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MaineHealth Cancer Care Network (MHCCN) and NCORP Activities across the Lifespan

MaineHealth 癌症护理网络 (MHCCN) 和 NCORP 整个生命周期的活动

基本信息

批准号：
10224139
负责人：
Leslie Bradford
金额：
$ 83.75万
依托单位：
MAINEHEALTH
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-08-13 至 2025-07-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10224139
关键词：
Academic Medical Centers Adolescent and Young Adult Adult Award Cancer Burden Cancer Center Cancer Control Cancer Control Research Cancer Model Cancer Patient Caring Cause of Death Child Childhood Clinical Clinical Research Clinical Trials Clinical Trials Network Communities Community Care Networks Community Clinical Oncology Program Complex Consensus Denmark Diagnosis Elderly Enrollment Ensure Environmental Exposure Evaluation Evolution Face Family Fostering Genomics Geography Goals Grant Growth Health Personnel Health system Healthcare Healthcare Systems High Prevalence Home Hospitals Human papilloma virus infection Incidence Infrastructure Intervention Investments Lead Leadership Location Longevity Maine Malignant Childhood Neoplasm Malignant Neoplasms Medical Mission Morbidity - disease rate New England Obesity Occupational Oncology Operative Surgical Procedures Outcome Outcomes Research Participant Patient-Centered Care Patients Personal Satisfaction Population Prevention Prevention Research Process Provider Quality of life Radiation Radon Reporting Research Research Design Research Personnel Resources Risk Behaviors Rural Rural Community Spain Specialist Strategic Planning Sun Exposure System Testing Therapeutic Time Translational Research anticancer research base cancer care cancer clinical trial cancer genomics cancer health disparity cancer prevention cancer risk care delivery career development cigarette smoking community engagement community setting early phase trial end of life expectation health disparity improved inhibitor/antagonist interdisciplinary approach member metropolitan mortality next generation oncology program outpatient facility patient oriented public health relevance research study response rural area rural cancer care rural setting screening socioeconomics survivorship

项目摘要

Abstract Maine ranks 12th and 8th in adult cancer incidence and mortality respectively, and pediatric cancer incidence rates are the third highest in the nation, contributing to marked cancer health disparities in our state. In 2018, it is estimated there will be 8,600 new adult cancer cases diagnosed in Maine; cancer is the most common cause of death in our state. Of these adult cases, 6,185 (72%) will receive their care at a MaineHealth Cancer Care Network (MHCCN) hospital or outpatient facility. This patient volume is akin to any major metropolitan cancer center. With only 1.3 million residents, Maine is a small state, is the most rural state, and has the oldest population in the nation. There are significant cancer risk behaviors and exposures, and there are numerous socioeconomic and geographic challenges as well, further compounding our cancer burden. The MHCCN is clearly organized around patient, health provider, and healthcare system multi-tiered strategies and interventions that are prioritized in the NCORP solicitation and defended in this proposal. Our health system embarked upon a comprehensive oncology strategic planning process in 2014 that in a relatively short period has led to the opportunity to submit our response to this FOA. Consensus was reached on the model of cancer care that we would pursue. The singular goal is to ensure that "the right care, in the right location, as close to home as possible" will be provided. Cancer patients in our state and their families desire access to state-of-the-art patient-centered care. This NCORP application could not come at a more auspicious time for our organization, coinciding with significant growth and substantive multi- million dollar investment in MH Oncology over the past couple years. With this backdrop, the fundamental goal of our application is to commit and contribute to a robust slate of NCORP activities across the lifespan including pediatric, adolescent and young adults, adults, and elderly cancer patients in our communities and rural care settings. We have assembled a highly interactive and interdisciplinary team across our network to participate in and lead this research endeavor. Our central hypothesis is that developing a highly interactive and interdisciplinary approach to cancer care that is at all times patient-centered throughout MH Oncology will have salutary effects on all aspects of our cancer care across the continuum of prevention, screening, diagnosis, treatment, survivorship, end-of-life, and care delivery not only for our patients and their families but for other aspects critical to our mission – including educating the next generation of healthcare providers and expanding our research pursuits especially in rural areas within our care network. We propose 4 aims: To conduct and actively participate in 1) cancer control research, 2) cancer prevention research, and 3) cancer care delivery research studies; and 4) to capitalize upon clinical research opportunities afforded by NCORP and our newly awarded Northern New England Clinical and Translational Research Network grant (1U54 GM115517). We will pursue these aims across the lifespan engaging both children and adults. The MHCNN has every expectation that will we make substantive contributions across the spectrum of the NCORP research portfolio. We will capitalize on our institutional assets, patient resources, and expertise from the vantage point of community and rural settings to add value across the lifespan and provide leadership to the NCORP. We welcome and value the opportunity to join the NCORP network as a new institutional member.

摘要缅因州成人癌症发病率和死亡率分别排名第12位和第8位，儿童癌症发病率排名第三在全国最高，导致显着的癌症健康差距在我们的国家。2018年，预计将有8，600名新成年人在缅因州诊断出的癌症病例;癌症是我们州最常见的死亡原因。在这些成人病例中，6，185例（72%）将在缅因州健康癌症护理网络（MHCCN）医院或门诊设施接受护理。该患者量类似于任何大都会癌症中心只有130万居民，缅因州是一个小州，是最农村的州，有最古老的人口在全国。有显著的癌症风险行为和暴露，有许多社会经济和地理挑战也进一步加剧了我们的癌症负担。MHCCN明确围绕患者、健康提供者和医疗保健系统的多层次战略和干预措施，在NCORP征集中优先考虑，并在这个提议。我们的卫生系统在2014年开始了全面的肿瘤学战略规划过程，这一时期使我们有机会提交我们对这一FOA的答复。就癌症护理模式达成了共识，会追求。唯一的目标是确保“在正确的地点，尽可能离家近的地方”，提供了我们州的癌症患者及其家属希望获得最先进的以患者为中心的护理。这个NCORP 对本组织来说，申请的时机再好不过了，恰逢本组织出现重大增长和实质性的多领域合作，在过去的几年里，在MH肿瘤学上投资了100万美元。在这种背景下，我们的应用程序的基本目标是致力于并促进整个生命周期内的NCORP活动，包括儿科，青少年和年轻人，成年人和老年癌症患者在我们的社区和农村护理环境。我们已经建立了一个高度互动和跨学科团队在我们的网络参与并领导这项研究奋进。我们的核心假设是，一个高度互动和跨学科的方法，以癌症护理，是在任何时候都以病人为中心的整个MH肿瘤将有对我们癌症护理的各个方面都有有益的影响，包括预防、筛查、诊断、治疗、生存，生命结束，并提供护理，不仅为我们的病人和他们的家人，但对我们的使命至关重要的其他方面-包括教育下一代医疗保健提供者，扩大我们的研究，特别是在我们的护理范围内的农村地区网络我们提出4个目标：开展并积极参与1）癌症控制研究，2）癌症预防研究，3）癌症护理提供研究;和4）利用NCORP和我们新的获得北方新英格兰临床和转化研究网络资助（1U 54 GM 115517）。我们将努力实现这些目标在儿童和成人的整个生命周期中。MHCNN完全期望我们能做出实质性的贡献在NCORP研究组合的范围内。我们将利用我们的机构资产、患者资源和专业知识从社区和农村环境的Vantage位置，在整个生命周期中增加价值，并为NCORP提供领导。我们欢迎并重视作为新机构成员加入NCORP网络的机会。