Transcript Document

Annual Report
Cancer Care Centers
at Blue Ridge HealthCare
Grace Hospital and Valdese Hospital
With Statistical Data from 2008
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Table of Contents
Acknowledgements
Message from the Cancer Committee Chair…..............................................3
Cancer Committee Membership 2008………………………….………….. 3
Summary of Cancer Services
Case Management………………………………………………………………….. 4
Home Health……………………………………………………………………….. 4
Financial Counselor………………………………………………………………… 4
Medical Oncology………………………………………………………………….. 4
Patient Navigator........................................................................................................ 4
Pathology ………………………………………………………………………….. 5
Pharmacy…………………………………………………………………………… 5
Radiology and Imaging Services…………………………………………………... 5
Radiation Oncology ……………………………………………………………….. 5
Rehabilitation Services…………………………………………………………….. 5
Summary of Support Services
Food & Nutrition …………………………………………………………………..
Hospice……………………………………………………………………………..
Pastoral Care………………………………………………………………………..
Phifer Wellness Center……………………………………………………………..
Tobacco Prevention…………………………………………………………………
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6
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We want to acknowledge and
thank Cancer Committee
members, cancer program staff
and others who supported our
cancer center program this past
year.
………….
This report was prepared
by BRHC staff from the
Cancer Registry and
Marketing and
Communications, with
guidance from the Cancer
Committee. Requests for
more information can be
directed to the Cancer
Registry at 828-580-6875
or 828-879-7685.
Program Activities 2008
Goals Accomplished……………………………………………………………….. 7
Program Improvements…………………………………………………………….. 7
Quality & Outcome Studies………………………………………………………… 7
Community Outreach……………………………………………………………….. 8
Cancer Education…………………………………………………………………… 9
Professional Education Programs 2008……………………………………10
Cancer Registry Report…………………………………………………....11
Grace Hospital Statistics………………………………………………………….. 12
Valdese Hospital Statistics………………………………………………………... 16
Breast Cancer – 2008 Site Review
Grace Hospital……………………………………………………………………..20
Valdese Hospital……………………………………………………………….…..23
Words from the Heart……………………………………………………..26
Program & Support Services Contact Information……………………… .27
Cancer Center Location & Map………………………………………….. 28
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Christopher R. McDonald, MD
Medical Oncologist/Hematologist
Cancer Committee Chair
Cancer Committee
Membership Listing 2008
Dr. Christopher McDonald
Chair Cancer Committee
Medical Oncologist
Dr. William Cloud
Physician Liaison
General Surgery
The Cancer Center at Blue Ridge HealthCare continues its dedication to being the
region’s pre-eminent provider of cancer care services in Burke County and surrounding
areas. The cancer care team is committed to enhancing life by providing excellent
care. We have a devoted cancer care team that coordinates and delivers
comprehensive, compassionate, multi-disciplinary patient care using the latest
advanced technologies and innovative techniques.
In 2009, both Grace and Valdese Hospitals have been re-accredited by the American
College of Surgeons (ACoS), Commission on Cancer (CoC). Maintaining CoC
accreditation ensures our patients will have access to a full range of services necessary
to diagnose, treat, rehabilitate and support patients with cancer and their families. With
increasing technologies and early detection the Blue Ridge cancer program and
services continue to grow.
Our cancer conference consists of physicians, nurses, and support services that meet
bi-weekly to discuss newly diagnosed cases in order to establish the best treatment
available for that particular patient’s cancer.
The facility at Valdese Hospital is outstanding in our area – equipped to provide the
highest level of care available in a community setting. In 2008, the cancer center
completed the addition of a new vault and linear accelerator. Radiation Oncology in
2009 upgraded a linear accelerator to include On Board Imaging (OBI) and Rapid
Arc. A satellite medical oncology office is located at Grace Hospital in the Medical
Office Building. Two medical oncologists, Muhammed Janjua, M. D. and Doug
Thompson, M.D., have been recruited to join our team in 2010.
We at BRHC Cancer Center will continue to strive for that perfect mix of quality staff
and intelligent, loving care that provides hope and support in the fight against cancer in
our community.
Dr. Dorwyn Croom
Pathology
Dr. Benjamin Garrou
Family Practice
Dr. Edwin Holler
General Surgery
Dr. Alan Jacks
Physician Liaison
General Surgery
Dr. Gregory Jones
Radiation Oncology
Dr. John Lafferty
Obstetrics/Gynecology
Dr. Timothy Robinson
Family Practice
Dr. Michael Skolochenko
Family Practice
Dr. John Spiggle
Urology
Kathy Bailey
V.P., Administration
Tina Brooks
Pharmacy
Camille Welch,
Tobacco Prevention Coordinator
Debbie Dale
Oncology Service Line Director
Amy Davis
Burke County Hospice
Lindsay Wall
Financial Counselor
Carol Ervin
Nursing Administration
Kim Ellingson
Radiation Oncology
Kathleen Foote
Cancer Registry
Sue Hall, RN
Medical Oncology
Karen Hicks, RN
Medical Oncology
Rachel Hobbins
Food & Nutrition
Jan Hollar
Cancer Services Coordinator
William Minor
Quality Improvement
Dr. W. Frank Steele
General Surgery
Barbara Rush
American Cancer Society
Dr. Scott Whiddon
Radiology
Diana Spangler-Crawford
Chaplain
Dr. Jamie Young
Internal Medicine
Delores Wall, CTR
Cancer Registrar
Anne Coffey
Social Work
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CANCER SERVICES
Case Management: The Case Management Department
consists of social workers and nurse case managers whose
goal is to improve the quality of life for patients and their
families through coordination of care with community
resources, helping the patients adjust to and cope with the
changes and circumstances brought on by prolonged or
terminal illness. The social worker serves as the liaison
between the interdisciplinary team, physician and community
resources such as the American Cancer Society, Hospice,
Home Health, skilled nursing facilities and other community
support groups to ensure that the patients and their families
are linked with the appropriate resources.
Home Health Care: BRHC’s Home Care agency can
accept patients with a cancer diagnosis who are homebound
and under the care of a physician. They provide a single
service or a combination of services in the patient's home all
under the care and direction of a physician. The care is
individualized to meet each patient’s special needs and to
ensure that services are designed to accomplish the goals and
outcomes of each patient. Home Health provides continuity
of care and a smooth transition from the hospital to home
while providing care and treatment in the home that can
prevent re-hospitalization and urgent care visits.
Financial Liaison: The Patient Financial Liaison helps
determine patient resources and assists with insurance and
other financial matters. These may include: medication
reimbursement, food assistance (Meals on Wheels), applying
for Medicaid, and more.
Medical Oncology: BRHC’s Medical
Oncology services are available to
inpatients and outpatients, 18 years or
older, with a diagnosis of cancer/blood
dyscrasias. Care is delivered by skilled
staff including a medical oncologist,
registered nurses, and registered nurses
with oncology certifications. Other
patient care needs are coordinated with
home health, hospice, food and nutrition
services, radiation oncology, physical
therapy, laboratory, pharmacy, radiology
and patient/family services.
Patient Navigator: The Patient
Navigator for Breast Health is a
professional counselor/coordinator who
specifically provides patient support
upon diagnosis of breast cancer. She
may assist with issues as broad as
understanding physician prescribed
treatment options, obtaining
medications, dealing with hair loss,
arranging transportation and much
more.
BRHC Oncology
certified nurses
Certifications
Certifications in oncology
nursing makes a difference,
not only to the nurse who
works to elevate his or her
knowledge, but to the
patients whose care is
provided by a more skilled
staff.
Karen Hicks, RN, OCN
Mary Wise, RN, OCN
Wanda Mace, RN, OCN
Sherry Rockett, RN, OCN
Peggy Hewitt, RN, OCN
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Pathology: The Clinical and Anatomic Pathology Laboratory at
BRHC supports the hospital’s Cancer Program through a number of
clinical and anatomic pathology services. The laboratories are
accredited by the College of American Pathologists Laboratory
Accreditation Program (CAP) and by the Centers for Medicare and
Medicaid Services (CLIA). Four pathologists, all board certified in
Anatomic and Clinical Pathology, direct the laboratory, ensuring
prompt and accurate results. One of the pathologists serves on the
Cancer Committee and attends the Cancer Conferences to present the
pathologic findings on each case.
Pharmacy: The Department of Pharmacy Services at BRHC provides
chemotherapeutic agents at both Valdese Hospital and Grace Hospital.
The Pharmacy prepares the medication doses for Oncology and assists
with drug dosing, standing orders for medications and literature
searches. Pharmacists work closely with the nursing staff and
physicians to provide the most appropriate therapy possible for the
patients being treated in our Medical Oncology facilities.
Radiation Oncology: The Radiation Oncology Department for
BRHC is located at the Valdese campus. We offer our services to inpatients and outpatients from 18 years of age and older that have been
diagnosed with benign or malignant tumors for a prescribed series of
treatments. We perform teletherapy treatment (conformal and IMRT
external beam irradiation), brachytherapy treatment (seed implant for
gynecological and prostate irradiation), and superficial x-ray treatment
(skin lesions and pterygium cases). Our highly skilled team consists of
a Radiation Oncologist, Registered Nurse, Certified Medical
Dosimetrist, a Physicist and a team of Radiation Therapists that are all
supported by our dedicated front office personnel.
Rehabilitation Services: At BRHC’s Rehabilitation Services, our
professional and highly skilled staff provides patients, families, and
caregivers with the resources, training and support needed to best
guide them through the recovery process. By giving our patients the
level of care they need and closely monitoring their progress, we help
them get their lives back on track as quickly as possible.
Rehabilitation Services include: Physical Therapy, Occupational
Therapy, Speech Therapy, Hand Therapy, Lymphedema Therapy, and
Aquatic Therapy.
Radiology (Imaging) Services: The Department of Diagnostic
Imaging provides state of the art technologies to diagnose diseases at
BRHC. Some of the technologies offered are Multi-detector CT,
High-resolution 512K ultrasound, State-of-the-art Gamma cameras,
PET/CT Tomography, High strength 1.5 Tesla MRIs, Computerized
radiography, Mammography/Computer Aided Detection, Vacuum
Assisted Breast Biopsy, and Image Guided Interventions.
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SUPPORT SERVICES
Food and Nutrition: For the cancer patient, the registered
dietician may provide nutritional counseling or
recommend food supplements. They also provide
education and resources to help the patient understand
their unique nutritional needs as it relates to their treatment
regimen. The clinical nutrition staff participates in the
HOPE support group as requested and a clinical dietitian is
an active member of the Cancer Committee and Tumor
Board.
Hospice: Burke Hospice and Palliative Care, Inc. (BHPC)
as an integral part of BRHC, leads in the planning and
provision of services at the end of life. BHPC sponsors a
Palliative Care program which provides support to people
living with any type illness, such as cancer, who are
undergoing aggressive treatment. Personnel actively
participate in the Tumor Board and Cancer Committee
meetings.
Pastoral Care: When a patient has been given a diagnosis
of cancer, the chaplain often plays an important role in
counseling and listening – both to the patient and family
members facing the uncertainty of life with cancer. In
some cases they can help obtain financial support for the
patient through the Chaplain’s Discretionary Funds. Our
chaplains are also experts in advance directives and can
assist with the completion of a living will or healthcare
power of attorney.
Phifer Wellness Center: Phifer encompasses two areas
related to the prevention, education and well being of
persons with cancer through our Restorative yoga and
therapeutic massage programs. Cardiac Rehab nurse, Beth
Blanton, offers cancer survivors and patients a class twice
a week in Restorative Yoga. The licensed massage
therapists at Phifer are experienced in therapeutic massage
that can aid the cancer patient in relieving pain, improving
sleep, decreasing fatigue and removing toxins in the body.
Tobacco Prevention: The Tobacco Prevention project
provides prevention, education and resources to reduce the
number of teens who use tobacco, increase the number of
teens who wish to quit using tobacco, and expand TRU
(Tobacco Reality Unfiltered) Club youth advocacy
membership. The project also works with the community
to decrease youth exposure to secondhand smoke by
increasing the number of smoke free youth venues,
compliance with Tobacco-Free Schools policies, and
partnering with the local American Cancer society to
advocate for more Burke County restaurants to go smoke
free.
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Program Activities 2008
Goals Accomplished 2008
• A colorectal study investigated the number of patients being
diagnosed at an earlier stage and compared 2008 data to 2004,
2005, 2006 and 2007 data. At Valdese Hospital the majority of
patients continue to be diagnosed at a later stage, Stage IV. At
Grace Hospital, the majority of patients were diagnosed at Stage 1
and II. We will continue this study in 2009.
• A study to ascertain if radiation therapy was administered within
one year of diagnosis for women under age 70 who had also
received breast conserving surgery for breast cancer. At both
Grace and Valdese Hospitals, all patients received radiation therapy
or it was recommended.
• Determine the number of breast cancer patients contacted at
diagnosis who remain at BRHC for care, goal 60%. Develop a
patient survey regarding patient navigation services. Determine
the percentage of patients with positive diagnosis being consulted
by the patient navigator, goal 75%. The percentage of patients
remaining at BRHC for care is 85%. The survey was developed and
implemented with 100% rating. A very high percentage, 98%, of
patients with positive diagnosis are being consulted by the patient
navigator. This service will continue in 2009.
Quality & Outcomes Studies
• A 2008 colorectal study was done to evaluate the stage at
diagnosis. At Grace most colorectal cases are being diagnosed at
Stage II. At Valdese, most cases are being diagnosed at Stage III.
More screenings are being done now helping to decrease the
higher stages.
• A study to evaluate if a needle biopsy was performed prior to breast
cancer surgery was conducted. At Valdese, 44% of breast cancer
cases underwent needle biopsy prior to excision. At Grace, 25%
had needle biopsy prior to surgery. This study will be continued.
The Cancer Committee recommended that physicians discuss with
patients the benefit of needle biopsy.
Program Improvements 2008
• Started a Lymphedema Support Group
• Added an additional linear accelerator at Valdese
Radiation Oncology
• Added a patient education computer for Radiation
Oncologist to discuss radiology studies with patients.
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Program Activities 2008
Community Outreach
During 2008, we increased participation in patient support programs by 10%. In 2008 we began offering art therapy to cancer
patients and established free wig styling with local cosmetologists for our patients. We continue to provide drug assistance for
patients, nutritional consults and cardiopulmonary therapy.
The BRHC Cancer Program participates in the American Cancer Society’s Relay for Life fundraiser each year. In 2008, BRHC
sponsored a team with approximately 30 people in attendance. In addition we implemented Road To Recovery Program of the
American Cancer Society for patient assistance with transportation.
In 2008, we hosted “Putting For The Pink” Golf Tournament raising over $7000.00 for Komen Breast Cancer Foundation and
assisted with “Cut For The Cure” which raised $10,000.00 for Komen Foundation.
In June 2008, we held National Cancer Survivor’s Day with over 500 in attendance. The Cancer Center staff sponsors and
participates in this event for our cancer patients and survivors.
Our Tobacco Prevention Program was successful in increasing the number of smoke-free policies in local businesses frequented by
youth and educating local merchants about the “Red Flag” campaign aimed at reducing underage tobacco sales. We provided
training for dental and medical professionals in Burke County regarding spit tobacco education and cessation.
In our community, we were able to participate in 24 health fairs/screenings and reached approximately 8000 individuals at these
events. We provided 453 free PSA screening tests, 2 free skin screenings to 150 individuals, 550 free colorectal screening kits and
one community program on colorectal cancer.
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Program Activities 2008
Cancer Education
Our Cancer Support Program goal is to help people with cancer be as comfortable as possible in a physical, emotional,
and/or spiritual sense, as they go through their illness. BRHC continues to offer several FREE programs throughout the
year.
Restorative Yoga Classes – every Tuesday at Phifer Wellness Center, 11:30am-12:30pm
The Look Good Feel Better Program – third Monday each month at Valdese Cancer Center (pre-registration required)
Financial Counseling – Cancer Center Financial Counselor
Information and Education – free brochures, videos, books, and audiotapes available
in our resource center at Valdese Cancer Center
Our HOPE Cancer Support Group continues to meet the second Monday of each month at The Learning Center behind
Grace Hospital at 6:00pm.
January 12 – Facing Life’s Challenges (Facilitator – Greg Brown, MDTV, MED, LDC)
February 9 – Healing Power of Storytelling (Facilitator – Jan Hollar)
March 9 – Discovering Your Body’s Wisdom (Facilitator – Kristine White)
April 13 – Yoga for Cancer Care (Facilitator – Beth Blanton, RN)
May 11 – Facing Life’s Challenges (Facilitator – Greg Brown)
June 8 – The Price Is Right (Facilitator – Wanda Mace, ICN, Mary Wise, OCN and Peggy Hewitt, OCN)
July 13 – Music Is Therapy (Facilitator – Helen Moore, PA-C)
August 10 – Update on Cancer (Facilitator – Karen Hicks, RN)
September 14 – Healing Power of Storytelling (Facilitator – Jan Hollar)
October 12 – An Attitude of Gratitude (Facilitator – Kristine White)
November 9 – Music Therapy
December 14 – Christmas Party
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Professional Education Programs 2008
As required by the Commission on Cancer, the physicians, nurses and other allied health professionals participate in cancer related
educational activities each year. In our continuing effort to provide relevant and new topics for our professional staff, the Cancer
Program at BRHC offered two educational programs in 2008.
Karen Russell and Judy Ray presented a program on
“Benefits of Healing Touch Therapy.”
Walter Shephard, Director of North Carolina State Cancer
Comprehensive Program presented a program on state
initiatives.
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CANCER REGISTRY REPORT
The Cancer Registry reports cancer information to the National Cancer Data Base and
North Carolina Central Cancer Registry on an annual basis. Most importantly this data is
used to analyze current trends to improve patient care by comparing diagnostic studies,
treatment, stage and survival data for national research. The Cancer Registry is also
required to conduct a lifetime follow up of the patients.
The Grace Hospital Cancer Registry database consists of 4050 patients since our
reference year of 1995. The Valdese Hospital Cancer Registry database consists of 4765
patients since our reference year of 1985.
The Grace Registry collected data on 195 cases in 2008; 74 males and 121 females. The
majority of Grace patients came from Burke, Caldwell and McDowell counties. Analytic
cases totaled 183; 64 males and 119 females. The following graphs are based on the
analytic data.
Delores Wall, RHIT,
CTR, BRHC System
Cancer Registrar, joined
the Cancer Registry in
1998 at Grace Hospital.
In 2003, Delores assumed
responsibility for the
Valdese Hospital Cancer
Registry. Delores earned
her CTR in 2002.
The Valdese Registry collected data on 357 patients; 165 males and 192 females. The
majority of Valdese patients came from Burke, Caldwell and Catawba counties. Analytic
cases totaled 309; 139 males and 170 females. The graphs that follow are based on
analytic data.
The Cancer Committee oversees the registry activity by ensuring quality of data
collection through monitoring of abstracting. The registry is responsible for coordinating
Tumor Boards at each hospital where a majority of newly diagnosed cases are discussed.
This facilitates in providing the most comprehensive care for the cancer patient.
Kathleen Foote, CTR,
Cancer Registrar, BRHC
Cancer Registry, was
certified by the National
Cancer Registrars
Association in September
2008. Kathleen has
worked in several areas of
the cancer program since
2004.
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GRACE HOSPITAL STATISTICS
In 2008 breast cancer was again the top cancer
site. Grace Hospital saw an increase in colorectal
cancer cases diagnosed and treated.
55
Top 5 Cancer Sites - Analytic Cases
Top 5 Sites by Stage - Analytic Cases
Males 40
Females 102
25
17
15
13
8
5
4
Breast
Colorectal
Bronchus, Lung
Bladder
Ovary
The Cancer Care Outreach program continues
to promote early detection through
mammography and colorectal screenings. As a
result, the majority of the top 5 sites were
diagnosed at an early stage, providing earlier
treatment options and increased survival.
Breast
Colorectal
Bronchus, Lung
Bladder
Ovary
Stage 0
15
4
Stage I
17
7
Stage II
19
15
Stage III
4
14
8
4
Stage IV
3
13
1
Unstageable
1
2
7
7
1
12
152
County at Diagnosis - Analytic Cases
Grace Hospital continues to treat patients from
surrounding counties offering the latest high-tech
tools, drugs and other treatment options
supporting the most excellent cancer care in the
region. The majority of our patients are diagnosed
in the seventh decade of their life.
10
Burke
McDowell
10
Caldwell
7
Catawba
2
1
1
Avery
Lincoln
South
Carolina
Age at Diagnosis by Sex - Analytic Cases
39
Males - 64
Females - 119
21
18
19
17
15
16
13
8
6
4
1
1
20-29
30-39
2 3
40-49
50-59
60-69
70-79
80-89
90+
13
The Cancer Registry at Grace Hospital recorded a total of 195 cases this year. Analytic cases consisted of 183,
with 12 cases being non-analytic. Analytical cases were diagnosed and/or had part of their first course of treatment
at Grace Hospital whereas non-analytical cases were seen for recurrence of cancer.
2008 CANCER INCIDENCE:
PRIMARY SITE (All Sites)
2008 TOTAL
Male
195
Female
74
Analytic
Non-Analytic
121
183
1
1
12
ORAL CAVITY & PHARYNX
Nasopharynx
1
Oropharynx
1
1
1
Esophagus
1
1
1
Stomach
3
3
3
Small Intestine
1
1
1
36
15
21
34
Rectum, Rectosigmoid
6
2
4
6
Anus, Anal Canal
2
2
Liver, Intrahepatic Bile Duct
3
1
Pancreas
2
2
30
17
DIGESTIVE SYSTEM
Colon, excluding rectum
2
2
2
3
1
1
RESPIRATORY SYSTEM
Lung, Bronchus
13
30
1
1
Pleura
1
Soft Tissue
1
1
1
MELANOMA - SKIN
3
3
2
1
14
2008 CANCER INCIDENCE:
2008 TOTAL
Male
PRIMARY SITE (All Sites Continued)
47
BREAST
Female
25
Analytic
Non-Analytic
22
41
6
57
57
55
2
Cervix Uteri
1
1
1
Corpus & Uterus, NOS
4
4
4
Ovary
5
5
5
FEMALE GENITAL SYSTEM
MALE GENITAL SYSTEM
Prostate
7
7
1
Testis
2
2
2
12
8
Kidney & Renal Pelvis
2
2
NERVOUS SYSTEM
1
6
URINARY SYSTEM
Urinary Bladder
4
12
2
1
1
2
4
1
1
ENDOCRINE SYSTEM
Thyroid
4
2
Other Endocrine
1
NON-HODGKIN LYMPHOMA
3
2
1
3
MULTIPLE MYELOMA
2
1
1
2
LEUKEMIA
1
1
1
MISCELLANEOUS
2
1
2
1
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VALDESE HOSPITAL STATISTICS
In 2008 the number of cancer cases diagnosed and /or
treated at Valdese Hospital increased. Lung and breast
cancer were the top cancer sites.
70
Top 5 Cancer Sites - Analytic Cases
Males 90
38
Females 134
34
Top 5 Sites by Stage - Analytic Cases
27
20
16
8
10
1
Lung
Breast
Colorectal
Prostate
Hematopoietic
Bronchus,
Lung
The Cancer Care Outreach program continues to
promote early detection through mammography
and colorectal screenings. As a result, breast
cancer cases are being diagnosed at an early stage,
providing earlier treatment options and increased
survival.
Breast
Colorectal
H&R
10
Stage 0
Stage I
11
25
Stage II
1
22
8
Stage III
27
12
20
Stage IV
33
2
7
Unstageable
Prostate Gland
1
25
2
18
16
227
Valdese Hospital continues to treat patients from
Burke and surrounding counties offering the latest
high-tech tools, drugs and other treatment options
supporting the most excellent cancer care in the
region.
County at Diagnosis - Analytic Cases
At Valdese, the majority of patients were
diagnosed in their 7th decade. The age range was
from 22 to 93 with average age being 65.
49
1
Li
n
co
ln
1
1
W
il k
es
2
Av
er
y
Ru
th
er
fo
rd
12
Ca
ta
wb
a
el
l
M
cD
ow
Ca
ld
we
ll
Bu
rk
e
16
Age at Diagnosis by Sex
48
43
Males -139
Females - 170
36
38
31 30
24
18
9
2 1
1
20-29
30-39
16
8
2 2
40-49
50-59
60-69
70-79
80-89
90+
17
The Cancer Registry at Valdese Hospital recorded a total of 357 cases this year. Analytic cases consisted of 309,
with 48 cases being non-analytic. Analytical cases were diagnosed and/or had part of their first course of
treatment at Valdese Hospital whereas non-analytical cases were primarily diagnosed and treated elsewhere.
2008 CANCER INCIDENCE
PRIMARY SITE (All Sites)
Total
Male
Female
357
165
Gum, other mouth
3
3
Nasopharynx
3
2
Tonsil
2
2
Oropharynx
2
1
Hypopharynx
1
Analytic
192
Non-Analytic
309
48
ORAL CAVITY & PHARYNX
3
1
3
2
1
2
1
1
DIGESTIVE SYSTEM
Esophagus
6
Stomach
1
Small Intestine
1
1
36
20
16
30
6
Rectum, Rectosigmoid
7
2
5
6
1
Anus, Anal Canal
3
3
3
Liver, Intrahepatic Bile Duct
2
2
2
Gallbladder
2
Pancreas
9
4
Retroperitoneum
1
1
Colon Excluding Rectum
6
6
1
1
1
2
2
5
8
1
1
RESPIRATORY SYSTEM
Nasal Cavity
1
Larynx
5
4
1
5
80
41
39
72
Lung, Bronchus
1
1
Pleura
1
1
1
SOFT TISSUE
1
1
1
MELANOMA - SKIN
3
2
3
1
8
18
2008 CANCER INCIDENCE
PRIMARY SITE (All Sites Continued)
BREAST
Total
Male
Female
Analytic
Non-Analytic
357
165
192
310
47
78
1
77
71
7
FEMALE GENITAL SYSTEM
Cervix Uteri
2
2
2
Corpus & Uterus, NOS
4
4
4
Ovary
4
4
4
Vagina
1
1
1
MALE GENITAL SYSTEM
Prostate
34
34
27
4
4
4
Urinary Bladder
2
2
Kidney & Renal Pelvis
2
2
BRAIN & OTHER NERVOUS SYSTEM
4
2
2
4
Thyroid
3
2
1
3
Other Endocrine
1
1
1
1
1
Testis
7
URINARY SYSTEM
2
1
1
ENDOCRINE SYSTEM
1
LYMPHOMAS
Hodgkin Lymphoma
Non-Hodgkin Lymphoma
MULTIPLE MYELOMA
15
6
9
11
4
9
6
3
7
2
LEUKEMIAS
5
Lymphocytic Leukemia
9
4
5
4
Myeloid & Monocytic Leukemia
2
1
1
2
MESOTHELIOMA
2
2
MISCELLANEOUS
10
6
19
2
4
9
1
Breast Cancer – 2008 Site Review at Grace Hospital
Breast Cancer Overview
Breast cancer is the most frequently diagnosed malignancy in women (excluding skin cancer). According to the American
Cancer Society Cancer Facts and Figures, in the U.S. an estimated 184,450 new cases of breast cancer would be diagnosed
in 2008, representing 26% of all cancers diagnosed in women. An estimated 5,000 of these cases were expected to be in
North Carolina. Of that number, it was projected that 71 new cases would be Burke County residents. Though the death
rates have decreased since 1990, breast cancer ranks second after lung cancer as the leading cause of cancer death in
women. Early detection and improved treatment options are key in the fight against cancer.
Grace Hospital Experience – 2008 Cases
Since 1995 Grace Hospital has been collecting data on cancer and breast cancer has consistently been the most common
cancer diagnosed and treated. In 2008, Grace Hospital saw 55 newly diagnosed cases of breast cancer. Of these, the
majority of patients were diagnosed in their 7th decade of life and greater than 90% were diagnosed at an earlier stage.
(refer to Figure 1,and Figure 2).
Early detection can help detect breast cancer at an early stage. This saves lives and increases treatment options available
for the patient. Grace Hospital patients are diagnosed by mammogram followed by biopsy for abnormal findings.
Screening guidelines from the American Cancer Society recommend yearly mammograms starting at age 40, clinical breast
exams about every 3 years and every year for women 40 and older, and screening MRI for women with approximately 2025% or greater lifetime risk of breast cancer. This early detection and diagnosis is indicative of increased survival rates at
five years. At Grace Hospital 80% of the cases diagnosed at early stage survive 5 years or more. Cases diagnosed at later
stage have a 70% survival rate at 5 years.
Treatment Options
Patients at Grace Hospital received up-to-date advances in cancer therapy including the latest in surgical options, highly
precise technology in radiation treatment, modern advances in chemotherapy and hormone modulation therapy as needed.
The best news for cancer patients in Burke County is that they can feel confident about treatment options in their own
community (refer to Figure 3). Grace Hospital is committed to continuing to upgrade our facilities and stay on the cutting
edge of technology with standards of care here that match or exceed what patients would find at any other cancer facility in
the U.S.
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Breast Cancer - 2008 - Age at Diagnosis
Grace Hospital
Figure 1. Age at Diagnosis
18
55 Cases
In 2008, Grace Hospital saw 55 newly
diagnosed cases of breast cancer. Of
these, the majority of patients were
diagnosed in their 7th decade of life with
the average age at diagnosis to be 64.
Average age - 64
Age Range - 36 to 94
10
9
8
6
3
1
30-39
40-49
50-59
60-69
70-79
80-89
90+
Breast Cancer - 2008 - Stage at Diagnosis
19
55 Cases
17
15
Figure 2. Stage at Diagnosis
In 2008, Grace Hospital saw 55 newly
diagnosed cases of breast cancer. Of these,
greater than 90% were diagnosed at an
earlier stage.
4
Stage 0
Stage I
Stage II
Stage III
21
Figure 3. Treatment of Breast Cancer Diagnosed 2000-2006
Compared to other community cancer centers in North Carolina,
the majority of patients diagnosed with breast cancer at Grace
Hospital were offered surgery, radiation and hormone therapy.
Figure 4. Stage of Breast Cancer Diagnosed 2000 to 2006.
Compared to other community cancer centers in North
Carolina, the majority of patients diagnosed at Grace Hospital
with breast cancer were early stage reported cases. 88% of the
cases were diagnosed at Stage II or better, as compared to 84%
at all other facilities.
22
Breast Cancer – 2008 Site Review at Valdese Hospital
Breast Cancer Overview
Breast cancer is the most frequently diagnosed malignancy in women (excluding skin cancer). According to the American
Cancer Society Cancer Facts and Figures, in the U.S. an estimated 184,450 new cases of breast cancer would be diagnosed
in 2008, representing 26% of all cancers diagnosed in women. An estimated 5,000 of these cases were expected to be in
North Carolina. It is expected that 71 of these will be Burke County residents. Though the death rates have decreased
since 1990, breast cancer ranks second after lung cancer as the leading cause of cancer death in women. Early detection
and improved treatment options are key in the fight against cancer.
Valdese Hospital Experience – 2008 Cases
Valdese Hospital has been collecting and analyzing data on cancer cases since 1985. In 2008, Valdese Hospital diagnosed
and/or treated a total of 71 new cases of breast cancer. The average age at diagnosis was 63 and a majority of patients were
diagnosed at Stage I (refer to Figure 1,and Figure 2).
Early detection saves lives and increases treatment options for the patient. Screening guidelines from the American Cancer
Society recommend yearly mammograms starting at age 40, clinical breast exams about every 3 years and every year for
women 40 and older, and screening MRI for women with approximately 20-25% or greater lifetime risk of breast cancer.
This early detection and diagnosis can help detect breast cancer at an early stage which is indicative of increased survival
rates at five years. At Valdese Hospital 85% of the cases diagnosed at early stage survive 5 years or more. Cases diagnosed
at later stage have a much less survival rate.
Treatment Options
Patients at Valdese Hospital received up-to-date treatment options in cancer therapy including surgery, highly precise
technology in radiation treatment, modern advances in chemotherapy and hormone modulation therapy as needed. The best
news for cancer patients in Burke County is that they can feel confident about treatment options in their own community
(refer to Figure 3). Valdese Hospital is committed to continuing to upgrade our facilities and stay on the cutting edge of
technology with standards of care here that match or exceed what patients would find at any other cancer facility in the U.S.
23
Breast Cancer - 2008 - Age at Diagnosis
Valdese Hospital
71 Cases
Figure 1. Age at Diagnosis
22
In 2008, Valdese Hospital saw 71 newly
diagnosed cases of breast cancer. Of these, the
majority of patients were diagnosed in their 7th
decade of life with the average age at diagnosis
to be 63.
Average age - 63
17
14
9
6
3
30-39
40-49
50-59
60-69
70-79
80-89
Breast Cancer - 2008 - Stage at Diagnosis
Valdese Hospital
25
22
Figure 2. Stage at Diagnosis
In 2008, Valdese Hospital saw 71 newly
diagnosed cases of breast cancer. Of these,
the majority were diagnosed at Stage II or
better which represents greater than 80%
diagnosed at an earlier stage.
12
10
2
Stage 0
Stage I
Stage II
Stage III
Stage IV
24
Figure 3. Treatment of Breast Cancer Diagnosed 2000-2006
Compared to other community cancer centers in North Carolina,
the majority of patients diagnosed with breast cancer at Valdese
Hospital were offered surgery, radiation and hormone therapy.
Figure 4. Stage of Breast Cancer Diagnosed 2000 to 2006.
Compared to other community cancer centers in North
Carolina, the majority of patients diagnosed at Valdese
Hospital with breast cancer were early stage reported cases.
81% of the cases were diagnosed at Stage II or better, as
compared to 80% at all other facilities.
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Words from the heart
“I honestly love the people who work in The Cancer Center. When you
walk through the doors, you know you’re in a place where people
understand what you are going through, and truly care about how you
feel.”
-Leigh Mazaleski, Morganton, NC
“When you have cancer you get depressed easily – you just get so tired
having to go back and forth to treatments. But when you walk into The
Cancer Center you definitely begin to have hope –”
-Vicki Dula, Lenoir, NC
-“When I first learned I had cancer I was scared to death. But as I went to
The Cancer Center every week, seeing the same wonderful people, the
fear passed…They know how to encourage you and keep you going.”
- Nancy Thomas, Glen Alpine, NC
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Program & Support Services Contact Information
Breast Prosthesis and Bras
Burke Pharmacy
828-437-5800
East Burke Pharmacy 828-397-3420
Second To Nature
1-800-789-7306
Cancer Center
828-879-7536
Cancer Registry
Grace Hospital
828-580-6875
Valdese Hospital
828-879-7685
Cancer Resource Center
828-879-7536
Cancer Services Coordinator
Jan Hollar
828-580-6703
Chemotherapy
Grace Hospital
828-580-6700
Valdese Hospital
828-879-7536
Financial Counselor
Lindsay Wall
828-879-7536
Hospice & Palliative Care
828-1601
Outpatient Infusion Center 828-879-7536
Pastoral & Spiritual Services
Dennis Stamper
828-580-5143
Diana Spangler-Crawford 828-874-2251 x114
Patient Navigator
Dolly Wilson
828-228-4898
Radiation Oncology
828-879-7536
Social Services
Tracy Copas
828-580-5405
Anne Coffey
828-874-2251 x259
Tobacco Prevention
Camille Welch
828-580-6728
Complementary Care
Look Good Feel Good
Rhonda Crowe
Wigs
Rhonda Crowe
828-438-4643
828-438-4643
Resource Directory
Diagnostic Imaging
Grace Hospital
828-580-6901
Valdese Hospital
828-879-7611
Cancer Foundation
828-580-5357
Health Information Management
Grace Hospital
828-580-6887
Valdese Hospital
828-874-2251 x381
Home Health Services
828-580-6455
Nutritional Services
Rachel Hobbins
828-874-2251 x142
Phifer Wellness Center
828-580-6615
Rehabilitation Services
828-879-7592
Wound Care
828-879-7563
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For more information or to make an
appointment, call 828-879-7536, or visit
www.wherehopegrows.org
The Cancer Center at Blue Ridge HealthCare
Main Campus - Valdese Hospital
I-40, Exit 113 • 1 mile North of Interstate
720 Malcolm Blvd.
Rutherford College, NC
Phone: 828-879-7536
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