This document discusses the OncoCollect software for collecting real-world oncology data across institutions in India. It aims to establish a common platform to pool treatment data without revealing patient identities. Several major cancer centers have implemented OncoCollect, collecting data on over 100,000 patients annually. Preliminary analysis has been conducted on breast cancer and lymphoma cohorts from two centers. The goal is to create a large repository of Indian cancer treatment data to develop evidence-based, India-specific guidelines.

1. 1
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

2. 2
1) E M R
2) Clinical Data Collection for Analysis
Are two different things

3. 3
THE HARD TRUTH IN 2015

4. 4
Medical Oncologists- USA vs. India
New Cases 1.6 Million / Yr 1 Million / Yr

5. 5
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.

6. 6
MO needed estimations for India
• 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
1 Million new and 1.8 million prevalent cases

7. 7
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.

8. 8
Breast Cancer 1999-2008

9. Early Breast Cancer 99-08 Lymph Node

11. 11
OncoCollect ™

12. 12
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
What does it Do...?
www.rncf.in

13. 13
OncoCollect ™
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
Master (Live Update) Studies
A B C D
- Principal Investigator
will have access to
download Pooled
data of his group’s
study
- Data pooled without
patient / Consultant
Identities
www.rncf.in

14. 14
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.
Ramesh Nimmagadda Cancer Foundation
www.rncf.in

15. 15
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

16. 16
OncoCollect ™ Installed so far ..
1) Apollo Specialty Cancer Hospital, Chennai
2) Mahavir Cancer Sansthan, Patna
3) Tata Medical Centre, Kolkata
4) Basavtharakam Indo American Cancer Hospital
& Research Institute, Hyderabad
5) Rajiv Gandhi Cancer Institute & Research
Centre, New Delhi
6) Chennai Breast Centre, Chennai
7) G K N M Hospital, Coimbatore
National Cancer Grid Accepted
Ramesh Nimmagadda Cancer Foundation
www.rncf.in
Approximately 100000 New patients / Year are seen in these centers
www.rncf.in

17. 17
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
Ramesh Nimmagadda Cancer Foundation
www.rncf.in

18. 18
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

19. 19
Thank You

20. 20

21. 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
Consumed from the EMR
Diagnosis & Staging
• 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
Treatment
Outcome
www.rncf.in

22. Breast Cancer 1999-2008