The Catchment Area Lucile Adams-Campbell, PhD Associate Director for Minority Health and Health Disparities Research

Calculating Lombardi’s Catchment Area (Old Method) All counties, including DC, that comprise at least 3% of Lombardi’s patient population Lombardi patients come from: –District of Columbia (17.7%) –Maryland (44.7%) –Virginia (32.8%) DC, Montgomery, Prince George, Fairfax, Alexandria, Arlington, Talbot, St. Mary

US Census Bureau American Community Survey CountyTotalRaceEthnicity % of region by state Lombardi Patients Washington, DC 585,267WhiteBlackAsian Hispanic 15%18% 34%56%3%8% Maryland49%45% Montgomery925,71961%16%13% 14% Prince George 833,86223%64%4% 11% St. Mary’s98,46880%14%2% 3% Dorchester31,46869%28%1% 2% Virginia35%33% Fairfax1,006,57668%9%16% 13% Arlington201,79871%8%9% 16% Alexandria138,62166%21%6% 13% Total3,821,96152%31%9% 12% 100%

US AllDC Arlington County, VA Fairfax County, VA Montgomery County, MD Prince George’s County, MD All WhiteBlack Asia n All Whit e Blac k Asia n All Race Whit e Blac k Asia n All Race Whit e Black Asia n All Race Whit e Blac k Asia n All Race Whit e Blac k Asia n Demographic Information* in the District of Columbia, Arlington County and Fairfax County, Virginia and Montgomery County and Prince George’s County, Maryland from Annual Number of Cancer Cases, Age-Adjusted Incidence Rate and Age- Adjusted Mortality Rate for Select Cancers by Race and Gender in the District of Columbia from Rates Estimated from SEER and Applied to Area Population Denominators Cancer siteGender All Race (State Cancer Profile) All Race*White*Black*Asian*Hispanic*

District of Columbia & adjacent counties 71% of MGUH patients reside in this area 41% of cancer patients in catchment are underrepresented minorities Lombardi Catchment 40 miles

Therapeutic & Nontherapeutic Interventional Trial Accruals by Race Demographics2009–2013† RaceCatchment Area Population, % Catchment Area Cancers, % MGUH Patients, % Therapeutic Trials N (%)* Non- Therapeutic Trials N (%) White (74.5)1,099 (31.9) Black (20.4)747 (21.7) Asian (3.5)1,452 (42.2) Other § (1.6)145 (4.2) Total100 1,036 ‡ 3,443 ‡ † Through 8/31/2013, *MedStar Georgetown University Hospital only, § Other includes American Indian, Alaskan Native, Native Hawaiian, two or more races, unreported, ‡ Only those of known race reported

Therapeutic and Nontherapeutic Intervention Trial Accruals by Ethnicity Demographics2009–2013† Ethnicity Catchment Area Population, % Catchment Area Cancers, % MGUH Patients, % Therapeutic Trials N (%)* Nontherapeutic Trials N (%) Hispanic (3.7)399 (13.0) Non- Hispanic ,002 (96.3)2,664 (87.0) Total100 1,041 ‡ 3,063 ‡ † Through 8/31/2013, *MedStar Georgetown University Hospital only, ‡ Only those of known ethnicity reported

At MGUH, 1.4% of patients are children; 2009–2013 † : 2.4% accrued to therapeutic trials; 0.8% to other interventional; 67 children entered into Children’s Oncology Group Registry Accrual of Children Therapeutic and Nontherapeutic Interventional Trial Accruals by Gender and Children Demographics2009–2013† Gender Catchment Area Population, % Catchment Area Cancers, % MGUH Patients, % Therapeutic Trials * N (%) Nontherapeutic Trials N (%) Male (49.6)1,505 (42.0) Female (50.4) 2,081 (58.0) Total100 1,0693,586 ‡ † Through 8/31/2013, *MedStar Georgetown University Hospital only, ‡ Only those of known gender reported.

Demographics2009–2013† Accrual RaceCatchment Area Population, % Catchment Area Cancers, % MGUH Patients, % Noninterventional Accrual No. (%) White ,775 (72.8%) Black ,228 (17.0%) Asian ,633 (8.6%) Other § (1.6%) Total100 18,933 ‡ Noninterventional Accrual by Race † Through 8/31/2013, § Other includes American Indian, Alaskan Native, Native Hawaiian, two or more races, unreported. ‡ Only those of known race reported Ethnicity: 12.7% Hispanic Gender: 59% female Children: 3%

Blacks Accrued to Therapeutic Trials Increase Over Time

District of Columbia & adjacent counties 71% of MGUH patients reside in this area 36% of cancer patients in catchment are underrepresented minorities Lombardi Catchment 40 miles