February 2017 & March 2017
Cancer Stakeholder Florida Department of Health, Comprehensive Cancer Control Program
PROGRAM SPOTLIGHT:
Colorectal Cancer—3rd Leading Cause of Cancer Death In the US MARCH IS COLORECTAL CANCER AWARENESS MONTH n the United States, colorectal cancer (CRC) is the third leading cause of cancer death in men and women and the cause of undue burden for more than 132,700 adults diagnosed each year. Although well established as highly curable when detected early and preventable when precancerous polyps are found, many adults are not currently being screened for CRC. About two in three adults, between the ages of 50 and 75 years old, are screened as recommended. Current screening rates mark a shift in public perception and are accented by a 30 percent drop in U.S. colon cancer incidence rates in the last 10 years. Coordinated efforts between health care providers, health professionals, professional organizations and policy makers have initiated clear, practical changes to promote increased access to screening, to reach the one in three adults (23 million people) who have not yet been screened.1 Health care providers can refer to the Colorectal Cancer Manual for Community Health Centers, a comprehensive report for proven strategies to measure and increase screening rates. Four primary strategies for health care providers that have been adopted and promoted based on strong evidence of their impact and accessibility include: Provider Assessment and Feedback Evaluating provider performance in delivering or offering screening to clients and presenting providers with information about their performance in providing screening services.
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Provider Reminder and Recall Systems Informing health care providers when it is time for a client’s cancer screening test or that a client is overdue for screening. Client Reminders These written communications (letter, postcard, email) or telephone messages (including automated messages) advise people that they are due for screening. These interventions can be general to reach the overall target population or tailored to reach one specific person derived from an individual assessment. Reducing Structural Barriers These barriers are non-economic burdens or obstacles that make it difficult for people to access cancer screening (e.g., inconvenient clinic hours). Community groups play a unique and vital role in increasing screening rates and have two primary evidence-based strategies for educating clients and connecting them with services, which include: Small Media Targeting Clients Disseminating materials such as brochures, to inform people and motivate them to be screened for cancer.
One-on-one Education for Clients Delivering information to individuals about indications for, benefits
of, and ways to overcome barriers to cancer screening with the goal of informing, encouraging, and motivating them to seek recommended screening. Organizations are encouraged to utilize the wide array of messaging that fits their clientele and programming. The Centers for Disease Control and Prevention (CDC) has client tested messaging, in English and Spanish, for raising awareness and linking the community to providers. Make it Your Own (MIYO), through focus group testing, has developed free templates and messaging for creating customized messaging for several screenable cancers including colorectal cancer. In support of the National 80 percent by 2018 Colorectal Cancer Screening Campaign, the National Colorectal Cancer Roundtable has developed simple, effective messages in a communications guide book for reaching the unscreened, as well as talking points for
colorectal cancer screening which can be used in conjunction with other tools. The Hispanics/Latinos and Colorectal Cancer Companion Guide is a supplement to the 80 percent by 2018 Communications Guidebook based on market research on Hispanics/Latinos who are not up-to-date with recommended colorectal cancer screening. Additionally, the Comprehensive Cancer Control National Partnership has archived a range of materials including audio/video, brochures, employer benefit programs, fact sheets, postcards/ecards, posters, print ads, provider materials, social media and toolkits. 1. Morbidity and Mortality Weekly Report: Vital Signs: Colorectal Cancer Screening Test Use— United States, 2012. Centers for Disease Control and Prevention. November 5, 2013. Vol. 62
February 2017 & March 2017 Cancer Stakeholder
State Update Florida’s 2017 legislative session will convene Tuesday, March 7, 2017 at 10 a.m. and will continue for 60 days, adjourning on May 5, 2017. Current bills that may influence cancer control efforts:
The Financial Cost of Smoking Smoking cigarettes is a costly addiction. It costs many smokers their health, their money and their time with friends and family. The amount of money smokers spend can be significant. In just one year, a pack-a-day smoker in Florida can spend more than $2,000 on cigarettes. That can add up to more than $10,000 in just five years. The cost of smoking can also have an impact on the state. But since the launch of Tobacco Free Florida, a significant decrease in smoking rates led to billions of dollars and countless lives saved. In 2015 alone, an estimated $3.2 billion in smoking-related health care costs were saved as a result of declines in adult smoking Florida. The reduction in adult smoking rates from 2007 to 2015 resulted in approximately $17.7 billion in savings in cumulative smoking-related
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health care costs, a 16 percent decline. If the adult smoking rate declines as expected, the state will save $8.2 billion between 2016 and 2020 in cumulative smoking-related personal health care costs.1 Tobacco is expensive, but quitting can be free. Tobacco Free Florida’s Quit Your Way program makes it easier than ever for tobacco users to access free tools and services to help them quit. These free services have helped more than 159,000 people across the state quit tobacco.
To learn more about the true cost of smoking, visit tobaccofreeflorida.com /costofsmoking. 1. Henley SJ, Thomas CC, Sharapova SR, et al. Vital Signs: Disparities in Tobacco-Related Cancer Incidence and Mortality — United States, 2004–2013. MMWR Morb Mortal Wkly Rep 2016;65:1212–1218. DOI: http://dx.doi.org/10.15585/mmwr.mm6544a 3
Senate Bill 228 Establishing the Physician Orders for Life-Sustaining Treatment (POLST) Program within the Department of Health; providing limited immunity for legal representatives and specified health care providers acting in good faith in reliance on POLST forms; authorizing emergency medical transportation providers to withhold or withdraw cardiopulmonary resuscitation or other medical interventions if presented with POLST forms that contain an order not to resuscitate, etc. The Department does not take a position on pending legislation. For more information, visit Online Sunshine.
February 2017 & March 2017 Cancer Stakeholder
Plans Are Essential
Cancer Survivor Tips trong evidence supports that a healthy diet and exercise lead to a better recovery from cancer. Exercise and a healthy diet can also alleviate some of the most common symptoms of chemotherapy like fatigue, neuropathy, lymphedema and weight gain or loss. A prospective cohort study found regular exercise could improve outcomes for advance-stage colorectal cancer. The American Institute for Cancer Research (AIRC) has created simple guidelines for cancer survivors on physical activity and dietary recommendations.
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LIVESTRONG at the YMCA offers a no cost 12 week fitness program for cancer survivors with a physician’s clearance. Groups are kept small with one fitness instructor to every six survivors. The instructors are trained in the elements of cancer, post rehab exercise, nutrition and supportive cancer care. The program will help survivors build muscle strength, flexibility and endurance, improve functional ability and develop their own physical fitness program. Classes are offered at different times and vary by location. See the Florida YMCA locations or contact your local YMCA to learn more.
Gardening can be a great opportunity to promote physical and mental recovery as well as improve nutrition in your daily life. A University of Alabama study is exploring how gardening affects breast cancer survivors’ exercise and eating habits. Participants were selected based on low levels of physical activity and vegetable consumption. Survivors were provided seedlings and tools and Master gardeners provided support twice a month, for a year. Preliminary results have shown improvement in physical function in many participants. The study started in August 2013 and is currently expanding to additional counties in Alabama. For more cancer survivor education, see the Tools and Resources section of this newsletter on page 6 for a policy and best practice guide on cancer prevention and survivorship through physical activity developed by the Centers for Disease Control and Prevention (CDC). Additionally, CancerCare has open registration for online support groups and a therapeutic writing group.
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February 2017 & March 2017 Cancer Stakeholder
Educate Patients about Colorectal Cancer Prevention
ealthiest Weight Florida encourages health care providers and professionals to educate their patients about the prevention of colorectal cancer. As with most cancers, colorectal cancer development is highly dependent on healthy lifestyle behaviors including healthy eating and physical activity. Some of the major risk factors for colorectal cancer include diabetes, obesity, and a family history of colon cancer. Men and women, regardless of race or ethnicity, can develop colorectal cancer.1 Mostly it occurs in people aged 50 years or older and the risk of getting colorectal cancer increases with age. However, African-Americans are encouraged to get screened beginning at age 45.2 Colorectal cancer can lead to death if not detected and treated.
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Healthiest Weight Florida is a public-private collaboration bringing together agencies, institutions, organizations and communities to help Floridians make more informed choices about active lifestyles and healthy eating.
1. Florida Health (2016). About Colorectal Cancer. Retrieved from http://www.floridahealth.gov/%5C/disea ses-and-conditions/cancer/coloncancer/index.html#heading_2 2. Center for Disease Control and Prevention (2016). What is Colorectal Cancer? Retrieved from https://www.cdc.gov/cancer/colorectal/b asic_info/what-is-colorectal-cancer.htm 3. Center for Disease Control and Prevention (2016). What Should I Know About Screening? Retrieved from https://www.cdc.gov/cancer/colorectal/b asic_info/screening/index.htm
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Colorectal cancer occurs in the colon or rectum. Sometimes abnormal growths, called polyps, form in the colon or rectum. Over time, some polyps may turn into cancer. Symptoms may include blood in or
on stool, stomach pain, aches or cramps.3 Ways to reduce your risk include regular physical activity, a nutritious diet rich with fruits and vegetables, maintaining a healthy body weight and abstaining from tobacco use. There are several approaches to screening. Health care providers should be consulted about which test(s) to choose and how often to use them. Some of the more common tests used for colorectal cancer screening are the Fecal Occult Blood Test, sigmoidoscopy and colonoscopy.3 Screening tests can find polyps so they can be removed before turning into cancer. Screening also helps find colorectal cancer at an early stage, when treatment often leads to a cure. Healthiest Weight Florida encourages Floridians to engage in healthy lifestyle behaviors such as healthy eating, active living and getting screened early in order to help prevent colorectal cancer and other types of cancer from developing.
February 2017 & March 2017 Cancer Stakeholder
Cancer In the News General Cancer Related Articles Cancer Trends Progress Report—National Cancer Institute (NCI), January 2017 Reducing Potentially Excess Deaths from the Five Leading Causes of Death in the Rural United States—CDC, Jan. 13, 2017 Study reveals why cancer cells spread within the body—Science Daily, Jan. 16,
2017 TCGA study identifies genomic features of cervical cancer—NCI, Jan. 23, 2017
Association Between The Real Cost Media Campaign and Smoking Initiation Among Youths — United States, 2014–2016—CDC,
Survivorship Related Articles
Jan. 20, 2017
2017
Stop smoking services may boost mental health of people with depression—Science
Malaria drug successfully treats 26-year-old brain cancer patient—Science Daily, Jan. 17,
Daily, Jan. 20, 2017 Colorful compound in fruits, vegetables could lower smokers' lung cancer risk—
MNT, Jan. 23, 2017 New treatment recommendations for a high-risk pediatric leukemia—Science Daily,
Invasive Cancer Incidence and Survival— United States, 2013—CDC, Jan. 27, 2017
Jan. 23, 2017
Announcement: 25th Anniversary of National Program of Cancer Registries, 1992–2017—CDC, Jan. 27, 2017
2017
Sharks show novel changes in their immune cancer-related genes—Science
Daily, Jan. 29, 2017 Experts predict melanoma death rates will fall by 2050—Science Daily, Jan. 29, 2017 Online database aims to collect, organize research on cancer mutations—MNT, Feb. 5,
Breast density research edges closer to cancer prevention—Science Daily, Jan. 24, Globe-trotting pollutants raise some cancer risks 4 times higher than predicted—MNT,
Jan. 30, 2017 Half of Americans Don't Know One of the Biggest Cancer Risks—AICR, Feb. 2, 2017
Access to Care Related Articles
New Drug Formulary Will Help Expedite Use of Agents in Clinical Trials—NCI, Jan. 11,
2017 Many late-stage lung cancer patients do not get treatment —MNT, Jan. 19, 2017 Bodywide immune response important for fighting cancer, researchers say—Science
Daily, Jan. 19, 2017 Breast cancer prognosis of AfricanAmerican patients may improve with administration of chemotherapy before surgery, study finds—Science Daily, Jan. 19,
2017 Cervical cancer mortality rates may be underestimated—Science Daily, Jan. 23,
2017 Lung cancer patients with anxiety, depression die sooner—Science Daily, Jan.
24, 2017
2017
HPV in Men: Causes, Symptoms, and Treatment—MNT, Dec. 9, 2016
Study establishes new standard of care for pancreatic cancer patients—Science Daily,
Brain Tumor: Types, Symptoms, and Treatment—National Cancer Institute (NCI),
Scientists get best view yet of cancercausing virus HPV—Science Daily, Jan. 23,
Jan. 24, 2017
January 2017
2017
Prevention Related Articles
The ACA increased coverage and access for the chronically ill, but many still face barriers to care—MNT, Jan. 27, 2017
White wine may raise melanoma risk—MNT,
Dec. 3, 2016 Alcohol and Cancer Risk: The Latest Research—American Institute for Cancer
Research (AICR), Jan. 5, 2017 Prolonged exposure to work-related stress thought to be related to certain cancers—
Science Daily, Jan. 17, 2017 Sun exposure at work could lead to one skin cancer death a week—MNT, Jan. 18, 2017 The Global Economic Burden of Tobacco: An Interview with Dr. Mark Parascandola—NCI,
Jan. 18, 2017
Delays in access to cancer medicines, unjustifiable price rises disadvantage patients—Science Daily, Jan. 29, 2017 Percentage of Persons of All Ages Who Delayed or Did Not Receive Medical Care During the Preceding Year Because of Cost, by U.S. Census Region of Residence —CDC,
Twice-daily radiation therapy cuts deaths from head and neck cancer—Science Daily,
Jan. 26, 2017 Women treated for precursor of breast cancer can expect to live as long as other women—Science Daily, Jan. 27, 2017 Two new trials for pediatric brain cancer open at UTHealth/Children's Memorial Hermann—MNT, Feb. 1, 2017
Feb. 3, 2017
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February 2017 & March 2017 Cancer Stakeholder
Tools & Resources CancerCare presents the following free Connect® Education Workshops (all are from 1:30–2:30 p.m. ET): All sessions are free and pre-registration is required. Feb. 26: Update on Thyroid Cancer March 6: Managing Eye and Vision Changes Related to Cancer Treatments March 7: Update on Small Cell Lung Cancer Treatments March 8: Understanding the Role of Immunotherapy in Treating Cancer March 10: Living with Cancer Throughout The Cancer Journey March 14: Treatment Update on Mantle Cell Lymphoma March 15: Diagnostics in Small Cell Lung Cancer: How Diagnostics Help Inform Treatment Decisions March 23: Living with Chronic Myelogenous Leukemia (CML) March 28: Update from the 2016 American Society of Hematology (ASH) Annual Meeting April 3: What Are Biosimilars? Understanding Their Role in Cancer Treatment: Current and Future Perspectives April 6: Treatment Update on Mantle Cell Lymphoma May 5: Advances in the Treatment of Gastric Cancer Participate by listening to these workshops on the telephone or via live streaming through the Internet. For more information or to register online, visit CancerCare online or call 1800-813-HOPE (4673). Listen to past Connect Education Workshops as podcasts through CancerCare's website. The National Comprehensive Cancer Network’s (NCCN) Continuing Education Program seeks to improve patient outcomes in oncology by educating clinicians on the application of evidence-based medicine. Their accredited educational activities are designed for oncologists (in both community and academic settings), nurses, pharmacists, case managers, and other health care professionals involved in the care of patients with cancer. Feb. 27: A Multidisciplinary Approach to Individualized Patient Care - Lung Cancer: Immunotherapy Sessions are approved for AMA PRA Category 1 Credit(s)™ as identified.
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The Patient Advocate Foundation hosts patient empowerment webinar series to build patients’ skills and increase access to health care. March 17: Genomic v. Genetic Testing: What it Means for Your Healthcare Options, 3:00-4:00 p.m. ET April 21: Clinical Trials: A Pathway to Cutting Edge Treatments, 3:00-4:00 p.m. ET
Funding Opportunities
Florida Breast Cancer Foundation is offering education grants for Florida Florida Department of Health and American organizations for projects in a single Cancer Society are hosting a free webinar as a county and multiple counties in onepart of the Florida Cancer-Free Webinar on-one or small group settings. Click Series: here to apply. Closing date 5/1/17. Feb. 28: : HPV is Cancer Prevention: Give it a National Institutes of Health released Shot (or Two) (12:00-1:00 p.m. ET) funding opportunity announcements One hour of continuing education unit (CEU) (FOAs) for a variety of cancer related and continuing medical education (CME) are research projects: being offered. CEUs are available for Florida license holders in all Office of Performance and New Informatics Tools and Methods to Enhance U.S. Cancer Surveillance and Quality Improvement approved boards of practice including: LPNs, RNs, ARNPs, and CNAs Research is a FOA to support tools and
Cancer and Careers is hosting an educational series for health care professionals (all are from: 1:00-2:00 p.m. ET unless otherwise noted) that covers practical and legal issues concerning balancing work and cancer. All sessions are free and pre-registration is required. One continuing education credit will be provided free of charge to eligible oncology nurses and social workers upon approval from listed agencies. March 8: Job Search June 7: Career Change Sept. 13: Disclosure, Privacy & Online Brand Oct. 11: Working Through Treatment The CDC’s Division on Cancer Prevention and Control is providing online continuing medical education (CME) opportunity and health care provider resources as part of the Bring Your Brave campaign to educate young women and providers on hereditary breast and ovarian cancer risk. CDC also released a two guides: Policies and Practices for Cancer Prevention and Survivorship: Physical Activity and New Hampshire Colorectal Cancer Screening Program Patient Navigation Model. Each provide ideas on collecting and analyze data, measure effects, strategies for increasing physical activity or cancer screening and resources to support community strategies. The Community Guide released Insufficient Evidence Findings User Guides for public health practitioners, researchers and funders to understand what insufficient evidence means and how it can be used.
methods to facilitate data extraction from medical records, approaches for integration of registry and medical data and approaches for ongoing reporting to registry data flow. Click here to apply. Closing dates 4/14/17 and 11/30/17.
Mechanisms of Disparities in Chronic Liver Diseases and Cancer is a FOA to support multidisciplinary exploratory and developmental research to understand etiologic factors and mechanisms that result in disparities in chronic liver diseases and cancer. Click here to apply. Closing dates 5/22/17, 4/4/18 and 4/4/19. Examination of Survivorship Care Planning Efficacy and Impact is a FOA to stimulate research that will develop and test metrics for evaluating the impact of survivorship care planning on cancer survivors' morbidity, self-management and adherence to care recommendations. Click here to apply. Closing date 6/5/17 and 10/5/17.
Department of Health and Human Services released a FOA to scale and spread existing clinical decision support as well as disseminate and implement findings from PatientCentered Outcomes Research into Clinical Practice. Click here to apply. Closing date 5/25/17. Agency for Healthcare Research and Quality released a FOA for research projects to develop, test and evaluate measures of shared decision making for research in clinical settings. Click here to apply. Closing dates 6/5/17 and 10/5/17.
February 2017 & March 2017 Cancer Stakeholder
About the Cancer Stakeholder
Events Acute Myeloid Leukemia Rounds in Orlando, Fla. on Feb. 28, 2017. Quality Care Symposium in Orlando, Fla. on March 3–4, 2017 Advanced Renal Cell Carcinoma: Combination, Sequential Strategies, and Immunotherapies in Philadelphia, Pa. on March 8, 2017.
Collaboratives R
egional Cancer Control Collaboratives exist across the state and work to bring public and private partners together to reduce the burden of cancer. For information about what your regional collaborative in your area is doing, visit their websites listed below.
> Northwest Florida Cancer Control Collaborative
14th Annual Conference: Association for Community Health Improvement in Denver, Colo. on March 9–11, 2017.
> Northeast Florida Cancer Control
NCCN 2017 Nursing Program and NCCN Academy for Excellence & Leadership in Oncology™ School of Pharmaceutical & Biotech Business in Orlando, Fla. on March 22, 2017.
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NCCN 22nd Annual Conference: Improving the Quality, Effectiveness, and Efficiency of Cancer Care™ in Orlando, Fla. on March 23–25, 2017.
> > > >
Collaborative Facebook: NEFCCC North Central Florida Cancer Control Collaborative East Central Florida Cancer Control Collaborative Southeast Florida Cancer Control Collaborative Facebook: SoFla Fighting Cancer Southwest Florida Cancer Control Collaborative The Southeast American Indian Council (SEAIC) focuses on needs assessments, preventive education and quality of life for American Indians. Membership is open to anyone of American Indian heritage. Email Dewey Painter or call him at (904) 2080857 for an application or for more information.
To be added to the contact list for any of these collaboratives, send an email request to Cancer@flhealth.gov.
The Cancer Stakeholder is an e-newsletter, which includes the DOH cancer updates, cancer tools and resources, funding opportunities, events, research, and other information about cancer. The opinions expressed in the Cancer Stakeholder do not necessarily reflect the views of the Department or its staff. Please direct questions, comments and suggestions to the Comprehensive Cancer Control Program at cancer@flhealth.gov. If you would like to be removed from this distribution list, please send an email with “Unsubscribe” written in the subject line to cancer@flhealth.gov. Please type in the body of the email the county where you reside. Please understand that unsubscribing from the Cancer Stakeholder will unsubscribe you from receiving future emails related to the Comprehensive Cancer Control Program, the Regional Cancer Control Collaboratives and the associated local and statewide cancer activities. This electronic newsletter was funded by Cooperative Agreement U58/DP003872 from the Centers for Disease Control and Prevention. Its contents are solely the responsibility of the authors and do not necessarily represent the views of the Centers for Disease Control and Prevention. For any questions or concerns regarding this newsletter or to include your information in a future issue: Sam.Mooneyhan@ flhealth.gov (850) 245-4444, ext. 3857.
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