San Juan Minority - Based Community Clinical Oncology Program

圣胡安少数民族社区临床肿瘤学计划

基本信息

批准号：
7687405
负责人：
Luis Baez- Diaz
金额：
$ 68.73万
依托单位：
MUNICIPIO DE SAN JUAN
依托单位国家：
美国
项目类别：
财政年份：
1990
资助国家：
美国
起止时间：
1990-09-30 至 2013-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7687405
关键词：
Alcohols Arts Breast Cancer Prevention Breast Cancer Treatment Caribbean region Caring Censuses Cervical Clinical Research Communities Contracts Controlled Study Death Rate Eastern Cooperative Oncology Group Environment Esophageal Esophagus Family Physicians Female Funding Government Group Practice Head and Neck Cancer Health Care Reform Health Personnel Healthcare Systems Hematology Hispanics Hospitals Incidence Individual Institution Insurance Carriers Internist Island Larynx Liver Malignant Neoplasms Malignant neoplasm of liver Medical Medical Indigency Medical Oncologist Medical center Minority Minority-Based Community Clinical Oncology Program Morbidity - disease rate National Surgical Adjuvant Breast and Bowel Project Oncology Group Patients Physicians Population Prevention Primary Care Physician Primary Health Care Private Practice Provider Puerto Rico Radiation Oncologist Reporting Research Research Personnel Southwest Oncology Group Specialist Surgeon Tobacco Uninsured United States National Institutes of Health Woman base cancer care cancer prevention community setting improved malignant mouth neoplasm malignant stomach neoplasm mortality neoplasm registry outreach program population based programs prostate cancer prevention

项目摘要

DESCRIPTION (provided by applicant): The San Juan Minority-Based Community Clinical Oncology Program (SJMBCCOP) was formed and funded by NIH in 1990. The Program promotes and expands cancer clinical research in the Island of Puerto Rico It brings state of the art treatments, prevention and control research to minority individuals in their own environment. It incorporates primary health care providers and other specialists in cancer prevention and control. It identifies barriers and challenges to cancer prevention and treatment research. It improves our operational base and expands our program into the island at large with increasing involvement of private practice groups and organizations. The Island is 100 miles by 35 wide and is located in the Caribbean 1200 miles from US Mainland. Our population is of Hispanic descend. The last population based census of 2000 revealed a total of 3.8 million female inhabitants (51%). The Island Cancer Registry reports approximately 12,000 new cancer cases per year. There is an excess of incidence as compared with USA mainland for tobacco/alcohol related malignancies, specifically, Head and Neck Cancer, Esophageal, and Liver Cancer. There is also an increased incidence of Cervical/Uterine and Gastric Cancer. The death rate has been higher in Oral Cancer, Esophagus, Larynx, Liver and Stomach Cancer. Close to 40% of the population is medically-indigent (uninsured). The majority of this sector of population derive their medical care from a government sponsored and funded Health Care Reform. In this Reform the government has contracted private insurance carriers and their providers to deliver cancer care in their practicing medical institutions and offices. The SJMBCCOP targets specifically these physicians/Institutions and their patient/subjects. The SJMCCOP is affiliated to ECOG, NSABP, MD Anderson, SWOG and CTSU. Our accrual highlights have been in Breast Cancer treatment and Prevention Trials; and the Prostate Cancer Prevention (SELECT). Our participating institution /investigators have accrued close to 100 women to the Breast Cancer Prevention Studies in NSABP and over 1,000 subjects to the Prostate Cancer Prevention. In 1990, the San Juan MBCCOP started within the PR Medical Center facilities. Since them the program has extended to include 4 hospital/institutions and 5 large physicians/group practices in San Juan, Ponce, Bayamon and Manati regions. Currently, the MBCCOP has 76 investigators, including 22 medical oncologist, 7 radiation oncologist, 21 surgeons, 10 internist and 4 family physicians. It is the aim of the program to continue outreach program that can encompass all regions in the Island of Puerto Rico. 1. San Juan Hospital, San Juan, PR 2. San Juan Oncologic Hospital, San Juan, PR 3. Ponce Oncologic Hospital, Ponce, PR 4. VA Caribbean Healthcare System, San Juan, PR 5. Doctor's Center Hospital Hematology-Oncology Group, Manati, PR 6. Hato Rey Hematology-Oncology Group, San Juan, PR 7. Puerto Rico Hematology-Oncology Group, San Juan, PR 8. Primary Care Physician Group, San Juan, PR 9. Doctor's Center Hospital Hematology-Oncology Group, Bayamon, PR

描述（由申请人提供）：圣胡安少数民族的社区临床肿瘤学计划（SJMBCCOP）是由NIH于1990年成立和资助的。该计划促进和扩展了波多黎各岛的癌症临床研究，它带来了艺术治疗，预防和控制研究的状态，以便在其自身环境中为少数派个人。它纳入了预防癌症和控制中的初级卫生保健提供者和其他专家。它确定了癌症预防和治疗研究的障碍和挑战。它可以改善我们的运营基础，并随着私人执业团体和组织的参与而扩展到整个岛屿。该岛的宽度为100英里乘35英里，位于距美国大陆1200英里的加勒比海。我们的人口是西班牙裔的下降。 2000年的最后一次人口普查显示，共有380万女性居民（51％）。岛癌注册表每年报告约12,000例新的癌症病例。与美国相比，发病率过多烟草/酒精相关的恶性肿瘤的大陆，特别是头颈癌，食管和肝癌。宫颈/子宫和胃癌的发生率也增加了。在口腔癌，食道，喉，肝脏和胃癌中，死亡率较高。接近40％的人口是医学上的（未保险）。该人口的大多数人从政府赞助和资助的医疗保健改革中获得医疗服务。在这项改革中，政府签约了私人保险公司及其提供者，以便在其医疗机构和办公室中提供癌症护理。 SJMBCCOP专门针对这些医生/机构及其患者/受试者。 SJMCCOP隶属于ECOG，NSABP，MD Anderson，Swog和CTSU。我们的重点是乳腺癌治疗和预防试验。和前列腺癌预防（Select）。我们的参与机构 /研究人员在NSABP的乳腺癌预防研究中获得了近100名女性，预防前列腺癌的1,000多名受试者。 1990年，圣胡安MBCCOP在公关医疗中心设施中开始。既然它们，该计划已扩展到包括4个医院/机构和5位在圣胡安，庞塞，贝曼和马蒂地区的大型医师/团体练习。目前，MBCCOP有76名调查人员，其中包括22名医学肿瘤学家，7名辐射肿瘤学家，21名外科医生，10名内科医生和4名家庭医生。该计划的目的是继续推进计划，可以涵盖波多黎各岛的所有地区。 1。圣胡安医院，圣胡安，PR 2。圣胡安肿瘤医院，圣胡安，PR 3. Ponce肿瘤医院，Ponce，PR 4。VA加勒比海医疗保健系统，圣胡安，PR 5。 6. Hato Rey血液肿瘤研究小组，圣胡安，PR 7.波多黎各血液肿瘤肿瘤研究小组，圣胡安，PR 8.初级保健医师小组，圣胡安，PR 9。医生中心医院血液肿瘤研究小组