Cancer Program

The Medical Center provides Southcentral Kentucky with the most comprehensive cancer program including an on-site radiation treatment center with the most advanced technology, as well as chemotherapy and surgical services. The Medical Center also operates the Barren River Regional Cancer Center in Glasgow, Ky. in partnership with TJ Samson Community Hospital. The hospital offers an extensive range of health and wellness programs for the community, focused on increasing awareness of the importance of prevention, early detection, and treatment options.

Accreditation

The Medical Center is accredited as a Comprehensive Community Cancer Program by the Commission on Cancer (CoC) of the American College of Surgeons. Receiving care at a CoC-accredited cancer program ensures that a patient will have access to:
      • comprehensive care, including a range of state-of-the-art services and equipment
      • a multispecialty, 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 treatment results and offers lifelong patient follow up
      • ongoing monitoring and improvement of care
      • quality care close to home

Tumor Conferences

A multispecialty team approach is best demonstrated by weekly Tumor Conferences. The conferences allow for recently diagnosed cancer cases to be discussed with Radiation Oncology, Medical Oncology, Surgery, Radiology, Pathology, and other medical specialties. Attendees offer advice on treatment or further diagnostic studies after determining the stage of the disease. Treatment recommendations utilizing national treatment guidelines are also reviewed.

Cancer Registry

The Cancer Registry at The Medical Center has been collecting cancer data for all patients diagnosed and/or treated at our facility since 1998. The Cancer Registry is an essential component of the Commission on Cancer (CoC) accredited cancer program. Data collected by the Cancer Registry is an invaluable tool in the fight against cancer and is utilized by physicians, administration, and other healthcare professionals. National Comprehensive Care Network (NCCN) treatment guidelines are used to achieve excellence in cancer care. We are enrolled in the Rapid Quality Reporting System (RQRS) to support our efforts in maintaining a high level of evidence based cancer care.

Thorough documentation of cancer information is essential to the Cancer Registry and is included in the patient abstract. The abstract contains demographic information including age, gender, race/ethnicity, and residence. Medical, family, and social histories include physical findings, family cancers, occupation, personal history of cancer, and exposure to carcinogens. Diagnostic findings list types, dates and results of procedures used to diagnose cancer. Information specific to a patient’s current cancer diagnosis includes the primary site, histology, and staging. Treatment lists cancer-directed therapy, including surgery, radiation therapy, chemotherapy, hormonal therapy, and other modalities. Any palliative care is also documented. Follow-up data records annual information about treatment, recurrence and patient status, and provides accurate survival data. This information is reported to the Kentucky Cancer Registry and the National Cancer Data Base.

The Cancer Registry consists of three certified tumor registrars. They are members of the National Cancer Registrars Association and American Health Information Management Association. The registry staff participates in ongoing cancer-related education at the local, state, and national levels to maintain abstracting skills and to maintain credentials in their field.

In 2013, 972 new cases were added to the registry, with 929 of those being analytic (cases diagnosed and/or treated at The Medical Center for the patient’s first course of treatment). Nonanalytic cases (cases receiving first course of treatment at other facilities and receiving subsequent treatment at The Medical Center) counted for the remaining 43 cases. Only analytic cases are used for statistical analysis and reporting. The top five sites for 2013 were breast, non-small cell lung, prostate, colon, and bladder.