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Cancer Services


For nearly 70 years, University has led the region’s fight against cancer. Our medical staff of more than 600 independent physicians is on the front lines of this battle. We operate the area’s first stationary Positron Emission Tomography (PET) scanner, which can detect cancer earlier than other diagnostic equipment and helps define the most effective treatment. And our Breast Health Center offers a one-of-a-kind approach to detecting, treating and recovering from breast cancer. Our inpatient cancer unit offers a multidisciplinary patient- and family-focused approach to care.


LeadingtheRegion Program Receives Outstanding Achievement Award In 2009 University’s Cancer Program received a three-year approval with commendation and the Outstanding Achievement Award from the Commission on Cancer of the American College of Surgeons. University is the only hospital in Georgia and one of only 95 in the country to receive this honor. The Commission on Cancer established the outstanding Achievement Award in 2004 to recognize cancer programs that strive for excellence in providing quality care to cancer patients. A facility receives the award following the on-site evaluation by a physician surveyor during which the facility must demonstrate a commendation level of compliance with seven standards that represent the full scope of the cancer program. In addition, the facility must receive a compliance rating for the remaining 29 cancer program standards (cancer committee leadership, cancer data management, clinical services, research, community outreach and quality improvement). Established in 1922 by the American College of Surgeons, the Commission on Cancer is a consortium of professional organizations dedicated to improving survival rates and quality of life for cancer patients through standard-setting, prevention, research, education and the monitoring of comprehensive, quality care. Its membership includes Fellows of the American College of Surgeons and 40 national organizations that reflect the full spectrum of cancer care. Receiving care at a Commission on Cancer-approved cancer program ensures that a patient will have access to the following:

• Comprehensive care, including a range of state-of-the-art services and equipment • A multi-specialty team approach to coordinate the best treatment options • Information about ongoing clinical trials and new treatment options • Access to cancer-related information, education and support • A cancer registry that collects data on type and stage of cancers and treatments results and offers lifelong patient follow-up • Ongoing monitoring and improvement of care • Quality care close to home

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Da Vinci Robotic Surgical System

da Vinci® ... Advancing Surgery at University Hospital University Hospital is committed to providing high-quality care to its patients. Achieving this required that we stay at the forefront of technology. And we are. If you or a loved one has been diagnosed with a condition that may require surgery, you owe it to yourself to learn about all of your medical options, including the most effective, least invasive surgical treatments available. The da Vinci ® Surgical System provides surgeons with an alternative to both traditional open surgery and conventional laparoscopy, putting a surgeon’s hands at the controls of a stateof-the-art robotic platform. The da Vinci System enables surgeons to perform even the most complex and delicate procedures through very small incisions with unmatched precision. For the patient, benefits may include: • Significantly less pain • Less blood loss • Less scarring 2

• Shorter recovery time • A faster return to normal daily activities • And in many cases, better clinical outcomes


Technology da Vinci Prostatectomy Facing any kind of urologic surgery creates a great deal of anxiety for most men. Among your concerns is: “Will my body function normally following surgery?� Traditional open urologic surgery -- in which large incisions are made to access the pelvic organs -- has been the standard approach when surgery is warranted. Yet common drawbacks of this procedure include significant post-surgical pain, a lengthy recovery and an unpredictable, potentially long-term impact on continence and sexual function. da Vinci Surgery, a minimally invasive approach that utilizes the latest in surgical and robotics technologies, is ideal for delicate urologic surgery. This includes prostatectomy, in which the target site is not only tightly confined but also surrounded by nerves affecting urinary control and sexual function.

da Vinci Hysterectomy Traditional open gynecologic surgery, using a large incision for access to the uterus and surrounding anatomy, has for many years been the standard approach to many gynecologic procedures. Yet with open surgery can come significant pain, trauma, a long recovery process and threat to surrounding organs and nerves. For complex hysterectomies and other gynecologic procedures, robot-assisted surgery with the da Vinci Surgical System may be the most effective, least invasive treatment option. Through tiny, 1-2 cm incisions, surgeons using the da Vinci System can operate with greater precision and control, minimizing the pain and risk associated with large incisions while increasing the likelihood of a fast recovery and excellent clinical outcomes.

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PET Provides Real Life Answers Accurate diagnosis, staging and prognosis is integral to successful cancer treatment. That’s why University offers a full array of state-of-the-art diagnostics including the area’s first stationary PET scanner.

PET technology can detect and monitor a patient’s cancer by obtaining images of the metabolic physiologic processes, enabling detection of cancer earlier than with other radiologic technologies. PET technology also: • shows whether a patient is responding to a particular treatment • offers pre-surgical assessments • replaces multiple tests • identifies metastases, or spreading of cancer • reduces the need for invasive procedures

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Clinical Research Physicians in two medical oncology practices affiliated with University Hospital lead the area in clinical trials sponsored by the National Cancer Institute and pharmaceutical companies. This gives patients access to state-of-the-art treatments that might not otherwise be available in the local community. The Commission on Cancer has awarded University a commendation rating for its high level of participation in clinical trials.

Southeastern Hereditary Colorectal Cancer Registry The registry’s goal is to maintain a system to help identify individuals at risk for both familial polyposis and hereditary colorectal cancers and to provide education to physicians, medical personnel, patients and their families. In addition to providing education about the importance of timely screening interventions, genetic testing and education also is provided.

Genetic Testing and Education University’s Cancer Services offers genetic testing for high-risk individuals and families. Nurses are trained to identify those people at risk for genetic cancers and provide education concerning inherited melanoma, breast, ovarian and colorectal cancers. Though only a small percentage of cancers are truly genetic in nature, early identification of high-risk individuals can be lifesaving.

Oncology Data Center University’s Oncology Data Center is staffed by certified tumor registrars and houses a computerized database of more than 26,500 cancer cases diagnosed and treated at University Hospital since 1972.

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Treatment University fights cancer on all fronts, addressing its physical, emotional and social effects. Pathology Accredited by the College of American Pathologists, University’s Pathology Department relies on state-of-the-art techniques, advanced technology and a staff of seven board-certified pathologists. As the only hospital in the region with two hematopathologists. Inpatient Care When hospitalization is required, cancer patients find comfort, convenience and compassionate care in the Harry W. Jernigan Jr. Cancer Unit, University’s Magnet-designated 20-bed inpatient oncology unit. Each room is equipped with bathrooms, comfortable sofas and chairs, and televisions with 40 channels. There’s also on-call dining, access to wireless internet and an education room with TV, DVD and video cart for patient and family use. The unit is staffed by an interdisciplinary team that includes nationally certified oncology and chemotherapy nurses, as well as a full-time dietitian, pharmacist and doctor of pharmacy, specially trained in chemotherapy drugs. Oncology case managers assist with discharge planning and home care. This unit is an important reminder of University’s legacy and commitment to cancer care. To memorialize Mr. Jernigan’s longstanding commitment to University Hospital, where he died from cancer, the 20-bed cancer inpatient unit was named in his honor. Palliative Care Palliative Care is a patient- and family-focused approach to medical care, concentrating on symptom management and pain relief. The goal of the multidisciplinary Palliative Care team is to prevent and relieve the pain, suffering and stress of disease, and to support the best possible quality of life for patients and their families, regardless of the stage of disease or the need for other therapies. Palliative Care improves the lives of patients and families facing serious illness. Chemotherapy Options Outpatient chemotherapy is administered in the medical oncologists’ offices or in the Jernigan Cancer Unit, where patients who are receiving lengthy treatments have greater privacy and comfort. Trained professionals closely monitor each patient’s response to treatment in all locations. Radiation Therapy Patients needing radiation therapy are referred to one of the three radiation therapy facilities located in the region. The centers are staffed by radiation oncologists, radiation therapy technologists, nurses and support personnel. Case Management Cancer is a complex disease that affects the entire family and requires individualized treatment and care. Registered nurse case managers, social workers and utilization management coordinators in University’s Case Management Department work hand-in-hand with families to access available resources, arrange home care and help ensure each patient’s comfort and well-being. 7


Rehabilitation

Nutrition Management Cancer and its treatments can have a profound effect on a patient’s nutritional status, therefore maintaining an adequate intake of calories and protein is important for fighting cancer. The registered dietitians in University’s Nutrition Therapy Program help patients plan menus to combat the side effects of cancer therapies and to boost their natural defenses. Hospitality assistants review each day’s menu selections, offer taste-enhancing condiments and provide nutritious, appealing snacks to help patients maintain their strength. Rehabilitative Therapy To maintain the highest possible quality of life, cancer patients also might require rehabilitative therapy. That’s why University’s multidisciplinary cancer team includes certified physical, occupational and speech therapists, as well as therapists specially trained to help patients manage dizziness and balance problems. Lymphedema Program Patients who have breast or abdominal surgery or radiation therapy might be at risk for lymphedema, a form of fluid retention resulting from the loss of normal lymph channel drainage. University’s certified lymphedema therapists

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provide patient education and treatment to reduce lymphedema and the complications it can cause. Patients who are receiving lengthy treatments have greater privacy and comfort. Trained professionals closely monitor each patient’s response to treatment in all locations. Wound, Ostomy and Continence Care (WOCN) Experienced wound, ostomy and continence nurses (WOCN) help patients recover from colostomies and ileostomies, treat burns from radiation therapy and help cancer patients avoid pressure ulcers (or bed sores). These specialized nurses help patients avoid complications through daily interaction and follow-up visits. Continuing Home Care When it’s time to go home, University Home Health, a Medicare-certified home health care provider, provides skilled in-home services to patients throughout the CSRA. These services may include: • skilled nursing services • physical, occupational and speech therapists • medical social work services to coordinate funding and needed resources • home health aides to assist with activities of daily living and personal care


Promoting Prevention and Delivering Emotional Support Obtaining information about cancer can ease the fear of the unknown and increase the ability to make decisions. University offers a variety of classes, programs and screenings for people of all ages to help them stop smoking, achieve and maintain a healthy weight and make wise lifestyle choices. We also offer support groups and programs for cancer patients and their families. • American Cancer Society Look Good ... Feel Better program. Call 706.774.4141 or toll free 866.774.4141. • The Fresh Start Smoking Cessation program, an American Cancer Society program taught by University Hospital instructors, is offered by University to help smokers quit by treating smoking as a habit, chemical addiction and psycho-

logical dependency at the same time. To find out more, call 706.774.8900. • My Mom has Breast Cancer Education Group. Call 706.774.4141 or toll free 866.774.4141. • Pink Magnolias Breast Cancer Support. A support group for husbands meets at the same time. Call 706.774.4141 or toll free 866.774.4141.

For more information on these support groups and programs, visit www.universityhealth. org/calendar. 9


Breast Health Center University’s Breast Health Center offers a comprehensive array of well-coordinated breast health services, including education, diagnostic testing, treatment options and support. It is the only nationally accredited Breast Health Center in the CSRA.

Mobile Mammography Equipped with state-of-the-art digital mammography, University’s Mobile Mammography Unit visits convenient locations throughout the CSRA offering screening mammography to women who may not otherwise schedule this potentially lifesaving test.

Buddy Check 6SM University’s Buddy Check 6SM breast health education program provides ongoing classes on breast self exams (BSE) and promotes early detection through BSE, annual clinical exams and mammography. To sign up, call the Breast Health Center at 706.774.4141 or toll free 866.774.4141.

Renewal at Second to Nature Boutique This women’s boutique offers women professional, certified fittings in a comfortable, private setting. Breast prostheses and post-mastectomy bras and camisoles, surgical bras, mastectomy swimwear, lingerie, hats, wigs, turbans, scarves, jewelry and gifts all are available in the boutique. It also specializes in non-surgical breast reconstruction using custom breast forms, and custom-fit handmade and human hair wigs.

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What Does University’s Cancer Services Offer You? • The area’s most experienced physician team of oncologists, radiologists, surgeons, pathologists, interventional radiologists and radiation oncologists, as well as the expertise of more than 500 additional specialists and primary care physicians • Multi-disciplinary, treatment planning conference: Breast – weekly conference Lung – bimonthly conference Tumor Board – monthly conference • A cancer program that has earned continuous accreditation by the Commission on Cancer since 1986, and is the only hospital in Georgia to receive the Outstanding Achievement Award. This accreditation is given only to facilities that have voluntarily committed to provide the best in diagnosis and treatment of cancer and to undergo a rigorous evaluation process and performance review. • All-digital mammography

• Oncology Nurse Navigator

• State-of-the-art diagnostics, including the area’s first stationary PET scanner, breast MRI and endobronchial ultrasound.

• Comprehensive computerized cancer registry • An inpatient oncology unit staffed with certified oncology and chemotherapy nurses

• Mammosite catheter placement for radiation • Family educational library on inpatient units • Access to clinical trials • Clinical laboratory/pathology services

• Medical nutrition and rehabilitative therapy services

• Region’s only nationally accredited Breast Health Center and Renewal at Second to Nature Boutique

• Lymphedema program

• The area’s only Mobile Mammography Unit with advanced digital technology

• Home health services

• Wound, ostomy and continence nursing services

• Access to wireless internet • Case management services • Dedicated Breast Cancer Nurse Navigator

• Educational outreach, support groups and pastoral services


2009 Cancer Cases Distribution by County of Residence Georgia: Baldwin 5 Burke 62 Columbia 229 Emanuel 11 Glascock 8 Jefferson 53 Jenkins 9 Johnson 7

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Lincoln 20 McDuffie 51 Richmond 480 Screven 10 Warren 17 Washington 18 Wilkes 14 Other 25

South Carolina: Aiken 297 Barnwell 15 Edgefield 35 McCormick 20 Other 15

Other States: 6


Primary Site by Sex 2009

Male Female Total

Oral cavity & Pharynx Tongue Salivary Glands Gum & Other Mouth Tonsil Hypopharynx Other Total

7 2 9 4 0 4 3 3 6 3 1 4 3 0 3 3 0 3 23 6 29

Digestive System Esophagus Stomach Small Intestine Colon Rectum & Rectosigmoid Anus, Anal Canal Liver & Intrahepatic Bile Duct Gallbladder Other Biliary Pancreas Peritoneum Omentum Mesentery Total

10 2 12 8 7 15 2 2 4 47 43 90 31 20 51 2 4 6 5 0 5 1 5 6 4 1 5 12 12 24 0 1 1 122 97 219

Respiratory System Larynx Lung & Bronchus Other Total

6 6 12 103 101 204 2 0 2 111 107 218

Skin Melanoma Basal & Squamous Total

19 19 38 4 4 8 23 23 46

Breast

2 347 349

Female Genital System Cervix Uteri Corpus & Uterus Ovary Vagina Vulva Other female genital organs Total

0 15 15 0 27 27 0 16 16 0 2 2 0 13 13 0 1 1 0 74 74

Male Female Total Male Genital System Prostate Testis Total

120 0 120 3 0 3 123 0 123

Urinary System Urinary Bladder Kidney & Renal Pelvis Other urinary organs Total

53 17 70 23 13 36 2 2 4 78 32 110

Brain & Other CNS

10 27 37

Endocrine System Thyroid Other Endocrine Total

8 15 23 1 3 4 9 18 27

Lymphomas Hodgkin Lymphoma Non-Hodgkin Lymphoma Total

3 5 6 20 32 52 23 37 60

Multiple Myeloma

7 5 12

Leukemias Lymphocytic Myeloid & Monocytic Other Total

11 8 19 7 5 12 0 1 1 18 14 32

Miscellaneous Sites

39 28 67

Total

588 819 1,407

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1350 Walton Way • Augusta, GA 30901 www.universityhealth.org/cancer 9670.7369 Rev. 05/2011


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