Sutter Health Cancer Services and Programs

S t a t i s t i c a l O v e r v i e wOverviewSutter Health 2004 Cancer Registry DataTOP 10 PRIMARY CANCER SITES (Figure 5)The distribution of the most prevalent cancers seen in the Sutter Health network has changed very little over the past nine years.The top 10 cancer sites comprise nearly three-quarters of the newly diagnosed cancers seen in the Sutter Health network. Femalebreast cancer accounts for 22% of all cancers seen in the Sutter Health network. Lung (12%), prostate (11%), colorectal (10%) andnon-Hodgkin’s lymphoma (4%) account for 37% of cancers newly diagnosed in 2004. Some additional trends observed were:• Breast Cancer: Highest relative incidence seen at MGH (27%), and the lowest at SRMC and SMC (19% and 20%, respectively)• Lung Cancer: Highest relative incidence at MMC (19%), and the lowest at CPMC and MGH (8%)• Prostate Cancer: There are many possible factors that affect the relative incidence of prostate cancer at community hospitals.The relatively high incidence seen at SMC (20%) may be due to the fact that it has a relatively older underlying patientpopulation and a relatively large African-American component. A similarly high incidence at MGH (21%) may be explainedby socioeconomic factors leading to higher PSA screening penetrance and thus higher detection/overdetection of MarinCounty men with prostate cancer. SMCS had the lowest incidence (4%); in this case it appears that demographic factors donot play the major role. Instead, the low proportion of newly diagnosed prostate cases seen at SMCS is likely the result ofcommunity referral patterns. Many of the prostate cancer cases are diagnosed in physician offices and referred for treatmentat a large independent radiation oncology practice in the community. Appropriately, the SMCS cancer registry does notrecord these patients and the result is an under-representation of prostate cancer in their database.• Colorectal Cancer: Highest relative incidence at MPHS (13%) and the lowest at SMCS (8%)• Non-Hodgkin’s Lymphoma: Highest relative incidence at SMCS (6%) and the lowest at MGH (2%)• Bladder Cancer: Highest relative incidence at EMC and MGH (7%) and the lowest at CPMC (2%)• Pancreatic Cancer: Highest relative incidence at CPMC (7%) and the lowest at SMC (1%)• Uterine Cancer: Lowest relative incidence at SRMC (1%)• Renal Cancer: Highest relative incidence at MMC (4%)• Hepatic Cancer: Highest relative incidence at CPMC (7%)Figure 52004 Sutter Health Analytic Cancer CasesTop 10 Primary Cancer Sites (Overall) by Institution by Gender2005 Annual Cancer Center Report — 2004 Statistical Review | 37