The CoC Source - July 29, 2011
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Survey Savvy Registration Now Open

Survey Savvy: World Premiere of the 2012 Patient-Centered Standards
September 15-16, 2011
Renaissance Hollywood Hotel & Spa
Hollywood, CA

Register Now!

The Commission on Cancer has spent nearly two years working closely with our cancer program constituents and CoC member organizations to develop a new set of patient-centered standards which will be implemented by CoC-accredited cancer programs beginning January 1, 2012.

To help our programs prepare for this change, we have redeveloped Survey Savvy to create a dynamic two-day workshop that will include a thorough review of the category changes, eligibility requirements, revised standards, and a focus on the value of the new patient-centered standards.

Our presenters include the experts and key members of the CoC leadership who have helped to develop the 2012 standards. Presenters will describe the rationale for and requirements of each standard, illustrate successful methods for implementation and compliance, and share their own best practice experience with you. All of this valuable information will help assist any cancer program in gaining an edge on a successful survey experience!

In addition to the two-day workshop, we've added a half-day, pre-workshop to introduce interested programs to the Rapid Quality Reporting System (RQRS). A special session is also planned for cancer programs seeking initial CoC-accreditation.

If you are a facility administrator or cancer program administrator, clinician or nurse, pain management or palliative care professional, oncology social worker or clinical trials data manager, cancer committee chair, Cancer Liaison Physician, genetic counselor, or cancer registrar, then this workshop is designed specifically for you.

Seating is very limited, REGISTER today!

American College of Surgeons Commission on Cancer Surgical Oncology Scholar-in-Residence Program

The American College of Surgeons (ACoS) Commission on Cancer (CoC) is offering a two-year fellowship in surgical oncology outcomes and health services research beginning July 1, 2012.  The ACoS CoC has one position available every two years for a surgical resident who has completed two or three years of clinical training in the United States or Canada. The fellow will work within the Cancer Programs Department of the ACoS to conduct clinical research and further the research agenda of the CoC’s National Cancer Data Base (NCDB) whose goal is to improve the quality of care for the cancer patient.  The application deadline is November 1, 2011.  

Details about the program can be found on the CoC Web site at  

Program questions and completed applications with supporting documentation should be directed to Connie Bura, Administrative Director of Cancer Programs at the ACoS, at

Demonstrate Your Support for the CoC

The mission of the American College of Surgeons (ACS) Foundation is to promote voluntary philanthropy from members and friends who support the College's goals for improving surgical patient care and ensuring the professional standing of surgeons wherever they practice. The ACS Foundation has a single beneficiary: the American College of Surgeons, and, by extension, all those who benefit from its programs in optimal patient care, professional education, and advocacy.

Many members, volunteers, and constituents of the CoC may not know that they can contribute their support to CoC programs and help advance the quality of cancer patient care delivery. 

The CoC’s Year in Review highlights the accomplishments and initiatives from the past year that have contributed to improving the quality of cancer care delivery at the national, state, and local levels. This publication provides a detailed account of the CoC’s impact and serves as a reference piece to understand the CoC.  To view the CoC’s 2010 Year in Review, go to

Supporting the work of the CoC will enable expansion of its mission to:

•    Provide access to quality cancer care close to home
•    Advance research to identify opportunities for improvements in care
•    Develop and disseminate information and resources to support patients, physicians, and allied health professionals on the delivery of quality cancer care.  

Donations can be made online using a credit card, by phone, or if you prefer, we can send you a donation envelope, which you can use to express your commitment to the work of the CoC. Just e-mail us at Thank you for your consideration.

Make a contribution today!  Go to

The American College of Surgeons Foundation is recognized as a tax-exempt, not-for-profit organization. Contributions to the American College of Surgeons Foundation are tax-deductible to the extent allowed by law.

CoC Member Organization 2011 Poster Presentations

The CoC Member Organization Steering Committee and its Editorial Subcommittee hosted a Poster Session for select CoC member organizations at the CoC May Meetings which were held in Chicago, IL on May 12-14, 2011.  The poster session was a prime opportunity for member organizations to spotlight specific activities or initiatives of their organization that would be of interest to CoC membership. The content for each poster is located at the link below and is available for download.

What’s New on the CAnswer Forum - In It to Win It! – July Winners

Congratulations – Jutta Duncan and Sara Leach

The CoC thanks constituents who have shared their knowledge and expertise by answering questions in the CAnswer Forum. Congratulations to our July contest winners—Jutta Duncan from Richmond, VA, and Sara Leach from Irvine, CA. Jutta and Sara have their choice of receiving either a free CoC Webinar in 2011 or an AJCC Cancer Staging Manual, 7th edition, autographed by the editor. 

We plan to continue sponsorship of the In It to Win It contest so, if you are not already a member of the CAnswer Forum, please go to: and register today and start answering questions.

Remember…You have to be “In It to Win It!” 

Got Questions? — The Most Direct Routes for a Faster Response to Your Inquiries

Have you submitted a question to the CoC only to receive a response that your e-mail has been forwarded? If yes, then you can cut out the “middle man” and send your question directly to the appropriate program area. 

Print out this list of program area e-mails to keep at your desk as a quick reference guide: – SAR, CoC Accreditation, Standards and Survey inquiries – American Joint Committee on Cancer (AJCC) and Staging inquiries – Collaborative Stage inquiries – Breast Center Accreditation Program inquiries – National Cancer Data Base Tools and Data Submission inquiries – Rapid Quality Reporting System (RQRS) inquiries – Cancer Liaison Program, CLP Appointment, and State Chair inquiries – Facility Staff Access, New Users and Log-in inquiries – Facility Information Profile System (FIPS) and General inquiries – Webinar log-in, tech support and payment (800-274-9390)

You can access this information as well as a complete listing of staff contacts on our website at

Reminder: Annual Update – In Preparation for 2012 Standards

As part of the transition to the 2012 Standards, a new Survey Application Record (SAR) will be introduced next year, and the current SAR will eventually be phased out. In order to retain a historical record of program activity, we will need to have all standards and tables in the current SAR completed by September 30, 2011. An initial e-mail notification describing the SAR Annual Update process was sent to all accredited programs on June 27, 2011, and a reminder e-mail notification will be sent on August 15, 2011.

The Annual Update is active from July 1, 2011, through September 30, 2011.

We require  that your cancer program complete and/or update ALL program activity and information in the SAR for 2009, 2010 and 2011 (through June 30, 2011). This includes all standards, the Cancer Liaison Physician Activity Report, Facility Information Profile System –(FIPS)—posting and validating sections relevant to program resources and services, as well as uploading of required and appropriate survey documentation for each year (follow the required presurvey documentation list).

Please note that programs scheduled for survey or that have been surveyed in 2011 are also be required to participate in the Annual Update.

Questions about the SAR or the annual Update should be submitted to Questions regarding your CoC Datalinks user ID and password should be submitted to

Highlighting the 2012 Standards—Eligibility Requirements

The Eligibility Requirements (ER) are separated into two groups.  The first group outlines activities that provide the basic structure for CoC-accredited cancer programs.  The second group provides information on patient care services that are common to all CoC-accredited cancer programs.  This article will review the specifications for the five Eligibility Requirements that describe cancer program structure.  Next month, we will focus on the ER that address cancer services.

E 1: Facility Accreditation

Programs that are already accredited by the CoC should recognize this ER because it is the first standard in the current manual, Cancer Program Standards 2009, Revised Edition.

Accreditation ensures that patients receive care in a safe environment as well as focusing on improving the quality of care.  Most CoC-accredited cancer programs are accredited by The Joint Commission; however, accreditation by other organizations is acceptable and may vary by facility type.  Other options include, but are not limited to the American Osteopathic Organization, DNV, Accreditation Association of Ambulatory Healthcare, and the American Society for Radiation Oncology and American College of Radiation Oncology.

A copy of the accreditation certificate or letter of accreditation is provided to the CoC through the Survey Application Record (SAR).

E 2: Cancer Committee Authority

The cancer committee is responsible for the success of the cancer program.  The committee’s responsibilities include goal setting, assessing and improving patient care, and facility performance. 

A bylaws statement, policy or procedure, or other source approved by the facility establishes the cancer committee’s authority to fulfill its responsibilities for the program. 

A copy of the bylaws statement, policy or procedure, or other source that outlines the cancer committee’s authority is provided to the CoC through the SAR.

E 3: Cancer Conference Policy

Programs that are already accredited by the CoC should also recognize this ER which combines the requirements for current standard 2.6, 2.7, and 2.8 into one activity.

The cancer committee develops a cancer conference policy that addressed the full scope of the cancer conference program including, but not limited to: the frequency and format of the conferences, defines the multidisciplinary physician attendance as well as attendance by allied health staff, and establishes the attendance rate for the required attendees, the content of the discussion including stage, recommendations for treatment, and clinical trial options.

A copy of the cancer conference policy is provided to the CoC through the SAR.

E 4: Oncology Nurse Leadership

Standards and guidelines from the Oncology Nursing Society or other recognized organizations are used to develop nursing policies and procedures that apply to both in patient and out patient care provided by the CoC-accredited cancer program. 

Working closely with the Nursing Department, the oncology nurse manager or leader develops and manages these policies and procedures.  More than one nurse leader can be identified by the CoC-accredited program.

The nurse leader(s) are identified to the CoC through the SAR.

E 5: Cancer Registry Policy and Procedure

The cancer registry follows standard policies and procedures that specify registry operations and reporting requirements for the agencies to which they report.  CoC-accredited programs use the data standards defined by the CoC; this is specified in the policy and procedure manual.

The policy and procedure manual provides comprehensive guidance for cancer registry operations and may include, but is not limited to; requirements for abstracting, the staging system used by the physicians (American Joint Committee on Cancer [AJCC]) and collected in the cancer registry data base (AJCC and Collaborative Stage), confidentiality and release of information, computer operations, disaster recovery policy, and a history of the registry for the program or health system.

The table of contents of the cancer registry policy and procedure manual is provided to the CoC through the SAR.

Next month – Eligibility Requirements 6 – 12

Please submit your questions on the Eligibility Requirements and new standards to the CAnswer Forum at

Best Practice Repository

The CoC is rebuilding the Best Practice Repository and asks constituents to share examples of their job descriptions for the Cancer Committee Chair and the Cancer Program Administrator.
If you have examples to share, e-mail your electronic versions to If your example is selected for posting in the Best Practice Repository on our Web page, we will contact you to obtain a written authorization to use the material.

Preparing for Accreditation Survey – FREE Webinar

The CoC is now offering a free Webinar called "Preparing for Your CoC Survey" to assist cancer programs with preparation for the accreditation survey. No matter when your next survey will take place, it is never too early to start the process to prepare. This 45 minute prerecorded Webinar gives you and your cancer program leadership a high-level overview of the process; from electronic notifications to post survey steps, and all steps in between. Go to and click on "Preparing for Your CoC Survey" to access the Webinar. 

CLP Webinar Series Now Available

Cancer Liaison Physicians (CLPs) should all have received a communication from the CoC on the Webinar series that must be completed by January 1, 2012 on the new CLP role and use of the National Cancer Data Base (NCDB) tools. The Webinars are accessed through the CoC Online Education Portal at The communication included a description of the Webinars and a special access code. If you did not receive the communication or don’t have the access code, please email the Cancer Liaison Program staff at  State Chairs, cancer committee chairs and cancer registrars are encouraged to view the Webinars as well so they are familiar with the new role of the CLP.

Cancer Liaison Physician Communication on New Role

The CoC sent a mailing on July 25 to all Cancer Liaison Physicians (CLPs) to provide them with basic information about their new role per Standard 4.3, Cancer Liaison Physician Responsibilities. The mailing included a letter from the Committee on Cancer Liaison chair, Aaron Bleznak MD, FACS, and included instructions for accessing the CLP Webinar series and a copy of the standard. A copy of the letter and attachments were emailed to State Chairs, cancer committee chairs, and the cancer registrar. If you did not receive the mailing, please contact the Cancer Liaison Program staff at and we will ensure that you receive a copy.

New State Chairs

State Chairs provide leadership to the Cancer Liaison Physicians within their state. They are nominated by the state chapters of the American College of Surgeons and appointed to a three-year term by the Committee on Cancer Liaison. The Commission on Cancer introduces the following new state chairs:

Danny Robinette, MD, FACS
Fairbanks Memorial Hospital, Fairbanks, AK
Alaska State Chair

Daniel Labow, MD
Mount Sinai Medical Center, New York, NY
New York-Manhattan State Chair

NCDB Data Included in National Healthcare Quality Report

Data from the National Cancer Data Base has been included in the U.S. Department of Health and Human Services’ Agency for Healthcare Research and Quality’s “National Healthcare Quality Report” and “National Healthcare Disparities Report.” This is the fifth year in which clinical data from the NCDB has been published by AHRQ in these reports, which summarize national trends in effectiveness of care, patient safety, timeliness of care, patient centeredness, and efficiency of care.  Both of these reports are available on-line at:

Are You Up-to-Date on Your NCDB Submissions This Year?

The “National Cancer Data Base (NCDB) Data Submissions Reports for 2011” in CoC Datalinks provide a wealth of information for tracking this year’s NCDB submissions. One use is to ascertain whether you have submitted all of the cases required for each diagnosis year. The submission requirement is for you to submit cases updated or added since a specific date, which is set just prior to the previous Call for Data for each diagnosis year. NCDB accepts full-year submissions for any year, so over-submission is not a problem. However, under-submission will affect your program’s Standard 3.6 rating.

Consider the following four hospitals. In the “NCDB Data Submissions Reports for 2011” update in June with results from the May submission period, their Cumulative Cases Written to NCDB from any submission made in 2011 were as follows:

Diagnosis Year

Hospital A    

Hospital B   

Hospital C  

Hospital D
































Hospitals A and B submitted smaller numbers of cases for earlier diagnosis years, compared to their 2009 case counts. The generally decreasing number of cases is expected, due to known patient deaths. Once a patient’s death has been reported to NCDB, it is not necessary to rereport the case unless the record is further modified by the registrar for some reason. The number of cases reported may also be smaller if the program had fewer analytic cases in the past. In addition, as in the case of Hospital B, where the program’s Reference Year is more recent than 1998, no 1998 cases will be submitted.

Hospitals C and D have extremely low case counts for 2008 and 2003 compared to other years, and Hospital C did not submit its 2004 and 2007 cases in May. These are warning signs.

How might this have occurred? 
•    When preparing the submission file for the NCDB Call for Data the hospital registry system may request the registrar to select “newly added” and “updated” (the software provider may describe these as “corrected”) cases separately.  Hospitals C and D may have only submitted their new cases. There will ordinarily be fewer new cases than updated cases for past diagnosis years, unless the registry is seriously behind in abstracting. It is important to submit the updated cases because they convey the follow-up information necessary for calculating survival. In addition, sometimes the change made to the record is treatment information that was added after the case was last reported. If the case was updated after the specified date in the NCDB Call for Data instructions it should be reported, regardless of the nature of the change.
•    Hospitals that are closed for lengthy periods due to fire, flood, or other catastrophic disaster may have a remarkably low count for that period.  Fortunately, problems of this magnitude are rare; they should be reported to CoC so we can work with you during the disaster recovery period.

•    If no cases have been followed since the diagnosis year was previously covered by a Call for Data, there may be no updated cases to submit. If the number of cases added to the NCDB database is smaller than the number you followed during the past year for a particular diagnosis year, it is certain that you did not submit all of the required cases.

If you have questions about your case count, contact NCDB at For help getting the cases out of your registry software, contact your software provider directly.

The “NCDB Data Submissions Reports for 2011” will be updated in August with July submissions as soon as all submissions have been processed.

Next Steps for NCDB Submissions

The National Cancer Data Base (NCDB) submissions window will close at midnight (CT) the night of July 31, and will reopen on September 1. 

Analytic cancer cases diagnosed in 2005 that were updated by the registrar on or after July 1, 2006, and cases diagnosed in 2002 that were updated on or after July 1, 2008, must be reported by September 30 if they were diagnosed on or after the facility’s Reference Date. Remember, if you created files to pre-edit before August, recreate the files for submission in September.

Corrections of edit problems for cases diagnosed in 2001 and 2006 and for rejected records submitted in July are also due by September 30. It is now possible to link to the full edit report from the “NCDB Data Submissions Reports for 2011” report in Datalinks.  That table was recently updated with May submissions, and will be updated with July submissions as soon as all cases are processed.

The “NCDB Data Submissions Reports for 2011” now contain a direct link to the new “Completeness and Default Overuse Reports.” These reports, initially announced in the June CoC Flash, compare your cancer program to NCDB overall for completeness of coding on many required items for 2009 diagnoses. Click the link labeled “Completeness, Default Overuse Reports” in the upper left-hand corner of the “NCDB Data Submissions Reports for 2011” report. Documentation for use of both of these reports is linked from the reports (click “Help”) and is also posted at

If you have any questions, contact NCDB at

Have You Upgraded Your Cancer Registry Software Recently?

Registry software providers are rolling out the new upgrades, which are described variously as the North American Association of Central Cancer Registries (NAACCR) layout version 12.1, Collaborative Stage (CS) version 02.03, or the 2011 upgrade. The major changes involve code modifications for certain CS items. In order to pre-edit upgraded data for submission to NCDB, it is necessary to install version 1.2.4 of GenEDITS Plus and download the applicable NCDB edit metafile and configuration files. Until you have upgraded your software, continue to use the same version of GenEDITS Plus (1.2.3), NCDB metafile, and NCDB configuration files that you have been using. All of these and the instructions for using them are available at

NCDB and the Rapid Quality Reporting System will continue to accept either NAACCR layout 12.0 (pre-upgrade) or layout 12.1 (upgraded) through the end of 2011. Layout 12.0 will no longer be accepted in 2012.

If you have any questions, contact NCDB at

RQRS Webinar Available Now On-Demand

The following Webinar is now available for viewing On-Demand.

Move to the Fast Track: Getting Your Cancer Program Ready for the Rapid Quality Reporting System (RQRS)

Course Overview:
The Rapid Quality Reporting System (RQRS) is a new program from the NCDB, designed to promote evidenced-based cancer care at the local level in real clinical time.  Participation in this program is voluntary; enrollment will open in the spring of 2011.  This Webinar will explain how CoC-accredited cancer programs can get ready to enroll and begin to actively participate in the RQRS.  The enrollment process will be briefly reviewed.  Information gathered from alpha and beta test participants explaining how RQRS participation was managed in individual cancer programs will be reported.  Examples and best practices on how beta test participants came to concurrently abstract breast, colon and rectum cases will be shared, as well as the instructions for data submission.  Select benefits and challenges of RQRS participation will also be described. 

Visit the CoC Online Education Portal and register today to view this Webinar at your convenience.

New On-Demand Webinars Coming Soon

Titles include:

1) Quality of Patient Care: Assessment and Measurement in the 2012 Program Standards
2) Program Management: Clinical Trial Screening and Accrual
3) New Cancer Program Standards 2012: Quality Studies and Quality Improvements
4) Cancer Committee Roles and Responsibilities
5) The Cancer Committee’s Role in Evaluation and Reporting
6) Important Accreditation Facts: New Program Categories, Accreditation Awards, and the OAA
7) 2012: Overview of the Survey Process
8) The College of American Pathologists (CAP) Cancer Protocols: Where We've Been and Where We're Going

These titles will be added to the On-Demand registration page soon.

Visit the CoC Online Education Portal by clicking on this link:

The AJCC Now on YouTube

The American Joint Committee on Cancer (AJCC) has launched its YouTube channel so be sure to check out the videos available. Click here to check out the AJCC on YouTube right now!

The YouTube channel is a new way for the AJCC to present educational information and interact with the oncology and registry communities. The initial videos posted on the YouTube channel are the popular Staging Moments that go through the staging of a real cancer case. The initial videos will be followed by more Staging Moments and other informative videos. Be sure to “subscribe” to the AJCC channel to be notified when new videos are posted. We encourage use of all the features below the video display, including leaving feedback in the comments section, giving a “thumbs up” if you liked the video, and of course, sharing the video with colleagues. The AJCC will monitor the comments and feedback sections of the individual videos as well as the AJCC channel page for user input and suggestions. If you would like to provide input for future YouTube videos, participate in this short survey at

AJCC Webinars Still Available

The AJCC created a series of Webinars based on the AJCC 7th Edition Staging Manual that were released throughout 2010. Five of these Webinars are still available for viewing and present important information on the 7th Edition staging system for various disease sites. The Webinar topics include, gynecological sites, gastrointestinal staging, kidney and adrenal gland, ovary and appendix, and melanoma and Merkel cell carcinoma. These five Webinars will soon be removed so don’t miss out on the great learning opportunity and register for one of the on-demand Webinars today! For more information, go to

CS FAQ Document with Known Issue for v02.03

The Collaborative Stage (CS) Team is preparing for the next release of CS in Fall 2011. In the meantime, the CS team has developed a known issue document that can be useful when coding in CSv02.03. This FAQ document can be found at This document contains important information for a few schemas and fields where there is a known issue with CSv02.03 that will be resolved in the upcoming release. This document was created to let you know that we are aware of the issues you may be encountering with these few fields in CSv02.03 and they will be resolved in CSv02.04. Please take a moment to download or print this document as a reference to use when coding these fields.

Pursuing Excellence through Accreditation Workshop – November 18, 2011

Mark your calendar once again! The NAPBC is organizing a full-day workshop, Pursuing Excellence through Accreditation, to be held at the American College of Surgeons headquarters in Chicago on Friday, November 18, 2011. This workshop will provide detailed information related to the NAPBC components and standards, survey process, and the new quality measures and related requirements scheduled for implementation in January 2012. Attendance at this workshop will assist centers applying for accreditation, as well as centers due for reaccreditation in 2012 and beyond. 

Detailed information will be presented by NAPBC board members, surveyors, and staff. Most importantly, there will be a detailed presentation specific to the NAPBC components and standards, a detailed discussion of the requirements for meeting compliance with each standard. The workshop will also incorporate changes to the standards so that there is a clear understanding of what is expected and how it will be measured. Another detailed presentation titled What to Expect on the Day of Survey will walk you through a site-visit from a surveyor perspective. Learn about what the surveyor is looking for during different aspects of the survey.   

Pursuing Excellence through Accreditation is designed for individuals involved in the delivery of multidisciplinary breast health care, including physicians, nurses, administrators, cancer registry professionals, and others involved in the day-to-day operations of the breast center.

If you are interested in attending this comprehensive workshop and would like to be placed on a waiting list, contact the NAPBC administrative office at 312-202-5185, or by e-mail at Online registration will open on August 1.

NAPBC Components and Standards Webinar Offered On-Demand

The NAPBC Webinar—NAPBC Components and Standards—is now available as an on-demand recording. This 60-minute Webinar provides a comprehensive overview of the 17 components of care and the 27 standards that are required for NAPBC accreditation. The presentation includes a detailed discussion related to the definition and requirements for each standard, the documentation required in order to meet compliance with each standard, and the rating system for each standard.

You will find this on-demand Webinar, which you may purchase for $50, at:

For registration support, call 1-800-274-9390 or e-mail

National Patient Navigator Leadership Summit

Cancer, a peer-reviewed journal of the American Cancer Society, has published a supplement that represents presentations and discussions from the “National Patient Navigator Leadership Summit,” which was held in Atlanta, Georgia, March 23-24, 2010.

This supplement features 10 articles that aim to present state-of-the-art patient navigator programs and expertise and also define and establish general metrics to measure program outcomes. The accepted and accurate quantification of specific program results is vital to ensuring the long-term efficacy of patient navigation and to support the guiding principles and best practices. The supplement is now available for free on Cancer Online at and appears with the August 1, 2011, print issue of Cancer.

Supplements are published by Cancer for educational purposes and undergo peer review. They benefit readers by focusing on a single topic that often provides a wide overview to the audience. To underwrite the costs of a supplement, organizers find sponsors to pay for the actual production, printing, online publication, and distribution. Sponsorship information is fully disclosed throughout the supplement. Because supplements in Cancer help fulfill the educational goals of the journal, they are freely available online without a subscription.

This conference and supplement were cosponsored by the American Cancer Society, Pfizer Oncology, LIVESTRONG™ (Lance Armstrong Foundation), Susan G. Komen for the Cure, the Oncology Nursing Society (ONS), the American College of Surgeons Commission on Cancer, and AstraZeneca.

Abstracts of all articles in Cancer are also available online for free, as is all full-text content older than 12 months. Access to current full-text content not in a supplement requires a subscription or a pay-per-view fee.

A New Strategy for Breast Conserving Surgery (BCS) in Locally Advanced ER + Breast Cancer (LABC): Results of ACOSOG Z1031

Preoperative systemic chemotherapy has often been recommended for LABC in order to increase BCS rates.  A recent publication in the Journal of Clinical Oncology ( describes that endocrine therapy may be just as effective as chemotherapy.  Patient eligibility criteria included T2-T4c, any N, M0 palpable breast cancer by clinical staging, postmenopausal status with an ER+ tumor and an Allred score of 6, 7 or 8.  Patients received 16 weeks of one of three aromatase inhibitors (AI) and then were scheduled for surgery.  There was a 68% complete or partial response and only 6% of patients had progression of disease.  There were 152 patients who were deemed by the surgeon to require mastectomy prior to the AI therapy. 

The use of endocrine therapy in the preoperative setting resulted in 51% of patients who would have required mastectomy to undergo BCS.  The overall BCS rate in Z1031 was 68% which compares favorably with the BCS rates of preoperative chemotherapy trials. You are encouraged to read the publication and recommend preoperative AI therapy instead of chemotherapy for ER+ LABC if BCS is desired.

David M. Ota, MD, FACS 
American College of Surgeons Oncology Group


New from NCRA—Details of CSv02.03.02 Webinar Series Released

Webinar topics will focus on the most challenging primary sites—lung, colon, prostate, head, neck and ovary. Each 90-minute Webinar offers an overview of the topic area, an in-depth analysis of the specific site, and conclude with a Q&A session. CEs are available—learn more and register at  


Monthly Spotlight: American Dietetic Association

The Commission on Cancer regularly collaborates with over 50 member organizations in its mission to provide quality cancer care. This month we introduce the American Dietetic Association (ADA).

The ADA is the world's largest organization of food and nutrition professionals. ADA is committed to improving the nation's health and advancing the profession of dietetics through research, education and advocacy.  Approximately 72 percent of ADA's nearly 72,000 members are registered dietitians (RDs) and two percent are dietetic technicians, registered (DTRs). Other members include international members, consultants, educators, researchers and students. Nearly half of all ADA members hold advanced academic degrees.

The Oncology Nutrition Dietetic Practice Group (ON DPG), a dietetic practice group of the ADA, promotes quality oncology nutrition practice in cancer treatment, prevention, survivorship and education.  The ON DPG is a technical resource for its 1800 dietetics professional members, and for allied organizations such as the American Cancer Society, the Oncology Nursing Society, the National Cancer Institute, and the Commission on Cancer. 

Event Information:
Food and Nutrition Conference and Expo - San Diego, CA, September 24-27, 2011
Oncology Nutrition Conference - Dallas, TX, April 2012

Recent Publications and/or Products:
Oncology Nutrition Quality Practice Initiatives of the ADA and ON DPG include:
   Evidence Analysis Library: Oncology Nutrition (
   Oncology Evidence-Based Nutrition Practice Guideline (
   Revised Standards of Practice and Standards of Professional Performance for Registered Dietitians in Oncology
     Nutrition (
   Board Certification in Oncology Nutrition (

For more information on this organization, please contact:
Kathryn K. Hamilton, MA, RD, CSO, CDN, 120 South Riverside Plaza, Suite 2000, Chicago, IL, 60606
Email: | Web Sites: and

Monthly Spotlight: American Hospital Association

The Commission on Cancer regularly collaborates with over 50 member organizations in its mission to provide quality cancer care. This month we introduce the American Hospital Association (AHA).

The AHA is the national organization that represents and serves all types of hospitals, health care networks, and their patients and communities. Close to 5,000 hospitals, health care systems, networks, other providers of care and 42,000 individual members come together to form the AHA.  Through our representation and advocacy activities, AHA ensures that members' perspectives and needs are heard and addressed in national health policy development, legislative and regulatory debates, and judicial matters. Our advocacy efforts include the legislative and executive branches and include the legislative and regulatory arenas.  Founded in 1898, the AHA provides education for health care leaders and is a source of information on health care issues and trends. 

Vision: The AHA vision is of a society of healthy communities, where all individuals reach their highest potential for health.

Mission: To advance the health of individuals and communities. The AHA leads, represents and serves hospitals, health systems and other related organizations that are accountable to the community and committed to health improvement.

For more information on this organization, please contact:
Matt Fenwick, Senior Associate Director, Media Relations,
North Wacker Drive, Suite 600, Chicago, IL 60606
Phone: 312-422-2820
Email: | Web site:

Monthly Spotlight: Cancer Support Community

The Commission on Cancer regularly collaborates with over 50 member organizations in its mission to provide quality cancer care. This month we introduce the Cancer Support Community (CSC).

Mission: To ensure that all people impacted by cancer are empowered by knowledge, strengthened by action, and sustained by community.

The CSC is an international non-profit dedicated to providing support, education and hope to people affected by cancer.  As one of the largest employers of psychosocial oncology mental health professionals in the United States, CSC offers a network of personalized services and education for all people impacted by cancer. To ensure that no one faces cancer alone, these support services are available through a global network of professionally led community-based centers, hospitals, community oncology practices and partner non-profits, as well as online.

In July 2009, The Wellness Community and Gilda’s Club Worldwide joined forces to become the Cancer Support Community.  By helping to complete the cancer care plan, CSC continues to optimize patient care, providing essential - but often overlooked - services including support groups, counseling, education and healthy lifestyle programs. Today, CSC provides the highest quality emotional and social support through a network of more than 50 local affiliates, 100 satellite locations and online. To find a community-based center near you, visit

President & CEO – Kim Thiboldeaux
Executive VP and COO – Susan Michelson Brown
SVP, Research & Training – Mitch Golant, PhD
SVP, Affiliate Relations & Strategic Growth – Jay R. Lockaby
VP, Program Development & Delivery – Vicki Kennedy, LCSW
VP, Education & Outreach - Ivy Ahmed, MPH, CHES

Event Information:
CSC will host a National Cancer Summit on Saturday, November 5, 2011 to report on national progress made against recommendations of the 2007 Institute of Medicine (IOM) Report, Cancer Care for the Whole Patient. Hosted by Susan Dentzer, health issues analyst for PBS NewsHour, the Summit will feature Dr. Roger C. Herdman, Director of the Board on Health Care Services at the Institute of Medicine, who will elaborate on progress made against the report. Dr. Stephen Edge, Chair of the American College of Surgeons Commission on Cancer, will speak to the new patient centered accreditation standards that the Commission will implement beginning January, 2012. 

Recent Publications and/or Products:
CSC’s products and services are available at no cost, so that no one faces cancer alone.

Frankly Speaking About Cancer Educational Series
Combines educational booklets, professionally-led workshops and tailored web-content to provide an in-depth look into a variety of concerns faced by cancer patients and their loved ones. Browse our online catalogue to learn more. 

Frankly Speaking About Cancer
Radio Show
A weekly internet radio broadcast inspiring audiences to live well with cancer. Airs on Tuesdays at 4pm ET/1pm PT at

- Mobile App for iPhone & iPod Touch
An innovative mobile application providing patients with a unique set of tools to address their physical, social and emotional concerns, anytime, anywhere. Available for download via the iTunes Store (category: Medical).

Open to Options
– Personalized Treatment Decision Counseling
A decision-support program to aid patients facing cancer treatment decisions. Call our toll-free Helpline at 1-888-793-9355 for free decision support.

Recent publications:

Buzaglo,J., Miller, M., Keleshian, N., Kendall,J.,  Jay Lockaby, J., Robinson,C., Wright, M., Weiss, E., Kennedy, V., Clark, K., , Loscalzo,M., Golant, M. (2011). Creating An Integrative Biopsychosocial Screening Model For People With Cancer: A Community Initiated Research Collaboration Demonstration Project [Abstract].  8th Annual American Psychosocial Oncology Society Meeting. Anaheim, CA. 

Buzaglo,J., Dougherty, K., Amsellem, M., & Goland, M. (2011).
Patient experience with survivorship care plans: Findings from an online registry of breast cancer survivors [Abstract]. American Society of Clinical Oncologist Annual Meeting. Chicago, IL.

For more information on this organization, please contact:
Regan Hiatt, Director, Communications, 1050 17th St NW, Ste 500, Washington, DC 20036
Phone: 646-600-7563 | Email:
Phone: 202-659-9709 or Toll-Free 888-793-9355 | Fax:  202-974-7999
Web Site: 


Monthly Spotlight: Society for Gynecologic Oncology

The Commission on Cancer regularly collaborates with over 50 member organizations in its mission to provide quality cancer care. This month we introduce the Society for Gynecologic Oncology (SGO).

Led by 2011 President, John P. Curtin, MD, SGO is a national medical specialty organization of physicians who are trained in the comprehensive management of women with malignancies of the reproductive tract.  Its purpose is to improve the care of women with gynecologic cancer by encouraging research, disseminating knowledge which will raise the standards of practice in the prevention and treatment of gynecologic malignancies, and cooperating with other organizations interested in women’s health care, oncology and related fields.  The Society’s membership, totaling more than 1,450, is primarily comprised of gynecologic oncologists, as well as other related medical specialists including medical oncologists, radiation oncologists and pathologists.  SGO members provide multidisciplinary cancer treatment including chemotherapy, radiation therapy, surgery and supportive care. 

Event Information:

2011 Fall Coding Workshop
September 16-18, 2011 (Registration now open)
The James Hotel
Chicago, IL

SGO’s 17th Annual Winter Meeting
February 9-11, 2012
Resort at Squaw Creek
Olympic Valley, CA

The 2012 Annual Meeting on Women’s Cancer®
March 24-27, 2012
The Austin Convention Center
Austin, TX

Recent Publications and/or Products:
SGO’s newest CME product, the 2011 Annual Meeting Webcast is a select set of presentations and courses featured at the 2011 Annual Meeting on Women's Cancer® held this past March in Orlando, FL. The webcast is available through SGO Connect, -- the Society’s new web-based educational platform.

For more information on this organization, please contact:
Susan Morris, Director of Corporate Communications, 230 W. Monroe, Ste. 710, Chicago, IL, 60606
Phone: 312-235-4060
Email: | Web Site: