Pardee Cancer Annual Report 2017 by Pardee UNC Health Care

2017 Cancer Annual Report

Maintaining accreditation status with

Contents TABLE OF

these respected organizations is of the utmost importance to Pardee Cancer Center. These achievements demonstrate Pardee’s high standards for providing the best care possible to our cancer patients, in both a safe and ethical environment. Accreditation standards

Chairman’s Report

A Year in Review | Looking Ahead

Survivor Stories

Philanthropy at Its Finest

are very patient centered. They ensure that we, as health care professionals, continually set new goals for our cancer program, which ultimately benefit the people who matter most – our patients and their families.

THOMAS L. EISENHAUER, MD, FACS

DEBRA J. McDANIEL, BSHCS, MBA

DAVID C. BISHOP, PhD & DIANA L. WILLIAMS

JIM BREWER

Community Outreach SARAH HINSON, MHPM, CHES, CHC

Cancer Research Report

Our Work is Our Passion

Caring for the Whole You

Pardee Beats National Average for Breast Cancer Outcomes

MARCIA CAGE, RN, BSN, OCN, CIM

PARDEE CANCER CENTER TEAM

JAMES RADFORD, MD JOHN HILL, MD NAVIN ANTHONY, DO BENJAMIN WEINBERG, MD

BENJAMIN WEINBERG, MD

Cancer Incidences & Cases Cancer Registry CAROL P. BROWN, CTR, ABA

Chairman s ’ REPORT T H O M A S L . E I S E N H AU E R , M D , FA C S

“Excitement” was the most utilized word at Pardee Cancer Center in 2016. The culmination of efforts from five distinct entities came to completion with the opening of Henderson County Health Sciences Center. This included areas for Blue Ridge Community College and Wingate University as they educate students in various health care fields. Of most significance to us was the opening of Pardee’s state-of-the-art cancer center, allowing us to offer most all of the necessary cancer services in one location. The new radiation oncology portion of the center has the newest technology in linear accelerator, affording us the ability to treat almost all of our patients with the most advanced techniques. This has allowed us to offer some additional services which were previously unavailable. As these patients are frequently treated on a daily basis and for several weeks at a time, the on-site registration process and ease of access were some of the most important factors in creating this area of the cancer center. Hendersonville Hematology and Oncology at Pardee encompasses a large, centrally located space in Pardee Cancer Center. The physician area includes additional office space for growth and several conference rooms, including the ability for videoconferences. This allows for ongoing, multidisciplinary discussions for reaching the best recommendations of care for our patients. The new infusion/treatment area offers a large, open space with floor-to-ceiling windows that overlook the Healing Garden. With the ability to walk in the garden area or simply view the fountain and greenery from inside the facility, patients have described a serene, calming effect the garden has on them. As surgical oncology is a very important aspect of cancer services, Pardee Surgical Associates also relocated to the new cancer center. As one of the surgeons, I feel this move has been a significant improvement for our surgical oncology patients. We now have more frequent and better communications with our medical oncology and radiation oncology colleagues when

creating or modifying treatment plans for our patients. Likewise, an oncology patient can make one visit to Pardee Cancer Center and frequently complete more than one physician appointment while there. This saves time and effort and gives them a quicker plan of care, alleviating the anxiety of not knowing what form of therapy they will receive. Other aspects of oncology care, of equal importance, are available within the new facility to our patients. Pardee nurse navigators are available during the patients’ visits to help guide them through their journey from the initial diagnosis to completion of therapy. Research nurses are also present on site to discuss the possibility of enrolling patients in clinical trials. This often gives patients the opportunity to receive treatments that may be beneficial to them, yet not widely available to other oncology patients. The cancer registry is now located here as well. Our tumor registrar is responsible for collecting extensive data from all patients throughout their course of therapy. Some of this data is required to be submitted to the state of North Carolina. We also use this data to compare the effects of our treatments to that of other facilities nationally. This ensures our patients that the treatment they receive here is as good, or better, than other facilities nationwide. Pardee Cancer Center continues to provide excellent cancer care for generations to come. New techniques and treatment options are being utilized on a regular basis. Tracking patient outcomes with respect to their specific type of cancer allows us to assess our ability to care for cancer patients. Statistics show that we provide excellent oncologic care for the patients we treat and our program has continuously been accredited by the American College of Surgeons Commission on Cancer since 1996. We want to share this honor with you, our community, and hope that you will allow us to care for you if cancer ever touches you or a loved one. ◆

PARDEE CANCER ANNUAL REPORT 2017

A Year in Review

D E B R A J . Mc D A N I E L , BSHCS, MBA, Administrative Director, Pardee Oncology Services

Opening the doors to Pardee Cancer Center on December 7, 2016, to our very first patient kicked off a most exciting year. The new Health Sciences Center offered Pardee the opportunity to bring all of our oncology services under one roof, including patient navigators, medical and radiation oncology, infusion, nutrition, research, survivorship, and palliative care, along with advanced imaging and radiation therapy technology. As we near our one year anniversary, Pardee Cancer Center has served over 698 patients and celebrated six patients who completed treatment with the ringing of the Tibetan singing bowl. Every day we strive to be the best in quality, and our accreditation boards recognize this. Pardee’s breast cancer program is still the only accredited center of excellence by the National Quality Measures for Breast Centers (NQMBC) in North Carolina, and radiation oncology achieved reaccreditation for another three years from American College of Radiology (ACR). Pardee’s clinical trials program has exceeded commendation by 2.3 percent. We’ve hired excellent physicians who bring innovative care to our area. Dr. Gary Rodberg is performing a minimally-invasive endobronchial ultrasound (EBUS) procedure for the biopsy and staging of lung cancer. Prior to this technique, patients experienced multi-day hospital stays. This year we welcome Dr. Jennifer McAlister, the only female, board-certified and fellowship-trained breast surgeon in Western North Carolina. Cancer affects not only the patient, but families as well. It’s important to integrate caregivers into a patient’s cancer journey, and inspire hope and celebrate milestones along the way. We’ve established weekly visits from Pardee chaplains, who also offer the Blessing of the Hands to our staff. Leann Noakes, general cancer navigator, coordinated the first talent show for cancer survivors, themed “Be Our Guest,” where Pardee physicians and staff proved they have impressive skills beyond medicine. We also recognize each designated cancer awareness month through education or activity, and caregivers were celebrated in November for National Caregiver Day. At Pardee Cancer Center, we will continue to push ourselves to provide the highest quality care possible to our region, and offer the full spectrum of cancer care that stretches far beyond a medical diagnosis and treatment. In the end, we hope to not only help bring our patients back to health, but to make our community proud.

Looking Forward into 2018

1. Implement Stereotactic Body Radiation Therapy (SBRT) 2. Lung Cancer Navigator to join patient navigation team 3. Develop and implement a patient financial services team to assist patients in benefits explanation and financial options 4. Optimize registry and outcomes metrics for reporting continuity and quality improvement 5. Expand community cancer screening and education offerings 6. Rollout a pet therapy program for patient and staff wellbeing 7. Initiate oncology patient blood transfusions in the cancer center

Survivor Stories David C. Bishop, Ph.D. I became a cancer patient at Pardee in March 2014 after being diagnosed with cancer of the sigmoid colon. Dr. Thomas Eisenhauer removed the cancer and successfully resected my colon. Nearly two years later, a small metastasis from the original colon tumor was detected in the lower lobe of my left lung, which Dr. Eisenhauer also removed. I have had no further complications and I’m no longer receiving treatment. During this entire period, my wife of more than 50 years was my faithful caregiver. I would not have fared nearly as well without her, or perhaps even survived. Soon after my cancer treatments ended, my wife was also diagnosed with cancer. She has begun biologic and chemotherapy with Dr. Navin Anthony. Ironically, I have now become her caregiver. The person she nurtured back to health not so long ago is the same person she now depends upon for her own care. We are still trying to adjust to this sudden role reversal. Neither role is easy, both are often frustrating and sometimes exhausting. However, the experience has drawn us closer together. I have a new appreciation for what is required of a caregiver on a daily, sometimes hourly, basis and I will never again underestimate what that job entails. I can only hope to be as strong and successful as my wife in the caregiver role.

Diana L. Williams In October 2016, after having my annual breast exam, I received the unsettling news that I was diagnosed with breast cancer. Soon after, I met Kristy Capps, Pardee’s breast cancer navigator. She immediately reassured me that I was not alone and that she would make all of the arrangements with doctors – Dr. Albers, surgeon, Dr. Weinberg, radiation oncologist, and Dr. Hill, medical oncologist. For treatment, I underwent a lumpectomy, which revealed the cancer had not spread to my lymph nodes. I was blessed! Everyone, including the staff, showed me compassion and care throughout my treatment by always having a smile on their faces. This helped me to forget, even for a moment, the real reason I was there. It was obvious that everything they did for me came from the heart and that Kristy was “my angel.” My experience with the amazing Pardee Cancer Center showed me how much the staff there cares about the men, women, and family members who are dealing with cancer every day. There is a quote from an unknown author that best describes everyone who was involved in my care: “No one is more cherished in this world than someone who lightens the burden of another.” ◆ PARDEE CANCER ANNUAL REPORT 2017

Philanthropy At Its Finest J I M B R E W E R , Major Gifts Officer Pardee Hospital Foundation When Pardee Hospital Foundation began its fundraising campaign for the new Pardee Cancer Center, relatively few people in Hendersonville knew our hospital had such strong cancer services already available. Our cancer facilities were scattered around campus, with little interaction or visibility in the community. However, as soon as the new building began to rise from the ground, people’s interest in the project also lifted. They became excited to learn about our new cancer center and all of the wonderful new benefits it would offer cancer patients and their families in our area. Over the course of the campaign effort, almost 1,000 individuals toured the new facility, and approximately 600 donors have supported the fundraising campaign, with nearly 300 of them being new contributors. Support from our community was overwhelming and nearly six million dollars has been raised, eclipsing previous campaigns by Pardee Hospital Foundation. People who got involved were motivated for a variety of reasons, but we most commonly heard excitement from everyone about being part of such a positive and historic moment in our city’s progress and development. As one donor, who retired in Hendersonville, said, “This is our hometown now. It’s time we help make it the best it can become.” ◆

Community Outreach S A R A H H I N S O N , MHPM, CHES, CHC Director, Pardee Business and Industry

Pardee’s 2017 outreach programs have been a great success due to the dedication and time given by a team of health care providers, nurses, and health professionals. Through these multidisciplinary individuals working together, Pardee has been able to provide participant opportunities at no cost to support the health and well-being of the community.

108

SCREENINGS Approximately 108 individuals have participated in prostate and skin cancer screenings.

TOBACCO CESSATION This year, five Pardee team members became tobacco cessation certified instructors, and one employee became a certified tobacco treatment specialist. These instructors will provide classes to support those who are interested in stopping tobacco use.

LOOK GOOD, FEEL BETTER Ten women were able to complete these fun and educational workshops, provided in collaboration with Darlene Cope, director of cosmetology at Blue Ridge Community College; Leann Noakes, general cancer navigator at Pardee Cancer Center; and Dawn Temple, community volunteer.

EDUCATION OUTREACH Approximately 400 individuals have been provided direct education opportunities through health events at various community venues and business locations.

400

Cancer Research R E P O R T M A RC I A C A G E , RN, BSN, OCN, CIM, Pardee IRB Coordinator

Access to clinical trials is a vital resource for patients with a cancer diagnosis. At Pardee Cancer Center, our physicians and staff are committed to providing additional treatment options for our patients to increase chances for overcoming cancer, while allowing them to remain close to home. Our partnership with the Southeast Clinical Oncology Research Consortium (SCOR), a group of oncologists, surgeons, radiation oncologists and urologists, is what makes this added benefit for our cancer patients possible. Forty to 50 research trials are generally available at any one time, offering treatment options for breast cancer, lung cancer, prostate cancer, melanoma, and colon cancer. Trials that study ways to lessen or manage side effects from cancer treatments and enhance quality of life are also included. Our physicians work closely with the Pardee cancer research team to match available studies to patients who may be eligible to enroll. Cancer research participation is critical to our cancer program’s accreditation by the American College of Surgeons Commission on Cancer (COC). In 2016, our research program enrolled an average of nine percent of patients into clinical trials, which far exceeds the COC’s four percent minimum required for accreditation.

51 enrolled 24 enrolled

9% actual 2016 accrual

4% minimum required for accreditation

multiple myeloma (3) colon (2) melanoma (2)

cancer control (35)

pancreatic (2) breast (1) head & neck (1) lung (1) prostate (1) other (1)

2016 Enrollment by Trial Type The Pardee cancer research team is made up of nurses who are certified in clinical research and oncology nursing, and who also have extensive backgrounds in ethics and safety. The research office houses the Pardee Institutional Review Board, which reviews and approves research involving human subjects, and works closely with Pardee physicians and staff to ensure patient rights and safety are being maintained. Moving into our beautiful new building provided the opportunity for physicians to work more closely with the research team to have access trials to for their patients. The EPIC medical record system was also initiated, allowing for a more efficient and seamless process for screening and identification of potential clinical trial patients. 2016 was an exciting and progressive year for cancer research and the Pardee team! ◆

American College of Surgeons Accreditation Requirements PARDEE CANCER ANNUAL REPORT 2017

Our Work is Our Passion

We are here because we wouldn’t have it any other way. Our patients, who enrich our lives each and every day, are the driving force behind the continuous development and growth that takes place at Pardee Cancer Center. Here are a few words from our physicians and staff about why they chose this profession…

It’s a calling, plain and simple

To provide compassionate, quality health care

To witness strength and courage daily

The people: patients, families and staff

John Hill, MD, Physician

Renee Barnett, RN

Tiffany Wilson, Radiation Therapist

Katherine Kennedy, Oncology Nurse Practitioner

Support patients through clinical trial participation

To provide good care, support and love

Cheryl Davis, RN

Karen Morris, Research Coordinator

To make you smile

Christine Price, Clinical Manager

To be a friendly face

Jennifer Hayes, Customer Service

To give friendship, love and comfort Katherine Cantrell, RN

Because of my mom

To inspire hope, courage, and tenacity Kristy Capps, RN, Breast Care Navigator

James Radford, MD, Physician

To help and to comfort

Cynthia Hadorn, Radiation Therapist

Support patients throughout their survivorship journey Cathy Jenkins, RN, Lung Cancer Navigator

Hope and strength to conquer cancer Navin Anthony, DO, Physician

To provide accurate and timely medications Robyn Bryson, PharmD, Oncology Pharmacy Manager

Provide excellent care, support and encouragement

Chelsea Craig, Chief Radiation Therapist

Together we are a strong team! Because I care Cathy Dillard, CSR

Alice Brunk, RN, Radiation

To be a sympathetic ear Michelle Gentry, RN

To provide excellent individual care Deana McGuinn, RN

Grace finds meaning by serving well Thomas Dellinger, Medical Physicist

So I can share my smile

Teresa Ridenhour, Spine Intake Specialist

Ensure research access and ethical safety Marcia Cage, RN, IRB Coordinator

To provide assistance through your visits

Your journey is my passion

You make our hearts smile

Godâ&#x20AC;&#x2122;s calling, offering hope to patients

Carol Brown, Cancer Program Coordinator

Lynn Jones, RN, Cancer Research

So you are not alone

When you have, you give

Devan Spear, Practice Manager

Leann Noakes, RN, General Cancer Navigator

It is my calling, my passion Tamara Hyer, RN

Debra McDaniel, Admin Director, Oncology Services

Dawn Brown, Dosimetrist

Providing compassionate care is my passion. Jennifer Case, RN, Cancer Research Nurse

PARDEE CANCER ANNUAL REPORT 2017

Caring for the Whole You NAVIGATING THE PROCESS

EVALUATING CHALLENGES

Of all areas of medicine, cancer may be the most complex due to the multiple phases involved in this particular type of care, which include screening and education, diagnosis and staging, treatment, survivorship, and sometimes terminal care. With increasing numbers of cancer survivors, the continuum of care for many patients now spans decades rather than months. It is no wonder the process is daunting to so many.

A cancer diagnosis can be overwhelming to any patient. In the immediate days and weeks after diagnosis, patients are inundated with information about staging, prognosis, and treatment options. The health care team spends a significant amount of time helping each patient come to a clear, educated decision about their best course of action. Often, what is lost in all of these medical discussions is the patient’s mental, spiritual, and emotional well being. It is clear to us that the best way to help patients cope with those non-physical aspects of a cancer diagnosis is to have a better understanding of each individual’s situation and needs.

Enters the nurse navigator. This simple concept dates back to a report by the American Cancer Society in 1989 on barriers to care in poor and underserved cancer patients. This led to the first cancer navigation program in New York City, which demonstrated improvements in cancer screening rates, earlier diagnosis, and timeliness of follow-up testing and treatment. Variations of this model are being adopted here at Pardee and nationwide, providing benefits to all types of cancer patients and survivors. Cancer navigation has been shown in scientific studies to provide many benefits and improvements: • Reduces excessive delays in testing and referrals to cancer specialists • Improves the proportion of patients who receive appropriate treatment • Increases the likelihood that patients will successfully complete recommended treatment • Increases patient satisfaction with their care Our nurse navigators are just what the name implies – patient advocates who assist in navigating the complexities of care by guiding patients in their next steps. They facilitate referrals and appointments, and listen to and address patients’ concerns that might otherwise be neglected. Our nurse navigators have become essential components of excellent cancer care at Pardee, and their positive impact with patients and their families grows each and every day.

JAMES RADFORD, MD

At Pardee Cancer Center, our approach is to screen all new cancer patients for what we call “psychosocial distress.” This is a standardized tool used by our staff in which each patient is asked a series of questions about how their cancer diagnosis might affect their finances, family relationships, home life, etc. We evaluate what challenges they might otherwise face in getting treatment, including transportation, meals, and availability of caregivers. The tool also tries to identify patients who may need additional psychological or spiritual counseling. Based on results of this tool, any patient who is identified as being “high risk” is counseled by their physician. If significant concerns remain, they are referred to one of our cancer navigators to either provide services within our facility or identify other helpful community resources. A recent study performed by the National Comprehensive Cancer Network found that patients at centers who use such an approach are 20 percent less likely to make trips to the emergency room or be hospitalized in the first two months after a cancer diagnosis. Therefore, this approach not only improves quality of life and the well being of the patient, but also reduces health care spending – one of the greatest challenges in our society today.

JOHN HILL, MD

There is so much more to cancer care than receiving treatment and going to follow-up appointments. At Pardee Cancer Center, we attend to the “whole you,” not only by giving the most advanced medical care possible, but by addressing the emotional, psychological, and financial challenges that may surface with a cancer diagnosis.

STRENGTHENING SURVIVORSHIP The American Cancer Society and National Cancer Institute estimates there are more than 15.5 million cancer survivors in the United States today. The numbers have increased now that more effective cancer treatments are available, along with better methods for early detection. These results have also been seen here at Pardee Cancer Center, prompting us to not only focus on the diagnosis and treatment of cancer, but also to develop a stronger survivorship program – one that provides tools and guidance for our patients beyond their last day of cancer treatment. We understand that as the number of cancer survivors in our community increases, the medical, psychological, financial, and social needs will also be in higher demand. Our long-term goal is to raise awareness of the many resources available to patients and caregivers to help navigate their way through treatment, recovery, and survivorship. The new Pardee Cancer Center has provided the oncology team with some important tools to make this possible, and the collaboration among our staff has been heightened as a result. Our providers are more involved and engaged with our patients than ever before. This was most clearly demonstrated during a survivorship talent show put on by the cancer team, which not only revealed many unknown talents of our staff, but provided a well-deserved night of relaxation and entertainment for patients and their families. By holding such events and supplying survivorship resources and tools to our patients, we are not only caring for our cancer patients while they are undergoing treatment with us, we are guiding them through their lifetime journey of cancer survivorship.

NAVIN ANTHONY, DO

ADAPTING TO A NEW NORMAL As a radiation oncologist, my primary job is to treat cancer. When I meet a patient, I define their problem and do everything possible to alleviate the situation. However, in many cases, cancer patients are suffering in ways that simply can’t be “fixed.” Whether it is from the cancer itself or treatments, many people end up in very poor shape. They may have chronic pain or problems with breathing, eating, sleeping, walking, and many other daily needs. These problems may not be immediately life threatening, but can make a person’s life very unhappy, and may put a huge burden on family members. This is where palliative care can be of great service. The palliative care team consists of specialized doctors, nurses, therapists, and other medical providers who can help cancer patients adapt to their new way of life and assist in getting things back to normal. Whereas my job is to make the cancer disappear, the palliative care team is focused on managing the patient’s day-to-day routine to make it as comfortable and functional as possible. Some patients will use this service for only a short time, others for months or years, and still others will eventually be transitioned into hospice (end of life) care. The palliative care team provides their services in person, either at the patient’s home or in their office, and also by phone. They can arrange transportation services, help with home care, write and manage drug prescriptions, and make referrals for other services. I have offered palliative care consultations to many of my patients, both during and after radiation treatments, and I have yet to hear anything but positive feedback. There are several organizations available in our area providing this much needed service. I strongly encourage anyone with chronic medical problems to speak with one of our palliative care doctors to see if these services could make their life not only more manageable, but happier. ◆

BENJAMIN WEINBERG, MD

PARDEE CANCER ANNUAL REPORT 2017

Pardee Beats National Average for Breast Cancer Outcomes B E N J A M I N W E I N B E RG , M D

This year at Pardee Cancer Center, we decided to do an “outcomes study” to see the results we’ve had with treating early-stage breast cancers. In breast cancer, one typically doesn’t start talking about being cancer free until it has been at least five years since treatment with no signs of recurrence. We chose patients who were treated at Pardee in 2009, 2010, and 2011 for Stage I invasive breast cancer. These early stage cancers are small in size (less than three quarters of an inch) and have not spread outside of the breast to the lymph nodes. Stage I cancers are the ones we typically find on screening mammograms before they are large enough to be felt. As with any cancer, the earlier you find it, the smaller and less advanced it usually is, which makes it much easier to cure. The standard of care treatment for Stage I breast cancer is either breast conserving therapy with a lumpectomy (removing only the mass and a few lymph nodes) followed by breast radiation, or a total mastectomy. Most women will also receive some form of hormonal therapy, and some will get chemotherapy if their cancer has high risk features. Some women fall into such a low risk category based on their age and tumor features that they may safely forego radiation treatments after a lumpectomy. For those women who elect mastectomy for a Stage I cancer, post-operative radiation is only offered for a finding indicating that some cancer is left in the body. Presented are two charts with figures related to the number of patients (mostly women, but a few men as well) that were diagnosed at Pardee, and the treatments they received. Not all of the women we diagnosed elected to undergo any form of treatment, but of those who did, 23 percent chose mastectomy surgery and 77 percent chose lumpectomy. Of those who chose lumpectomy, 58 percent completed post-operative radiation treatments. The charts break down the treatment types by year, and also show some features of our patients by age and year of diagnosis.

Based on most published data, the usual recurrence rate at five years for Stage I breast cancer after standard-of-care treatment is in the range of 10 percent. A quick glance at our final table, reporting the number of recurrences in patients treated five, six and seven years ago at Pardee, will show you that none of these patients have had a recurrence of their cancer. While none of us can claim that we have total control over cancer, and the outcome is ultimately out of our hands, our results are something that make us proud. ◆

Stage I Breast Cancer Patients 70% 60% 50% 40% 30% 20% 10% 0% Lumpectomy with XRT

Lumpectomy without XRT

2009

2010

Mastectomy

No treatment

2011

Age at Diagnosis â&#x20AC;&#x201C; Stage I Breast Patients That Received RT 18 16 14 12 10 8 6 4 2 0 30-39

40-49

50-59 2009

60-69 2010

70-79

80-89

90+

2011

PARDEE CANCER ANNUAL REPORT 2017

Cancer Incidence BY SITE 2016

MALE

FEMALE TOTAL

Blood / Bone Marrow

FEMALE TOTAL

Lymphatic System

Leukemia

Hodgkin’s Disease

Multiple Myeloma

Non-Hodgkin’s

Other

Prostate

Testis

Hypopharynx

Lip

Oropharynx

Other

Tongue

Larynx

Lung / Bronc-Small Cell

Lung / BroncNon Small Cell

Nasal / Sinus

Other

Other Bronchus & Lung

Melanoma

Other

Bone 0

Brain & Central Nervous System Brain (Benign)

Brain (Malignant)

Other

Breast 1

121

122

Male Genital

Oral Cavity

Other / Ill-Defined

Connective / Soft Tissue 2

Respiratory System

Digestive System Anus/Anal Canal

Colon

Esophagus

Liver

Other

Pancreas

Rectum

Stomach

Female Genital

MALE

Cervix Uteri

Corpus Uteri

Other

Ovary

Vulva

Skin

Urinary System Bladder

Kidney / Renal

Other

251

339

590

TOTALS

Cancer Cases

IN 2016

A cancer registry provides information for a variety of cancer control efforts done through education, partnerships and research, and is required by state law to be reported to the North Carolina Central Cancer Registry. Pardee takes great pride in ensuring that detailed records we have kept on our cancer patients since 1993 are as accurate and thorough as possible.

Under 20

RACE

7 18

20-29 30-39

AGE

40-49

50-59

60-69

148 171

70-79 80-89

111

90+

15 0

120

160

RUTHERFORD - 21 HENDERSON - 464

COUNTY

POLK - 44

WHITE

570 BLACK 15 OTHER 5

BUNCOMBE - 28 TRANSYLVANIA - 15 OUT OF STATE - 12 OTHER NC - 4

Insurance, NOS Managed Care

130

PAYOR

Medicaid

Medicare

117

Medicare with Medicaid Medicare with Supplement

251

252

Other

Uninsured

MALE

339 FEMALE

18 0

100

150

200

250

GENDER PARDEE CANCER ANNUAL REPORT 2017

Cancer Services Cancer Center . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (828) 696-1341 Cancer Navigators Breast Cancer . . . . . . . . . . . . . . . . . . . . . . . . . (828) 698-7334 General Cancer . . . . . . . . . . . . . . . . . . . . . . . . (828) 698-7317 â&#x20AC;&#x2030;Lung Cancer . . . . . . . . . . . . . . . . . . . . . . . . (828) 698-7364 Cancer Research . . . . . . . . . . . . . . . . . . . . . . . . . . . . (828) 696-4716 Mammography Services . . . . . . . . . . . . . . . . . . . . . (828) 696-1305 Medical Oncology . . . . . . . . . . . . . . . . . . . . . . . . (828) 692-8045 Radiation Oncology . . . . . . . . . . . . . . . . . . . . . . . (828) 696-1330 Surgical Oncology . . . . . . . . . . . . . . . . . . . . . . . (828) 693-7230

Pardee UNC Health Care 800 North Justice Street Hendersonville, NC 28791

9020-275 (12/01/2017)

Pardee Cancer Center 805 6th Avenue West Hendersonville, NC 28739

pardeehospital.org