Gundersen Lutheran Proposal to Join the Community Clinical Oncology Program

冈德森路德教会关于加入社区临床肿瘤学计划的提案

• 批准号: 8145432
• 负责人: Ronald S Go
• 金额: $ 57.45万
• 依托单位: GUNDERSEN LUTHERAN MEDICAL FOUNDATION
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-07-26 至 2014-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8145432
• 关键词: Address; American College of Surgeons Oncology Group; Area; Asians; Award; Awareness; Breast; Cancer Center; Cancer Control; Caring; Clinic; Clinic Visits; Clinical; Clinical Research; Clinical Trials; Colorectal; Communities; Community Clinical Oncology Program; Community Hospitals; Conduct Clinical Trials; County; Development; Eastern Cooperative Oncology Group; Education; Eligibility Determination; Enrollment; Fecal occult blood; Funding; General Population; Geographic Locations; Goals; Grant; Gynecologic Oncology Group; Head; Health; Health Fairs; Health Professional; Health system; Healthcare; Hematological Disease; Hematologist; Hispanics; Hospitals; Industry; Institution; Institutional Review Boards; Location; Low income; Malignant Neoplasms; Malignant neoplasm of cervix uteri; Mammography; Medical Oncologist; Medical Staff; Minnesota; Minority; Minority Groups; National Cancer Institute; Native Americans; Nursing Research; Oranges; Ownership; Pacific Island Americans; Patients; Pharmacy facility; Population; Porcupines; Prevention; Primary Health Care; Principal Investigator; Provider; Radiation Oncologist; Radiation Therapy Oncology Group; Recording of previous events; Research; Research Infrastructure; Reservations; Rivers; Rural; Rural Hospitals; Rural Population; Safety; Screening for cancer; Screening procedure; Series; Services; Site; Social Marketing; South Dakota; Teton Sioux Indian; Time; Travel; Underserved Population; United States Dept. of Health and Human Services; Visit; Wisconsin; Woman; Work; base; cancer care; cancer education; colorectal cancer screening; ethnic minority population; experience; falls; global health; hospice environment; human subject; improved; interest; malignant breast neoplasm; medical specialties; medically underserved population; meetings; multidisciplinary; oncology; outreach; programs; quality assurance; rural area; socioeconomics; symposium; treatment trial

DESCRIPTION (provided by applicant): The Gundersen Lutheran Center for Cancer and Blood Disorders, located in La Crosse, Wisconsin, provides cancer care for a predominantly rural population of 560,000 comprising 19 counties in western Wisconsin, northeastern lowa, and southeastern Minnesota. A substantial proportion of the population served in this Tri- state area is considered a Medically Underserved Population or lives in a Health Professional Shortage Area, as designated by the Department of Health and Human Services (DHHS). Of the counties outside of La Crosse, 70%, 60%, 20%, and 5% are considered underserved by DHHS due to geographical area, low income, presence of a correctional facility, or having a Native American tribal population, respectively. Approximately 3% of the population is from ethnic minority groups including Hmong, Native American, and Hispanic. The core of the proposed Community Clinical Oncology Program (CCOP) will be composed of 5 medical oncologists, 4 hematologists, and 4 radiation oncologists, all of whom are employed by the same health system. The group has a strong history of clinical research, with over 30 years of clinical trial experience enrolling over 1200 patients into National Cancer Institute (NCI) (ECOG, RTOG, COG, GOG, ACOSOG, and CTSU) and industry-sponsored trials. In alignment with and complementary to its NCI National Community Cancer Centers Program, the proposed CCOP will enhance clinical trial accrual among the population it serves with the following action plans: 1) offer clinical trial access to a wider geographic area by implementing research infrastructures in rural outreach sites; 2) increase accrual to cancer control/prevention and treatment trials by forming affiliations with new CCOP research bases; 3) improve research participation of minority groups by providing education and cancer screening opportunities; and 4) enhance clinical trial participation (especially to cancer control/prevention trials) among care providers from other medical specialties by regularly promoting clinical trial awareness during various multidisciplinary cancer conferences. We expect to exceed the minimum number of required accrual and meet standard requirements for quality assurance and human subject safety. RELEVANCE: Our proposed CCOP will provide and enhance clinical trial access to a rural population in the Midwest, predominantly underserved due to geographical barriers. Several pockets of minority groups (Native American, Hmong, and Hispanic) across a wide area will also be targeted.

描述（由申请人提供）：位于威斯康星州拉克罗斯市的Gundersen Lutheran癌症和血液疾病中心，为主要的560,000人口提供了癌症护理，其中包括19个县，在威斯康星州西部，洛亚东北部和明尼苏达州东南部。在该三州地区服务的人口中，很大一部分被认为是医疗服务不足的人口，或者居住在卫生和公共服务部（DHHS）指定的卫生专业短缺地区。在La Crosse以外的县中，由于地理区域，低收入，惩教设施的存在或拥有美洲原住民部落人口，DHHS被认为是DHH的70％，60％，20％和5％。大约3％的人口来自包括苗族，美洲原住民和西班牙裔在内的少数民族。拟议的社区临床肿瘤学计划（CCOP）的核心将由5位医学肿瘤学家，4位血液学家和4位放射性肿瘤学家组成，所有这些肿瘤学家均由同一卫生系统雇用。该小组拥有悠久的临床研究历史，拥有30多年的临床试验经验，将1200多名患者纳入国家癌症研究所（NCI）（ECOG，RTOG，COG，GOG，ACOG，ACOSOG和CTSU）和行业赞助的试验。在与其NCI国家社区癌症中心计划的一致性和互补的情况下，拟议的CCOP将在其服务于以下行动计划的人群中加强临床试验：1）通过在农村外展现场实施研究基础设施，为更广泛的地理领域提供临床试验访问权限； 2）通过与新的CCOP研究基础形成隶属关系来增加对癌症控制/预防和治疗试验的应计； 3）通过提供教育和癌症筛查机会来改善少数群体的研究参与； 4）通过在各种多学科癌症会议期间定期促进临床试验意识，从其他医学专业的护理提供者中增强了临床试验参与（尤其是针对癌症控制/预防试验）。我们预计将超过所需应计的最低数量，并满足质量保证和人类主题安全的标准要求。 相关性：我们拟议的CCOP将在中西部提供并增强对农村人口的临床试验，这主要是由于地理障碍而服务的。广泛地区的几个少数群体（美洲原住民，苗族和西班牙裔）也将成为目标。