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Cancer Committee Meeting May 11, 2015

This report provides 5-year survival rates for breast cancer patients at Sibley Memorial Hospital compared to national outcomes. It also discusses the number of new prostate cancer patients at Sibley and how to capture more of the regional market.

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Cancer Committee Meeting May 11, 2015

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  1. Cancer Committee MeetingMay 11, 2015 Cancer Liaison Physician Report Karen Lisa Smith MD MPH

  2. 5 year survival for breast cancer patients at Sibley

  3. Stage Enter 0 Year 1 Year 2 Year 3 Year 4 Year 5 Year 5 Year 95% CI Stage 0 407 100.0 100.0 99.8 98.7 98.2 97.4 95.8-99.0 Stage I 650 100.0 99.5 98.8 97.7 96.2 95.3 93.7-97.0 Stage II 476 100.0 99.4 97.9 95.2 93.5 92.1 89.6-94.6 Stage III 137 100.0 100.0 92.6 91.1 88.0 81.6 74.9-88.3 Stage IV 3 Insufficient cases (n<30) Unknown 61 100.0 96.7 96.7 91.5 86.2 80.7 70.5-91.0 All cases for this data set 1,734 100.0 99.5 98.1 96.4 94.8 93.2 92.0-94.4

  4. 5 year survival for breast cancer patients at all sites in the NCDB

  5. Stage Enter 0 Year 1 Year 2 Year 3 Year 4 Year 5 Year 5 Year 95% CI Stage 0 136,242 100.0 99.5 98.7 97.7 96.6 95.3 95.2-95.4 Stage I 272,101 100.0 99.2 97.8 96.0 94.1 92.0 91.9-92.1 Stage II 196,351 100.0 98.3 95.4 92.0 88.7 85.6 85.4-85.7 Stage III 74,610 100.0 95.3 87.2 79.6 73.2 67.9 67.5-68.2 Stage IV 25,972 100.0 68.5 51.3 38.8 29.6 23.2 22.7-23.7 Not Applicable 513 100.0 87.7 75.5 70.4 65.7 62.2 57.8-66.6 Unknown 33,048 100.0 93.3 88.6 84.7 81.1 78.0 77.6-78.5 All cases for this data set 738,837 100.0 97.3 94.2 91.1 88.1 85.4 85.3-85.5

  6. Breast cancer 5 year survival • Sibley outcomes comparable to or better than national NCDB outcomes

  7. Number of new prostate cancer patients at Sibley in comparison to other DC hospitals

  8. Diagnosis Year of Prostate Cancer Diagnosed in 2010,2011,2012 Sibley Memorial Hospital, Washington DC vs. All Types Hospitals in State of District of Columbia All Diagnosed Cases - Data from 7 Hospitals My Diagnosis Year    # Oth. (N) My (%) Oth. (%) (N)  2010 157 1195 36.6% 39.43%  1.  2011 165 1054 38.46% 34.77%  2.  2012 107 782 24.94% 25.8%  3. Col. TOTAL   429 3031 100% 100%

  9. Prostate cancer cases at Sibley • Numbers are low • What can we do to capture more of the regional market?

  10. CP3R Measures for Breast Cancer for Sibley compared to all COC Approved Programs (2012)

  11. * = Sibley rate below mean of COC approved programs

  12. Breast CP3R data • Sibley scores are low in many areas • Likely represents inaccurate data capture and not poor adherence with these standard of care measures • How can we improve data capture for these measures?

  13. Note: inadequate numbers to meaningfully review CP3R data from 2012 for other sites with measures (gastric, colon, lung, rectum, cervix)

  14. Questions?

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