Prevention and Screening
Memorial's Cancer Center 2015 Annual Report –
Prevention and Screening
Healthy Eating For Healthy Living Cancer Prevention Program
Obesity is now becoming one of the most significant preventable risk factors for death in the United States. In Stanislaus County 2 in 3 adults are overweight (BMI >25 or obese (BMI >30) which is 18% higher than California’s average and 1 in 6 children are overweight or obese which is 28% higher than the state’s average.
With at least 10 different cancers linked to obesity and an estimated 90,000 annual cancer related deaths nationwide related to excess weight, a prevention program focusing on effectively delivering nutrition and lifestyle education to promote a healthy weight is a priority. Per ACS data only 29% of California adults reportedly consume at least 2 ½ cups of fruit and vegetables per day. Continuous strong evidence exists to support healthy diet patterns and regular physical activity for cancer risk reduction.
The Nutrition Series has been consistently provided since April 2013 and includes cooking demonstrations and lectures to members of the community and hospital staff. This series has been widely promoted to our community and those in our current cancer programs. Nutrition series events are constructed on evidenced based nutrition and lifestyle guidelines as recommended by the American Cancer Society and The American Institute for Cancer Research. The events are facilitated by Faron Moreno, RD, CSO with the assistance of Cancer Services staff members. Community attendance has been excellent with between 25-45 people present. Local food related vendors have been included in the series as well. The series has continued to grow in popularity based on the feedback received from participants.
Cancer Prevention Guidelines
American Cancer Society:
- Achieve and maintain a healthy weight throughout life
- Be physically active
- Eat a healthy diet, with an emphasis on plant foods
American Institute for Cancer Research:
- Be as lean as possible without becoming underweight.
- Be physically active for at least 30 minutes every day. Limit sedentary habits.
- Avoid sugary drinks. Limit consumption of energy-dense foods.
- Eat more of a variety of vegetables, fruits, whole grains and legumes such as beans.
- Limit consumption of red meats (such as beef, pork and lamb) and avoid processed meats.
- If consumed at all, limit alcoholic drinks to 2 for men and 1 for women a day.
- Limit consumption of salty foods and foods processed with salt (sodium).
- Don't use supplements to protect against cancer.
- It is best for mothers to breastfeed exclusively for up to 6 months and then add other liquids and foods.
- After treatment, cancer survivors should follow the recommendations for cancer prevention.
To monitor the effectiveness of the Nutrition Series, surveys were mailed to 47 participants from the 2014 series. 25 surveys were returned. 76% people stated that they had increased their fruit and vegetable intake as a result of attending the classes and 92% of people stated that they had begun to work on achieving a healthy body weight as a result of attending.
Recommendation for Future Direction
Given the obesity crisis in our community and its strong inclination for cancer risk, it is recommended to create a more weight management focused lecture series to support both cancer prevention and survivorship outcomes.
We look forward to expanding our Nutrition program in 2016 to meet this community need and to offer the classes more often.
- Eugenia E. Calle, et. al, Overweight, Obesity, and Mortality from Cancer in a Prospectively Studied Cohort of U.S. Adults. New England Journal of Medicine (2003; 348:1625–1638).
- ACS California Cancer Facts & Figures 2014
- AICR/WCRF Expert Report (2007) & Continuous Update Project. Obesity Infographic.
- Stanislaus County Community Health Assessment - 2013/2014. Community Report.
- UCLA (multiple years). California Health Interview Study.
Colorectal Cancer Screening
Sutter Health Memorial Medical Center, hosted a community Colorectal Cancer Screening at the Age with Movement Celebration at La Loma Park on May 1, 2015. The target population was senior citizens who attended this event to get information and assistance from organizations specializing in seniors. Participants were given a HIPAA, consent, and questionnaire including questions on demographics, risk factors, marketing, smoking history, insurance status, and physician. Once forms were completed, oncology nurses provided education on risk factors, methods of screening, lifestyle recommendations and instructions for the iFOBT kits (fecal occult blood test). The registered nurses who reviewed the completed forms also reinforced the importance of understanding the iFOBT is only one step in colorectal cancer screening, the participant’s responsibility in following up with a physician regardless of results, and specimen collection education.
Sutter Health Memorial Medical Center follows the American Cancer Society’s colorectal cancer screening guidelines. For more information on guidelines, visit www.cancer.org (External Site)
- 48 kits distributed
- Average age: 71.8
- 32 – Negative
- 3 – Positive
- 13 – Not returned
- 24 – Never
- 21 – Quit
- 1 – Smokes
- 2 – Did not answer
- 6 – Spanish/Hispanic
- 36 – White
- 2 – Black/African American
- 2 – Other
- 2 – Did not answer
Note: Some participants had multiple risk factors
- 9 – Type II diabetes
- 7 – First degree relative
- 14 – History of polyps
- 3 – History of uterine cancer
- 2 – History of inflammatory bowel disease
- 1 – History of ulcerative colitis
- 1 – History of ovarian cancer
- 2 – Personal history of colorectal cancer
- 3 – History of breast cancer
- 1 – Familial adenomatous polyposis
- 12 – No risk factors
- 27 – Attended event
- 4 – Friend/Family
- 2 – MD office
- 2 – Newspaper
- 2 – Other
- 1 – MMC nutrition seminar
- 9 – Poster/flyer
- 1 – Did not answer
- 1 – Ceres
- 2 – Hughson
- 1 – Livermore
- 32 – Modesto
- 3 – Oakdale
- 2 – Ripon
- 2 – Riverbank
- 5 – Turlock
- Results given to participant and listed physician within two weeks of specimen receipt. A delay between time received and processed was noted by the lab receipt date and result posting. Despite the cutoff date of specimen receipt by May 15, 2015, we kept checking for specimens until June 19th.
- Result letter included important information regarding the importance of following up with a physician, possibility of false results, and that iFOBT tests cannot detect 100% of colorectal cancers. It was planned that participants with positive results would receive a follow-up phone call from a registered nurse (made within two weeks) to check if patient followed-up with physician.
- Follow up calls were made to three participants with positive results to verify receipt of results and to educate on need for follow up. One participant had referral made to GI. Another had a follow up appointment on June 29, 2015 to review results with primary care physician. The third participant verbalized that he would follow up with primary care physician. A second phone call was made to the latter to verify follow through.