OncoCollect-Collection of Real World Data in Oncology

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OncoCollect Collection of Real World Data in
Oncology
Dr Ramesh B V Nimmagadda Director, Medical
Oncology Apollo Speciality Cancer hospital,
Chennai Managing Trustee Ramesh Nimmagadda
Cancer Foundation
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1) E M R 2) Clinical Data Collection for
Analysis Are two different things
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THE HARD TRUTH IN 2015
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Medical Oncologists- USA vs. India
New Cases 1.6 Million / Yr 1
Million / Yr
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Workload standard recommendations Canada

• Workload for MO in teaching RCCs be set at 158
  new patients per year.
• Workload for MO in nonteaching RCCs be set at 173
  new patients per year.
• Annual workload increase would require an
  additional medical oncologist .
• New workload standards be implemented over a
  three year period starting in fiscal 1999/2000.
• Additional data be gathered periodically to
  determine the workload standard and manpower
  requirements due to changing treatments.

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MO needed estimations for India
1 Million new and 1.8 million prevalent cases

• 170 new patients per MO we need 5882
• 340 new patients per MO we need 2941
• 510 new patients per MO we need 1960
• 680 new patients per MO we need 1470
• 850 new patients per MO we need 1176

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1) E M R 2) Clinical Data Collection for
Analysis Are two different things and
both are needed but should be kept
separate, in India for sure.
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Breast Cancer 1999-2008
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Early Breast Cancer 99-08 Lymph Node
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• OncoCollect

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What does it Do...?
Localized Database, Enabled for
pooling in the Cloud
without Patient Identity Information. -
Encrypted patient identity data - Flexible
Dynamic Data Elements, screens on the fly -
Responsive Design - Medical Coding - Microsoft
.NET Platform - SQL Server 2012 - Export to
excel and Cloud without Patient Identity
Parameters - Built-in Formulas to facilitate
Analysis, Statistics and follow ups - Graphical
representation of Events
www.rncf.in
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OncoCollect
Studies
Master (Live Update)

• Principal Investigator will have access to
  download Pooled data of his groups study
• Data pooled without patient / Consultant
  Identities

A
B
C
D
Institution - A Institution - B ---- BLADDER
CA STUDY ---- COLON CA STUDY Institution - C ---
BREAST CA STUDY ---- COLON CA STUDY Institution
- D --- BREAST CA STUDY ---- BLADDER CA STUDY
www.rncf.in
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Ramesh Nimmagadda Cancer Foundation

• Main Objective
• Establish a common platform for data collection
  in oncology for Treatment and outcomes across the
  country.
• Enable individuals and institutions to form
  groups and pool data for analysis .
• Enable easy analysis of this data by both
  individuals and the institutions, to constantly
  refine their treatments to suit their local
  conditions.

www.rncf.in
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Ramesh Nimmagadda Cancer Foundation

• Vision
• To Create a repository of Indian data on
  Treatment and Outcomes to formulate
  India-Specific treatment guidelines
• for cancer Based on Indian Data
• 
  
  
  www.rncf.in

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Ramesh Nimmagadda Cancer Foundation

• OncoCollect Installed so far ..
• Apollo Specialty Cancer Hospital, Chennai
• Mahavir Cancer Sansthan, Patna
• Tata Medical Centre, Kolkata
• Basavtharakam Indo American Cancer Hospital
  Research Institute, Hyderabad
• Rajiv Gandhi Cancer Institute Research Centre,
  New Delhi
• Chennai Breast Centre, Chennai
• G K N M Hospital, Coimbatore

National Cancer Grid Accepted
Approximately 100000 New patients / Year are seen
in these centers
www.rncf.in
www.rncf.in
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Ramesh Nimmagadda Cancer Foundation
1) 1200 Breast Cancer patient data from
Chennai Breast Centre, Chennai 2) 750
Lymphoma patient data from Tata
Medical Centre, Kolkata 3) 165 Triple Ve
Breast Cancer patient data from
Chennai Breast Centre, Chennai To be presented
at ISMPO ISO Biennial Conference
6-8 Nov 2015 in Mumbai
www.rncf.in
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Ramesh Nimmagadda Cancer Foundation
OncoCollect is owned by RNCF OncoCollect is
provided free of cost to all
involved with treatment of Cancer in India
and willing to collect
Clinical Data.
www.rncf.in
www.rncf.in
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Thank You
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Establishing Common Minimum Data Collection in
the Country

• UHID
• Sex
• District
• State
• Postal Code
• Age at Diagnosis
• Second Oncology Consultation
• Site Of Primary
• Date Of Diagnosis
• Histology
• M Metastases
• pT TumourSize
• pN LymphNodes
• Pathalogical Stage
• cT Tumor Size
• cN Lymph Nodes
• Clinical Stage

• Surgery
• Surgical Procedure
• Date Of Surgery
• Radio Therapy
• R/T Site
• R/T Start Date
• R/T End Date
• 1st line Systemic Therapy
• 1st Line Drug Group
• 1st Line Hormone Therapy
• 1st Line Systemic Therapy Type
• 1st Recurrence Pattern
• Status
• Recurrence

Consumed from the EMR
Treatment
Diagnosis Staging
Outcome
www.rncf.in
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Breast Cancer 1999-2008