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: 7281663
• 负责人: STEVEN THOMAS FLEMING
• 金额: $ 22.42万
• 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 2009-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7281663
• 关键词: Breast; Prostate; Cancer; Patterns; Care

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. Byfocusing 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.

这项研究的目的是“使用人群进行增强的监视和操作研究 - 基于肯塔基州癌症注册中心（KCR）的数据。KCR一直是疾病中心的一部分 控制与预防（CDC），国家癌症注册计划（NPCR）以来 倡议和KCR是监视，流行病学和最终结果（SEER）的最新增加之一（SEER） 国家癌症研究所计划。在改善的“完整性，及时性，质量和 使用第一疗程和阶段数据“我们将增强已经出色的能力 癌症注册表描述乳腺癌和前列腺癌的护理模式。我们将专注于理解 肿瘤，患者，提供者和卫生系统特征如何影响患者接受的程度 公认的护理标准。为此，我们提出以下目的：（1）描述治疗模式 就获得公认的比例而言 护理标准； （2）描述前列腺癌所有阶段的治疗模式； （3）确定肿瘤的方式 患者，提供者和卫生系统特征会影响乳房和前列腺的治疗策略 癌症; （4）评估阶段和第一个治疗数据的完整性和质量，并比较 后者是Medicare索赔数据的治疗证据。我们相信拟议的研究将成为 为建立在已经以已经是一个已经进行增强监视能力的能力的重要贡献 肯塔基州杰出的癌症注册处。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标准的程度 护理以及使医生和患者偏离该标准的因素。这样的理解 应该帮助我们区分那些代表这种偏差合法和合理原因的因素 来自可能代表不合理原因的因素，例如访问或歧视的障碍。