2021-2025 Maryland Comprehensive Cancer Control Plan
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2021 2025 COMPREHENSIVE CANCER CONTROL PLAN INTRODUCTION t is my pleasure to introduce the 2021-2025 Maryland Rather, the plan is a call to action to encourage Comprehensive Cancer Control Plan. Cancer is a individuals or organizations involved in any aspect Idisease that affects the lives of many people in of cancer control to address one or more of the Maryland and is the second leading cause of death in objectives, and to apply the appropriate strategies and our state and in the nation. The newly updated 2021- resources as opportunities arise. 2025 Maryland Comprehensive Cancer Control Plan offers an opportunity to work together by continuing It is only through the collaborative efforts of to increase our efforts to reduce cancer risk, detect stakeholders across the state that we will succeed cancer early, improve treatment, and enhance in this fight against cancer. We look forward to your survivorship. participation and continued dedication to reducing the burden of cancer in Maryland. This plan is a framework for action and collaboration. It serves as a guide for health professionals, who Sincerely, are involved in planning, directing, implementing, evaluating, or performing research on cancer control Robert R. Neall in Maryland. It is also a resource for all Marylanders Secretary (individuals, health care providers, communities, and Maryland Department of Health organizations) on cancer control topics. The updated plan presents content in cross-cutting sections and topics, with a focus on goals, objectives, and strategies. Niharika Khanna, MD The purpose of the plan is to encourage collaboration Chair and cohesiveness among stakeholders as they work Maryland Cancer Collaborative toward reducing the burden of cancer in Maryland. Kevin Cullen, MD Representatives from the Maryland Department of Chair Health, Maryland Cancer Collaborative, Maryland State Maryland State Council on Cancer Control Council on Cancer Control, and cancer survivors and other experts in the state contributed to updating the plan. Collectively, the goals, objectives, and strategies are far-reaching and complex, and no one organization can carry out all these activities. Comprehensive Cancer Control Plan | Page 2 DEDICATION This Cancer Plan is dedicated to all the courageous Marylanders and their families who fight or have fought a battle against cancer. The Maryland Comprehensive Cancer Control Plan serves as a tribute to your valiant efforts. CHP 2| PAGE 3 Comprehensive Cancer Control Plan | Page 3 PAGE 3 MARYLAND COMPREHENSIVE CANCER CONTROL PLAN 2021 - 2025 Prepared by: Brian Mattingly Director Comprehensive Cancer Control Program Erica Smith, MS Deputy Director Center for Cancer Prevention and Control Pamela Williams, MHA Bureau Director Cancer and Chronic Disease Bureau Ken Lin Tai, MD, MPH Director Center for Cancer Prevention and Control Comprehensive Cancer Control Plan | Page 4 TABLE OF CONTENTS 6 ACKNOWLEDGMENTS 64 SE CTION 2: HIGH BURDEN CANCERS IN MARYLAND 7 CONTRIBUTORS 65 Priority Cancers in Maryland 79 Childhood Cancer 11 MARYLAND CANCER 81 Cross-Cutting Topics COLLABORATIVE 82 Patient Navigation 83 Patient-Level Education 12 MARYLAND COMPREHENSIVE 84 Health Care Provider Education CANCER CONTROL PLAN 85 Quality Monitoring and Improvement 87 Cancer Genetics 16 Key Terms and Acronyms Used in the Cancer Plan 92 Immunotherapy 20 Surveillance and Cancer Data Used in 93 Personalized Medicine the Cancer Plan 93 Research and Clinical Trials 22 Special Topics in Cancer Control 96 Goals, Objectives, and Strategies 22 Access to Health Care 24 Cancer Disparities 102 SE CTION 3: CANCER SURVIVORSHIP, PALLIATIVE 31 SE CTION 1: PRIMARY CARE, AND HOSPICE CARE PREVENTION OF CANCER 104 Survivorship 32 Tobacco Use 111 Palliative Care 38 Healthy Weight, Nutrition, and Physical Activity 113 Hospice Care 41 Alcohol Consumption 114 Goals, Objectives, and Strategies 41 Infections and Cancer Prevention Vaccines 45 Family History of Cancer 45 Cancer Chemoprevention for 119 APPENDICES High-Risk Populations 119 Sources of Maryland Data 45 Ultraviolet Radiation Exposure 120 Sources of National Data 48 Environmental/Occupational Issues 121 Data Considerations and Cancer 54 Goals, Objectives, and Strategies Table of Contents | Page 5 ACKNOWLEDGMENTS The updated 2021-2025 Maryland Comprehensive Cancer Control Plan represents a collaborative effort involving individuals and organizations from across the state of Maryland, including many members of the Maryland Cancer This publication was Collaborative. Cancer Plan contributors donated their time, expertise, and experience, and sincere thanks must go to those supported by Grant individuals who helped to draft sections of the Cancer Plan, as well as to those who reviewed drafts and provided feedback 1NB01OT009297-01 to the Maryland Department of Health Center for Cancer Prevention and Control. A list of individuals who contributed to and Cooperative the development of this updated Cancer Plan can be found on the following pages. Agreement 6NU58DP006333-04, In addition, various offices within the Maryland Department of Health contributed staff expertise and resources during the funded by the Centers Cancer Plan updating process, including: for Disease Control • Center for Cancer Prevention and Control • Center for Tobacco Prevention and Control and Prevention. Its • Center for Chronic Disease Prevention and Control contents are solely • Environmental Health Bureau • Infectious Disease Prevention and Health Services Bureau the responsibility of The collaborative efforts exerted in this process were integral the authors and do to updating the Cancer Plan. This same collaboration will continue to be vital as we work to implement the strategies not necessarily of the Cancer Plan and to impact the burden of cancer in Maryland. represent the official views of the Centers for Disease Control and Prevention or the Department of Health and Human Services. Comprehensive Cancer Control Plan | Page 6 CONTRIBUTORS CLEMENT A. ADEBAMOWO, BM, CHB, SCD, CINDY CARTER FWACS, FACS Executive Director Assistant Director of Population Science and Cancer Support Foundation Director for Global Health Cancer Research Greenebaum Comprehensive Cancer Center Institute of Human Virology University of Maryland School of Medicine DAWN BERKOWITZ, MPH, CHES GEOFF COLEMAN, MD, MHA Director Chief Medical Director Maryland Center for Tobacco Prevention and Control Montgomery Hospice and Prince George’s Hospice Maryland Department of Health ALANNA BIBLOW, MPH, CHES JOCELYN COLLINS Project Coordinator Maryland and Washington, D.C. Government Maryland Center for Tobacco Prevention and Control Relations Director Maryland Department of Health American Cancer Society Cancer Action Network CHRISTINE BOYD, MPH KATHLEEN CONNORS-JURAS Overdose Data to Action Program Manager Cancer Control Strategic Partnerships Manager Office of the Deputy Secretary, Public Health Services American Cancer Society Maryland Department of Health OTIS W. BRAWLEY, MD, MACP, FASCO, FACE DONNA COSTA, MA, MHS Bloomberg Distinguished Professor of Oncology Oncology Outreach Manager and Epidemiology University of Maryland, St. Joseph Medical Center Johns Hopkins University JOSEPH BRODINE, MD, MPH CARLO DICLEMENTE, PH.D. Preventive Medicine Resident Emeritus Professor of Psychology Johns Hopkins University University of Maryland Family Medicine Resident Baltimore County, MD Quit Franklin Square XUEFANG CAO, PHD CINDY DOMINGO Co-Leader of the Tumor Immunology and Direct Services Lead Immunotherapy Program Cancer Screening Programs Unit University of Maryland School of Medicine Maryland Center for Cancer Prevention and Control Maryland Department of Health Comprehensive Cancer Control Plan | Page 7 JOANNE EBNER, RN, BSN, TTS MARIA GERONIMO, MBA, MSN, RN Supervisor Thoracic Program Coordinator Cancer Prevention/Nicotine Dependence Anne Arundel Medical Center Anne Arundel Medical Center DeCesaris Cancer Center KIRA EYRING SARAH GIERHART, MS Cancer Control Strategic Partnerships Manager Senior Epidemiologist American Cancer Society Maryland Center for Cancer Prevention and Control Maryland Department of Health CARMI WASHINGTON FLOOD SHILPA GOPINATH, MPH Chief, Office of Faith-Based and Community Public Health Applications for Student Experience Partnerships Intern (Spring 2020) Infectious Disease Prevention and Johns Hopkins Bloomberg School of Public Health Health Services Bureau Maryland Department of Health PATRICIA FORD, RN, MPH DONNA GUGEL, MHS Volunteer Director Leukemia and Lymphoma Society Maryland Prevention and Health Promotion Administration Maryland Department of Health SUZI FORD JENNIFER HAYES, MED, MPH Cancer Control Strategic Partnerships Manager Senior Epidemiologist American Cancer Society Maryland Cancer Registry Maryland Department of Health NANCY FORLIFER HOLLY HAYMAN, DNP, RN Director Community Wellness Director of Clinical Services UPMC Western Maryland Compass Regional Hospice and The Hope and Healing Center PEGGY FUNK, CAE KATHY HOWELL, CMI Executive Director Medical Interpreter/Cultural Consultant Hospice and Palliative Care Network of Maryland KMH Interpreting, Translation and Cultural Consulting PAUL GALONSKY, MPA NIKARDI JALLAH, MPH Quality Improvement Specialist Epidemiologist Maryland Center for Cancer Prevention and Control Maryland Center for Tobacco Prevention and Control Maryland Department of Health Maryland Department of Health Comprehensive Cancer Control Plan | Page 8 MARY JOSEPH, RN, BC, CPHQ THUY NGUYEN, MPH Project Manager Health Educator Primary Care