Breast and Prostate Cancer Patterns of Care in Kentucky

肯塔基州乳腺癌和前列腺癌的护理模式

• 批准号: 7087511
• 负责人: STEVEN THOMAS FLEMING
• 金额: $ 13.12万
• 依托单位: UNIVERSITY OF KENTUCKY
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-30 至 2008-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7087511
• 关键词: Breast; Prostate; Cancer; Patterns; Care

DESCRIPTION (provided by applicant): The purpose of this research is to conduct "enhanced surveillance and operations research using population-based data" from the Kentucky Cancer Registry (KCR). KCR has been a part of the Centers for Disease Control and Prevention (CDC), National Program of Cancer Registries (NPCR) since the inception of the initiative, and KCR is one of the recent additions to the Surveillance, Epidemiology, and End Results (SEER) program of the National Cancer Institute. By focusing on improved "completeness, timeliness, quality, and use of first course of treatment and stage data" we will strengthen the capacity of an already outstanding cancer registry to describe patterns of care for breast and prostate cancer. We will focus on understanding how tumor, patient, provider, and health system characteristics affect the degree to which patients receive the recognized standard of care. To this end we propose the following aims: (1) Describe treatment patterns for stages I through III of female breast cancer in terms of the proportion who receive the recognized standard of care; (2) Describe treatment patterns for all stages of prostate cancer; (3) Determine how tumor, patient, provider, and health system characteristics affect treatment strategies for breast and prostate cancer; (4) Assess the completeness and quality of stage and first course of treatment data, and compare the latter to evidence of treatment from Medicare claims data. We believe that the proposed study will make a significant contribution toward building the capacity to conduct enhanced surveillance at an already outstanding cancer registry in the state of Kentucky. We also believe that this study will help us to understand the degree to which breast and prostate cancer patients receive the recognized standard of care, and the factors that move doctors and patients to deviate from that standard. Such understanding should help us distinguish those factors that represent legitimate and reasonable causes for such deviation from the factors that may represent unreasonable causes, such as barriers to access or discrimination.

描述（由申请人提供）：这项研究的目的是从肯塔基癌症注册中心（KCR）进行“使用基于人群的数据的增强监视和运营研究”。 KCR一直是疾病控制与预防中心（CDC），国家癌症登记局（NPCR）的一部分，因为该计划的成立是因为该计划的成立，而KCR是国家癌症研究所的监视，流行病学和最终结果（SEER）计划的最新成员之一。 通过专注于改进的“完整性，及时性，质量以及对第一阶段的治疗和阶段数据的使用”，我们将增强已经出色的癌症注册表来描述乳腺癌和前列腺癌的护理模式。 我们将专注于了解肿瘤，患者，提供者和卫生系统特征如何影响患者获得公认的护理标准的程度。 为此，我们提出了以下目的：（1）根据获得公认的护理标准的比例，描述女性乳腺癌I III阶段的治疗模式； （2）描述前列腺癌所有阶段的治疗模式； （3）确定肿瘤，患者，提供者和卫生系统特征如何影响乳腺癌和前列腺癌的治疗策略； （4）评估阶段和第一个治疗数据过程的完整性和质量，并将后者与Medicare索赔数据的治疗证据进行比较。 我们认为，拟议的研究将为建立在肯塔基州已经出色的癌症注册中心进行增强监视的能力做出重大贡献。 我们还认为，这项研究将帮助我们了解乳腺癌和前列腺癌患者获得公认的护理标准的程度，以及使医生和患者偏离该标准的因素。 这种理解应该有助于我们区分那些代表这种偏离可能代表不合理原因的因素（例如访问或歧视的障碍）的因素的因素。