National Capital Area (NCA) Minority/Underserved NCORP

国家首都区 (NCA) 少数族裔/服务不足的 NCORP

• 批准号: 10674709
• 负责人: Lucile Lauren Adams-Campbell
• 金额: $ 87.82万
• 依托单位: GEORGETOWN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-08-07 至 2025-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10674709
• 关键词: Address; Adolescent and Young Adult; Area; Awareness; Black Populations; Breast; Cancer Burden; Cancer Center; Cancer Control; Cancer Patient; Cancer Survivor; Capital; Caring; Catchment Area; Cause of Death; Clinical Research; Clinical Trials; Clinical Trials Cooperative Group; Collaborations; Colorectal Cancer; Communities; Community Outreach; Comprehensive Cancer Center; County; Coupled; Disparity; District of Columbia; Education; Faculty; Faith-based organization; Goals; Health; Health Disparities Research; Healthcare; Hispanic Populations; Hospitals; Latino; Latino Population; Leadership; Light; Malignant Neoplasms; Malignant neoplasm of cervix uteri; Malignant neoplasm of prostate; Mammographic screening; Maryland; Minority; Minority Groups; Neighborhoods; Nonprofit Organizations; Obesity; Oncologist; Outcome; Outpatients; Participant; Patient-Focused Outcomes; Patients; Population; Prevention; Prevention trial; Primary Care Physician; Quality of Care; Recording of previous events; Research; Research Personnel; Resources; Risk Factors; Schedule; Smoking; Subgroup; Underserved Population; Uninsured; University Hospitals; Virginia; Visit; Washington; Woman; aging population; arm; base; cancer care; cancer clinical trial; cancer health disparity; cancer prevention; cancer risk; care delivery; care outcomes; community center; community engagement; community organizations; community partnership; design; disparity elimination; ethnic diversity; experience; health assessment; health disparity; imaging study; improved; interest; malignant breast neoplasm; medical specialist; medically underserved; minority health; minority health disparity; mortality; outreach; physical inactivity; programs; racial diversity; recruit; screening

Abstract The National Capital Area (NCA) Minority/Underserved NCORP will be based at Georgetown Lombardi Comprehensive Cancer Center (LCCC), comprising Medstar Georgetown University Hospital (MGUH) and MedStar Washington Hospital Center (MWHC) as the primary affiliate, with a catchment area comprising 48.3% non-Latino Blacks (NLB) and 10.6% Hispanics/Latinos (H/L) that includes Washington, D.C. and adjacent counties in Maryland and Virginia. MWHC serves predominantly, i.e., > 85% minority and underserved populations; and treats more than 2,000 predominantly minority cancer patients and 48,000 outpatients, annually. The cancer burden and disparities are greatest among NLB population in the catchment area as evident by some of the highest mortality rates in the nation for breast, prostate, and colorectal cancers. Among the H/L population, cancer is the leading cause of death with H/L patients typically presenting at a later stage compared to Non-Latino White (NLW) patients. High rates of preventable cancer risk factors such as obesity, physical inactivity, and smoking, coupled with much lower screening rates for certain cancers, such as colorectal and cervical cancers in minorities contribute to the cancer disparities seen in the catchment area. The NCA NCORP proposes to address one of the most significant factors associated with these cancer disparities - limited access to optimal and cutting edge prevention, cancer control, and cancer care delivery by increasing awareness and providing access to cancer clinical trials among NLB and H/L in the catchment area. LCCC’s Office of Minority Health and Health Disparities Research (OMH), represents the community outreach arm that is led by Dr. Adams-Campbell, that has established viable academic-community partnerships that enable the NCA NCORP to conduct clinical research in areas of prevention, control, screening, health disparities, and cancer care delivery among the minority populations of interest. In light of an aging population and the increasing number of cancer survivors, this NCORP has the expertise and leadership as evident by demonstrable research in these areas that address cancer control and patient centered cancer care delivery. Furthermore, the ability to address cancer prevention and control among adolescents and young adults (AYA) is also a key strength of our team. The NCA NCORP will address the needs of our catchment area via cancer prevention, control, screening as well as treatment and imaging studies. The specific aims of the proposed National Capital Area NCORP are to: (1) Design and participate in clinical trials in cancer clinical research that improves the quality of care and the health outcomes of the US population in our catchment area; (2) Increase the participation of the greater DC area’s community oncologists and medical specialists and their patients in NCORP-led clinical research; and (3) Expand health disparities research focused on clinical research participation via community outreach, engagement, and education.

抽象的 国家首都区 (NCA) 少数族裔/服务不足的 NCORP 将设在乔治敦隆巴迪 综合癌症中心 (LCCC)，包括 Medstar 乔治敦大学医院 (MGUH) 和 MedStar 华盛顿医院中心 (MWHC) 作为主要附属机构，服务范围占 48.3% 非拉丁裔黑人 (NLB) 和 10.6% 西班牙裔/拉丁裔 (H/L)，其中包括华盛顿特区和邻近地区 马里兰州和弗吉尼亚州的 MWHC 主要为超过 85% 的少数族裔和服务不足的县提供服务。 人口；并治疗超过 2,000 名主要是少数族裔的癌症患者和 48,000 名门诊患者， 每年，该地区 NLB 人口的癌症负担和差异最大，如下所示： 乳腺癌、前列腺癌和结直肠癌的死亡率位居全国前列。 对于 H/L 人群，癌症是导致死亡的主要原因，H/L 患者通常在晚期才出现 与非拉丁裔白人 (NLW) 患者相比，肥胖等可预防癌症危险因素的发生率较高。 缺乏身体活动和吸烟，加上某些癌症（例如结直肠癌）的筛查率低得多 和宫颈癌是导致该地区癌症差异的少数群体的原因。 NCORP 提议解决与这些癌症差异相关的最重要因素之一 - 有限 通过提高认识来获得最佳和最先进的预防、癌症控制和癌症护理服务 并提供参与 LCCC 辖区内 NLB 和 H/L 癌症临床试验的机会。 少数族裔健康和健康差异研究 (OMH) 代表由以下人员领导的社区外展部门： Adams-Campbell 博士建立了可行的学术界伙伴关系，使 NCA 能够 NCORP 将在预防、控制、筛查、健康差异和癌症领域开展临床研究 鉴于人口老龄化和人数不断增加，向感兴趣的少数群体提供护理服务。 该 NCORP 拥有针对癌症幸存者的专业知识和领导力，这一点通过在这些领域的可论证的研究得到证明 解决癌症控制和以患者为中心的癌症护理服务的领域。 青少年和年轻人（AYA）的癌症预防和控制也是我们团队的关键优势。 NCA NCORP 将通过癌症预防、控制和筛查来满足我们学区的需求 拟议的国家首都地区 NCORP 的具体目标是：(1) 设计并参与癌症临床研究的临床试验，以提高护理质量和健康 我们流域内美国人口的成果； (2) 提高大华盛顿地区人口的参与度； 参与 NCORP 主导的临床研究的社区肿瘤学家和医学专家及其患者；以及 (3) 通过社区外展扩大以临床研究参与为重点的健康差异研究， 参与和教育。