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2012 Annual Report - Sentara.com

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Figure 18.<br />

<strong>Sentara</strong> Cancer Network - 2008-2011 Non Small Cell Lung Cancers by Stage at Diagnosis<br />

Figure 18 illustrates the stage at diagnosis for <strong>Sentara</strong> Cancer Network lung cancers between 2008 and 2011.<br />

Early stage diagnosis is higher within the National Cancer Data Base. The NCDB also has a much higher<br />

unknown stage percentage than <strong>Sentara</strong> Cancer Network.<br />

45%<br />

40%<br />

35%<br />

30%<br />

25%<br />

20%<br />

15%<br />

10%<br />

5%<br />

0%<br />

N/A<br />

23.8%<br />

25.9%<br />

40.2%<br />

<strong>Sentara</strong><br />

Cancer Network<br />

24.2%<br />

8.0% 7.2%<br />

2.0%<br />

N/A<br />

23.7%<br />

35.6%<br />

National Cancer<br />

Data Base<br />

(2000 - 2010)<br />

9.1%<br />

0<br />

I<br />

II<br />

III<br />

IV<br />

UNK<br />

5.0%<br />

4.5%<br />

4.0%<br />

3.5%<br />

3.0%<br />

2.5%<br />

2.0%<br />

1.5%<br />

1.0%<br />

0.5%<br />

0%<br />

4.54%<br />

1.00%<br />

0 %<br />

<strong>Sentara</strong> Cancer Network<br />

(2009 - 2011)<br />

(n = 66, n = 97, n = 128)<br />

1.20%<br />

STS National<br />

Average<br />

(2009 - 2011)<br />

(n = 21, 279)<br />

2009<br />

2010<br />

2011<br />

Figure 19.<br />

Society of Thoracic Surgeons (STS) Lobectomy In-Hospital Mortality<br />

<strong>Sentara</strong> Cancer Network vs STS National Average<br />

Figure 19 illustrates the <strong>Sentara</strong> Cancer Network’s in-hospital lobectomy<br />

mortality from 2009 to 2011. Of the 128 patients entered into the Society<br />

of Thoracic Surgeons (STS) database in 2011, 0 patients expired,<br />

accounting for a 0% mortality rate. The STS national average for the<br />

2009-2011 time period is 1.20%.<br />

Note: <strong>Sentara</strong> Cancer Network includes data from the Thoracic Surgery Center<br />

at <strong>Sentara</strong> Heart Hospital, <strong>Sentara</strong> Leigh Hospital, <strong>Sentara</strong> CarePlex Hospital,<br />

<strong>Sentara</strong> Virginia Beach General Hospital and <strong>Sentara</strong> Obici Hospital<br />

Number of Cases<br />

Figure 20.<br />

Lung Cancer Volumes – <strong>Sentara</strong> Cancer Network - 2008-2011.<br />

Figure 21.<br />

Esophagus Volumes – <strong>Sentara</strong> Cancer Network - 2008-2011.<br />

Figures 20 and 21 illustrate esophagus and lung cancer volumes by <strong>Sentara</strong> Cancer Network hospital. <strong>Sentara</strong> Norfolk General<br />

Hospital represents the highest volume of lung cancer among hospitals in the <strong>Sentara</strong> Cancer Network and <strong>Sentara</strong> Leigh Hospital<br />

represents the highest volume of esophageal cancer.<br />

300 30<br />

28<br />

250 246<br />

25<br />

233<br />

200<br />

200 20<br />

180<br />

150 147<br />

15<br />

15<br />

15<br />

14<br />

14<br />

128 13<br />

121<br />

117<br />

126<br />

13<br />

13<br />

13<br />

114<br />

124<br />

104<br />

110<br />

100<br />

99<br />

10<br />

10<br />

88 80<br />

83 10 9<br />

79 84<br />

78<br />

8<br />

8<br />

65<br />

7<br />

55 6 6<br />

6<br />

6 6<br />

50 40<br />

30<br />

38<br />

5<br />

4<br />

4<br />

23<br />

26<br />

2<br />

1<br />

0 0<br />

2008 2009 2010 2011 2008<br />

2009<br />

2010<br />

2011<br />

Number of Cases<br />

18<br />

22<br />

21<br />

<strong>Sentara</strong> Bayside Hospital/<strong>Sentara</strong> Princess Anne Hospital <strong>Sentara</strong> CarePlex Hospital <strong>Sentara</strong> Leigh Hospital <strong>Sentara</strong> Norfolk General Hospital*<br />

<strong>Sentara</strong> Obici Hospital <strong>Sentara</strong> Virginia Beach General Hospital <strong>Sentara</strong> Williamsburg Regional Medical Center<br />

* Includes the <strong>Sentara</strong> Thoracic Surgery Center at <strong>Sentara</strong> Heart Hospital<br />

www.sentara.<strong>com</strong>/cancer 15

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