27974, Shiloh, North Carolina Breast Cancer Score Hospital Score

The Hospital Score for the Breast Cancer Score in 27974, Shiloh, North Carolina is 60 when comparing 34,000 ZIP Codes in the United States.

## Breast Cancer Score: Navigating Care Near Manteo, NC (ZIP Code 27974)

The Outer Banks of North Carolina, encompassing the ZIP code 27974 (Manteo), presents unique challenges when it comes to accessing specialized medical care, particularly for a complex disease like breast cancer. This review assesses the available resources, focusing on hospital quality, accessibility, and the overall landscape of breast cancer treatment options within a reasonable radius. While the immediate area is geographically limited, the review will extend to hospitals within a drivable distance, considering the needs of patients seeking comprehensive care.

**Local Landscape: Limited Options, Regional Reliance**

Manteo itself is served primarily by the Outer Banks Hospital (OBH), a critical access hospital. As a critical access facility, OBH is designed to provide essential services to a rural population. However, it's crucial to understand that critical access hospitals often lack the extensive specialized resources found in larger, tertiary care centers. OBH does offer some cancer care services, but for comprehensive breast cancer treatment, patients in 27974 will likely need to travel.

**Flagship Hospitals and CMS Star Ratings: A Measure of Quality**

The Centers for Medicare & Medicaid Services (CMS) assigns star ratings to hospitals, providing a readily accessible measure of overall quality. These ratings consider various factors, including patient outcomes, safety, and patient experience.

The closest major hospital with a CMS star rating is Sentara Albemarle Medical Center in Elizabeth City, NC. While not a flagship cancer center, Sentara Albemarle Medical Center has a 3-star rating from CMS. This indicates an average level of quality compared to other hospitals.

For more comprehensive cancer care, patients often seek out larger hospitals with dedicated cancer centers. While not immediately local, the closest major medical center with a dedicated cancer program is Vidant Medical Center in Greenville, NC. It is approximately 1.5-2 hours away. Vidant Medical Center is a regional referral center. Vidant Medical Center is not currently rated by CMS.

**ER Wait Times: A Critical Consideration**

Emergency room wait times are a significant factor, particularly for patients experiencing symptoms or complications related to breast cancer treatment. Prolonged wait times can lead to increased anxiety and potentially delayed care.

Information on ER wait times can fluctuate. Sentara Albemarle Medical Center's ER wait times are generally in line with the national average. It is best to call the hospital directly to obtain the most current information. Vidant Medical Center's ER typically experiences longer wait times, reflecting its role as a regional referral center.

**Specialty Centers and Breast Cancer Programs: The Core of Treatment**

The presence of dedicated breast cancer centers and programs is paramount. These centers offer multidisciplinary teams, including medical oncologists, surgical oncologists, radiation oncologists, radiologists, pathologists, and specialized nurses.

Sentara Albemarle Medical Center offers cancer care services. However, it is not a comprehensive cancer center.

Vidant Medical Center in Greenville, NC, is the closest hospital with a more robust cancer program. It offers a full spectrum of services, including medical oncology, surgical oncology, radiation oncology, and access to clinical trials.

**Diagnostic Imaging: Early Detection is Key**

Access to advanced diagnostic imaging is critical for early detection and accurate staging of breast cancer. This includes mammography, ultrasound, MRI, and PET scans.

Both Sentara Albemarle Medical Center and Vidant Medical Center offer comprehensive imaging services. The availability of advanced imaging modalities, such as 3D mammography (tomosynthesis), is an important consideration.

**Surgical Oncology: Expertise in Breast Cancer Surgery**

The skill and experience of surgical oncologists are crucial for successful breast cancer treatment. Patients should inquire about the surgeon's experience, the types of surgeries performed (lumpectomy, mastectomy, etc.), and the availability of breast reconstruction options.

Both Sentara Albemarle Medical Center and Vidant Medical Center have surgical oncology departments. Patients should research the surgeons' credentials and experience before making a decision.

**Medical Oncology and Chemotherapy: Systemic Treatment**

Medical oncologists specialize in systemic therapies, including chemotherapy, hormone therapy, and targeted therapies. The availability of these treatments and the expertise of the medical oncology team are essential.

Both Sentara Albemarle Medical Center and Vidant Medical Center offer medical oncology services. Patients should inquire about the availability of the latest treatment options and access to clinical trials.

**Radiation Oncology: Precision Targeting**

Radiation therapy is often a crucial component of breast cancer treatment. The availability of advanced radiation therapy techniques, such as intensity-modulated radiation therapy (IMRT) and stereotactic body radiation therapy (SBRT), can improve outcomes and minimize side effects.

Vidant Medical Center has a radiation oncology department.

**Rehabilitation and Supportive Services: Holistic Care**

Breast cancer treatment often involves physical and emotional challenges. The availability of rehabilitation services, such as physical therapy, occupational therapy, and lymphedema management, is important for recovery. Supportive services, such as counseling, support groups, and nutritional counseling, can also improve the patient's quality of life.

Vidant Medical Center offers a range of supportive services.

**Telehealth and Virtual Care: Bridging the Distance**

Telehealth and virtual care have become increasingly important, particularly for patients in rural areas. Telehealth can provide access to consultations, follow-up appointments, and support services without the need for travel.

Both Sentara Albemarle Medical Center and Vidant Medical Center offer telehealth services.

**Clinical Trials: Access to Cutting-Edge Treatments**

Participation in clinical trials can provide access to the latest treatment options and contribute to advancements in breast cancer research.

Vidant Medical Center offers clinical trials.

**Accessibility and Transportation: Navigating the Challenges**

Transportation can be a significant barrier to care for patients in the Outer Banks. Patients may need to rely on family, friends, or community transportation services to travel to appointments.

**Financial Considerations: Understanding Costs and Insurance**

The cost of breast cancer treatment can be substantial. Patients should understand their insurance coverage, including co-pays, deductibles, and out-of-pocket expenses. Hospitals often have financial assistance programs available to help patients manage their costs.

**Patient Experience and Reviews: Voices of Experience**

Reading patient reviews and testimonials can provide valuable insights into the quality of care and the patient experience at different hospitals and cancer centers. Online platforms, such as Healthgrades and Vitals, can be helpful resources.

**Conclusion: A Balanced Assessment**

For residents of Manteo (27974), accessing comprehensive breast cancer care requires a degree of travel. While the Outer Banks Hospital provides basic services, the primary options for specialized treatment are located in Elizabeth City (Sentara Albemarle Medical Center) and Greenville (Vidant Medical Center). Patients should carefully consider the factors discussed in this review, including hospital quality, ER wait times, specialty services, and accessibility, to make informed decisions about their care. Careful consideration of these factors, along with personal preferences and individual needs, is essential for navigating the complexities of breast cancer treatment and ensuring the best possible outcome.