2016 Cancer Community Outcomes Report
Addressing the needs of our community: breast cancer prevention.
Each year the Cancer Centers of Sharp select a system-wide initiative to reduce the incidence of cancer and address the prevention needs of our community.
In 2016, the Sharp Integrated Network Cancer Program targeted breast cancer incidence and recurrence reduction through evidence-based community education on nutrition and exercise. In addition to valuable information on these topics, information was provided on participation in a National Cancer Institute study for those recently diagnosed with breast cancer to reduce the risk of recurrence.
Some considerations in selecting our focus this year included:
- San Diego County breast cancer incidence (number of newly diagnosed cancer cases) has grown by 7 percent from 2009 to 2013, a growing concern for our community.
- Breast cancer is the most common cancer type seen at Sharp HealthCare (22 percent of all newly diagnosed cancer cases). Reduction of breast cancer recurrence (reappearance of the same cancer) represents a potential area to positively impact the greatest number of survivors by cancer type.
- There is a growing body of evidence of the direct relationship of obesity and the increased rate of breast cancer incidence and recurrence.
On Oct. 25, 2016, a community education event titled "Breast Cancer: How Diet and Exercise Can Reduce Your Risk" was held. The program included a panel of expert speakers on the following topics:
- Dr. Sunanda Pejavar — Evidence-based relationship of obesity to cancer
- Dr. Christina Casteel — Introduction to National Cancer Institute's Breast Cancer Weight Loss (BWEL) study
- Mary Miller — Exercise for weight loss, maintenance and cancer risk reduction
- Angelea Bruce — Diet and exercise guidelines for cancer risk reduction
- Stephanie Metzner — Behavior modification to achieve long-term weight loss success
Evidence-based guidelines used by the speakers in their presentations included those from the American Cancer Society, the National Cancer Institute and the American Institute for Cancer Research. Published studies were referenced from leading professional journals including the New England Journal of Medicine, Journal of Clinical Oncology and others.
Evidence-based guidelines and outcomes of published studies provided important and reliable information on:
- The relationship of obesity to breast cancer risk
- Successful diet, exercise and behavior modification strategies
- The body of knowledge leading to the development of the BWEL study
Informative presentations were made by each of the speakers followed by a panel discussion to address audience questions. The two-hour program was preceded by an opportunity for participants to visit with community partners and Sharp programs and services to gather information on nutrition, exercise, support services, research participation and assistance for access to healthy and fresh foods.
Community and Sharp partners in the educational program included:
- American Cancer Society
- Feeding San Diego
- Food for Life
- Sharp cancer, exercise, nutrition, research and health institute programs and services
A total of 80 individuals participated in the program, including 62 community members and 18 staff and physicians. Seventy-eight percent of participants completed a post-program evaluation. A summary of the evaluation ratings on a 5-point scale included the following results:
- Overall quality of the program: 4.91
- Speaker knowledge: 4.98
- Usefulness of information: 4.87
- Degree to which questions were answered: 4.88
Additional information gathered from participants included six individuals requesting follow-up for potential research study participation, requests for contact from a Sharp nurse for a health-related appointment and several individuals requesting notification of future programs and events. Many suggestions for future educational topics were also provided by respondents.
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