Post-Hurricane Cancer Care: Patient Needs after Hurricane Maria

飓风后癌症护理：飓风玛丽亚后的患者需求

• 批准号: 10303007
• 负责人: Eida Maria Castro
• 金额: $ 50.92万
• 依托单位: PONCE SCHOOL OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-17 至 2023-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10303007
• 关键词: Address; Affect; Age; Anxiety; Area; Authorization documentation; Biological; Blood; Blood Banks; Blood specimen; Cancer Biology; Cancer Center; Cancer Patient; Caring; Catecholamines; Categories; Clinic; Clinical; Collaborations; Collection; Communities; Community Outreach; Crime; Data; Data Reporting; Education; Electricity; Employment; Ensure; Exposure to; Fibrinogen; Follow-Up Studies; Food; Foundations; Funding; Future; Goals; Grant; Hair; Health Personnel; Health Sciences; Health Services Accessibility; Health behavior; Healthcare Systems; Home; Hurricane; Hydrocortisone; Individual; Infrastructure; Insurance Coverage; Internet; Interruption; Length; Longterm Follow-up; Malignant Neoplasms; Measures; Mediator of activation protein; Medical; Mental Depression; Mental Health Services; Natural Disasters; Outcome; Participant; Patient Care; Patient Self-Report; Patients; Persons; Pharmaceutical Preparations; Physiological; Pilot Projects; Posttraumatic growth; Psyche structure; Puerto Rico; Recording of previous events; Reporting; Research; Research Personnel; Resources; Sample Size; Sampling; Sanitation; Services; Social support; Stress; Telecommunications; Time; Transportation; Universities; Visit; Water; base; biobank; cancer care; circulating biomarkers; community-level factor; comparison group; cytokine; experience; follow-up; health care service; hypothalamic-pituitary-adrenal axis; income insurance; inflammatory marker; innovation; insight; medical supply; member; outreach; perceived stress; psychologic; recruit; resilience; rural area; social culture; symptomatology; traumatic stress; tumor

ABSTRACT Hurricane Maria made landfall in Puerto Rico (PR) on September 20, 2017 as Category 5 storm, killing at least 64 people and causing an estimated $90 billion in damage. Cancer patients are particularly vulnerable to the devastation caused by Maria; it is estimated that 90% of patients have experienced interruptions in their care. The current study will describe unmet medical and psychological needs as well as barriers and facilitators to care in cancer patients in PR. In addition, Maria presents a unique opportunity to study the intersection of stress and cancer, specifically the impact of extreme physical and mental stress on hypothalamic-pituitary-adrenal (HPA) axis functioning which is known to affect cancer biology. Study aims are to: 1) to describe unmet medical and psychological needs over time among cancer patients in PR affected by Hurricane Maria, 2) to identify multilevel barriers and facilitators to access to care, and 3) to explore putative physiological markers of stress in patients and a matched sample of non-cancer controls affected by Hurricane Maria. The current study leverages a longstanding U54-funded partnership between Ponce Health Sciences University (PHSU) and Moffitt Cancer Center. Resources include an Community Outreach Core and the Puerto Rico Biobank as well as a history of collaboration among members of the research team.

抽象的 飓风玛丽亚于 2017 年 9 月 20 日在波多黎各 (PR) 登陆，等级为 5 级风暴， 造成至少 64 人死亡，造成估计 900 亿美元的损失。癌症患者是 特别容易受到玛丽亚造成的破坏；估计90%的患者 他们的护理经历过中断。当前的研究将描述未满足的医疗和 PR 中癌症患者的心理需求以及护理的障碍和促进因素。在 此外，玛丽亚提供了一个独特的机会来研究压力与癌症的交叉点， 特别是极端的身体和精神压力对下丘脑-垂体-肾上腺的影响 (HPA) 轴功能已知会影响癌症生物学。研究目的是：1） 描述 PR 中癌症患者随时间推移未得到满足的医疗和心理需求 受飓风玛丽亚影响，2) 确定获得护理的多层次障碍和促进因素， 3) 探索患者压力的推定生理标志物和匹配的样本 受飓风玛丽亚影响的非癌症控制。目前的研究利用了长期 U54 资助的庞塞健康科学大学 (PHSU) 与莫菲特癌症中心之间的合作伙伴关系 中心。资源包括社区外展核心和波多黎各生物库 作为研究团队成员之间合作的历史。

项目成果

Racial and Ethnic Disparities in Cancer Care During the COVID-19 Pandemic.

COVID-19 大流行期间癌症护理中的种族和民族差异。

• 发表时间: 2022-07-01
• 影响因子: 13.8
• 作者: Patel, Manali I;Ferguson, Jacqueline M;Castro, Eida;Pereira;Armaiz;Duron, Ysabel;Hlubocky, Fay;Infantado, Analynn;Nuqui, Bles;Julian, Donna;Nortey, Nii;Steck, Alexandra;Bondy, Melissa;Maingi, Shail
• 通讯作者: Maingi, Shail