2007 Cancer Report
(Analysis of 2006 Data)

ONCOLOGY DATA MANAGEMENT
By Adair Baker, RHIT, CTR, Oncology Data Coordinator

Oncology Data Management uses Electronic Registry Systems software to collect and maintain statistical data and lifetime follow-up on patients diagnosed and/or treated at Springhill Medical Center. Reporting is required by the Alabama Statewide Cancer Registry under the Alabama Department of Public Health. As Springhill Medical Center moves to paperless records, we also use Sunrise and Papervision to abstract the required data.

DATA: We accessioned 537 cases to the database in 2006, bringing the total cases to 6,020. Monthly submissions to ASCR continued on schedule and data edited against the NDCB edit system was error free. There were four requests for information from the cancer registry in 2006. The 2006 Annual Report was posted on the Springhill Medical Center website. Registry also participated in a case finding audit from ASCR and conducted self audits.

The new rules for abstracting multiple primaries and histology were implemented January 1, 2007. The cancer registrar attended the Annual Cancer Congress in Destin, Florida and workshops introducing the new rules. ERS provided webinars for education opportunities regarding software changes and the new data fields required for rule changes prior to implementation.

OUTREACH AND EDUCATION: Springhill Medical Center Staff worked with the American Cancer Society programs such as Stretch, Us Too, and Look Good/Feel Better. SMC provides public education through the “Family Matters” magazine, seminars sponsored by the Family Center and continuing education by Staff Development.

 

Site Distrubution Table

PRIMARY SITE TOTAL SEX   STAGE            
    M F 0 I II III IV UNK N/A
                     
ALL SITES 441 198 243 37 105 89 60 78 32 40
                     
ORAL CAVITY 13 10 3 0 6 0 2 4 0 1
LIP 3 3 0 0 3 0 0 0 0 0
TONGUE 3 2 1 0 2 0 0 1 0 0
OROPHARYNX 1 1 0 0 0 0 1 0 0 0
OTHER 6 4 2 0 1 0 1 3 0 1
                     
DIGESTIVE SYSTEM 80 43 37 6 15 14 13 22 10 0
ESOPHAGUS 4 2 2 0 0 0 0 1 3 0
STOMACH 5 3 2 0 0 1 0 3 1 0
COLON 41 20 21 3 7 10 9 9 3 0
RECTUM 17 11 6 3 7 2 2 1 2 0
LIVER 2 2 0 0 0 0 2 0 0 0
PANCREAS 10 5 5 0 0 1 0 8 1 0
OTHER 1 0 1 0 1 0 0 0 0 0
                     
RESPIRATORY SYSTEM 92 53 39 1 23 8 24 30 5 1
NASAL/SINUS 1 0 1 0 0 1 0 0 0 0
LARYNX 7 7 0 1 3 3 0 0 0 0
LUNG/BRONCHUS 80 42 38 0 19 3 24 30 4 0
OTHER 4 4 0 0 1 1 0 0 1 1
                     
BLOOD & BONE MARROW 8 5 3 0 0 0 0 0 0 8
LEUKEMIA 2 1 1 0 0 0 0 0 0 2
MULTIPLE MYELOMA 6 4 2 0 0 0 0 0 0 6
                     
CONNECT/SOFT TISSUE 4 1 3 0 1 0 0 2 1 0
                     
SKIN 17 11 6 3 7 4 2 0 1 0
MELANOMA 16 10 6 3 7 4 2 0 0 0
OTHER 1 1 0 0 0 0 0 0 1 0
                     
BREAST 98 0 98 17 33 26 7 8 7 0
                     
FEMALE GENITAL 19 0 19 4 7 0 2 1 3 2
CERVIX UTERI 3 0 3 0 1 0 1 0 1 0
CORPUS UTERI 9 0 9 0 5 0 1 0 1 2
OVARY 3 0 3 0 1 0 0 1 1 0
VULVA 4 0 4 4 0 0 0 0 0 0
                     
MALE GENITAL 42 42 0 2 1 31 2 4 2 0
PROSTATE 38 38 0 0 0 30 2 4 2 0
TESTIS 3 3 0 1 1 1 0 0 0 0
OTHER 1 1 0 1 0 0 0 0 0 0
                     
URINARY SYSTEM 22 19 3 4 7 4 3 2 2 0
BLADDER 13 11 2 4 2 3 1 1 2 0
KIDNEY/RENAL 9 8 1 0 5 1 2 1 0 0
                     
BRAIN & CNS 19 4 15 0 0 0 0 0 0 19
BRAIN (MALIGNANT) 2 1 1 0 0 0 0 0 0 2
OTHER (MENINGES) 17 3 14 0 0 0 0 0 0 17
                     
THYROID 6 2 4 0 1 1 2 1 1 0
                     
LYMPHATIC SYSTEM 12 5 7 0 4 1 3 4 0 0
HODGKIN'S DISEASE 3 2 1 0 0 1 1 1 0 0
NON-HODGKIN'S 9 3 6 0 4 0 2 3 0 0
                     
UNKNOWN PRIMARY 8 3 5 0 0 0 0 0 0 8
                     
OTHER/ILL-DEFINED 1 0 1 0 0 0 0 0 0 1
                     
Number of cases excluded: 6                    
This report EXCLUDES CA in-situ cervix cases, squamous and basal cell skin cases,      
and intraepithelial neoplasia cases.                  
Analytic cases are Class 0,1,& 2.                  

 

 

2006 Class of Case Table

 
Analytic Cases   %
Class 0 Cases dx at SMC & receiving all initial tx elsewhere: 38 7.1
Class 1 Cases dx/receiving part of initial tx at SMC: 276 70
Class 2 Cases dx elsewhere, receiving all/part of tx at SMC: 33 6.1
 
Non-Analytic Cases
Class 3 Cases dx & all first course tx elsewhere: 33 6.1
Class 6 Reportable by agreement cases tx in MD office: 57 10.6
TOTAL 538 100%

 

Age By Sex

Stage By Sex

Stage at Diagnoses

Top 5 Site Comparison

Distribution by Sex

Cases by County
Read more about Springhill Medical Center’s Cancer Care program.
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