Transcript February 2015 Cancer Committee Meeting Cancer Liaison Physician Report

NCDB Report on Breast Cancer at
Sibley 2010-2012
Cancer Committee Feb 9 2015
Cancer Liaison Physician
Karen Lisa Smith MD MPH
Comparison of Sibley breast cancer
cases to other DC hospital breast
cancer cases by….
• Stage
• Age at diagnosis
• Systemic therapy
Stage of Breast 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 5 Hospitals
# Stage
My (N) Oth. (N) My (%)
Oth. (%)
1.
0
356
728
26.51%
23.85%
2.
I
642
1079
47.8%
35.35%
3.
II
266
753
19.81%
24.67%
4.
III
67
290
4.99%
9.5%
5.
IV
1
123
0.07%
4.03%
6.
NA
1
2
0.07%
0.07%
7.
UNK
10
77
0.74%
2.52%
1343
3052
100%
100%
Col. TOTAL
Comparison of Sibley breast cancer
cases to other DC hospital breast
cancer cases by….
• Stage – stage breakdown is similar at Sibley and
other DC hospitals, majority of cases are early
stage, 31% of DC breast cancer cases 2010-2012
were at Sibley
• Age at diagnosis
• Systemic therapy
Age Group of Breast 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 5 Hospitals
#
Age Group
My (N)
Oth. (N)
My (%)
Oth. (%)
1.
20 - 29
9
22
0.67%
0.72%
2.
30 - 39
60
158
4.47%
5.18%
3.
40 - 49
228
654
16.98%
21.43%
4.
50 - 59
338
850
25.17%
27.85%
5.
60 - 69
391
765
29.11%
25.07%
6.
70 - 79
192
394
14.3%
12.91%
7.
80 - 89
107
176
7.97%
5.77%
8.
90 and over
18
33
1.34%
1.08%
1343
3052
100%
100%
Col. TOTAL
Comparison of Sibley breast cancer
cases to other DC hospital breast
cancer cases by….
• Stage – stage breakdown is similar at Sibley and other DC
hospitals, majority of cases are early stage, 31% of DC
breast cancer cases 2010-2012 were at Sibley
• Age at diagnosis – breakdown of age at diagnosis is similar
at Sibley to other DC hospitals; approximately 25% of cases
at Sibley are diagnosed in premenopausal women (defined
as under 50)
• Systemic therapy
Systemic Therapy of Breast 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 5 Hospitals
#
My
(N)
Systemic Therapy
Oth.
(N)
My
(%)
Oth.
(%)
1.
No Systemic Therapy
1004
859
74.76%
28.15%
2.
Chemotherapy Alone
45
569
3.35%
18.64%
3.
Hormone Therapy Alone
12
971
0.89%
31.82%
4.
Immunotherapy Alone
.
1
.
0.03%
9
532
0.67%
17.43%
.
7
.
0.23%
.
1
.
0.03%
273
109
20.33%
3.57%
.
3
.
0.1%
1343
3052
100%
100%
5.
6.
7.
8.
9.
Chemotherapy and Hormone
Therapy
Chemotherapy and Immunotherapy
Hormone Therapy and
Immunotherapy
Systemic Therapy, NOS
Unknown if Systemic Therapy
Administered
Col. TOTAL
Comparison of Sibley breast cancer
cases to other DC hospital breast
cancer cases by….
• Stage – stage breakdown is similar at Sibley and other DC
hospitals, however almost half of DC breast cancer cases
2010-2012 were at Sibley
• Age at diagnosis – breakdown of age at diagnosis is similar
at Sibley to other DC hospitals; approximately 25% of cases
are diagnosed in premenopausal women (defined as under
50)
• Systemic therapy – data about systemic therapy is missing
Moving forward
• How can we improve collection of data about
systemic therapy?
• Suggestions from committee regarding
additional reports for future meetings