Cancer Program Annual Report - Eisenhower Medical Center

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E I S E N H O W E R M E D I C A L C E N T E R guideline for lung cancer screening for the National Comprehensive Cancer Network (NCCN). High-risk patients include heavy smokers or former smokers and are healthy enough to undergo surgery. Since 2003, Eisenhower Lucy Curci Cancer Center has participated in the International Early Lung Cancer Action Program (I-ELCAP), a research study evaluating the effectiveness of lung cancer screening with low dose CT scans. The study is open to people with at least a 10-pack year history (one pack per day for 10 years or equivalent), that are in good health, have a 10-year life expectancy and who have not been previously diagnosed with cancer (except non-melanoma skin cancer). In addition to the research study for smokers and previous smokers, the Cancer Center offers a study for those who have never smoked but have had secondhand smoke exposure in the workplace or at home (with a partner or parents) — the Flight Attendant Medical Research Institute (FAMRI) study. The purpose of the FAMRI study is to determine the likelihood of specific pulmonary diseases, including chronic obstructive pulmonary disease (COPD), emphysema, lung cancer, cardiac disease, and other diseases in never smokers exposed to secondhand smoke. Additionally, FAMRI looks at the relationship of exposure to smoke and other related factors and the likely outcome of these diseases based on a single CT examination of the lungs. Experience counts! Eisenhower Imaging Center has performed lung screening CTs on more than 630 people for I-ELCAP and FAMRI. The American Cancer Society ® states patients should go to a “high-quality lung cancer screening and treatment center” for lung cancer screening. Eisenhower Medical Center is designated nationally as one of those “experienced” centers and has 10 years of experience with lung screening through participation in the I-ELCAP lung screening program. As the Cancer Center expands from researchbased screening to clinical screening for those at high-risk, it will continue to collect data in the lung screening registry. Eisenhower Medical Center is one of the most experienced centers in California that are designated as an experienced site by the Lung Cancer Alliance. The Cancer Center’s years of participation in I-ELCAP and the steadfast, devoted support from physicians have led to the new lung nodule clinic as part of the Eisenhower Pulmonary Specialty Clinic to provide follow-up of lung nodules by clinicians experienced in lung cancer screening. The lung nodule clinic will provide patients with consultative services for any concerning findings on their screening CT. In concordance with the American College of Chest Physicians recommendations, the CT lung screening program at Eisenhower Medical Center is conducted within a multidisciplinary coordinated care setting that offers a comprehensive process for screening, image interpretation, management of findings, and evaluation and treatment of potential cancers. The lung screening program at Eisenhower continues to 11
E I S E N H O W E R M E D I C A L C E N T E R Who Qualifies for CT Lung Cancer Screening at Eisenhower Group 1 NCCN High Risk Covered by WellPoint* Group 2 NCCN High Risk Covered by WellPoint* Group 3 Moderate Risk Group (I-ELCAP Research Program) Group 4 Never Smoker (FAMRI/I-ELCAP Research Program) 55-74 years old Current smoker or Quit within the past 15 years Smoked at least a pack of cigarettes a day for 30 years 55-74 years old Smoked at least a pack of cigarettes a day for 20 years At least one “lung cancer risk factor” (see box below) 50-54 years old or 75+ years old with a 10 year life expectancy Smoked at least a pack of cigarettes a day for 10-19 years 40+ years old Exposed to secondhand smoke in home or at work Never has been a smoker Lung Cancer Risk Factors for Group 2 NCCN High Risk ■ Family history of lung cancer (mother, sibling, father, child) ■ Personal history of chronic lung disease (COPD, emphysema, chronic bronchitis, pulmonary fibrosis) ■ Occupational exposure to lung carcinogens (arsenic, asbestos, beryllium, cadmium, chromium, diesel fumes, nickel, silica) ■ Radon exposure (documented residential, occupational/ mining) ■ Personal history of cancer (excluding known metastatic disease): lung cancer (greater than five years ago), lymphoma, head and neck, esophageal, bladder, cervix, colon, kidney, pancreas, stomach, other smoking-related cancer Figure 5 collect data on any patient who is screened with low-dose CT because there are a number of important questions to answer about this emerging and evolving screening tool. By contributing to the growing body of research, we can work to refine the recommendation and further identify other groups who may benefit from screening and early detection. *Low-dose CT lung screenings are performed at a reduced rate of $285 by Eisenhower Imaging Center if not covered by the patient’s health insurance plan. Smoking Cessation Program Donna Boatman Community Outreach Coordinator Stop Smoking Facilitator Eisenhower Lucy Curci Cancer Center offers a Stop Smoking program to the community based on the American Cancer Society’s Freshstart ® program. The program’s goal is to help smokers successfully prepare to quit smoking. The United States Surgeon General has said, “Smoking cessation represents the single most important step that smokers can take to enhance the length and quality of their lives.” Eisenhower Lucy Curci Cancer Center’s smoking cessation program is open to anyone who is ready to commit to becoming a non-smoker. Regardless of age or how much someone smokes, 12
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Cancer Program Annual Report - Eisenhower Medical Center

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