Female Breast Cancer in South Dakota Monograph 2023
The SD Department of Health and SD Cancer Registry are pleased to announce the release of the monograph Female Breast Cancer in South Dakota. Female breast cancer is the most common cancer diagnosed among women in South Dakota, and in 2023 approximately 760 women will receive a diagnosis of invasive breast cancer in South Dakota and 110 women will die from the disease. The monograph is available on the SD Cancer Registry website for download and available to order from the SD Dept. of Health Educational Materials Catalog.
Sun Safety Practices in South Dakota Child Care Settings
Skin cancer is the most commonly diagnosed preventable cancer in the United States. One bad sunburn in childhood doubles the risk of skin cancer later in life. The South Dakota Department of Health partnered with child care programs to support implementation of sun safety policies and evidence-based sun safety interventions to reduce the burden of skin cancer.
Clinical Trial Accrual in South Dakota (2013-2020)
The SD Cancer Plan promotes implementation of policy and system changes to expand equitable access to and promotion of participation in cancer clinical trials which will ultimately help optimize quality of life for cancer patients and survivors in South Dakota.
The enrollment of cancer patients into clinical trial studies is crucial for the development of new cancer treatments and advancements in cancer prevention. Cancer-related clinical research study categories include treatment trials, prevention, screening, and quality-of-life/supportive care/palliative care trials, among others.1 Priority 10 of the 2021-2025 South Dakota Cancer Plan aims to increase participation of South Dakota (SD) cancer patients in cancer clinical trials. To measure progress, the SD Cancer Coalition partnered with the South Dakota Cancer Registry (SDCR) to determine the current clinical trial accrual rate within South Dakota using a reporting collection template that aligns with Commission on Cancer Standard 1.9: Clinical Research Accrual2 to streamline reporting efforts for the cancer treatment centers. Reporting measures included the annual analytic caseload, total number of patients accrued as well as accrual by trial type, and the locations for each trial type (onsite and/or referred). The SDCR utilized this template to request data from the eight cancer treatment centers within the state. Since 2015, the cancer treatment centers have voluntarily reported their data annually to the SDCR. The SDCR assured the hospital-based cancer registries that the reporting was voluntary, and that individual hospital-based data would be held in confidence, with only aggregate data shared. The first report, published in Fall 2019, included data for calendar years 2013 to 2016. This report features data from 2017 to 2020 in addition to the previous years. All eight cancer treatment centers reported the data for a 100% response rate. In addition, click here to view the interactive dashboard.
A summary of the findings presented in the dashboard is described in the article. View full article here.
The Cancer Survivorship in South Dakota report uses data from the Behavioral Risk Factor Surveillance System (BRFSS) with survey years 2018, 2019, and 2020 to analyze population demographics, cancer type, health status, quality of life, and other relevant indicators among adult cancer survivors. Key findings in the report include:
- 7.8% of survey respondents reported being diagnosed with cancer, and of those, 18.1% reported having two or more types of cancer
- 48.5% of survivors received their first cancer diagnosis between the ages of
- Breast cancer was the most prevalent cancer type (21.1%), followed by male reproductive cancers (18.1%), gastrointestinal cancers (12.3%), and female reproductive cancers (11.3%)
- Survivors had a higher prevalence of self-reported fair or poor health than those with no cancer history (31.6% vs. 12.4%)
Development of a Survivorship Program at Monument Health Cancer Care Institute
Monument Health Cancer Institute implemented evidence-based patient navigation, survivorship care plans, and referral services to impact the quality of life for cancer survivors. Monument Health Cancer Institute established a survivorship navigation and SCP process and workflow, SCP template, and SCP data tracking mechanism. The facility also established and provided cancer survivor referrals for psychosocial support and rehabilitation services. Additionally, a referral process was established for the Better Choices, Better Health SD Cancer: Thriving and Surviving program. Monument Health provided SCPs to 41% of all eligible patients. Read the full outcomes report to learn more.
Increasing Breast Cancer Screening Rates at Sanford Chamberlain Clinic
Sanford Chamberlain Clinic implemented client reminders, provider reminder and recall systems, provider assessment and feedback, and efforts to reduce structural barriers to increase breast cancer screening rates. During the one-year project, the clinic implemented 861 client reminders and completed 14 same day mammograms. The clinic faced challenges related to staffing as well as guideline changes regarding mammogram spacing after COVID vaccination. Overall, the screening rate increased by 1%. Read the full outcomes report to learn more.
Cancer: Thriving & Surviving – Connecting South Dakotans Isolated by the Pandemic
The South Dakota Foundation for Medical Care (SDFMC) partnered with the SD Cancer Coalition to implement the Better Choices, Better Health SD Cancer: Thriving and Surviving (CTS) program in SD. The COVID-19 pandemic hit at the beginning of the project period and restricted access to in-person workshops but opened availability of providing remote delivery of the program. SDFMC was funded for an additional year to expand workshop delivery and health system partnerships. Efforts also supported tribal partnerships and delivery of a tribally focused workshop.
Supporting Cancer Patients and Survivors Through Implementation of Evidence-Based Palliative Care Interventions
The South Dakota Department of Health Cancer Programs partnered with Sanford Cancer Center to implement an outpatient palliative care navigation program, workflow, and referral process for cancer patients. The cancer treatment center increased system changes and the provision of palliative care services for cancer patients and survivors through project implementation.
Outcomes of the 2015-2020 SD Cancer Plan
The Comprehensive Cancer Control Program is proud to announce the release of the Outcomes of the SD Comprehensive Cancer Control State Plan, 2015-2020 report. This report highlights the progress made toward objectives of the SD Cancer Plan 2015-2020 as well as recognizes the achievements of the SD Cancer Coalition and statewide partners in reducing the cancer burden in SD over the past five years.
Increased Screening for Colorectal Cancer in South Dakota 2015-2020
Over the past five years, the SD Department of Health successfully partnered with health care organizations to increase colorectal cancer screening rates. Outcomes from the project are highlighted in the summary infographic below.
Cancer Survivorship in South Dakota
This report utilizes SD BRFSS data to evaluate demographics, cancer type, age at diagnosis, health status, quality of life indicators, and other relevant cancer survivorship indicators.
Sun Safety for Outdoor Workers: Implementation of a Worksite UV Protection Model Policy to Reduce Skin Cancer Risk in South Dakota Worksites
Skin cancer is the most commonly diagnosed preventable cancer in the United States. Adults spend more than one-third of their day at the workplace and workers who spend a majority of that workday outdoors are at increased risk for skin cancer due to exposure to ultraviolet radiation (UVR). The South Dakota Department of Health partnered with the South Dakota WorkWell Partnership to implement a multi-component approach to address sun safety policy, systems and environment change in worksites to increase sun safety behaviors and reduce the burden of skin cancer in outdoor workers.
Supporting Cancer Patients and Survivors Through Implementation of Evidence-Based Nutrition Interventions
The South Dakota Department of Health Cancer Programs partnered with Sanford Cancer Center to implement an evidence-based nutritional screening tool, best practice alert, and nutrition services within a cancer treatment center located in Sioux Falls, SD. The cancer treatment center increased system changes and provision of nutritional services for cancer patients and survivors through project implementation.
Reducing HPV Associated Cancers: Implementation of Evidence-Based Interventions to Increase HPV Vaccination Rates
The South Dakota Department of Health (SDDOH) Cancer Programs partnered with Black Hills Pediatrics, LLP. to implement client reminders, provider assessment and feedback and patient and provider education to increase HPV vaccination rates within the pediatric practice located in Rapid City, SD. The practice saw an increase in HPV vaccination initiation and series completion rates through project implementation. Other health systems in SD interested in implementing similar interventions are encouraged to reach out to the SDDOH for assistance.
South Dakota American Indian Cancer Disparities Data Report Available
The South Dakota Department of Health and Great Plains Tribal Chairmen’s Health Board partnered to develop the South Dakota American Indian Cancer Disparities Data Report highlighting the unequal burden and disparities between the white and American Indian populations in SD for breast, cervical, colorectal and lung cancer. Among the American Indian population in SD, incidence and mortality rates are higher and the American Indian population was diagnosed at a later stage compared to the white population for all four cancer types examined, with many being significantly higher. To reduce these disparities, cancer prevention and control stakeholders should collaborate to implement evidence-based cancer prevention, early detection, treatment and survivorship interventions among the American Indian population in SD. Print copies of the report can be ordered free of charge at: DOH Publications Catalog.
Environmental Scan of South Dakota’s Mobile Mammography Efforts
An Environmental Scan of South Dakota’s Mobile Mammography Efforts was completed in 2018. Following this assessment, a map was created to give a visual of the availability of mammography services, both mobile units and stationary units, throughout the state. Layers have been added to the map to allow individuals to see county-level breast cancer data overlapping mammography locations. The layers include: 1) had a mammogram in the past two years, 2) age-adjusted breast cancer incidence rates, and 3) age-adjusted breast cancer mortality rates. Click here to view the map.
Organizational Partnership to Enhance Programmatic Reach: Report Now Available
Cancer stage at diagnosis has a strong influence on length of survival. For both breast and cervical cancer, a cancer diagnosis at the localized stage results in higher 5-year relative survival rates than a diagnosis at a distant stage. Screening, therefore, plays a pivotal role in survival for all women susceptible to breast and cervical cancer. Despite the prevention and early detection benefits of screening, many South Dakota (SD) women are not up to date with the recommended screenings for breast and cervical cancer. The All Women Count! program offers a statewide infrastructure, supporting eligible SD women by covering the costs associated with breast and cervical cancer screening. In order to enhance the reach of the AWC! program, an organizational partnership between the SD Breast and Cervical Cancer Early Detection Program and the Helpline Center in SD was developed. The partnership allowed for a dedicated Health Navigator at the Helpline Center to assess the breast and cervical cancer screening needs of women aged 30-64 calling into the 211 Helpline. The personal connections and tailored approach to meeting individuals’ needs allowed the 211 Helpline to connect 129 women with a provider and schedule their recommended breast and/or cervical cancer screenings. Many of these women (44%) met the eligibility requirements for the AWC! program and were appropriately enrolled for program services to cover the costs of screening. The partnership connects the existing breast and cervical cancer screening services of AWC! with a target population of underserved women aged 30-64 who are commonly due or overdue for preventative cancer screening, ultimately expanding the reach of the AWC! program and enhancing service and resource provision to callers of the 211 Helpline.
HPV Vaccination Outcomes Report
The South Dakota Department of Health (SDDOH) Cancer Programs partnered with two unique health systems to implement provider and client reminders to reduce the burden of HPV associated cancers. Both health systems saw an increase in HPV vaccination initiation and series completion rates. Other health systems in SD interested in implementing similar interventions are encouraged to reach out to the SDDOH for assistance.
South Dakota Survivorship Program Outcomes Report
The South Dakota Survivorship Program (SDSP) is proud to announce the release of our Year Three Evaluation Report, which highlights outcomes of the SDSP and program partner collaborations. These collaborations have resulted in expansion of cancer survivorship surveillance systems, facilitation of community/clinical linkages, education for survivors and health care providers on cancer survivor best practices, and acceleration of the evidence related to survivorship practices.
Cancer Surveillance Briefs
The SD Cancer Survivorship Program developed two surveillance briefs. The cancer status and health indicators brief utilizes data from the 2015 and 2016 SD BRFSS to compare demographics, physician status, health behaviors, and quality of life indicators between cancer survivors and those with no cancer history. The cancer survivorship brief utilizes data from 2016 SD BRFSS cancer survivorship module to evaluate cancer survivorship care plan receipt and other relevant indicators for cancer survivorship.
Outcomes Report: Implementing Evidence-based Interventions to Increase HPV Vaccination Rates in SD
In an effort to reduce the burden of HPV associated cancers, the SD Department of Health partnered with Sanford Health to implement client reminders and provider assessment and feedback. The year one project period ran from July 1, 2015 – June 30, 2016, and included seven primary care clinics in SD. Efforts were expanded in year two to focus on series completion in the original seven clinics and expand implementation to include an additional 32 clinic sites in SD. The rate of zero-dose vaccination decreased by 22% among the seven clinics participating in both project years, and series completion rates increased 13% from project initiation to closeout throughout the two-year project.
White Paper on Provision of Survivorship Care Plans in Hard-to-Reach Patient Populations
The SD Cancer Survivorship Program recently released a white paper, Provision of Survivorship Care Plans in Hard-to-Reach Patient Populations. The paper explores two models of collaboration to distribute survivorship care plans for surgery-only urology cancer patients receiving care outside of a cancer treatment center model. A focus on surgery-only prostate patients is used to further explore specific processes.
Evidence-based Strategies to Increase Breast and Cervical Cancer Screening Rates: Outcomes of a Targeted Funding Opportunities, 2016-2017
In March 2016, the SD Comprehensive Cancer Control Program and Breast and Cervical Cancer Early Detection Program partnered with two healthcare facilities to implement evidence-based strategies to increase breast and cervical cancer screening rates. The facilities implemented client reminders for both breast and cervical cancer screening, as well as at least one provider-level intervention. The full Outcomes Report highlights the project and details the successes of implementing these interventions.
White Paper on Population-Based Patient Navigation
The SD Cancer Survivorship Program recently released a white paper featuring the Avera Cancer Institute Navigation Center (ACINC). The ACINC was developed as a community-based model of patient navigation adapted to meet the needs of the highly rural population in the region. The 24-hour, 7 day a week phone based delivery model provides the same level of service to patients and families at all six cancer centers within the system in a centralized manner by staff specialized in oncology navigation. Building on the initial success of the ACINC and literature demonstrating the medical, functional and psychosocial barriers patients face following primary treatment of cancer, a Survivorship Program was added in 2016. The Survivorship Program provides outbound phone calls to cancer survivors a few weeks after they’ve received a survivorship care plan.
The SD Cancer Survivorship Program is proud to announce the release of a white paper, Implementation of Survivorship Care Plans at Three Health System-Based Cancer Centers in a Rural State. The purpose of this project is to describe the development and implementation of cancer SCPs at three health systems’ cancer centers in a rural state. Collectively, these centers serve most cancer patients residing in SD, making the partnership a cross the cancer centers innovative. Each of the three health systems and their affiliated cancer centers if unique in its history, culture, and infrastructure. In addition, each cancer center was at a different point in the development and implementation of SCPs at the time of this project. Therefore, a description of the processes, success, and challenges involved in the development and implementation of SCPs at each health system provides useful insights to support the adoption of SCP’s in similar low-population states or regions.