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  • br Smoking br Sun exposure br

    2020-08-28


    Smoking
    Sun exposure 
    no patients
    less than one-half of my patients
    Tanning bed exposure  one-half of my patients
    more than one-half of my patients
    Physical activity
    HBV vaccine
    HPV vaccine 
    every patient
    B
    Percentage of providers
    Smoking
    Sun exposure
    Tanning bed exposure
    Physical activity
    HBV vaccine
    HPV vaccine
    no patients
    less than one-half of my patients
    one-half of my patients
    more than one-half of my patients
    every patient
    Figure 2. Percentage of pediatric providers who deliver A, verbal and B, written counseling regarding cancer risk reduction to their adolescent patients.
    Cancer Prevention Education for Providers, Staff, Parents, and Teens Improves Adolescent 152.e1 Human Papillomavirus Immunization Rates
    THE JOURNAL OF PEDIATRICS • www.jpeds.com Volume 205
    Table I. Survey of providers from recruited practices regarding their cancer prevention guidance attitudes and practices
    Strongly agree Agree Neutral Disagree Strongly disagree I consider cancer prevention education to adolescents and their CCK-8 to be within the scope of pediatric practice I consider HPV infection to be directly associated with cancer I believe that our adolescent patients are at risk for HPV infection and subsequent development of cancer I believe that HPV vaccine is effective in preventing cancer I believe that HPV vaccine is an important cancer prevention measure for our adolescent patients. Every patient More than one-half One-half of patients Less than one-half No patients of patients of patients I counsel adolescent patients at their well child visits regarding: Risk of smoking and lung cancer Risk of sun exposure and skin cancer Risk of tanning bed exposure and skin cancer Physical activity and healthy nutrition in cancer prevention Hepatitis B vaccine and preventing liver cancer HPV vaccine and prevention of genitourinary and oropharyngeal cancers I provide my adolescent patients with written material regarding: Smoking initiation prevention Ways to reduce sun exposure Reduction of tanning bed exposure Age appropriate physical activity and nutrition guidelines Hepatitis B vaccine as a preventive measure for liver cancer HPV vaccine as prevention of genitourinary and oropharyngeal cancers
    Table II. Phase 1: format of practice provider and staff
    education program
    Didactic component HPV vaccine safety and importance
    Strategies for improving vaccination rates
    Message of cancer prevention
    Delivery of a strong vaccine recommendation
    Reduction of missed opportunities
    Bundle with adolescent vaccine recommendations
    Interactive Role playing to address parental concerns
    component Prior quality improvement experiences to increase
    vaccination rates
    Cancer prevention Review of booklet contents
    booklet Incorporation of booklet into work-flow
    Question and Provider- and staff-specific questions discussed
    answers
    Table III. Participating practice demographics
    Pediatric
    Number of 11- to 12-y-old Number of 13- to 18- y-old practices Practice county Community served Insurance accepted patients patients
    A Monroe Suburban Public, private 891 2436 B Onondaga Rural, suburban, urban Public, private 1297 2669 C Onondaga Rural, suburban, urban Public, private 1307 4614 D Albany Suburban Public, private 619 1972 E Erie Suburban Public, private 1196 3490 F Erie Suburban Public, private 405 1487
    Available online at www.sciencedirect.com
    ScienceDirect
    Cancer Registration in Resource-limited EnvironmentsdExperience in Lagos, Nigeria
    Matilda Fatunmbi, MS,a,* Aaron Saunders, MD,b Bindiya Chugani, MSc,c Ifeoma Echeazu, MPH,c Martin Masika, MD,b Stephen Edge, MD, FACS,b and Chukwumere Nwogu, MD, PhD, FACSa,b,c
    a Department of Surgery, Jacobs School of Medicine and Biomedical Science, Buffalo, New York
    b Department of Thoracic Surgery, Roswell Park Cancer Institute, Buffalo, New York
    c Lakeshore Cancer Center, Lagos, Nigeria
    Keywords:
    Cancer
    Registry
    Stage
    Hospital based
    Population based
    Background: Cancer registration provides data that can be utilized to study the etiology, diagnosis, prevention, and treatment of cancer. Despite the efforts of the World Health Organization (WHO), cancer registration is still underdeveloped in low- and middle-income countries (LMICs). This is the case in Lagos, Nigeria. Lakeshore Cancer Center (LCC) sought to retrospectively collect and describe the characteristics of the patients seen in its first 2 y of existence.