Baptist Cancer Program - Baptist Memorial Health Care

Cancer Program Annual Report
Committed to Excellence
Baptist
Memorial
Hospital
for
Women
Baptist
Memorial
Hospital
Memphis
Baptist
Memorial
Hospital
Collierville

Table of Contents
Baptist Memorial Healthcare Corporation 2
Baptist Memorial Healthcare Foundation 3
Baptist Memorial Hospital—Memphis 4
Baptist Memorial Hospital for Women 5
Baptist Memorial Hospital—Collierville 6
Baptist Cancer Program Cancer Committee 7
Baptist Cancer Management Conference Program 8
Baptist Oncology Nursing 9
Baptist Women’s Center Comprehensive Breast Center 12
Baptist Cancer Prevention & Early Detection 14
Baptist In the Community 15
Baptist Radiation Oncology 16
Baptist Clinical Research Center 17
Baptist Medical Nutritional Therapy 18
Baptist Rehabilitation Services 19
Baptist Genetic Counseling Services 20
Baptist Trinity Hospice 21
Baptist Tumor Registry 22
2010 Baptist Cancer Statistics 23
Brain Tumors: A Look at Tumor Registry Data 28
Baptist Phone Numbers 35
Page1

Baptist Memorial Healthcare Corporation
Regarded as one of the premier health care systems in the nation, Baptist Memorial Health Care is an awardwinning
network dedicated to providing compassionate, high-quality care for patients. With 14 affiliate
hospital through the Mid-South, Baptist combines convenience with excellence of care—two reasons we have
been named among the top health care systems in the country for several years.
With the intention of caring for people close to their homes, the Baptist system also offers more than 3,100
affiliated physicians; home, hospice and psychiatric care; minor medical clinics; a network of surgery,
rehabilitation and other outpatient centers; and an education system highlighted by the Baptist College of
Health Sciences.
Since our modest beginning in 1912 with a 150-bed hospital, Baptist has grown to meet the expanding needs
of the communities we serve, at one point becoming the largest privately owned hospital in the nation. But
what has remained is the same caring atmosphere that inspired our founders. From our kitchen staff and
office personnel to our experienced medical staff and renowned clinical services, that pervasive spirit of
caring inspires every area of operation at Baptist.
Mission
In keeping with the three-fold ministry of Christ - Healing, Preaching and Teaching - BMHCC is committed to
providing quality health care.
Vision
We will be the provider of choice by transforming the delivery of health care through partnering with patients,
families, physicians, care providers, employers and payers; and by offering safe, integrated, patient-focused,
high quality, innovative cost-effective care.
Values
Compassionate Care and Service
Teamwork and Trust
Innovation and Excellence
Respect for the Individual and the Value of Diversity
Page2

Baptist Memorial Healthcare Foundation
Enhancing the Quality of Cancer Care in the Mid-South
Established in 1983, the Baptist Memorial Health Care Foundation is the fundraising arm of Baptist Memorial
Health Care--a not-for-profit organization. Funds raised by the Foundation help to accomplish Baptist's
charitable care objectives and provide resources for enhancing patient care, education, and groundbreaking
clinical research. Generous gifts made by individuals, families, corporations, foundations, and other
organizations to the Baptist Memorial Health Care Foundation play a vital role in fulfilling the mission of the
Baptist Memorial Health Care system.
In late 2010, Jenny Nevels was promoted to Executive Director of the Foundation. In this role, Ms. Nevels is
responsible for all fundraising and operational activities. Ms. Nevels also serves as a member of the Baptist
Cancer Committee.
The Foundation:
• Funds innovative research programs, equipment, health and wellness program and
scholarships
• Uses 100% of gifts donated for the intended purpose
• Provides medication, equipment, meals or transportation for Baptist patients through the
Charity Care Fund
• Helps employees who experience a crisis or tragedy through the Emergency Assistance Fund
In fiscal year 2010, Baptist provided $204 million in community benefit, which includes charity care, patient
accounts that weren’t paid, free community health fairs and educational events, community contributions and
other activities.
The Foundation currently funds five (5) oncology-related accounts that benefit the Baptist Centers for Cancer
Care. In 2010, a total of $37,384 was raised to support our cancer programs. Contributions were from the
Baptist Memorial Healthcare Corporation, grateful patients and families, external vendors, and corporations.
Funds raised help support housing needs for our stem cell transplant patients at Baptist Memphis; palliative
care programs; and funds also help meet the needs of cancer patients who do not have adequate insurance
coverage.
Grants funded by the Foundation also help programs such as:
• Baptist Trinity Center for Good Grief
• Camp Good Grief
• Teen Camp Good Grief
• Camp Good Grief for Adults
Page3

Baptist Memorial Hospital—Memphis
State of the Art Cancer Care
The flagship hospital of the Baptist Memorial Health Care system, Baptist Memphis opened in 1979
providing leading edge care. With almost 27,000 discharges, 55,000 emergency department visits and
14,000 surgeries in 2010, Baptist Memphis is one of Tennessee’s highest volume hospitals. Baptist
Memphis serves cancer patients from areas of Tennessee, Mississippi, and Arkansas and beyond.
Committed to cancer care, Baptist Memphis provides a Medical Oncology Unit, a Surgical Oncology
Unit, and the only Myelosuppression Unit in the city. Together, these three units provided 21,991
inpatient days during 2010.
The Plaza Diagnostic Pavilion provides a full-range of laboratory and radiology imaging for cancer
diagnosis and surveillance. Also located in the Pavilion is the Stem Cell Transplant Unit which handled
14 autologous transplants last year.
Just across from the Pavilion, the Baptist Cancer Center for Radiation Therapy provides a full range of
radiation therapy services to over 700 patients this past year. At any entry point, all our cancer patients
benefit from our wide array of supportive services which include:
• Case Management
• Social Services
• Pastoral Care
• Palliative Care
• Rehabilitation
• Navigation
• Nutrition Services
• Hospice
Page4

Baptist Memorial Hospital for Women
Just for Women
Adjacent to the Baptist Memphis campus, Baptist Memorial Hospital for Women is the only
freestanding women’s hospital in Memphis and one of only a handful of such hospitals in the
country. Opened in 2001, Baptist Women’s is a 140-bed facility offering labor and delivery,
gynecological surgery, a newborn intensive care unit (NICU) and the Comprehensive Breast Center.
Baptist Womens is a regional referral center for high-risk pregnancies, mammography diagnostics
and urogynecology.
Baptist Women’s Hospital was one of only three hospitals in the nation the American Hospital
Association recognized for its quality efforts. The Quest for Quality Prize TM honors organizations that
are committed to enhancing quality of care, patient-centeredness, effectiveness, efficiency,
timeliness and equity as the basis of a comprehensive, quality-oriented health care system and have
made progress toward making this vision a reality that other hospitals can emulate.
Not wanting any woman to experience breast cancer alone, Baptist Women’s developed the
Comprehensive Breast Center in 2003. First of its kind in Memphis, the Comprehensive Breast
Center gives women access to local breast cancer experts, services and resources all under “one
roof”. This allows the breast health specialists to coordinate a patient’s care from one central
location, making it easier for patients to navigate the breast cancer process. Most patients are
introduced to the Comprehensive Breast Center at the time of their diagnosis through the Baptist
Women’s Health Center or at the recommendation of their physician, who is a member of the
Comprehensive Breast Center network.
Page5

Baptist Memorial Hospital—Collierville
With the Comforts of Home
Baptist Collierville, which opened in 1999, is a full service hospital with premier facilities including
large patient rooms with the amenities of home. Situated on 75 acres of park-like campus, the
hospital campus has large trees, a walking trail and pond. Adjacent to the airy dining room is the
central lobby and beautiful fountain. An indoor courtyard is open on the second floor for patients
and guests. Continuing education classes and health seminars are offered to the public in the
large classrooms.
Baptist Collierville maintains a full-service emergency room, inpatient and outpatient diagnostics,
five surgery suites, 58 acute care beds, seven critical beds and a six-bed critical care step-down
unit.
The Baptist Collierville Women’s Center offers women advanced technology in the detection of
breast cancer close to home. Certified by the Food and Drug Administration and accredited by the
American College of Radiology, the center offers screening and diagnostic mammograms, breast
ultrasounds, cyst aspirations, biopsies, wire localizations and bone densitometry testing.
Experienced board-certified female radiologists and certified mammography technologists
concerned with patient comfort and early detection staff the center.
Baptist Cancer Program
Page6

Cancer Committee
Providing Leadership
Justin Monroe, MD
Chair
Colorectal Surgeon
Key to an effective cancer program is an effective Cancer Committee. The Cancer Committee is responsible for
setting annual goals for the program, as well as planning, initiating, implementing, evaluating, and improving all
cancer-related activities for Baptist Memphis, Baptist Womens and Baptist Collierville campuses.
The Baptist Cancer Committee is composed of a multidisciplinary team of cancer experts in medical oncology,
radiation oncology, surgery, pathology and radiology as well as allied health professionals in oncology nursing, social
work, case management, pastoral care, palliative care, tumor registry, stem cell transplant, and hospice.
Entrusted with the responsibility of guiding the Cancer Program to excellence, the Committee began the year with
establishing the goals and objectives for the year; appointing coordinators for Cancer Conferences (Matthew Ninan,
MD), Community Outreach (Eric Fowler), Quality Improvement (Lori Lee, RN), and Quality of Tumor Registry Data
(Thomas Callihan, MD); and defining frequency and format and attendance targets for our Cancer Conference Program.
Throughout the year, the Committee monitored all areas of the required Cancer Program Standards from the American
College of Surgeons Commission on Cancer; particularly, areas most directly related to quality cancer patient care. We
are especially proud of the work performed by the Stem Cell team in the reduction in severity of oral mucositis; the
Genetics team‘s reduction of the time to initial contact and decreased time of completion of the genetic test result letter;
and, the Myelosupression Unit‘s exercise study on the effect of planned exercise on length of stay in acute leukemia
with induction chemotherapy and autologous stem cell transplant patients.
Our community outreach activities have been stellar. During 2010, Baptist provided cancer screenings for skin,
prostate, and breast cancers throughout the greater Memphis area and northern Mississippi. In collaboration with the
Tennessee Cancer Coalition, we were able to provide increased education regarding cancer and cancer screenings.
The Mobile Mammography Unit enables us to reach populations that may otherwise not have access to screening and
prevention programs. The Baptist Foundation provided monies for screening through treatment and, last but not least,
Baptist partnered with the American Cancer Society to provide a number of programs and resources such as the Man to
Man Support Group and the Look Good Feel Better Program.
The Baptist Cancer Committee is proud of its 2010 achievements and looks forward to future years of continued
success.
Page7

Baptist Cancer Management
Conference Program
Physician Lead
With the physician commitment to quality cancer patient care, it’s not surprising that the Cancer
Conference Program at Baptist is as vigorous as it is. All conferences are physician-driven (physician
moderator) and multidisciplinary and contribute to cancer staging and treatment management. At a
minimum, all conferences are required to include a surgeon, medical oncologist, radiation oncologist,
pathologist and radiologist.
At the first Cancer Committee meeting of the year, the Committee approves the cancer conference program
policy and procedures, and sets the cancer conference frequency and format. Determining the frequency
and format of the conferences set s the annual objectives for the program of providing prospective review
of cancer cases and encourages multidisciplinary involvement in the care process. The conferences are
an integral component for providing improved cancer care to patients by contributing to the patient
management process and outcomes while providing education to physicians and other allied health staff in
attendance.
The Baptist Cancer Program wishes to thank our physician conference moderators for another successful
cancer conference program year.
Conference Moderator Frequency Format Total
Cases
GI Bradley Somer, MD Monthly Facility-wide 32
GYN Todd Tillmanns, MD 2x Monthly Facility-wide 38
Breast Lee Schwartzberg, MD Weekly Facility-wide 108
Thoracic Mathew Ninan, MD Monthly Facility-wide 8
Head & Neck Sandeep Samant, MD 2x Monthly Facility-wide 60
Total 246
Page8

Baptist Oncology Nursing
Compassionate Care
At Baptist, our oncology nurses are compassionate caregivers who understand that cancer is much more than
a physical disease. Our oncology nurses understand how cancer can affect every aspect of a patient’s life and
are there to assist our patients and their families navigate through the dark valleys of all that is cancer.
Oncology nurses care for patients and families dealing with cancer. At Baptist, our oncology nurses can be
found in our inpatient oncology units (Medical Oncology, Surgical Oncology and Myelosupression), Stem Cell
Transplant , Radiation Therapy Department, the Breast Comprehensive Center, and Hospice; the scope is wide
ranging from cancer prevention to end-of-life care. While some of our nurses care for patients at the bedside
and administer chemotherapy, others work in the community encouraging early detection.
The Medical Oncology Unit
The Medical Oncology Unit on 5 south is the largest of the 3 units with 34 beds. The patient population includes
a wide variety of diagnoses but primary focus is on solid tumor diagnoses. Both newly diagnosed patients
receiving their first treatments to patients coping with symptom management at the end of life receive the
specialized therapy available on this unit. All cancer treatment modalities are available – chemotherapy,
brachytherapy, immunotherapy, and occasionally surgery. The staff receives specialized training in the newest
therapies and provides very specific care during all phases of patient treatment regardless of the treatment
modality.
The Myelosuppression Unit
The Myelosuppression Unit (MSU) provides for the needs of hematologic cancer patients (leukemia, lymphoma,
multiple myeloma), autologous and allogeneic stem cell transplant patients, and other profoundly neutropenic
patients. The MSU is a 19-bed unit on 5 East that provides a higher level of infection control both by policy and
design. Hand washing requirements, visitation restrictions, low bacteria diets and self-care protocols for
mouth and perineal care are all infection control policies strictly enforced on the MSU. Electronically controlled
sinks, positive air pressure, and hepa-filtered air supply for the entire unit are examples of infection control by
design. DOP testing of the air filtration system is completed quarterly. All these infection control measures
effectively control the infection rates despite caring for a patient population with profoundly suppressed
immune systems. In addition to neutropenic patients, the MSU administers high risk cancer therapies such as
high-dose IL-2, carboplatin desensitization, and arterial chemotherapy drips and monitors those patients for
complications. The patients on the MSU can receive a wide range of treatments and assessments including ICU
monitoring and care. Four of the nineteen beds are ICU- equipped. One room has a negative pressure
anteroom while still providing positive pressure environment for the immunocompromised patient that also
requires airborne isolation. This room has the capability of transitioning to an ICU bed if needed for the patient
in airborne isolation.
Page9

Baptist Oncology Nursing-con’t
Each nurse is trained in both oncology and ICU care and is also required to maintain Advanced Cardiac Life
Support training. In February, 2010 the MSU completed a unit-based research project, “The Effect of Planned
Exercise on Length of Stay in Two Patient Populations: Acute Leukemia with Induction Chemotherapy and
Autologous Stem Cell Transplant after High Dose Chemotherapy.” Funding for the research was provided by the
BMHCC Foundation. Results from this study indicate that the patient’s length of stay can be shortened by
proactively including the patient in planned exercise during their inpatient stay. The MSU nurses administer
chemotherapy to patients in ICU, Restorative Care Hospital, Skilled Nursing Unit, and other areas of the hospital.
The effectiveness of the care provided is evident in the continued high patient satisfaction scores. Throughout
the year, the MSU was rated very highly by patients.
The Surgical Oncology Unit
The surgical oncology unit is an 18-bed unit also on 5 east that provides specialized care to cancer patients
whose cancer treatment involves surgery. A treatment room is available for pelvic examinations and/or
procedures that are difficult to complete in the patient room. Most patients that have robotic procedures for
cancer treatment are admitted to the surgical oncology unit and rarely overflow to any other unit in the hospital.
Robotic procedures offered to the patients include but are not limited to prostatectomy, hysterectomy,
colectomy, appendectomy, and laparoscopic second-look procedures with or without biopsy. This level of
specialization is not available on a general surgery floor. Besides being specially trained to administer
chemotherapy treatments, the staff of the Surgical Oncology Unit is skilled at providing for the physical and
psychological needs of the cancer patient and the family. The nurses on this unit work very closely with the
surgeons for consistent care planning, patient activity levels, patient education pre- and post-op, and self-care
education at the time of discharge. The patients benefit from cooperative effort among physician, nurse, social
worker, case manager, dietician, wound care specialist and others.
The Stem Cell Transplant Unit
The Stem Cell Transplant Program is dedicated to patients who primarily are diagnosed with blood
malignancies. The staff provides care using a team approach. Multidisciplinary transplant meetings are held
each Friday where all patient cases are reviewed and discussed in detail. The program is composed of several
areas that provide continuity of care throughout the transplant process. These areas include the Transplant
Coordinator offices, the Outpatient Blood & Marrow Transplant/Malignant Hematology Clinic, the Apheresis Unit
and the Myelosuppression Unit. The Transplant Coordinators initially meet with patients to review
insurance/benefits, start the patient education process regarding stem cell transplant and coordinate care
through transplantation. The Outpatient Clinic provides care such as growth factor administration, high-dose
chemo, transplant, blood product transfusions, electrolyte replacement, IV antibiotic administration and patient
exams. The Apheresis Unit provides stem cell collection services. The Myelosuppression Unit provides care for
those patients requiring an inpatient transplant or those needing more intensive, supportive care especially
during the neutropenic period.
Page10

Baptist Oncology Nursing-con’t
Specialized nursing and good communication skills are vital to successfully flow patients through the
various phases of transplant. Our nurses also provide emotional support to patients and caregivers in
addition to meeting their physical needs. Nurses play a crucial role in treating the transplant patient as a
whole. This contributes to patient satisfaction and successful outcomes.
Radiation Oncology Nursing
Baptist Centers for Cancer Care, Radiation Oncology, employs three (3) full time Registered Nurses. All of
these nurses are instrumental in assisting patients in understanding their diagnosis and what resources are
available to them in the community. Participation on the Cancer Committee, attendance at Tumor
Conferences, and collaboration with the oncologists on the patient’s plan of care are all part of the
department’s strategies in providing a patient-centered care environment.
The Breast Comprehensive Center
The Comprehensive Breast Center employs three full time nurses, all specialty certified, who help our
patients navigate through the full continuum of care. Prevention is one area of focus for our nurses. They
participate in numerous health fairs throughout the community teaching patients screening
recommendations for breast cancer and the proper way to perform breast self exam. At the Breast Risk
Management Center, one of the nurses works closely with referring physicians, radiologists, and genetic
counselors to identify patients early who are at an increased risk of developing breast cancer, thus giving
these patients options for increased screening. A second area of focus for our nurses is diagnosis and
treatment. As soon as a patient is told that she needs a biopsy, one of our nurses will meet with that
patient to explain the biopsy process and will follow that patient throughout her treatment should the
biopsy be malignant. Our nurses will assist the newly diagnosed patient with scheduling surgical consults,
medical oncology visits, and radiation therapy consults. The final area of focus is support and
survivorship. Our nurses work with our patients in our monthly support group, Women Helping Other
Women, and also partner with the American Cancer Society for “Look Good, Feel Better” sessions
throughout the year. Patients in the Comprehensive Breast Center benefit from learning and understanding
the screening recommendations for breast cancer, and also benefit from the familiar face of one of our
nurses available to them throughout their journey after a breast cancer diagnosis.
The specialized facilities, high-tech care in a high-touch environment, and interdisciplinary cooperation
help to maintain the Baptist commitment to excellence. Regardless of where the patient is in the continuum
of the cancer experience, from diagnosis to cure or end of life, specialized care continues to be provided at
Baptist.
Page11

Baptist Women’s Health Center
Comprehensive Breast Center
The Baptist Women’s Health Center, opened in 1986, was the first center in the Memphis area dedicated to
women’s imaging. Our new location was opened in August of 2009 and may change your mind about what a
women’s center should be. This full-service mammography and osteoporosis testing facility was designed
with the patient’s comfort in mind, from cozy robes and hot tea to our relaxing water feature in the gallery
diagnostic waiting area. Patients are even offered the enjoyment of a 10-minute massage chair while their
diagnostic results are being interpreted. All in a center nationally recognized for quality and clinical
excellence.
The center continues to lead the way in the Memphis and Mid-South area in innovative, cutting edge breast
care and we are very proud of the services we provide:
Among the first seven facilities in the nation to have a full-field digital mammography machine
First and only retail based satellite which now offers full field digital screening
Region’s first Breast Risk Management Center, including genetic counseling for
patients who may be at high risk for developing breast cancer
Only MRI-guided breast biopsies
Only mobile mammography unit in Shelby County (including digital mammography since
2008) for over 20 years
Second Look®, computer-aided detection system
Radiologists with more than 100 years combined experience dedicated to mammography
and breast imaging- Women’s Diagnostic Group – Medical Director Evelyn Gayden, MD
Same-day results and consultation with female breast radiologists for diagnostic exams
Breast health specialists — nurses who guide patients through the diagnostic process
The Comprehensive Breast Center Executive Committee
Our Comprehensive Breast Center Executive Committee is a multidisciplinary team of physicians, clinicians,
and key administrative staff that serve to provide the Women’s Health Center and Comprehensive Breast
Center with program oversight and leadership. The members of the Executive Committee establish goals for
the Breast Service Line and are paramount in the assessment, planning, implementation and evaluation of our
program. One of the Executive Committee’s most effective accomplishments has been the addition of our
weekly Multidisciplinary Breast Conference, in which active breast cancer cases are reviewed by the
multidisciplinary team to establish the care plan that is best for our patients. Second, third and fourth
opinions are provided at no cost to our patient yielding the best in clinical decision making.
Page12

Baptist Women’s Health Center
Comprehensive Breast Center—con’t
2010 Team Accomplishments
Patient Satisfaction
Monthly Mean Scores increased from scores consistently in the 89.0 range in 2009 to
scores that have maintained monthly over 90.0 – and up to 90.9 at best.
Maintained our 12 month mean which looks over the last year at 90.3 for Dec
2010 which is up from 88.6 in Oct of 2008
Received the Press Ganey Award in December of 2010 from the Service First Council –
“Most Improved Department for Women’s Hospital in 2010”
Improvements with Physician Staffing for Women’s Diagnostic Group
Addition of New Partner – Breast Radiologist, Dr Bettina Gaycken
Addition of new Part time- Breast Radiologist, Dr. Marsha Orcutt
Addition of New part time Locums –Breast Radiologist, Dr. Judith Kelsey
Equipment/ Technology enhancements
New2000 DS Digital Machine for Center
Digital Machine added to Macys Retail Satellite location
4 th Logic E-9 Ultrasound
Successful Go Live for Cerner Millennium our Radiology Information System.
Successful Go Live for Powerscribe- Voice Recognition dictation software for Radiologists
Successful Go live of electronic documentation for invasive procedures – Horizon
Electronic Documentation
Process Improvements
Webley Patient Reminder Call System – Instituted to decrease no shows
Electronic Fax Queue instituted – to improve system for obtaining orders
Electronic Outpatient Orders through Baptist MD online
Scripting “Thanks for choosing Baptist” and “How was your visit?” instituted at
discharge desk
Capability to integrate MD schedules on line
Extensive work with lean design consultants on multiple processes in Center including
processes with both screening and diagnostic patients with significant impact on patient
wait time and satisfaction
Significant decrease in turnaround time for reports
Page13

Baptist Cancer Prevention & Early Detection
The mobile mammography unit at Baptist Women’s Health Center continues to serve patients in and around
the Memphis area. Patients screened on the mobile unit benefit from the convenience of health care offered
“right at their backdoor.” The mobile unit visits local business, community centers, and churches in
Tennessee and Mississippi within a 50 mile radius of our hospital campus. Those patients in underserved
communities also benefit from grant funded screening mammograms as well as diagnostic follow-up
services.
• Grant funds available for underserved patients:
$246,420 awarded by Susan G. Komen for the Cure on 5/25/10
$10,000 awarded by Breast Cancer Relief Foundation on 8/31/10
$36,000 awarded by The Breast Cancer Eradication Initiative on 10/20/10
• 2010 Totals: 2,312 patients screened
Number Screened
In 2010
Number
Receiving
Grant
Funding
1st
Mammogram
>2 Yrs No
Mammogram
2,312
(43 different zip codes)
414 280 393
100% 18% 12% 17%
Page14

In the Community
Pink Tie Event
Honoring Cancer Survivors
Baptist hosted its Pink Tie Event fashion show to
honor breast cancer survivors, who modeled the
latest fashions at the Avenue Carriage Crossing
Shopping Center. Baptist Women’s Hospital
brought its mobile mammography unit for
mammogram screenings and appointments. The
hospital also provided educational modules and
materials.
Komen Race for the Cure
Baptist colleagues participate in the annual
Komen Race for the Cure.
Page15

Baptist Radiation Oncology
Recognized Leader
Baptist – Memphis Radiation Oncology Cancer Center is a recognized leader in providing quality
patient- centered care to patients diagnosed with cancer. Radiation Oncology services are provided in
an atmosphere of respect and compassion. The Baptist Center for Cancer Care is a comprehensive
cancer program where patients from the mid-south can be reassured by the competence and excellence
of the program. Patients receive a complete continuum of care by trained professionals, from
diagnosis and consultation through treatment and follow-up. Treatment options include conventional
radiation therapy, intensity-modulated radiation therapy (IMRT), image-guided radiation therapy (IGRT),
linear accelerator-based stereotactic radiosurgery, prostate seed implant, and high dose rate (HDR)
brachytherapy.
Multidisciplinary tumor conferences are an inherent part of the collaborative efforts among the various
specialty physicians in determining the best plan of treatment for cancer patients. Conferences are
held weekly and include discussions on cancer sites such as breast, thoracic, head and neck, and GYN.
During 2010, Baptist Radiation Therapy installed a new Philips Brilliance Big Bore 16-slice CT Simulator
to assist with treatment planning. This CT Simulator has a wide aperture of 85cm thus allowing patients
to be simulated with immobilization devices in the treatment position. The addition of this new CT
Simulator has not only reduced total scanning time but also assisted with patient throughput.
For 2010, 711 patients were seen averaging 59 patients per month.
Future plans for Radiation Oncology include equipment replacement, expansion of services, and
investigation of new technologies to better serve our community and surrounding areas.
Page16

Baptist Clinical Research Center
Clinical Trials Available Close to Home
The Baptist Clinical Research Center (BCRC) was started in 1989 to coordinate the participation of
Baptist patients in research activities. Because of the important role that oncology research trials
and protocols have played in the ongoing treatment of cancer, the BCRC has had a substantial
portion of its time and resources dedicated to oncology research.
In 2010 this trend continued with over 40 oncology-related ongoing clinical trials. This
represented over 2000 man hours devoted to the support of our patients, physicians and
community members involved with oncology and its treatment. The BCRC staff includes a
Director, Clinical Research Coordinators, a Research Assistant and a Regulatory Research
Coordinator.
The research involves trials from the National Institutes of Health and the National Cancer
Institute. The payment for these studies is typically minimal and does not cover the expenses of
running the studies, but the general benefit to our community is invaluable.
Significant oncology studies in 2010 include:
GOG (Gynecology Oncology Group): currently following over 50 patients in 13
studies.
ACOSOG (American College of Surgeons Oncology): 2 studies in conjunction
with the Comprehensive Breast Center and Dr. Michael Berry. Both are closed
now, but continue to follow 2 patients on those studies.
Over 170 study participants continue to be followed in over 40 oncology trials.
Continued surveillance of patients in the following groups:
CALGB (Cancer and Leukemia Group B)
NSABP (National Surgical Adjuvant Breast and Bowel Project )
RTOG (Radiation Therapy Oncology Group)
GOG (Gynecological Oncology Group )
SWOG (Southwest Oncology Group)
Page17

Baptist Medical Nutritional Therapy
Meeting your Nutritional Needs
For patients with cancer, good nutrition is especially important because the cancer and its treatment can
affect the patient’s appetite. During the disease process and/or during treatment, the body’s ability to tolerate
certain foods and use nutrients can be challenged.
At Baptist, the nutrition of all our patients is important in reducing cancer risk and sustaining good nutrition
once cancer is diagnosed. Our Registered Dieticians maintain the following practices:
Obtain food preferences, offer a nutritional supplement and/or snacks, and ensure
patient has hospital menu
Complete thorough assessment upon admission and monitor for changes in
nutrition status during stay and weight changes at readmission
Utilize a Screening, Assessment and Re-assessment policy in Food and Nutrition
Screen and assess patients due to the following:
all myelosuppression and high risk patients within 72 hours of admission
patients with admission diagnosis of nausea, vomiting, dehydration, or
mucositis
small bowel obstruction, and head & neck cancers
newly diagnosed patients receiving high-dose treatment to provide
education as needed and monitor for side effects
perform follow-up assessments more frequently due to high acuity
Provide nutrition education as needed about the management of nutrition related
side effects of cancer and cancer treatment
Morrison handout: Nutrition and Cancer Treatment
Low bacteria diet
National Cancer Institute (NCI): Eating Hints: Before, During and After
Cancer Treatment
National Cancer Institute (NCI): Chemotherapy and You
American Dietetic Association: Management of Nutrition Impact Symptoms
in Cancer and Educational Handouts
Encourage the importance of good oral hygiene
Monitor and recommend interventions for side effects related to various medications
Our Dieticians/Nutritionists are integral members of the cancer team and are involved daily in the following:
Daily multidisciplinary rounds with the University of Tennessee Group
Nursing rounds every Monday, Wednesday and Friday
Cancer Conference attendance for the following:
Weekly Blood & Marrow Transplant Patient Clinical Meetings
Monthly GI Cancer Management Conference
Bi-monthly Head & Neck Cancer Management Conferences
Weekly Thoracic Cancer Management Conferences
Page18

Baptist Rehabilitation Services
Individualized Treatment Plans
Rehabilitation Services at Baptist include Physical, Occupational, and Speech Therapy.
Therapy is offered in the Acute Care, Skilled Nursing Facility, and Outpatient Rehab settings. All
Rehab Therapy requires a physician referral. After the referral is received, an initial evaluation is
performed to determine the patient’s treatment needs. An individualized treatment plan is
established which incorporates short and long term goals that are agreed upon by the patient. All
rehab disciplines focus on increasing the patient’s level of independence.
Specialty Physical and/or Occupational therapy treatments and/or programs offered include but
are not limited to: Strengthening, Endurance, Activity of Daily Living programs,
Vestibular/Balance, Lymphedema, and/or Wound Care.
Speech Therapy offers Vital Stim treatments and Modified Barium Swallow Studies in conjunction
with traditional speech, language, cognitive and swallow evaluations and treatments.
There are 2 primary sites for our Outpatient rehabilitation services:
Outpatient Wound Care Services: 6019 Walnut Grove Road, Memphis
Outpatient PT/OT/ST: 50 Humphrey’s Suite 36, Memphis
In our Outpatient setting, a specialized Cancer Fatigue Program is under development to better
improve our outcomes for alleviating the symptoms of fatigue for patients with cancer.
Page19

Baptist Genetic Counseling Services
Consultative Services
Baptist launched the city’s first adult genetic counseling program in 1997. With three genetic
counselors on staff (a director and two additional counselors), the program received about 1,000
new patient referrals in 2010.
The Baptist Genetic Counseling Services Program strives to provide expert clinical consultation
in cancer genetics. Cancer risk consultation can relieve anxiety and provide a sense of control
for many patients. After a complete review of a family’s medical history, our Genetic Counselors
will then discuss with the patient the following:
An estimation of the patients risk for specific cancers based upon age,
family history and other risk factors
A complete analysis of the family tree
The possible role of genetics in your family’s cancer
Emotional issues surrounding cancer and risk
The availability of genetic testing for certain cancers and the risks,
benefits and limitations of genetic testing.
Cancer screening tests and recommendations for how often you should be
screened
2010 Accomplishments
Eric Fowler, MS CGC (Director) published the following article in the
journal Community Oncology “Hereditary Cancer: The challenges are
Pedigree Interpretation, Risk Assessment, and Management—Not Genetic
Testing”
Provided 15 seminars and presentations to medical communities and the
public
3 rd Genetic Counselor joined the team
Participated in the Tennessee Cancer Coalition’s efforts to reduce the
burden of cancer through education, screening and data-driven outcomes
Director named the Memphis Regional Chairman for the Tennessee
Cancer Coalition
Page20

Baptist Trinity Hospice
Serving Patients and Families
Baptist Trinity Hospice provides the most comprehensive continuum of end of life care in the Memphis
Metropolitan community. Services include a home hospice program, an 8-bed inpatient hospice unit
located at Baptist Memphis, Baptist Trinity Hospice House and the Kemmons Wilson Family Center for
Good Grief.
To meet the need in our community, the Baptist Trinity Hospice House opened in December. Being the
first residential hospice in Memphis and the Mid-South, the Hospice House offers a beautiful and tranquil
setting on the campus of Baptist Collierville. The house includes a chapel, family den, internet café and 24
private patient rooms overlooking beautiful gardens. The Center for Good Grief, located next to the
hospice house, employees social workers specifically trained in grief counseling. The grief center
provides bereavement services free to the community for children, teens and adults.
2010 Statistics for Baptist Trinity Hospice
Other services
Home Hospice Program and Inpatient Unit:
641 admissions
19,259 days of care
15 days- average length of stay
Baptist Trinity Center for Good Grief/Camp Good Grief
987 families served
Children’s camp- 40 children attended
Teen camp – 23 teens attended
Adult camp – 17 adults attended
Memorial service for hospice families
Adult Grief Support Groups
Parent Grief Support Group
5 Kaleidoscope workshops (focus on different grief topics)
3 camp programs
Individual grief support to children, teens and adults
Page21

Baptist Tumor Registry
Providing Quality Cancer Reporting Services
The State of Tennessee established the Tennessee Cancer Registry (TCR) in 1983 under the guidance of the
Department of Health in response to State Law (T.C.A 68-1-1001) that made cancer a reportable condition. In
May 2000, the Tennessee Legislature amended this law broadening its scope by expanding the number of
reporting sources, allowing access to medical records in the event data is not reported and providing for
interstate exchange of data.
In 1992, the 102 nd Congress passed a law allowing states to receive federal grants to support populationbased,
statewide cancer registries. The TCR has received federal funding from the Centers of Disease
Control and Prevention (CDC) through the National Program of Cancer Registries (NPCR) since 1997.
The TCR strives to collect comprehensive, timely and accurate information on all Tennessee residents
diagnosed with and/or treated for cancer. To capture all this data, all hospitals, ambulatory surgi-centers,
freestanding cancer centers, radiation therapy centers, chemotherapy treatment centers, nursing homes,
oncology or dermatology clinics, laboratories, or any facility which provides screening, detection,
diagnostic or therapeutic services to cancer patient is required to report to the TCR.
In keeping with State Law, Baptist provides Tumor Registry services for reporting cases for Baptist
Memphis, Baptist Womens and Baptist Collierville campuses. The Baptist Tumor Registry is a repository of
data on the incidence of cancers and tumor characteristics, treatment and treatment outcomes of patients
diagnosed with cancer.
As part of its accreditation requirement, the Baptist Cancer Program also reports its cancer data to the
National Cancer Data Base (NCDB), a joint program of the Commission on Cancer (CoC) of the American
College of Surgeons (ACoS) and the American Cancer Society (ACS). NCDB is a nationwide oncology
outcomes database for more than 1,500 accredited cancer programs in the United States and Puerto Rico.
With new cancer program standards on the horizon for 2012 requiring credentialing of its Tumor Registry
staff, Baptist conducted a vigorous search for a Certified Tumor Registrar (CTR) for its Manager position. In
May 2010 the new CTR Manager commenced work and began an extensive assessment of the department
and its staffing. With all staff now required to become CTRs, an all out effort was launched to begin retraining
and direct efforts toward credentialing of all staff. All staff is expected to be enrolled in a formal
Cancer Information Management Program by January 2011.
Page22

Baptist
(Memphis/Women’s Collierville)
2010 Cancer Statistics
In this first graph we see that
there has been approximately a
16% increase in analytic and
non-analytic cases seen at
Baptist in 2010 since 2009.
This is attributed to more
comprehensive and aggressive
casefinding.
Analytic = First Diagnosed and/or Receiving First Course of Treatment at Baptist
Non-Analytic = First Diagnosed Elsewhere and Receiving First Course of Treatment Elsewhere
Page23

2010 Primary Site Table
SEX
CS STAGE GROUP
PRIMARY SITE
TOTAL
M F 0 I II III IV UNK N/A
ALL SITES 2169 930 1239 18 603 523 299 274 227 225
ORAL CAVITY 28 23 5 0 4 2 7 11 3 1
LIP 1 1 0 0 0 0 1 0 0 0
TONGUE 7 6 1 0 3 0 0 2 2 0
OROPHARYNX 2 1 1 0 0 0 0 1 1 0
HYPOPHARYNX 2 2 0 0 0 0 0 2 0 0
OTHER 16 13 3 0 1 2 6 6 0 1
DIGESTIVE SYSTEM 350 179 171 0 62 92 71 80 35 10
ESOPHAGUS 22 18 4 0 4 4 7 7 1 0
STOMACH 22 14 8 0 6 6 2 5 0 2
COLON 121 59 62 0 22 37 32 26 4 0
RECTUM 68 36 32 0 15 18 20 7 7 1
ANUS/ANAL CANAL 5 1 4 0 0 1 1 0 3 0
LIVER 12 10 2 0 3 1 2 2 4 0
PANCREAS 72 31 41 0 6 22 5 25 14 0
OTHER 28 10 18 0 6 3 2 8 2 7
RESPIRATORY SYSTEM 303 160 143 0 99 27 55 96 24 2
NASAL/SINUS 1 1 0 0 1 0 0 0 0 0
LARYNX 14 12 2 0 3 3 1 6 1 0
LUNG/BRONCHUS 288 147 141 0 95 24 54 90 23 2
OTHER 0 0 0 0 0 0 0 0 0 0
BLOOD & BONE MARROW 74 35 39 0 0 0 0 0 0 74
LEUKEMIA 47 25 22 0 0 0 0 0 0 47
MULTIPLE MYELOMA 18 6 12 0 0 0 0 0 0 18
OTHER 9 4 5 0 0 0 0 0 0 9
BONE 9 8 1 0 1 1 0 0 6 1
CONNECT/SOFT TISSUE 15 7 8 0 3 3 3 3 3 0
SKIN 60 39 21 0 24 8 4 1 18 5
MELANOMA 56 36 20 0 24 7 4 1 17 3
OTHER 4 3 1 0 0 1 0 0 1 2
BREAST 388 3 385 0 150 112 35 15 76 0
FEMALE GENITAL 260 0 260 0 121 21 65 18 14 21
CERVIX UTERI 46 0 46 0 18 7 13 4 3 1
CORPUS UTERI 136 0 136 0 87 7 20 5 3 14
OVARY 50 0 50 0 7 2 28 5 3 5
VULVA 18 0 18 0 5 5 1 3 3 1
OTHER 10 0 10 0 4 0 3 1 2 0
MALE GENITAL 278 278 0 0 0 222 29 10 17 0
PROSTATE 276 276 0 0 0 222 29 10 15 0
TESTIS 2 2 0 0 0 0 0 0 2 0
OTHER 0 0 0 0 0 0 0 0 0 0
URINARY SYSTEM 163 97 66 18 79 19 11 16 19 1
BLADDER 57 41 16 18 15 8 2 5 9 0
KIDNEY/RENAL 99 55 44 0 64 8 8 10 9 0
OTHER 7 1 6 0 0 3 1 1 1 1
BRAIN & CNS 72 27 45 0 0 0 0 0 0 72
BRAIN (BENIGN) 0 0 0 0 0 0 0 0 0 0
BRAIN (MALIGNANT) 33 18 15 0 0 0 0 0 0 33
OTHER 39 9 30 0 0 0 0 0 0 39
ENDOCRINE 81 26 55 0 47 9 8 1 4 12
THYROID 69 19 50 0 47 9 8 1 4 0
OTHER 12 7 5 0 0 0 0 0 0 12
LYMPHATIC SYSTEM 60 38 22 0 12 7 10 23 8 0
HODGKIN'S DISEASE 9 8 1 0 2 2 3 1 1 0
NON-HODGKIN'S 51 30 21 0 10 5 7 22 7 0
UNKNOWN PRIMARY 17 9 8 0 0 0 0 0 0 17
OTHER/ILL-DEFINED 11 1 10 0 1 0 1 0 0 9
EXCLUDES basal and squamous cell skin cancer and in-situ carcinomas except urinary bladder
Page24

2010 Cancer Cases Diagnosed
(Baptist Memphis, Collierville and Women’s Hospital)
National Comparison of the 10 Most Prevalent Cancer Sites
*Estimated Cancer Cases from the American Cancer Society Cancer Facts & Figures 2010
BAPTIST *TENNESSEE *NATIONAL
PRIMARY SITE CASES PERCENT CASES PERCENT CASES PERCENT
Female Breast 385 17.8% 4,700 14.2% 209,060 13.7%
Lung & Bronchus 288 13.3% 5,980 18.1% 222,520 14.5%
Prostate 276 12.7% 4,600 13.9% 217,730 14.2%
Colon and Rectum 189 8.7% 3,130 9.5% 142,570 9.3%
Urinary Bladder 57 2.6% 1,350 4.1% 70,530 4.6%
Non-Hodgkin Lymphoma 51 2.4% 1,360 4.1% 65,540 4.3%
Corpus Uteri 136 6.3% 750 2.3% 43,470 2.8%
Melanoma (Skin) 56 2.6% 1,720 5.2% 68,130 4.5%
Leukemia 47 2.2% 850 2.6% 43,050 2.8%
Cervix 46 2.1% 270 0.8% 12,200 0.8%
All Other 638 29.4% 8,360 25.3% 434,760 28.4%
TOTAL CASES 2,169 100.0% 33,070 100.0% 1,529,560 100.0%
The above table illustrates the higher percentage volume of female breast cancer seen at
Baptist than reported in Tennessee or Nationally. Lung cancer, which has a much higher
incidence rate in Tennessee than reported nationally, is seen at Baptist with an even lower
rate than nationally reported. It’s estimated that the entire State of Tennessee would see
750 cancers of the corpus uteri. Interestingly, 136 or 18% of those will be seen right here at
Baptist. Baptist reports fewer urinary bladder and melanoma, however, most of these are
diagnosed and treated in the physician office.
Page25

Leading Sites of Cancer Cases by Gender
*Estimated Cancer Cases from the American Cancer Society Cancer Facts & Figures 2010
Cancer Site Baptist *National
Prostate 30% 28%
Lung & Bronchus 16% 15%
Colon & Rectum 10% 9%
Urinary Bladder 4% 7%
Melanoma of Skin 4% 5%
Non-Hodgkin Lymphoma 3% 4%
Kidney & Renal Pelvis 6% 4%
Oral Cavity & Pharynx 2% 3%
Leukemia 3% 3%
Pancreas 3% 3%
No significant difference is seen in the Baptist male population
incidence in the leading cancer sites, with the exception of urinary
bladder which seems to be a bit lower at Baptist.
Cancer Site Baptist *National
Breast 31% 28%
Lung & Bronchus 11% 14%
Colon & Rectum 8% 10%
Uterine Corpus 11% 6%
Thyroid 4% 5%
Non-Hodgkin Lymphoma 2% 4%
Melanoma of Skin 2% 4%
Kidney & Renal Pelvis 5% 3%
Ovary 6% 3%
Pancreas 2% 3%
The Baptist female population demonstrates differences with the
national data in the leading cancer sites. As seen above, Baptist
sees a higher percentage of breast, uterine, and ovarian cancers.
Females show a lesser percentage of lung cancer seen at Baptist.
Page26

Baptist Service Area
As expected, the greatest
population seen at Baptist
is from Tennessee (70%)
followed by Mississippi
(21%) and Arkansas (7%).
The remaining 2% came
from surrounding states
such as Missouri, Alabama,
Louisiana and Kentucky;
others came as far as Texas
and Florida.
Not surprising, the
vast majority of
cancer patients
seen at Baptist are
from Shelby
County.
Page27

Brain Tumors: A Look at Tumor Registry Data
Jason Weaver, MD
Neurological Surgery, Spine Oncology & Reconstructive Spine Surgery
Introduction:
The Cancer Committee has an interest in looking at Tumor Registry data collected for specific cancer sites. During
2010, the Committee requested an in depth look at brain tumor data.
Method:
Brain tumors are classified as primary or secondary (metastatic) tumors. This analysis focuses on primary brain
tumors. To-date, the Tumor Registry data collection does not focus or collect detail information on secondary
tumors of the brain. Both benign and malignant tumors are included in this analysis.
Due to the small number of primary brain tumors, data from years 2005 through 2010 were reviewed.
Data comparison was made with data from the National Cancer Data Base (NCDB). Both national and state data was
gleaned from the NCDB for years 2000 through 2009.
Findings:
In the graph below, we see that there has been a fluctuation in the number of primary brain tumor seen at Baptist
between 2005 and 2010. The number of brain tumors seen at Baptist peaked in 2005 then saw a steady decrease
until 2008. In 2009 and 2010 we see a renewed rise in the numbers of cases seen.
Page28

Brain Tumors: A Look at Tumor Registry Data--con’t
The distribution of cases by gender demonstrates a significant difference in the Baptist data when compared to
State and National data. As seen below, the Baptist female population is greater than seen in the State or
Nationally.
Comparison of Gender Group of Primary Brain Tumors (NCDB)
A discrepancy is seen in the age group distribution for those under the age of 20. This finding is anticipated and
not unusual as pediatric brain tumors are generally treated in a pediatric facility. The table does depict an older
patient population seen at Baptist than reported by the State or Nationally.
Comparison of Age Group of Primary Brain Tumors (NCDB)
Age Group
Baptist
2005-2010
State
2000-2009
National
2000-2009
under 20 1.9% 18.7% 10.9%
20-29 5.0% 6.1% 6.1%
30-39 6.8% 7.7% 8.5%
40-49 14.3% 10.9% 12.9%
50-59 21.1% 16.5% 18.2%
60-69 19.9% 18.2% 18.6%
70-79 24.2% 15.1% 16.5%
80-89 6.8% 6.3% 7.6%
90 & over 0% 0.5% 0.7%
Page29

Brain Tumors: A Look at Tumor Registry Data--con’t
As would be expected for the greater Memphis area, Blacks comprise a higher percentage of cases seen
at Baptist than reported by State or National data. With far less Hispanics in the Memphis area than other
areas of the United States such as Florida, New York, Texas and California it is not so surprising to see no
Hispanics reported in the Baptist data with brain tumors during this period.
Comparison of Race/Ethnicity of Primary Brain Tumors (NCDB)
Race/Ethnicity
Baptist
2005-2010
Tennessee
2000-2009
National
2000-2009
White 85.7% 88.6% 82.2%
Black 11.8% 8.1% 6.6%
Hispanic 0% 1.3% 6.8%
Asian Pacific Islander 1.2% 0.5% 2.0%
Native American 0.6% 0.1% 0.2%
UNKNOWN 0.6% 1.4% 2.1%
The vast majority of brain tumors incidence is malignant. In the table below we see a larger proportion of
malignant cases at Baptist than reported in the State or Nationally.
Comparison of Tumor Behavior of Primary Brain Tumors (NCDB)
Tumor Behavior
Baptist
2005-2010
Tennessee
2000-2009
National
2000-2009
Benign 2.48% 4.25% 4.90%
Borderline 3.11% 4.68% 4.28%
Malignant 94.41% 91.08% 90.82%
Page30

Brain Tumors: A Look at Tumor Registry Data--con’t
The histology distribution below is indicative of a much higher proportion of gliobastomas seen and treated
at Baptist than reported by the State or Nationally.
Comparison of Histology of Primary Brain Tumors (NCDB)
Histology
Baptist
2005-2010
Tennessee
2000-2009
National
2000-2009
Neoplasm, NOS 1.86% 4.16% 3.31%
Malignant Glioma 1.86% 6.69% 4.93%
Astrocytoma, NOS 3.73% 6.58% 6.48%
Anaplastic Astrocytoma 6.21% 6.17% 5.94%
Pilocytic Astrocytoma 1.24% 4.82% 3.54%
Glioblastoma, NOS 65.84% 43.84% 48.27%
Oligodendroglioma, NOS 5.59% 4.88% 4.39%
Other Specified Type 13.66% 22.85% 23.14%
The table below shows a much higher percentage of patients receiving surgery alone. Across all areas
where chemotherapy would have been given, we are seeing lower percentages. The question arises
whether the Tumor Registry fully captured all chemotherapy given, including chemotherapy given in the
physician office.
Comparison of Treatment of Primary Brain Tumors (NCDB)
Baptist
2005-2010
Tennessee
2000-2009
National
2000-2009
Surgery Only 51.55% 26.83% 24.93%
Radiation Only 6.21% 7.84% 6.90%
Surgery & Radiation 12.42% 11.73% 12.32%
Surgery & Chemotherapy 1.86% 3.82% 3.16%
Radiation & Chemotherapy 2.48% 8.27% 7.51%
Surgery, Radiation & Chemotherapy 9.94% 21.93% 25.71%
Other 0.62% 3.47% 5.17%
No Treatment 14.91% 16.12% 14.34%
Page31

Brain Tumors: A Look at Tumor Registry Data--con’t
When reviewing surgery distribution, we see that there is quite a large difference between the Baptist data
and that of the State and National. The vast majority of brain tumors seen at Baptist do undergo surgery
indicative of more aggressive intervention, the more adept Semmes Murphy Neurology & Spine Institute in
brain tumor intervention bordering on the Baptist Memphis campus and the resulting referrals for surgical
intervention.
Comparison of Surgery of Primary Brain Tumors (NCDB)
Surgery
Baptist
2005-2010
Tennessee
2000-2009
National
2000-2009
None; no surgery of primary site 5.59% 33.72% 30.94%
Tumor destruction, NOS 8.07% 0.27% 0.22%
Surgery, NOS 86.34% 1.31% 1.23%
Unknown if surgery performed 0% 64.70% 67.60%
With the comparison of Days to First Treatment we see a similarity in the group of 2 days or less with State
data, but a longer interval when compared to national data.
Comparison of Days to First Treatment of Primary Brain Tumors (NCDB)
Days to
First
Treatment
Baptist
2005-2010
Tennessee
2000-2009
National
2000-2009

Brain Tumors: A Look at Tumor Registry Data—con’t
Lastly, we took a look at observed survival. As can be seen in the table depicted below, survival in the first
three years is far lower than reported nationally. However, 5-year survival is quite similar.
Comparison of 5-Year Observed Survival of Primary Brain Tumors (NCDB)
Baptist
2005-2006
National
2003-2004
Observed Survival
ENTER 0 yr 1.0 yr 2.0 yr 3.0 yr 4.0 yr 5.0 yr
65 100% 38.1% 25.4% 25.4% 22.6% 22.6%
21054 100% 52.5% 34.5% 28.3% 25.3% 23.0%
Conclusion:
The number of brain cases seen at Baptist decreased between 2005 and 2008. The reason for this
decrease is unknown. Brain tumors appear to be more prevalent in males than females. Incidence
increases with age, peaking at age 79. The incidence of brain tumors in whites far exceeds that of any
other race or ethnicity group. The vast majority of brain tumors seen are malignant. The vast majority of
brain tumors diagnosed are glioblastomas. Surgery alone is the predominant intervention for primary
brain tumors. The greatest proportion of brain tumors are treated in 2 days or less. Five-year observed
survival is approximately 23%.
Tumor Registry data collection of chemotherapy data, especially in the physician office is questionable.
Tumor Registry data collection of brain and other central nervous system tumors is based solely on
primary tumors and excludes metastatic tumors.
More in depth data collection of both primary and metastatic central nervous system tumor is needed. The
feasibility of a possible central nervous system registry should be explored for more meaningful collection
of data.
Page33

Baptist 2010 Cancer Committee Membership
PHYSICIAN MEMBERS
NON-PHYSICIAN MEMBERS
Stephen Behrman, MD FACS General & Colorectal Surgery Lisa Abbey, RD Clinical Dietician
Johnetta Blakely, MD Hematology/Oncology Nidya Aponte, RHIT CTR Tumor Registry Manager
Thomas Callihan, MD Pathology Jennifer Baker, LMSW CCM Social Worker
Martin Fleming, MD General Surgery Betsy Brooks, RN BSN Oncology Nursing Mngr, Surgery & Meylo
Donald Gravenor, MD Hematology/Oncology Carolyn Carter, RN BSN Oncology Nursing, Radiation Oncology
Jea Lee, MD Radiation Oncology Beverly Cusano, MHA Radiation Oncology Director
Michael Marks, MD Radiation Oncology Lori Draughon, RN BSN Stem Cell Director
Justin Monroe, MD (CHAIR) General & Colorectal Surgery Amy Evans, Pharm D Pharmacist
Matthew Ninan, MD (CLP) Thoracic Surgeon Eric Fowler, MS CGC Genetics Director
Suhail Obaji, MD Hematology/Oncology Leigh Jackson, RN BSN CCRC Clinical Research Director
Arnell Pallera, MD Hematology/Oncology Kathy Ketchum, RN CCM Case Manager
Mark Reed, MD GYN Oncology Mary Martin, RN Oncology Nursing Manager, Medical Oncology
Sylvia Richey, MD Hematology/Oncology Malinda McDaniel American Cancer Society Coordinator
Linda Smiley, MD GYN Oncology Van Knight, RN NHPCC Palliative Care Nurse
Lovell Smith, MD General Surgery Amanda Payne, MHA RT ( R) Women's Breast Center Manager
Bradley Somer, MD Hematology/Oncology Jenny Nevels, BA Baptist Foundation Director-Development
G. David Spencer, MD Pathology Frederic Ransom, MHA MBA JD Assistant Administrator, Baptist Memphis
Kurt Tauer, MD Hematology/Oncology Rodger Robinson, RN BSN Hospice Executive Director
Todd Tillman, MD GYN Oncology Ann Smith, RN-BC BSN OCN Oncology Head Nurse, Myelosuppression
Albert E. Weeks, MD Hematology/Oncology Lindsay Stencel, OTR/L MBA Rehabilitation Director
Jim Wilson, Mdiv
Pam Winter, RN OCN
Patsy Woodard, RN CCM
Chaplain
Breast Navigator
Performance Improvement Specialist
Page34

Baptist Phone Numbers
Baptist Bone & Marrow Transplant Center 901-226-5032
Baptist Cancer Institute Genetics 901-226-4064
Baptist Centers for Cancer Care—Radiation Oncology 901-226-0340
Baptist Clinical Research Center 901-226-3077
Baptist Food & Nutrition Services—Memphis 901-226-5740
Baptist Memorial Health Care Foundation 901-227-6190
Baptist Memorial Hospital—Collierville 901-861-9407
Baptist Memorial Hospital—Memphis 901-226-5000
Baptist Memorial Hospital for Women 901-227-9000
Baptist Memphis Rehabilitation Services 901-226-5180
Baptist Memphis 5 South Medical Oncology Unit 901-226-5200
Baptist Memphis 5 West Surgical Oncology Unit 901-226-5300
Baptist Trinity Home Care & Hospice 901-767-6767
Baptist Women’s Health Center 901-226-0810
Page35