Tài liệu State of Tennessee Comprehensive Cancer Control Plan 2009-2012 ppt

State of Tennessee

Comprehensive Cancer

Control Plan

2009-2012

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The Tennessee Comprehensive Cancer Control Plan for 2009-2012 is a collaboration of

professionals in healthcare, social work, higher education, government,

non-profit agencies and citizens who have first-hand knowledge of cancer.

The pinwheel on the cover represents the different components of the plan. Just as this

pinwheel is made up of different pieces attached together to form a cohesive whole,

Tennessee’s comprehensive cancer control plan is the result of representatives from

many communities sharing information and combining it to form a cohesive plan.

A pinwheel not only symbolizes cohesion and harmony, but it also represents forward

motion. The Cancer Control Plan represents the teamwork and determination of

many individuals to move forward in the fight against cancer in Tennessee.

The pinwheel is a metaphor for the Tennessee Comprehensive Cancer Control Plan.

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vicc.org 800.811.8480

Thank you to Vanderbilt-Ingram Cancer Center for designing and publishing this document.

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Introduction Letter

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Introduction

Why Care about Cancer?

You know someone who has been affected by cancer – a family member, friend,

coworker, or perhaps, you yourself. The second leading cause of death in Tennessee,

cancer, touches us all. In Tennessee, cancer claims about 12,300 lives each year.

Although heart disease continues to be the leading cause of death for the total

population, in Tennessee, like in other states, in persons under age 85 cancer is the

leading cause of death. Approximately 1 in 3 Tennesseans now living, will eventually

have cancer.

That’s the sad prognosis, but many cancers can be avoided. Nearly 65 percent of new

cancer cases and 33 percent of cancer deaths could be prevented through lifestyle

changes such as eliminating tobacco use, improving dietary habits, exercising regularly,

maintaining a healthy weight, obtaining early detection cancer screening tests, and

obtaining timely and appropriate treatment. We believe that together, we can make a

difference.

A Unified Fight Against Cancer

The Tennessee Comprehensive Cancer Control Coalition (TCCCC) exists to wage a

unified fight against cancer across the state. To this aim, the Coalition has developed

and sustained an integrated and coordinated approach to reducing cancer incidence,

mortality, and morbidity and improving the quality of life for those affected by cancer

in Tennessee. The mission statement of the TCCCC is: To measurably reduce the burden

of cancer on the citizens of Tennessee by implementing a collaborative statewide plan

driven by data, science, capacity and outcomes.

What is Comprehensive Cancer Control?

Comprehensive cancer control, as defined by the Centers for Disease Control and

Prevention, is “a collaborative process through which a community pools resources

to reduce the burden of cancer that results in risk reduction, early detection, better

treatment, and enhanced survivorship.” The Tennessee Comprehensive Cancer Control

Coalition is dedicated to this approach.

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How is Comprehensive Cancer Control Accomplished?

Comprehensive cancer control relies on active involvement by concerned citizens and

key stakeholders and uses data in a systematic process to:

• determine the cancer burden;

• identify the needs of communities and/or population-based groups;

• prioritize these needs;

• develop interventions and infrastructure to address the needs;

• mobilize resources to implement interventions; and

• evaluate the impact of these interventions on the health of the community/

population.

Using a state leadership structure, as well as standing and resource committees, more

than 400 TCCCC volunteers are battling cancer across the state and in their own

backyards via regional Coalitions impacting critical cancer issues in their communities.

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WHO WHAT WHERE WHEN WHY HOW

Executive Summary

The Tennessee Comprehensive Cancer Control Plan provides a roadmap for the activities

of the Tennessee Comprehensive Cancer Control Coalition (TCCCC) through the years

2009-2012. The Plan incorporates broad goals that will be implemented by members

of five regional coalitions and twelve state-wide committees. The work plan is prepared

annually using the framework of the Plan to prioritize the work and establish measurable

outcomes for evaluation.

The Plan begins with a call to action from Phil Bredesen, Governor of Tennessee, and Susan

Cooper, MSN, RN, Commissioner, Tennessee Department of Health. The call to action builds

on the previous work of the coalition summarized in Cancer Plan Progress, 2005-2008. The

incidence and mortality data used in this Plan are from Burden of Cancer in Tennessee, a

report published by the Office of Cancer Surveillance in December 2007.

Following the call to action, a goal summary is listed which includes sixteen goals

representing the scope of the Plan. Added to this Plan are specific goals that have been

identified for the continuum of cancer care, including primary prevention, early detection,

treatment and care, survivorship, and palliative care.

The overarching issues of cancer disparities, health literacy, surveillance, and lifestyle and

environment that were identified in the 2005-2008 Plan remain in the 2009-2012 Plan.

Goals for two other issues, clinical trials and advocacy, have been added to this Plan. This

Plan also continues to identify specific cancers that can be impacted by prevention and

screening efforts. There are goals, objectives, and strategies to address tobacco related

cancers, women’s cancers, colorectal cancer, prostate cancer, skin cancer and melanoma,

and childhood cancers.

An additional priority for the 2009-2012 Plan is to establish sustainability for the TCCCC.

This will be accomplished by working with state legislators and the Commissioner of Health

to fund TCCCC initiatives.

Readers are invited to view the tear out on pages 15-16 to learn how they can participate in

the coalition and plan implementation. A membership form is also included.

This Plan is provided to the citizens of Tennessee as a comprehensive strategy to reduce the

burden of cancer in Tennessee.

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Table of Contents

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Preface 1

Letter from TN State

Governor and State Health

Commissioner 1

Introduction 2

Executive Summary 4

Chapter One 6

Cancer Burden in TN 6

Progress Report 8

Goal Summary 12

What Can You Do? 15

Coalition Structure 17

Chapter Two 18

Primary Prevention 18

Early Detection 20

Chapter Three 22

Treatment & Care 22

Survivorship 25

Palliative Cancer Care 27

Chapter Four 30

Clinical Trials & Other

Cancer Research 30

Chapter Five 32

Advocacy 32

Disparities 34

Health Literacy 36

Chapter Six 38

Surveillance and

Evaluation 38

Chapter Seven 41

Tobacco Related Cancers 41

Women's Cancers 44

Colorectal Cancers 46

Prostate Cancer 49

Skin Cancer & Melanoma 50

Childhood Cancer 53

Chapter Eight 59

Glossary 59

References 61

Acknowledgements 62

Appendix 63