2007 Oncology Annual Report 2005 Statistical Data Lung Cancer

Center For Cancer Care

Breathe Easy:Cancer Care Close To Home

westernbaptist.com

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Chairman ReportJames R. Gould, M.D., F.A.C.P. CHAIRMAN

The Cancer Committee is comprised of physicians representing diagnostic and treatment specialties, as well as representatives from administrative and supportive services. It monitors compliance with Commission on Cancer standards and considers the needs of patients and the medical community to improve cancer care.

Now in its 20th year, the Purchase Area Tumor Conference enhances the cancer care program at Western Baptist. Participants in the weekly conference include members of the ancillary hospital staff and physicians from radiology, pathology, radiation oncology and medical oncology. Discussions include the evaluation and management of individual patient problems. The Tumor Conference provides a “second opinion” for all cases discussed.

The cancer program at Western Baptist serves patients from Kentucky, Illinois, Missouri and Tennessee. Western Baptist works closely with the Kentucky Cancer Program and the American Cancer Society to provide cancer education, promote cancer awareness and conduct screenings for common cancers.

This report contains statistical data for cancer from 2005, the last year for which analysis is complete. You’ll also find information about cancer awareness programs and screenings conducted in the past year.

There were 819 cancer cases diagnosed in 2005 representing essentially no change from 2004. When compared to state and national statistics, the incidence of lung cancer for men and women is again higher than expected. The increase in lung cancers is likely due to the increased use of tobacco in the area compared to other states. Therefore, lung cancer is selected for a focused review by Dr. James O’Rourke, cardiothoracic surgeon, on page four.

It is my pleasure to work with and to represent the fine team of individuals on the Cancer Committee: the registrars, oncology nurses, case managers, social workers, nursing staff, administrators and physicians of several specialties. My thanks to each for their individual contributions to this program.

As Chairman of the Cancer Committee of Western Baptist Hospital, I am pleased to present the Oncology Annual Report for 2007.

The Commission on Cancer of the American College of Surgeons (ACoS) has certified with commendations the Community Comprehensive Cancer Program at Western Baptist. This certification recognizes the high quality of care and the far-reaching scope of the program. It acknowledges participation in data gathering by Certified Tumor Registrars, reporting outcomes to identify best treatment options and working partnerships with the American Cancer Society and the Kentucky Cancer Program.

Western Baptist Hospital presents this annual report as part of our commitment to the region we serve. This project is awarded a commendation by the Commission on Cancer of the American College of Surgeons.

Cancer programs approved by the Commission on Cancer provide care to 80 percent of the newly-diagnosed cancer patients in the U.S. annually. The benefits of being a Commission on Cancer-approved program include:

• Quality cancer care close to home. • A multidisciplinary team approach.• Advanced treatment options. • Access to ongoing cancer treatment clinical trials for patients.• Education and support programs in partnership with the American Cancer Society and the Kentucky Cancer Program. This report’s focus on lung cancer is just one example of how the Tumor Registry at Western Baptist uses data collection to advance healthcare in our region. As presented here, cancer care and treatment remain significant challenges to the people of our region.

MenProstate

LungColorectal

BladderNon-Hodgkin lymphoma

WomenBreastLung

ColorectalEndometrium (womb)

Ovary

Cancer trends continue to remain the same for the last five years except a lower incidence of lymphoma in women. Breast cancer was again more frequently identified in our area than nationally or statewide. The cause for this is not clear and is continually monitored. The most commonly identified sites are:

Chairman Report

Cancer Liaison Physician ReportJames P. O’Rourke, M.D., F.A.C.S., F.C.C.P.American College of SurgeonsCancer Liaison Physician

Cancer Trends

Focus Site Report: Lung CancerBy: James P. O’Rourke, M.D., F.A.C.S., F.C.C.P.

Lung cancer is the leading cause of cancer death in the U.S. Although the mortality rate for lung cancer has stabilized and even shows a slight decline nationally over the last two years, the incidence of lung cancer and the mortality rate in Kentucky have continued to rise.

Since the early 1900s, cigarette smoking has had the greatest influence on the occurrence of lung cancer. Lung cancer became an epidemic as more men began to smoke, although the incidence in men has begun to plateau as a result of smoking cessation efforts. Lung cancer rates in women, however, have continued to increase as the number of female smokers increases, particularly over the last 15 years.

We are beginning to see an increase in lung cancer among non-smokers exposed to second-hand smoke. The overall survival rate for lung cancer in all stage groups remains at only 12 to 13 percent in five years.

Smokers are encouraged to obtain a yearly chest X-ray for screening because most early stage lung cancers are found in routine screenings or as unexpected findings on CT scans taken for other health conditions. Most of these cancers are small (less than 3 centimeters) and do not usually cause symptoms. Symptoms such as cough, weight loss, chest pain or shortness of breath are usually present in patients with advanced cancer. Some patients with advanced lung cancer may be candidates for chemotherapy and radiation prior to surgery to help shrink the cancer and treat cancer that has spread to the lymph nodes. If this treatment is successful, patients may become candidates for surgery.

The best treatment for lung cancer is surgical removal. However, few patients (25 percent) are surgical candidates when first diagnosed. In most cases (75 percent) the cancer is too advanced when first diagnosed to remove it surgically. Early detection, therefore, is critical to treatment and a cure. For statistical information and graphs related to lung cancer, see pages 13, 14 and 15.

Kentucky remains the state with the highest incidence of lung cancer nationwide, likely a reflection of the tobacco economy. During 2005, 201 cases of lung cancer were diagnosed: 109 were male and 92 were female.

Smoking cessation programs can prevent lung cancer. If you are a smoker and need help quitting, talk to your physician or phone Baptist Health Line at (270) 575-2918.

Kentucky: Lung Cancer

IGRTImage guided radiation therapy, or IGRT, is a minimally invasive procedure performed by a urologist who implants seeds or markers inside the prostate gland. The markers pinpoint tumor location, so the radiation oncologist can direct daily radiation treatment to the tumor. Benefits include decreased long term side effects and toxicity.

New Technology Providing Hope

Peter Locken, M.D., radiation oncologist at Western Baptist, examines Elvis Emerson of Calvert City. Emerson was the first to have IGRT treatment at Western Baptist.

Physicist Michael Kan assists patient Tonya Keeling of Paducah with her MammoSite treatment at Western Baptist. As a busy wife and mother, she liked the convenience and precise treatment of MammoSite. Keeling’s cancer was discovered during an annual mammogram.

MammoSiteThis radiation therapy targets breast cancer from inside the breast and is completed in five days. It penetrates 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 the choice of lumpectomy, and it provides physicians with an important new tool in treating breast cancer.

To learn more, visit our Online Baptist Cancer Resource Center at westernbaptist.com and see the MammoSite and IGRT HealthBreak programs.

Oncology Registry The Oncology Registry maintains 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 that seek to determine the most effective treatment methods. Approval by the Commission on Cancer of the American College of Surgeons requires that the registry performs timely updates on cases. Registry personnel are highly trained to collect case and 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, contact Donna Schmidt, CTR, ACIM, at (270) 575-2823.

Radiation Therapy Western Baptist Hospital’s Center for Cancer Care incorporates the area’s most innovative technology with an experienced and dedicated team trained in treating cancer patients with radiation. Before a patient’s first treatment, he or she meets with a radiation oncologist to determine what kind of radiation will be most effective. The team includes a physicist, dosimetrist, registered therapy technologists and oncology certified 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 capabilities include: • Eclipse Treatment Planning System – This comprehensive system simplifies radiation therapy planning and helps dosimetrists, physicists and physicians efficiently create, select and verify the best treatment plans for their patients. With its flexibility, the clinician can rapidly tailor care plans for each patient.

• Oldelft simulator with CT extension – CAT Scan technology helps isolate the exact location and size of the tumor. During simulation, the area targeted for treatment is outlined, and fluoroscopic X-rays and CAT 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 Accelerator – The linear accelerator delivers the radiation treatment. It produces ionizing radiation that destroys 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.

Supporting Services

• 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.

• IGRT (Image Guided Radiation Therapy) – Tumors move between and during treatments. To increase the patient’s cure rate and limit the long-term side effects, implanted markers are used before treatments to pinpoint the tumor’s exact location. The urologist places the markers inside the prostate gland. Similar to a biopsy, it is performed in the office.

• MammoSite – Radiation targets breast cancer from inside the breast and is completed in five 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 the choice of lumpectomy.

• Low dose and high dose brachytherapy – Tiny 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 length of treatment time, improved patient comfort, more precise treatment capabilities and less side effects on normal tissue. It is primarily an outpatient service.

• Prostate Seed Implants – This technique destroys cancerous tumors from inside the prostate using implanted, low-dosage radioactive seeds to precisely direct radiation at the tumor. These seeds gradually give off radiation until they are no longer active. The radioactivity lasts from two to six months. The patient can expect to return to normal activities within 48 hours of the procedure.

Medical/Oncology Unit This 28-bed unit includes two suites, one isolation room and two specially-equipped radiation therapy rooms. It averages 24 patients a day.

The unit is staffed by eight medical oncologists, one radiation oncologist and registered nurses, including two oncology-certified and other chemotherapy-certified 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.

Other services available to oncology patients include social services, case management, chaplain services and home health services.

Tumor Conference 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 that a team of healthcare professionals, dedicated to their health and wellness, meets weekly in tumor conferences. Team interaction advances the skill and proficiency for all involved:

Medical Staff and Healthcare Professionals – Sharing 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 appointed Cancer Committee must attend tumor conferences. Allied health professionals also are encouraged to attend.

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

Date TitleofProgram Attendance ContactHours

FY2005NoonTumorConferences (Physicians) Total 251 50FY2006NoonTumorConferences (Physicians) Total 365 47

FY2005EveningTumorConferences (Physicians, Nurses and Radiologic Technologists)Jan. 25, 2005 Recent Advances in Colorectal Cancer and Other Solid Tumors: Angiogenesis Inhibitors 24 1Feb. 22, 2005 Tumor Markers: Smoke over the Fire 33 1March 22, 2005 The Role of EGFR in Relapsed Non-Small Cell Lung Cancer 20 April 26, 2005 Recent Advances in Non-Small Cell Lung Cancer 22 1June 28, 2005 Management of Bone Pain in Metastatic Cancer 30 1July 26, 2005 Tailoring Therapy for Colon Cancer Patients 20 1 Total 149 5FY2006Sept. 27, 2005 Myelodysplastic Syndromes 21 1Oct. 25, 2005 Overview of Oral Therapies for Breast Cancer 25 1Jan. 24, 2006 The Solitary Thyroid Nodule: Workup and Treatment 28 1Feb. 28, 2006 Colon Cancer 29 1March 28, 2006 Current Management of Bladder Cancer 33 1April 25, 2006 Delivery Modern Radiotherapy through Improvements in Technology 22 1May 23, 2006 Flow Cytometry in Diagnosis and Monitoring Treatment of Hematolgoic Diseases 24 1June 27, 2006 Parotid Tumors 33 1June 25, 2006 Hospice: What Can It Do for Your Patients and Their Families 33 1July 22, 2006 Prostate Cancer: Trends in Management Options 35 1 Total 283 10OB/GYNSeries (Physicians)FY2005July 18, 2005 Ovarian Cancer: Question, Answers and Unknowns 12 1 Total 12 1SpecialtySeries (Physicians)FY2006Feb. 23, 2006 Endometrial Carcinoma 15 1July 8, 2006 Management of Abnormal Pap Smears 15 1 Total 30 2

GrandTotal1090 115

Oncology Educational ConferencesFY 2005/2006 Cancer Education

Community Outreach

Western Baptist Hospital partners with the Kentucky Cancer Program and the American Cancer Society to educate cancer patients and their families to promote prevention through early detection. We accomplish that goal through these efforts:

Prevention and Awareness ProgramsSpeakers Bureau – If your church group, service organization or senior citizen group would like to educate members on different areas of healthcare, phone the Speakers Bureau at (270) 575-2807.

55Plus – Cancer prevention is a frequent topic at quarterly Brunch Bunch meetings and in publications, such as HealthSource. Transportation is provided for members in need during the course of their treatment. Phone (270) 575-2851 for free membership information.

Health Fairs – Western Baptist provides educational displays and materials, as well as screenings, at community events. The Kentucky Cancer Program offers SmokeCheckTM carbon monoxide tests for smokers and the DermascanTM 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 classes for individuals, businesses or organizations. The program is co-sponsored by Western Baptist and other community and healthcare agencies. For more information, phone (270) 442-1310.

HealthSource – This quarterly Western Baptist community magazine is filled with the latest treatment procedures and programs available. For your copy, phone (270) 575-2851.

HealthBreak – These 90-second television and radio programs, sponsored by Western Baptist, feature topics ranging from cancer to cardiac care. They air each Tuesday on WPSD NewsChannel 6 at 6 p.m. and again each Wednesday morning on NewsChannel 6 Today, as well as on local radio stations.

Web site – Visitors to our Baptist Online Cancer Resource Center at westernbaptist.com can access 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.

ProjectsPurchase Area Mastectomy Association (PAMA) – Western Baptist and the Kentucky Cancer Program hosted the annual PAMA Education Meeting on March 19, 2005, for 62 newly diagnosed breast cancer patients and breast cancer survivors. Speakers included Agnes Butler, retired Western Baptist nurse and breast cancer survivor; Peter Locken, M.D. radiation oncologist; Lisa Lasher, M.D., gynecologist; and William Skinner, M.D., oncologist.

Bells of Hope – The Kentucky Cancer Program and the McCracken County Breast and Cervical Cancer Screening Coalition recognized Western Baptist and other mammography centers in McCracken County for their commitment to early detection of breast cancer. Donna Schmidt, coordinator of the oncology registry, presented certificates of appreciation to the mammography center representatives. Sixty breast cancer survivors attended the event at Broadway United Methodist Church on Friday, Oct. 13, 2006.

ScreeningsSkin Cancer Screenings – Western Baptist teamed with the Kentucky Cancer Program to host community skin cancer screenings. On May 14, 2005, dermatologists Halden Ford, M.D., and Evelyn Jones, M.D., joined Tolly Johnson, P.A., in screening 81 people. On May 6, 2006, Halden Ford, M.D., Evelyn Jones, M.D., Gary McMillan, M.D., Doug Wilson, M.D., Tolly Johnson, P.A., and Penny Sommers screened 108 people.

Head and Neck Cancer Screenings – Western Baptist and area otolaryngoloists screened 80 people on April 15, 2005, and 107 on April 21, 2006.

Fund-RaisingRelay For Life of McCracken County – Over the past two years, Western Baptist raised more than $65,000 for this annual event. The American Cancer Society recognized Western Baptist as a Company of Excellence for the 2005 and 2006 Relay For Life and honored Western Baptist with the Multiple Team of Excellence

Colossal Colon: Colon Cancer Awareness – The Colossal Colon exhibit made its first stop in Kentucky in February 2006. Nearly 7000 people “cruised the colon” at Kentucky Oaks Mall. “Coco,” as it is called, was

sponsored by the Purchase Regional Cancer Partnership, including Western Baptist, Kentucky Cancer Program, the University of Kentucky Cooperative Extension Service, American Cancer Society, Murray Calloway County

Hospital, Lourdes, Jackson Purchase Medical Center, Marshall County Health Department, the Purchase District Health Department and local businesses.

Visitors included students, homemakers and senior citizens. They toured the 40-foot-long, crawl-through replica of the human colon, designed to educate the public about the appearance of a healthy colon as well as polyps and other

stages of colorectal cancer.

Colorectal cancer is one of the most preventable cancers; more than 90 percent of all cases could be prevented through proper screenings. Everyone 50 and older should be screened for colorectal cancer. If there is a family history of this

cancer, screening should begin earlier and patients should discuss the appropriate age and type of test with their personal physician.

Molly McMaster, the Colossal Colon creator, was diagnosed with colon cancer at 23. After her successful treatment, she approached Glens Falls Hospital in Glens Falls, N.Y., for financial support to create the model. It debuted in 2002 on NBC’s TODAY show with Katie Couric. A project of the Colon Club, it is dedicated to Amanda Sherwood Roberts, a friend of Molly’s, who lost her battle with colon cancer at 27.

More Community Outreach

Western Baptist’s Vice President of Patient Services Bonnie Schrock tours the colon with her daughter and a friend.

Center for Digestive Health employees Kristie Hack, R.N., Lora Byassee, R.N., and Robbie Hopkins, G.T.S, provide tours on Western Baptist’s designated host day.

Award, Most Money Raised On-Site Award and the Most Money Raised By Any Other Team Award. In 2006, Western Baptist was a Wall of Hope sponsor. Western Baptist also is a multi-county sponsor, contributing $12,800 in the past two years.

The Ultimate Drive – Western Baptist teamed with Kentucky Cancer Program for this community breast cancer awareness program at Bluegrass BMW. On Oct. 14, 2005, more than 321 test drives yielded $6,009 for the Susan G. Komen Breast Cancer Foundation. On June 21, 2006, 345 test and transport drives totaled $7,017. More than 700 people visited the educational booths.

Treatment And Emotional SupportCancer Information Center – Trained information specialists assist cancer patients, their families and the public with questions 24 hours a day, seven days a week at the American Cancer Society’s toll-free number: 1-800-ACS-2345. Specialists provide current information on transportation, housing, financial assistance, support groups, American Cancer Society programs and other local resources.

National Cancer Institutes Cancer Information Center – NCI’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 Guide – The 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 contacting the Kentucky Cancer Program at (270) 442-1310.

College Scholarship – The American Cancer Society’s College Scholarship Program gives young cancer survivors the 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-ACS-2345 or visit the Web site at cancer.org.

I Can Cope – The American Cancer Society’s I Can Cope program is an eight-week course designed for people with cancer and those close to them. It provides information about cancer diagnosis and treatment and offers practical help in coping with some of the emotional issues. For busy families, a more condensed version of the I Can Cope program highlights issues such as pain control, nutrition and managing finances during cancer.

Look Good…Feel Better – Trained volunteer cosmetologists meet with groups that help women undergoing cancer treatment. The cosmetologists teach women how to cope with the appearance-related side effects of treatment. The American Cancer Society also provides wigs, bras and other prosthetic items.

Reach to Recovery – This volunteer visitation program matches breast cancer survivors with those concerned about breast cancer. Whether the person has been diagnosed with breast cancer, undergone surgery or found a suspicious lump, a Reach volunteer lends an ear, shares resources and offers emotional support.

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

Transportation Grant – Cancer patients have significant transportation needs during treatment, so the American Cancer Society provides a grant to Western Baptist to transport patients to and from the hospital for radiation and chemotherapy treatments.

Man-to-Man – The American Cancer Society helps men and their families cope with prostate cancer. Specialists in various fields share information on medical topics and quality-of-life issues. This group meets monthly at Western Baptist. For more information, phone 1-800-ACS-2345 or visit cancer.org.

Mark Your Calendars

American Cancer Society1-800-ACS-2345cancer.org

Upcoming Events

Kentucky Cancer Program(270) 442-1310kycancerprogram.org

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

April Head and Neck Cancer Screening

April 20, Noon to 4 p.m. Risk factors include smoking, chewing tobacco, drinking alcohol and prior cancer of the head or neck. Symptoms include a mouth sore that does not go away, sore throat or trouble swallowing, change in voice and growth or swelling in the neck. To schedule an appointment, phone Baptist Health Line at (270) 575-2918.

May Skin Cancer Screening

For details, phone the Kentucky Cancer Program at (270) 442-1310.

June McCracken County Relay for Life June 1 and 2, 6 p.m. Friday to noon on Saturday West Kentucky Community and Technical College

Western Baptist celebrates 11 years of support for Relay for Life. Western Baptist is a Gold Sponsor of the McCracken County Relay for Life, as well as a contributor to other regional Relay for Life events. Western Baptist and its employees have raised more that $200,000 in support of Relay for Life events in the last decade.

June 8, 2 to 6 p.m.Western Baptist Heart Center Open HouseFor more information, phone (270) 575-2918.

October Bells of Hope and National Mammography Day Oct. 12

For more information, phone the Kentucky Cancer Program at (270) 442-1310.

For More Information:

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

60 Months

48 Months

36 Months

24 Months

12 Months

Stage 1

Stage 2

Stage 3

9383

59

8260

35

36

14

Stage 4

75

246

71

71

60

60

19

19

3

60

3

0% 5% 10% 15% 20% 25% 30%

National

State

WBH 26%

28%

15%

2001-2005 NSC-SM LUNG CANCER 5 YEAR SURVIVAL COMPARISION- WBH, STATE AND NATIONAL

WBH 2001 - 2005 NON-SMALL CELL LUNG CANCER5 YEAR SURVIVAL BY MONTHS

0 20 40 60 80 100 120 140 160 180 200

Never Used

Cigarette Smoker

Smokeless Tobacco

Mixed Tobacco Products

Unknown 2001

2005

2

9

6

2

1

0

174

147

16

26

2001-2005 NON-SMALL CELL AND SMALL CELL LUNG CANCER SMOKING TYPE COMPARISION

Caucasian = 87096%

African-American = 354%

0 200 400 600 800 1000

2001

2002

2003

2004

2005

Total Number of Cancer Cases

Cas

e Ye

ar

838

841

841

843

818

2001-2005 WBH ANALYTIC CASE COUNT BY YEAR

2001-2005 ANALYTIC LUNG CANCER(SMALL CELL AND NON-SMALL CELL) CANCER CASES BY RACE

TOP 5 PRIMARY CANCER SITES2005 FREQUENCY BY GENDER COMPARISON

Western Baptist Hospital

Kentucky Cancer Registry (KCR)

National ACS Percent of Total Cases Diagnosed

27%

21%

13%

Lung

18%Prostate

19%

33%

Colorectal

10%

13%

10%

Bladder

7%

6%

7%

Non-Hodgkin Lymphoma

5%

4%

4%

31%

29%

32%

Breast

22%Lung

16%

27%

Colorectal

Endometrium

10%

4%

11%

Malignant Melanoma

5%

4%

4%

3%

5%

6%

MALE FEMALE

0% 10% 20% 30% 40%

Surgery/Radiation

Surgery/Chemotherapy

Surgery/Chemotherapy/Radiation

Chemotherapy Only

No Definition Therapy

Radiation Only

Surgery Only

Chemotherapy/Radiation 37

16

15

14

9

5

3

2

0 50 100 150 200 250 300Weakley, TNStewart, TN

Robertson, TNObion, TNHenry, TN

Mississippi, MOWebster

TriggMuhlenberg

MarshallMcCracken

LyonLivingston

HopkinsHickman

GravesFulton

DaviessCrittenden

CarlisleCallowayCaldwell

BallardWhite, ILUnion, ILSaline, IL

Pulaski, ILPope, IL

Massac, ILJohnson, IL

Hardin, ILGallatin, IL.

Alexander, IL.Unknown County

Other Counties Outside KY. 1346

414

2054

112

1511

1

15

10

111

111

128

3020

3024

31

20

213

3817

29293

2001-2005 ANALYTIC LUNG CANCER(SMALL CELL AND NON-SMALL CELL) CANCER CASES BY RACE

2001-2005 NON-SMALL CELL AND SMALL CELL LUNG CANCER COUNTY AT DIAGNOSIS

2001-2005 WBH ANALYTIC NSC/SC LUNG CASES - THERAPY

PHYSICIAN MEMBERS

Chairman/Medical OncologyJames Gould, M.D.

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

Radiation OncologyPeter Locken, M.D.

Medical Oncology/Physician Liaison RegistryLuis Concepcion, M.D. Pain ManagementIrvin Smith, M.D.

RadiologyDan Hatfield, M.D.

PathologyCarolyn Watson, M.D.

General SurgeonEdwin Grogan, M.D.

ENT/SurgeonJohn Resser, M.D.

Urology/SurgeonCharles Ransler, M.D.

Dermatology Gary McMillan, M.D.

ANCILLARY MEMBERS

AdministrationBonnie Schrock, V.P. of Patient Services

Education DepartmentPat Reiter, Director Medical/Oncology UnitMary White, R.N., Director

Oncology RegistryBetty Copeland, C.T.R., R.H.I.T. Donna Schmidt, C.T.R., ACIM Registry Coordinator

RadiologyRobert Seely, Director

Social ServicesMary Lee Hart, L.S.W. Research LiaisonTonya Rittenberry, R.T.

Pastoral CareChaplain James Wright, Director QualityMeri Curtis, R.N. C.P.H.Q., Director

MarketingKathryn Joyner, Coordinator

COMMUNITY LIAISON

Kentucky Cancer ProgramMelody Nall, B.H.S., C.H.E.S.

American Cancer SocietyChrissy Booth, Community Representative Jamie Smith, Community Representative

2501 Kentucky Ave.Paducah, KY 42003

Cancer Committee Members

NON-PROFITU.S. POSTAGE

PAIDWestern Baptist

Hospital