and information tailored to each patient.
Cancer Boutique was re-named Hands of Hope
Boutique in November 2014 to reflect the broad
range of products and services now available.
Hands of Hope Boutique is now located on the
first floor main hallway of the hospital, across
from the laboratory.
ONCOLOGY MASSAGE
Oncology massage therapist Karon Stuart of
St. Dominic’s Hands of Hope Boutique offers
ideal support and comfort to help cancer
patients improve their wellbeing and quality
of life.
Karon, who is one of only 45 massage therapists
in the world certified in oncology massage,
graduated from The Peregrine Institute of
Oncology Massage in Santa Fe, New Mexico.
Her training included working with cancer
patients, learning about cancer medications and their side effects and working with doctors
and nurses to create individualized treatment
plans. She also received training in western and
eastern body work approaches, manual lymph
drainage and extensive clinical practice in a
variety of settings including the hospital. She has
been in the massage industry for over 27 years
and is the massage therapist at St. Dominic’s
Hands of Hope Boutique.
Benefits of Oncology Massage include
diminished side effects from cancer treatment, overall improved quality of life, reduced
fatigue, increased energy, improved sleep, reduced anxiety, increased calmness, reduced
nausea, increased self-esteem, decreased feeling
of isolation, increased overall immunity and
decreased edema and lymphedema.
BREAST HEALTH NAVIGATOR
St. Dominic’s Breast Health Navigators are
nurses who are available to help breast cancer
patients and their loved ones on the journey
from diagnosis through treatment and beyond.
The navigator provides individualized support
and information tailored to each patient.
The Breast Health Navigators help to guide
patients and their loved ones through the
healthcare system. The navigators provide
assistance to patients and their families
when filling out all necessary forms, locating
local resources and support services and by
answering any other questions that they might
have regarding breast cancer.
To reach the Breast Health Navigator, please
call 601.200.3300.
KARON STUART
Oncology Massage Therapist of
Hands of Hope Boutique
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PALLIATIVE CARE SERVICES STAFF: Ann Tandy, RN, PMHCNS-BC, RN
Coordinator; Jean Rose, RN, BSN, RN Coordinator; Bobby Graham, M.D.,
FACP, Medical Director; Nicole Drahuschak, CFNP, Nurse Practitioner;
Nancy Aycock, RN, OCN®, CHPN®, Manager; Mechale Mayfield, BS, RT (R)
(T) Oncology Service and Palliative Care Administrator
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“I LOVE EVERY MINUTE OF PATIENT CARE,
AND IT MAKES ME FEEL COMPLETE,”
Jimmie Wells, RN, MSN, OCN, St. Dominic’s
Chemotherapy Nurse and survivorship Navigator
ST. DOMINIC’S PALLIATIVE
CARE TEAM EXPANDS
TO INCLUDE PALLIATIVE
MEDICINE SPECIALISTS
St. Dominic’s Palliative Care Team was
established in 2007 using a model in which
the core team members—palliative care
nurse, social work and pastoral care staff—
collaborate with the physician to provide
support to patients with serious, progressive
or life-threatening illness. Since the start of
our program in 2007, Palliative Medicine has
become a recognized board-certified specialty
and national standards have been wellestablished.
In response to these changes, St. Dominic’s
established St. Dominic’s Palliative Care
Services as a formal department with
Nancy Aycock, RN, serving as manager.
The department reports to Mechale
Mayfield, Oncology Service and Palliative
Care Administrator. Dr. Bobby Graham, an
oncologist with Jackson Oncology Associates,
was board-certified in Hospice and Palliative
Medicine in 2012 and has been providing
administrative support to the program as
Medical Director. With this year’s expansion,
he began to offer clinical support to the
program as well. He works collaboratively
with Nicole Drahuschak, Nurse Practitioner,
to provide an additional layer of support to
complex cases. This year, the department also
welcomed Jean Rose, RN, as she joins Ann Tandy,
RN, in the role of RN Coordinator to follow up on
conversations by medical staff regarding goals of
care and treatment decisions. Social work and
pastoral care staff continue to provide unit-based
enhanced support through any stage of serious
illness.
With the addition of Palliative Medicine staff
to the team, St. Dominic’s is now able to offer
specialist assistance with complex symptom
management and clarification of achievable
medical goals of care.
SURVIVORSHIP NAVIGATOR
Jimmie Wells, St. Dominic’s chemotherapy nurse
and survivorship navigator, was featured in a
recent issue of the Oncology Nursing Society’s
ONS Connect magazine. In the article, “Oncology
Nurses Offer Wisdom After Retirement,” Jimmie
talks about her career as an oncology nurse
that began in 1986. During her career, Jimmie
has worked as a staff nurse, a patient and
staff educator and a hematopoietic stem cell
transplant coordinator. Jimmie retired in 2013,
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3 TESLA (3T): 3T acquires a much higher quality image
than past models, allowing for a more accurate diagnosis
and potential for improvement in patient outcomes. but returned within a few months to work part
time at St. Dominic’s. In addition to providing
patient care, Jimmie also supports and
mentors other oncology nurses. “I love every
minute of patient care, and it makes me feel
complete,” she told ONS Connect.
contrast), applying advancing imaging
techniques, or a combination of these. The higher field strength greatly improves
image homogeneity, significantly reduces artifacts and improves contrast and
resolution. This advantage translates
into improved detection of pathology, such
as smaller abnormalities and decreased need
for repeat exams.
Advanced imaging techniques of 3T are
more readily available and far superior.
3T MRI
In November of 2014, St. Dominic’s acquired
a 3T MRI machine. This MRI provides state-
of-the-art imaging that is now becoming
standard practice for larger institutions. 3T
acquires a much higher quality image than
past models, allowing for a more accurate
diagnosis and potential for improvement
in patient outcomes. Additional benefits
are increased patient throughput and
improved patient comfort.
The magnet has a larger bore that gives
the feel of an open magnet, significantly
improving patient anxiety and motion
artifacts in claustrophobic patients. Also, this
will allow imaging of larger patients. The 3T can answer more difficult clinical
questions, provide more accurate
information and improve patient outcomes
due to alteration in treatment plans.
Imaging times are also four times faster. This
extra imaging time can be used either for
quicker exams (improving throughput and
decreasing motion artifacts), obtaining higher
quality images (higher resolution and better
Installation of 3 Tesla MRI
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THE BLESSING OF THE 3T MRI
The magnet has a larger bore that gives the feel of an open magnet, significantly
improving patient anxiety and motion artifacts in claustrophobic patients.
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“LOVINGLY MADE AND DONATED BY GIRL
SCOUT TROOP 0581.” Each pillow was stuffed and
sewn by a little scout using her own favorite fabric.
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community involvement
GIRL SCOUT PILLOWS
Jenny Miller, RN, Breast Health Navigator,
decided she wanted to be able to give her
patients something special after their surgeries.
She approached Mindy Gilmore, 5 South RN
and leader of a Girl Scout Troop, about her
troop creating some type of item for patients.
Gilmore ran with this idea and she and her
troop decided to make pillows. Each pillow was
stuffed and sewn by a little scout using her own
favorite fabric. The scouts also attached tags
to each pillow that read, “Lovingly made and
donated by Girl Scout Troop 0581.” “My patients
have adored them,” said Miller. “I am assured
by Mindy and her troops that they will continue
this project for us.”
and other locations throughout the Jackson
area to spread awareness about breast health
and early detection. This year’s campaign was
successful with over 4,754 signatures gathered to
show support and help remind others that early
detection is vital.
This year Jenny Miller, St. Dominic’s Breast
Health Navigator, spoke to a group of Hazelhurst,
Mississippi high school girls and Hinds
Behavioral Health employees about breast cancer
awareness and the importance of early detection.
Amy Evins, Cancer Services Manager, spoke
to Eaton Industries about nutrition and breast
cancer awareness.
GREAT LENGTHS
Great Lengths is an event in which participants
cut at least eight inches of their hair on or before
the given “cut date.” Their hair is then donated
to Pantene who uses the hair to make wigs that
are pledged to the American Cancer Society to
provide cancer patients one wig free of charge. For five years now, St. Dominic’s has partnered
with WLBT to promote and co-host the “Great
Lengths” campaign. Because 2015 is a “Great
Lengths” donation event year, WLBT began
informing the people of Mississippi in July of 2014
so that they could begin to grow out their hair.
DRIVE TO INSPIRE
In an effort to encourage women to schedule
their mammograms, St. Dominic’s holds its
annual Drive to Inspire campaign each October.
With the help of Comcast Spotlight, Patty Peck
Honda and Highland Village, this year, a pink
Honda Pilot was able to visit 46 local businesses
Drive to Inspire is held in conjunction with
National Breast Cancer Awareness Month, an
annual health campaign organized by major
breast cancer charities in October. The goal is to
increase awareness of the disease and to raise
funds for research, prevention, diagnosis and
treatment.
DRIVE TO INSPIRE
The official cutting date is scheduled for March
2, 2015, and will take place at the Mississippi
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TENNIS CLASSIC: On October 21,2014, the Country Club of
Jackson hosted the St. Dominic’s Tennis Classic to promote
breast cancer awareness. Members and non-members were
invited to pay $50 to participate in a round robin tennis
tournament. Proceeds went to St. Dominic’s Cancer Services.
Institute of Aesthetics, Nails and Cosmetology
in Clinton. The hair donated at the 2015 event
will be used to craft beautiful quality wigs for
Mississippi women who lost their hair while
battling cancer.
St. Dominic’s extends our sincere thanks to
all who participated and plan on participating
in this wonderful event. Giving hair is such a
selfless act of kindness that helps to restore the
confidence and self-esteem lost by patients who
are undergoing chemotherapy.
TENNIS CLASSIC
On October 21, 2014, the Country Club of
Jackson hosted the St. Dominic’s Tennis Classic
to promote breast cancer awareness. Members
and non-members were invited to pay $50 to
participate in a round-robin tennis tournament.
Approximately 70 players participated in the
tournament under the direction of Country Club
of Jackson tennis director Nick Barone. The
Country Club of Jackson selected St. Dominic’s
Cancer Center as the recipient of the proceeds
from the event, which totaled $4,160. Funds
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were generated from tournament entry fees
and a silent auction conducted during the
tournament. Dr. Nicole Cleveland, a medical
oncologist on St. Dominic’s medical staff, was
instrumental in bringing the Country Club of
Jackson and St. Dominic’s together for this lively
event during Breast Cancer Awareness Month.
SHOP PINK EVENT
St. Dominic Health Services Foundation
partnered with the Outlets of Mississippi in
Pearl for their “Shop Pink” fundraiser held
during the month of October. Shoppers were
invited to purchase Shop Pink & Save Bonus
Cards for $10 to receive discounts of up to 25
percent at each of the 30 participating outlet
stores. Together, St. Dominic’s and Outlets of
Mississippi sold over 1,000 Shop Pink & Save
Bonus Cards.
In addition, shoppers were also invited to
purchase tickets to attend the More Pink
Luncheon and the Pink Fashion Show featuring
First Lady, Deborah Bryant. These tickets were
sold for $25 and included lunch, the fashion
show and a $10 Shop Pink & Save Bonus Card.
The Shop Pink & Save Bonus Cards were sold
by St. Dominic’s and St. Catherine’s Village
employees, St. Dominic’s Auxiliary, New
Directions for Over 55, Volunteer Services,
the Gift Shop, the Outlets Service Center and
participating outlet stores.
SHOP PINK: The St. Dominic Health Services Foundation
extends a special thank you to those volunteers and employees
who rolled up their sleeves to make Shop Pink a success.
St. Dominic’s also sponsored a “Shop Pink”
Health Fair on Saturday, October 11 at the
Outlets. The Care-A-Van and approximately
20 St. Dominic’s wellness, screening and
outreach programs were set up to offer
educational information and health screenings
to participants.
The Outlets of Mississippi recently presented
a check to St. Dominic’s for $10,000 raised
through the Shop Pink fundraising campaign
held in October. All money raised through
the campaign will benefit the many women’s
programs and services at St. Dominic’s.
“We have done this fundraiser many times
at other outlet locations, and we have never
gotten the degree of help that the St. Dominic’s
team extended,” said Kathy Hackshaw, General
Manager of the Outlets of Mississippi.
“An enormous effort was put into Shop Pink,”
said Jim Jeter, Executive Director of St.
Dominic Health Services Foundation. “This was
a typical St. Dominic’s effort – all hands
on deck and pulling together to make a
campaign successful.”
A debriefing on the 2014 campaign will be held
soon and plans made to continue the Shop
Pink campaign in 2015. The St. Dominic’s
foundation extends a special thank you to
those volunteers and employees who rolled
up their sleeves to make Shop Pink a success.
SHOP PINK $10,000 CHECK PRESENTATION:
Janice Knight, Corporate Manager of St. Dominic
Health Services; Sister Dorothea Sondgeroth,
Associate Executive Director of St. Dominic Health
Services; Claude Harbarger, FACHE, President
of St. Dominic Health Services; Kathy Hackshaw,
General Manager of Outlets of Mississippi; Angela
Shepard, Director of Marketing at Outlets of
Mississippi; Deidre Mooney, Corporate Wellness
Coordinator of St. Dominic Community Health
Services and Jim Jeter, Executive Director of
St. Dominic Health Services
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cancer program practice
profile reports (cp3r)
The Cancer Committee monitors and ensures that patients treated at St. Dominic Hospital receive high quality care that is congruent with nationally accepted
measures. To promote comparison and allow for monitoring, the Commission on Cancer measures compliance with specific CoC reporting tools–the Cancer
Program Practice Profile Reports. Below is the summary of CP3R performance grid for 2012 breast cancer cases at St. Dominic Hospital. We are proud that our
program is meeting or exceeding all but one of the required performance expectations of the Commission on Cancer.
While we were slightly under the recommended performance rate for radiation therapy following mastectomy, we can confirm that the one patient outlier did
receive radiation therapy. However, the treatment was marginally outside of the 365 day window secondary to wound healing delays. The Cancer Committee will
continue to monitor CP3R data, and work to resolve any issues appropriately.
PERFORMANCE MEASURES AND ESTIMATED PERFORMANCE RATES SPECIFIC TO BREAST CANCER AT ST. DOMINIC HOSPITAL FOR 2012
Quality Metric
Required
Performance Rate
Estimated
Performance
Rates for 2012
Cases
Eligible Measure
Concordant, treatment
administered
or considered
Nonconcordant
Image or palpation-guided needle biopsy (core or FNA)
is performed to establish diagnosis of breast cancer.
>=80%
87.70%
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9
Radiation therapy is considered or administered following any
mastectomy within 1 year (365 days) of diagnosis of breast cancer
for women with >= 4 positive regional lymph nodes.
>=90%
88.90%
9
8
1
Radiation is administered within 1 year (365 days) of diagnosis for women
under the age of 70 receiving breast conservation surgery for breast cancer.
>=90%
97.20%
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35
1
Combination chemotherapy is considered or administered within 4 months
(120 days) of diagnosis for women under 70 with AJCC T1cN0, or stage
IB - III hormone receptor negative breast cancer.
>=90%
100%
10
10
0
Tamoxifen or third generation aromotase inhibitor is considered or
administered within 1 year (365 days) of diagnosis for women with
AJCC T1c or stage IB-III hormone receptor positive breast cancer.
>=90%
98.10%
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1
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comprehensive cancer services
DIAGNOSTIC
SUPPORT SERVICES
MRI
Breast MRI
3T MRI
Digital Mammography
PET/CT
Laboratory Services
Camp Bluebird, Adult Cancer Camp
Hands of Hope Cancer Boutique
Cancer Support Groups
Cancer Orientation Class
Clinical Research Coordinator
Consumer Health Resource Center
Counseling Center
Hospice Program
“Look Good…Feel Better”
Lymphedema and Oncology Rehab Clinic
Memorial Service
Oncology Massage at The Spa at St. Dominic’s
Oncology Nurse Navigators
Rehabilitation Services
Registered Dietitians
Pain Management
Palliative Care Program
Pastoral Care
Social Workers
Wig Program
Wound and Ostomy Care Nurse
Cancer Prevention
Screening Events
TREATMENT
General Surgery
da Vinci Robotic Surgery
Gynecologic Oncology Surgery
Reconstructive Surgery
External Radiation Therapy
Intensity Modulated Radiation Therapy (IMRT)
Image Guided Radiation Therapy (IGRT)
High Dose Rate Brachytherapy
BrainLab Stereotactic
Radiosurgery
Partial Breast Irradiation
Prostate Seed Implantation
Outpatient Chemotherapy Clinic
Radiopharmaceutical Therapy
REGINALD MARTIN, MD, participating in breast
cancer awareness event at Levi’s plant in Gluckstadt
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2014 clinical trials
St. Dominic’s offers various types of clinical trials
which include Quality of Life and Treatment and
Translational Research Trials (studying of tumor
tissue and blood to learn causes and treatments
of gynecologic cancer). Paul Seago, MD serves as
principal investigator for Gynecologic Oncology
Group clinical trials at St. Dominic’s.
GOG 286B
Oncology Massage Trial
A randomized phase II/III study of Paclitaxel/
carboplatin/metformin (NSC#91485) versus
paclitaxel/carboplatin/placebo as initial therapy
for measurable stage III or IVA, stage IVB, or
recurrent endometrial cancer.
Study to assess oncological massage for pain
alleviation in patients with breast cancer at
any stage.
GOG-0277 (IRCI 001)
Benefits of Clinical trials include
the following:
A Phase III Randomized Trial of Gemcitabine
(NSC # 613327) plus Docetaxel (NSC # 628503)
followed by Doxorubicin (NSC # 123127) versus
Observation for Uterus-Limited, High-Grade
Uterine Leiomyosarcoma.
To determine percentage of eligible patient’s
for hereditary breast, ovarian and endometrial
cancer genetic testing and patient barriers to
not undergoing testing.
• Participants have access to promising new
approaches often not available outside a
clinical trial setting
•
The approach being studied may be more
effective than the standard approach
•
Participants receive regular and careful
medical attention from a research team
that includes doctors and other health
professionals
•
Participants may be the first to benefit from
the new method under study
•
Results from the study may help others in
the future
Trial Assessing Barriers to
Genetic Testing
GOG 213
A phase III randomized controlled clinical trial
of carboplatin and paclitaxel (or gemcitabine)
alone or in combination with bevacizumab
(NSC #704865, IND #113912) followed by
bevacizumab and secondary cytoreductive
surgery in platinum-sensitive, recurrent ovarian,
fallopian tube and pertitoneal primary cancer.
GOG 225
Can diet and exercise modulate ovarian,
fallopian tube or primary peritoneal cancer
progression-free survival?
PAUL SEAGO, MD AND
REGINA OUTLAW, RHIT, CCRP
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new in 2014
WOMEN’S HEALTH AND
HEALING CENTER
St. Dominic’s opened the Women’s Health and
Healing Center in June of 2014 in the Madison
Highland Arts building on Highland Colony
Parkway. The multi-specialty clinic features
the best in women’s healthcare in one easyto-access location. For nearly seven decades,
St. Dominic’s has been known for providing
compassionate care and healing throughout the
community. The Women’s Health and Healing
Center is no different. Dr. Phillip Ley, Dr. Paul
Seago, Dr. Zachary Baldwin and Dr. Todd Cumbie
have made the Center their home in Madison.
PHILLIP LEY, MD, is a fellowship-trained
surgical oncologist who has focused the
majority of his practice on breast care
and the management of breast cancer.
He now serves as St. Dominic’s Breast
Program Leader.
20
2 0 1 4
C A N C E R
PROGR A M
In 2014, St. Dominic’s was given two distinct designations of
Screening Center of Excellence through the Lung Cancer Alliance
as well as a Designated Lung Cancer Screening Center through
the American College of Radiology (ACR).
LUNG CANCER SCREENING
In 2014, St. Dominic’s was given two distinct
Screening Center of Excellence designations
through the Lung Cancer Alliance as well as
a Designated Lung Cancer Screening Center
through the American College of Radiology (ACR).
ACR Lung Cancer Screening
Center Designation
In 2014, St. Dominic’s was designated a Lung
Cancer Screening Center by the American College
of Radiology (ACR).
The ACR Lung Cancer Screening Center
designation is a voluntary program that recognizes
facilities that have committed to practice safe,
effective diagnostic care for individuals at the
highest risk for lung cancer.
In order to receive this elite distinction, facilities
must be accredited by the ACR in computed
tomography in the chest module, as well as
undergo a rigorous assessment of its lung cancer
screening protocol and infrastructure. Also
required are procedures in place for follow-up
patient care, such as counseling and smoking
cessation programs.
Lung cancer screening with low-dose computed
tomography scans, and appropriate follow-up
care, significantly reduces lung cancer deaths.
In December 2013, the United States Preventive
Services Task Force recommended screening of
adults aged 55 to 80 years who have a 30 packyear smoking history and currently smoke or
have quit within the past 15 years. In November,
2014, the U.S. Centers for Medicare and
Medicaid Services (CMS) announced that they
would provide coverage as a preventive services
benefit for Medicare recipients. The guidelines
of coverage remain with the exception of a
change in eligible age category to 55-74 years of
age. The proposed decision is a major victory
for patient advocates, as lung cancer is the
nation’s leading cancer killer – taking the lives
of more people each year than breast, colon
and prostate cancers combined. For more
information about the Lung Cancer Screening
Center designation, visit: acr.org/Quality-Safety/
Lung-Center-Screening-Center.
Lung Cancer Alliance Screening
Center of Excellence
In 2014, the Lung Cancer Alliance designated
St. Dominic’s a Screening Center of Excellence.
This designation is given to centers that are
committed to responsible screening and follow
the guidelines listed:
• Provides clear information on the risks and
benefits of CT screening.
•
Complies with standards based on best published
practices for controlling screening quality,
radiation dose and diagnostic procedures.
•
Works with or ensures a referral process to a
lung cancer multidisciplinary clinical team,
including radiologists, pathologists, pulmonologists, thoracic surgeons, oncologists, radiation oncologists and nurses to carry out a coordinated process for screening, follow up and treatment when appropriate.
•
Includes a comprehensive cessation program
for those still smoking or be willing to refer to
comprehensive cessation programs.
•
Reports results to those screened and their
primary care doctors and transmit requested
copies in a timely manner.
2 0 1 4
CAN CE R
P RO GR AM 21
2013 STATISTICAL REPORT OF REGISTRY DATA-ANALYTIC CASES
TOP PRIMARY SITES
Site
2003 2004200520062007 20082009 2010201120122013
Colon
100 89 86 82 127 135107 140143122140
Female Breast
128 131108141166 163197 187184147152
Lung
157 181171181194 168169 181160200177
Prostate
141 148133166208 208160 190175150160
AGE DISTRIBUTION
RACE DISTRIBUTION
SEX DISTRIBUTION
14-29
30-39
40-49
50-59
60-69
70-79
80-89
90-100 White 643
Black 519
Other (see below for details) Filipino
1
Asian India
7
Korean
1
Vietnamese
2
Male Female 13
31
94
234
374
265
139
23
585
588
11
CLASS OF CASE
Analytic Non-analytic 1173
111
TOP PRIMARY SITES
Primary Site
St. Dominic’s # (Percentage)
Female Breast
152 (12%)
Uterine Cervix
19 (2%)
Colon & Rectum
140 (12%)
Uterine Corpus 44 (4%)
Leukemia 21 2%)
Lung & Bronchus 177 (15%)
Melanoma
9 (1%)
Non-Hodgkin’s Lymphoma 39 (3%)
Prostate 160 (14%)
Urinary Bladder 24 (2%)
Other Sites 388 (33%)
Totals 1,173 Mississippi # (Percentage)
2,130 (14%)
140 (1%)
1,510 (10%)
360 (2%)
410 (2%)
2,420 (15%)
560 (4%)
560 (4%)
2,210 (14%)
540 (3%)
4,900 (31%)
15,740 National # (Percentage)
232,670 (14%)
12,360 (1%)
136,830 (8%)
52,630 (3%)
52,380 (3%)
224,210 (13%)
76,100 (5%)
70,800 (4%)
233,000 (14%)
74,690 (4%)
499,870 (31%)
1,665,540
Figures do not include carcinoma in situ of the cervix or localized basal and squamous cell skin cancers. Mississippi and National figures are estimated new cases
for 2014 by the American Cancer Society. St. Dominic figures are based on analytic cases for 2013.
22
2 0 1 4
C A N C E R
PROGR A M
(ANALYTIC CASES)
PRENTISS
UNION
PANOLA
LAFAYETTE
ITAWAMBA
LEE
COAHOMA
PONTOTOC
QUITMAN
YALOBUSHA
TALLAHATCHIE
BOLIVAR
SUNFLOWER
LEFLORE
CARROLL
HUMPHREYS
CLAY
WEBSTER
RY
WASHINGTON
MONROE
GRENADA
ME
ISSAQUENA
CHICKASAW
GO
NT
SHARKEY
CALHOUN
HOLMES
CHOCTAW
ATTALA
OKTIBBEHA
WINSTON
LEAKE
NESHOBA
SCOTT
NEWTON
YAZOO
LOWNDES
NOXUBEE
KEMBER
MADISON
WARREN
SMITH
CLAIBORNE
FRANKLIN
LAWRENCE
JEFFERSON
ADAMS
COVINGTON
Out of State:
PIKE
CLARKE
WAYNE
JONES
JEFFERSON
DAVIS
MARION
AMITE
JASPER
SIMPSON
COPIAH
LINCOLN
LAUDERDALE
RANKIN
HINDS
WILKINSON
Alabama2
Florida1
Georgia1
Indiana1
Louisiana9
Tennessee4
Texas2
TIPPAH
TATE
TUNICA
TISHAMINGO
MARSHALL
Marshall1
Monroe4
Montgomery5
Neshoba4
Newton2
Noxubee1
Oktibbeha4
Pearl River
2
Pike
11
Pontotoc1
Prentiss1
Rankin176
Scott26
Sharkey4
Simpson40
Smith3
Sunflower12
Tallahatchie1
Tippah1
Walthall1
Warren15
Washington13
Webster2
Wilkinson2
Winston8
Yazoo34
MO
Adams9
Alcorn1
Amite3
Attala17
Bolivar17
Carroll10
Chickasaw1
Choctaw1
Clarke2
Clay
4
Coahoma1
Copiah49
Covington2
Forrest1
Franklin4
Grenada7
Harrison2
Hinds334
Holmes30
Humphreys5
Itawamba1
Jasper2
Jefferson1
Jefferson Davis
1
Jones7
Kemper3
Lauderdale3
Lawrence3
Leake44
Lee
1
Leflore11
Lincoln15
Lowndes4
Madison182
Marion1
ALCORN
BENTON
DESOTO
LAMAR
WALTHALL
FORREST
GEOGRAPHIC DISTRIBUTION
PERRY
GREENE
GEORGE
LEGEND
PEARL RIVER
■ Less than 5
STONE
HARRISON
JACKSON
HANCOCK
■ 5-10
■ 11-30
■ More than 30
2 0 1 4
CAN CE R
P RO GR AM 23
PRIMARY SITE TABLE ANALYTIC CASES
Primary Site Total Cases
Head and Neck Site
54
Pharynx7
Larynx
Percentage
5%
Primary Site Total Cases
Breast
15213%
14
Gynecologic Sites
104
1
Vulva14
Thyroid
19
Cervix Uteri
19
Tongue
8
Corpus Uteri
44
2
Ovary23
Palate
1
Vagina4
2
Major Salivary Glands
Floor of Mouth
Nasal cavity
Genitourinary Sites
20%
240
Digestive System
235
Esophagus
15
Testis3
Stomach
19
Kidney50
Small Intestine
10
Penis1
Colon and Rectum
140
Renal Pelvis and Ureter
1
Anal Canal
2
Urinary Bladder
24
Liver & Intrahepatic Bile Ducts
14
Urethra1
Gallbladder
2
33
Thorax
17915%
Lung
177
Thymus
2
Musculoskeletal Sites
14
Soft Tissue Sarcoma
6
Skin
9
Melanoma
9
2 0 1 4
C A N C E R
67
6%
Lymphoid Neoplasms
79
7%
Unknown Primary
27
2%
Other
131%
PROGR A M
TOTALS1,173
1%
20%
Central Nervous System
8
Bone
24
1%
9%
Prostate160
Exocrine Pancreas
Percentage
oncology services
MEDICAL ONCOLOGY
RADIATION ONCOLOGY
DIRECTORY
St. Dominic Hospital
601-200-2000
Cancer Services
601-200-3300
Cancer Center 601-200-3070
Justin Baker, MD
Nicole Cleveland, MD**
Bobby L. Graham, MD, FACP**
Eric Balfour, MD
Cancer Registry 601-200-6597
Al Johnson, MD
Center for Women’s
Health
601-200-4935
Madison Medical Imaging 601-853-9149
Radiology
601-200-6150
Manu S. Patel, MD**
Martin M. Newcomb, MD
Guangzhi Qu, MD, PhD**
Margaret Wadsworth, MD
American Cancer Society
1-800-227-2345
Steven Zachow, MD
GYNECOLOGIC ONCOLOGY
*Dr. Seago’s medical office
is located in St. Dominic’s
West Medical Tower
**Drs. Cleveland, Graham,
Patel and Qu’s medical
offices are located in the
St. Dominic’s Cancer Center
Grace G. Shumaker, MD
Bobby Wilkerson, MD
Tammy H. Young, MD
The Leukemia &
Lymphoma Society
1-877-583-5364
Women’s Health
and Healing Center
601-200-7465
Paul Seago, MD*
2 0 1 4
CAN CE R
P RO GR AM 25
approved cmyk colors