THE BREATHE EASY PROJECT

Slides provided by Rob Headrick MD MBA

Dr. Headrick is the Thoracic Oncology Program Leader

Presented by Krish Bhadra MD

BACKGROUND AND DISCLOSURES

CHI Lung Council National Pulmonary Lead and Co Chair

Society of Advanced Bronchoscopy Board of Trustees and Chair of Education and Program Development

AABIP Committee on Advanced Bronchoscopy

Medtronic Interventional Lung Solutions

Intuitive Surgical Robotics

Auris Surgical Robotics

BodyVision

Boston Scientific Pulmonary

Merit Medical Endotek

Biodesix

Veracyte

GOAL

Increase lung cancer Survivors within our reach

WHY

Site 1975-1977 1987-1989 2004-2010

All Sites 49 55 68

Prostate 68 83 100*

Colon 51 60 65

Non-Hodgkin

Lymph

47 51 71

Rectum 48 58 68

Ovary 36 38 45

Lung &

Bronchus

12 13 18

Pancreas 2 4 7

NATIONAL STATS

• 250,000 new cases each year- Most will die

• 155,870 expected to die in 2017

• Equal to a 747 crashing each day

• 9 people will die during this talk

• 1 in Tennessee

American Cancer Society

TENNESSEE STATS

• Most common cancer in Tennessee

• Most common cause of cancer deaths

• 4th highest incidence

• 5th highest mortality rate

• Equilivant to 1.5 World Trade Center tragedies each year

• 1 person dies each hour

Cancer in Tennessee, TN Dept of Health

WHY IS LUNG CANCER A PROBLEM IN TN

• Genetics/Family History

• Tobacco

• Asbestos

• Diesel fumes, Coal smoke, Soot

• Radon

HOW?

• Low Dose (CT) Lung screening

• Mobile Lung Screening – 1st in the Nation

• Artificial Intelligence/Data mining/MedMyne – 1st in the Nation

THE POWER OF LUNG SCREENING

Reduce Lung Cancer Deaths by 20%

10 year survival 90%

Mammography 800-900 people screened

Low dose CT Scan 320 people screened

WHO SHOULD BE SCREENED?“NO COST SHARING”

• Ages 55-77

• 30 pack years

• Asymptomatic

• Quit < 15 years

• Initial “Shared Decision Making”

WHO SHOULD BE SCREENED (NCCN)PATIENT EXPENSE-$150

• Age 50 or greater

• Family history of Cancer

• 20 Pack Years

• Enviromental Exposure

• Asbestos

• Soot

• Diesel fumes

• Coal smoke

• Radon

NCCN Lung Screening Guidelines

LUNG-RADS

0- Incomplete scan

1- Negative (repeat scan in 12 months)

2-Benign appearance (repeat scan in 12 months)

3-Probably benign (short term follow up)

4-Suspicious (needs more test/biopsy)

s-Significant non pulmonary finding