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Lung Cancer in Colorado

The Lung Cancer Data – Who it affects?

 

 

Incidence – A cancer incidence rate is the number of new cancers of a specific site/type occurring in a specified population during a year, usually expressed as the number of cancers per 100,000 population at risk. That is,

Incidence rate = (New cancers / Population) × 100,000
The numerator of the incidence rate is the number of new cancers; the denominator is the size of the population.


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Mortality – A cancer mortality rate is the number of deaths, with cancer as the underlying cause of death, occurring in a specified population during a year. Cancer mortality is usually expressed as the number of deaths due to cancer per 100,000 population. That is,

Mortality Rate = (Cancer Deaths / Population) × 100,000

The numerator of the mortality rate is the number of deaths; the denominator is the size of the population.


 

 

 

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Lung Cancer – The Symptoms

 

Lung Cancer and the Colorado Cancer Plan

Lung Cancer the Colorado Cancer Plan

www.coloradocancerplan.org

  1.1 Strategies:

  1. Establish, promote and enforce laws prohibiting the sale and restricting the marketing of tobacco products to minors, including increasing the allowable age to purchase tobacco products to 21 and increasing local point of purchase ordinances designed to protect minors.
  2. Increase the purchase price of tobacco products.
  3. Implement health systems change strategies to increase access to and use of evidence-based cessation services, including referrals to the QuitLine.
  4. Educate youth on the risks of all tobacco product use, including ecigarettes, and support positive youth development skills, targeting those under 18 years and those 18-24 years.
  5. Implement community outreach and education programs designed to reduce all forms of tobacco use.
  6. Institutionalize and standardize tobacco screening and evidence-based brief interventions such as Ask, Advise, Refer (AAR) or Ask, Advise, Assess, Assist or Arrange (5As).

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1.2 Strategies:

  1. Maintain enforcement of no smoking rules within 25 feet of building entries.
  2. Develop, implement, monitor, protect, strengthen and expand policies that protect populations from secondhand smoke exposure at home, in outdoor public places, at work and in multi unit housing. For example, enact smoking bans in public housing units that also include an educational component about evidence-based cessation interventions.

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1.3 Strategies

  1. Institutionalize and standardize tobacco screening and evidence-based brief interventions such as Ask, Advise, Refer (AAR) or Ask, Advise, Assess, Assist or Arrange (5As).
  2. Expand access to and use of tobacco cessation services, including the QuitLine; and treatment, particularly among Medicaid clients through health care delivery interventions.
  3. Implement media campaigns with cessation promotion messaging to increase the number of quit attempts and successes among smokers, focusing on low socioeconomic status adults.

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4.1 Strategies

  1. Educate the Colorado public, home owners, building owners, sellers, Realtors and policymakers about radon and its risk for lung cancer.
  2. Educate builders, code officials, city councils and county commissioners on radon facts, health effects and implementation of radon-resistant features in new construction.
  3. Promote environmental equity through radon testing and mitigation programs and outreach efforts directed at minority or indigent populations.
  4. Engage and educate Realtors, home-buyers and sellers on the importance of radon testing and information disclosure during real estate transactions.

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4.3 Strategies

  1. Encourage use of certified asbestos building inspectors prior to renovation or demolition activities.
  2. Educate homeowners on asbestos risk and requirements of the Air Quality Control Commission regulation 8, part B.
  3. Increase the number and accessibility of CNG/Biodiesel fueling stations and electric vehicle supply equipment (EVSE) systems.
  4. Develop a state and intrastate system of Compressed Natural Gas (CNG)/Biodiesel stations to increase their numbers and accessibility to promote and support local and long distance, commercial and diesel fleet use of alternative fuels.
  5. Educate diesel fleet owners/drivers about the benefits of alternative fuel, including reduced emissions and cost.
  6. Educate adults and students on the relationship between diesel exhaust and risks of respiratory illnesses and lung cancer.
  7. Promote and implement workplace policies to reduce exposure to carcinogens.

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  5.1 Strategies

  1. Educate primary care providers on the importance of a provider recommendation and adhering to nationally recognized, evidence based cancer screening guidelines such as the United States Preventive Services Task Force (USPSTF), the National Comprehensive Cancer Network (NCCN), the American Cancer Society (ACS) and the American College of Radiology (ACR)
  2. Educate patients and primary care providers on the importance of early detection of lung cancer among those who are high risk, and on the risks and benefits of screening
  3. Implement client reminder systems (e.g., print or phone) to advise individuals in need of a cancer screening; messages may be tailored or general
  4. Implement provider oriented strategies, including provider reminders and recalls to identify when an individual is in need of, or overdue for, a cancer screening test based on individual or family history risk, and provider assessment and feedback interventions that present information about screening provision, in particular through use of an electronic health record system.
  5. Deliver one-on one or group education conducted by health professionals or trained lay people to motivate individuals to seek screenings by addressing indications for and benefits of screening, and what to expect during screening services. Use small media to support this education (e.g., brochures or newsletters).
  6. Implement workplace policies to provide paid time off for individuals to complete recommended cancer screenings,
  7. Collaborate with health plans to achieve increased cancer screening compliance rates, for example through the use of National Committee for Quality Assurance (NCQA) Healthcare Effectiveness Data and Information Set (HEDIS) cancer screening measures.
  8. Implement evidence-based practices through engagement of patient navigators in cancer screening processes.

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8.1 Strategies

  1. Educate oncology providers on tobacco counseling and referral services.
  2. Implement evidence-based tobacco cessation programs in the cancer survivor population and advance policies that reduce out-of-pocket costs for evidence-based cessation treatments, such as medication and counseling.
  3. Track QuitLine calls from cancer survivors and provide direct education to survivors on the effects of tobacco on treatment efficacy, recurrence risk and second cancers.

Breast Cancer in Colorado

The Breast Cancer Data – Who it affects?

 

 

Incidence – A cancer incidence rate is the number of new cancers of a specific site/type occurring in a specified population during a year, usually expressed as the number of cancers per 100,000 population at risk. That is,

Incidence rate = (New cancers / Population) × 100,000
The numerator of the incidence rate is the number of new cancers; the denominator is the size of the population.


——–

Mortality – A cancer mortality rate is the number of deaths, with cancer as the underlying cause of death, occurring in a specified population during a year. Cancer mortality is usually expressed as the number of deaths due to cancer per 100,000 population. That is,

Mortality Rate = (Cancer Deaths / Population) × 100,000

The numerator of the mortality rate is the number of deaths; the denominator is the size of the population.


Family History Tool: My Family Health Portrait – https://familyhistory.hhs.gov

Find a Genetic Counselor: http://cocancergenetics.org/resources/counseling-services/

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Breast Cancer – The Symptoms

 

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Breast Cancer the Colorado Cancer Plan 

www.coloradocancerplan.org

 

5.1 Strategies:

  1. Educate primary care providers on the importance of a provider recommendation and adhering to nationally recognized, evidence based cancer screening guidelines such as the United States Preventive Services Task Force (USPSTF), the National Comprehensive Cancer Network (NCCN), the American Cancer Society (ACS) and the American College of Radiology (ACR).
  2. Promote informed decision-making at both the provider and individual level regarding breast cancer screening guidelines. Discussions should include the advantages and disadvantages related to the variations in how often and when to begin and end screening based on individual risk.
  3.  Implement client reminder systems (e.g., print or phone) to advise individuals in need of a cancer screening; messages may be tailored or general.
  4. Implement provider-oriented strategies, including provider reminders and recalls to identify when an individual is in need of, or overdue for, a cancer screening test based on individual or family history risk, and provider assessment and feedback interventions that present information about screening provision, in particular through use of an electronic health record system.
  5. Deliver one-on-one or group education conducted by health professionals or trained lay people to motivate individuals to seek screenings by addressing indications for and benefits of screening, and what to expect during screening services. Use small media to support this education (e.g., brochures or newsletters).
  6. Implement workplace policies to provide paid time off for individuals to complete recommended cancer screenings.
  7. Collaborate with health plans to achieve increased cancer screening compliance rates, for example through the use of National Committee for Quality Assurance (NCQA) Healthcare Effectiveness Data and Information Set (HEDIS) cancer screening measures.
  8. Implement evidence-based practices through engagement of patient navigators in cancer screening processes.

 

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5.2 Strategies:

  1. Increase access to cancer screening services, including colonoscopy, mammography and low dose lung CT screening, in rural areas by implementing mobile services, traveling providers, upgraded equipment or increased Health First Colorado reimbursement.
  2. Partner with community-based organizations to reduce barriers (financial, cultural, structural or regional) to obtaining cancer screening services through engagement of community health workers and patient navigators.
  3. Provide culturally relevant screening services for medically underserved communities and promote culturally sensitive informed decision-making about screening through engagement of community health workers and patient navigators.
  4. Facilitate enrollment in public and private health insurance.
  5. Educate Health First Colorado-eligible Coloradans about their cancer screening coverage, including locations that accept Health First Colorado.
  6. Address limited local provider access for individuals due to insurance coverage, insurance plans accepted by providers, or provider capacity.
  7. Educate employers on the importance of providing paid leave for cancer screenings (especially for hourly employees).

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3.1 Strategies

  1. Support efforts seeking to standardize family history data collection in electronic health records to allow providers to identify individuals whose family history meets the clinical criteria for a hereditary cancer syndrome and those who should be referred to a genetic counselor.
  2. Educate providers on guidelines for family history collection and referral for genetic counseling and testing, including potential BRCA1/2 mutations or Lynch Syndrome.
  3. Conduct demonstration projects that implement family history screening tools in primary or specialty care settings to identify patients at risk for hereditary cancer.
  4. Develop referral and communication systems to facilitate on-site or referred cancer risk assessment, genetic counseling, including tele-counseling, and testing services by a qualified genetics professional.
  5. Promote access to genetic counseling based on risk assessment prior to genetic testing to review potential risks and benefits, including post-test risk and benefits when prophylactic options are under consideration.
  6. Identify funding sources for genetic counseling and testing for at-risk individuals who are unable to pay.
  7. Promote appropriate insurance coverage, especially Medicaid coverage, of genetic counseling, testing and ensuing clinical services for high-risk individuals.

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Ovarian Cancer in Colorado

The Ovarian Cancer Data – Who it affects? 

Incidence – A cancer incidence rate is the number of new cancers of a specific site/type occurring in a specified population during a year, usually expressed as the number of cancers per 100,000 population at risk. That is,

Incidence rate = (New cancers / Population) × 100,000
The numerator of the incidence rate is the number of new cancers; the denominator is the size of the population.


——–

Mortality – A cancer mortality rate is the number of deaths, with cancer as the underlying cause of death, occurring in a specified population during a year. Cancer mortality is usually expressed as the number of deaths due to cancer per 100,000 population. That is,

Mortality Rate = (Cancer Deaths / Population) × 100,000

The numerator of the mortality rate is the number of deaths; the denominator is the size of the population.


 

Family History Tool: My Family Health Portrait – https://familyhistory.hhs.gov

Find a Genetic Counselor: http://cocancergenetics.org/resources/counseling-services/

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Ovarian Cancer – The Symptoms

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Ovarian Cancer the Colorado Cancer Plan 

3.1 Strategies

  1. Support efforts seeking to standardize family history data collection in electronic health records to allow providers to identify individuals whose family history meets the clinical criteria for a hereditary cancer syndrome and those who should be referred to a genetic counselor.
  2. Educate providers on guidelines for family history collection and referral for genetic counseling and testing, including potential BRCA1/2 mutations or Lynch Syndrome.
  3. Conduct demonstration projects that implement family history screening tools in primary or specialty care settings to identify patients at risk for hereditary cancer.
  4. Develop referral and communication systems to facilitate on-site or referred cancer risk assessment, genetic counseling, including tele-counseling, and testing services by a qualified genetics professional.
  5. Promote access to genetic counseling based on risk assessment prior to genetic testing to review potential risks and benefits, including post-test risk and benefits when prophylactic options are under consideration.
  6. Identify funding sources for genetic counseling and testing for at-risk individuals who are unable to pay.
  7. Promote appropriate insurance coverage, especially Medicaid coverage, of genetic counseling, testing and ensuing clinical services for high-risk individuals.

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5.3 Strategies

  1. Increase awareness of the symptoms of nonscreenable cancers among health care providers and individuals.
  2. Educate medical and health care students via structured programs about symptoms, risk factors, early detection, genetic counseling and genetic testing for non-screenable cancer types.
  3. Support research studies, including randomized control trials, to investigate new and innovative cancer screening tests.

 

Skin Cancer Task Force in the News

The Colorado Cancer Coalition Skin Cancer Task Force was recently highlighted in the Denver Post.

New survey warns Coloradans to keep using sunscreen even when the temperature drops

Excerpt: Some Colorado communities are taking steps to help prevent the number of skin cancers in the state, said Jessica Mounessa, co-chair of the Colorado Skin Cancer Task Force.

The Colorado Department of Health and Environment awarded the University of Colorado School of Public Health and the University of Colorado School of Medicine’s Department of Dermatology, both members of the Skin Cancer Task Force, a $75,000 grant that will provide UV cameras that can reveal damaged skin to 10 Colorado universities – including Denver University and the University of Colorado Auraria and Boulder campuses.

Melanoma is the leading cause of cancer death in women between 25 and 30, according to the Melanoma Research Foundation.

“Indoor tanning is a huge issue on Colorado campuses,” Mounessa said.

The task force does skin checks and screening at wellness and other events in Denver. It also provides similar services on request from organizations like the U.S. Postal Service, and the Gathering Place, a day-time, drop-in center for homeless women and children

Decreasing UV Radiation is a priority in Colorado. For more information visit the Colorado Cancer Plan
Cancer Plan Goal 2: Increased prevalence of healthy behaviors
Objective 2:3: Decrease exposure to Ultraviolet (UV) Radiation. Link to measures and strategies in the Cancer Plan