Reston Hospital Center · Held the “With Friends” breast cancer support group, “With Friends monthly and is co-sponsored with Reston Hospital Centers and “Y Me” Seventy-five

Reston Hospital Center

Ann B. Rodriguez Cancer Center

2012 Report to the Public

Cancer Program Goals and Accomplishments

Clinical Implementation of Stereotactic Radiosurgery Program-The Trilogy Linear Accelerator

was commissioned for Stereotactic Radiosurgery and Stereotactic Body Radiation

Therapy on May 9, 2011. Three patients have been successfully treated with SRS with

five treatments delivered.

Development of Interventional Radiology Program for Radiofrequency Ablation and

Chemo Embolization- Began GI/ Hepatobiliary Conferences monthly, with Dr. Tummala,

Interventional Radiologist, Dr.Trad (general surgeon) and Dr. Resta (medical oncologist)

to present hepatobilary cancer cases. Cases have been reviewed at conferences for

treatment with chemo ablation in RHC Interventional Radiology.

Quality Improvement Annual site study completed on non-small cell lung cancer. Reston Hospital Center’s

non-small cell lung cancer survival statistics were compared with National Cancer Data

Base

Completed the ongoing quality outcome measures through the Commission on Cancer’s

Cancer Program Practice Profile Reports for breast and colorectal cancer

Monitored stage and treatment compliance with National Comprehensive Cancer

Network treatment guidelines for colon cancer

Participated in the National Quality Measures for Breast Cancer.

Community Outreach Two cervical screening programs at the Loudoun Free Clinic

On February 16, 2011 a cervical screening clinic was held at the Loudoun Free Clinic.

10 women screened with one woman who had positive results. A second Well Woman

check and Pap smear clinic held on March 9, 2011 with 12 women screened.

Successful “Relay for Life” was held at South Lakes High School in Reston, Virginia on

May 14th

. Tim McManus, CEO of Reston Hospital Center was the featured speaker at

the Survivor Luncheon.

Co-sponsor monthly ACS “Look Good/Feel Better” program with the American Cancer

Society. Twenty-five participants attended this program in 2011.

Held the “With Friends” breast cancer support group, “With Friends monthly and is co-

sponsored with Reston Hospital Centers and “Y Me”

Seventy-five participants attended this program for 2011.

Initiated a new monthly breast cancer support group for long term breast cancer survivors

called "Friends Like Me”. This is co-sponsored with Reston Hospital Center and “Y Me”.

Thirty-eight participants attended this program for 2011.

Held two breast cancer prevention and education events in collaboration with the Healthy

Aging Program on July 18, 2011 at the Herndon Senior Center and on September 19,

2011 at Leisure World.

Held a monthly Prostate Cancer Support Group for survivors and partners

Twenty-five participants attended this program for 2011.

Participated and sponsored The National Ovarian Cancer Coalition 9th Annual Walk to

Break the Silence on Ovarian Cancer on Saturday, May 14th

at Reston Town Center in

Reston, VA.

“Shine a Light on Lung Cancer” vigil held in Nov 2011 as part of a national outreach for

lung cancer awareness event.

A “Pink Bake Sale and Fundraiser” event was held in Oct 2011 to support breast cancer

awareness. $1100 was raised with proceeds to be used to support programs for women

diagnosed with breast cancer at Reston Hospital Center

Sponsored and held a Breast Cancer Awareness event “ The Spirit of Women “ on

Saturday, October 8, 2011at the Ritz Carlton Tyson’s Corner with over 250 women

attending. Eight breakout sessions with Dr. Jane Hanscom, Dr. Virginia Chiantella and

Dr. Rosemary Altemus providing breast prevention and breast health information. All

proceeds from the event went to benefit the Susan G. Komen for the Cure.

Programmatic

Achieved the recognition at The Reston Hospital Women’s Imaging Center as a Breast

Center of Excellence by the American College of Radiology (ACR).


Cancer Program

2012 Annual Report

Based on 2011 Cancer Registry Data

The Cancer Registry is an essential component of the Cancer Program,

maintaining a data collection system designed to assess the occurrence, treatment,

extent of disease and outcomes of each cancer patient seen at Reston Hospital

Center. The registry is responsible for coordinating efforts for maintaining all of

the essential cancer program standards required by the American College of

Surgeons Commission on Cancer, in addition to meeting state and national cancer

reporting requirements. Reston Hospital Center Cancer Registry data is included in

the National Cancer Data Base (NCDB), which is a nationwide oncology outcomes

database designed to explore trends in cancer care, to create regional and state

benchmarks for hospitals and to serve as the basis for quality improvements.

The Cancer Registry database currently contains 10,473 cases diagnosed

since the inception of the Cancer Program in 1988. Patients and physicians take

part in a lifetime follow-up service designed to monitor patient progress and serve

as a reminder for routine medical surveillance. This service is critical in

determining trends in cancer care outcomes and survival. The registry is actively

following more than 7,722 patients, with a successful follow-up rate of 99 percent.

A total of 752 cases were accessioned into the registry in 2011.

Approximately 81 percent of those were newly diagnosed and/or treated cases,

while the remaining 19 percent were treated for recurrent and/or persistent disease.

There were 46 cancer conferences held with presentations of 241 prospective

cases. These cancer conferences included the specialties of Breast, Thoracic and

Urology in addition to the General Cancer Conferences.


AJCC Stage at Diagnosis Newly Diagnosed 2011 Cases

0

20

40

60

80

100

120

140

160

180

200

Stg 0 Stg I Stg II Stg III Stg IV

AJCC Stage

No

. of

Cas

es

Age Range

No

. of

Cas

es


Age at Diagnosis

Newly Diagnosed 2011 Cases

0

20

40

60

80

100

120

140

160

180

200

0 - 29 30 - 39 40 - 49 50 - 59 60 - 69 70 - 79 80 - 89 90+


2011 Top Ten Primary Sites Newly Diagnosed 2011 Cases

0

50

100

150

200

250

Primary Site

No

. of

Cas

es


Primary Sites by Sex

Newly Diagnosed 2011 Cases

.

Oral Cavity & Pharynx - 7 (3%)

Lung & Bronchus - 29 (13%)

Pancreas - 2 (1%)

Kidney & Renal Pelvis - 6 (3%)

Urinary Bladder - 22 (10%)

Colon & Rectum - 19 (8%)

Prostate - 82 (36%)

Non-Hodgkin Lymphoma - 10 (4%)

Melanoma of the Skin - 5 (2%)

Leukemia - 4 (2%)

All Other Sites - 44 (19%)

Thyroid - 16 (4%)

Lung & Bronchus - 40 (10%)

Breast - 213 (56%)

Kidney & Renal Pelvis - 10 (3%)

Ovary - 4 (1%)

Uterine Corpus - 25 (7%)

Colon & Rectum - 18 (5%)

Non-Hodgkin Lymphoma - 8 (2%)

Melanoma of the Skin - 1 (0%)

Leukemia - 2 (1%)


Breast Cancer Outcomes

Breast Conserving Surgery Rates

2009-2011

2009 2010 2011

81%

63%

51%



Breast Mastectomy Rate

2009-2011

2009 2010 2011

19%

37%

49%



Sentinel Lymph Node Biopsy Rate

2009-2011

2009 2010 2011

71%

90% 100%



Days from Biopsy to Surgery

2009-2011

2009 2010 2011

39.7

20.2 19.3


Survival Rates by AJCC Stage at Diagnosis

Compared with National Cancer Data Base Data

2003-2006 Breast Cancer Cases

Dx 1 Year 2 Years 3 Years 4 Years 5 Years

Reston 100 98.8 97.4 95.6 94.3 93.2

NCDB 100 97.1 94 90.9 88.2 85.5

75

80

85

90

95

100

Cu

mm

ula

tive S

urv

ival

Rate

Years From Diagnosis

Documents

Reston Hospital Center · Held the “With Friends” breast cancer support group, “With Friends monthly and is co-sponsored with Reston Hospital Centers and “Y Me” Seventy-five