The HMO Cancer Research Network (CRN)

描述(由申请人提供) 保健组织癌症研究网络(CRN)及其资助的NCI倡议的总体目标是在卫生保健提供系统的背景下加强癌症预防、早期发现、治疗、长期护理和诊断后监测的研究。为了这一竞争的延续，我们寻求进一步提高CRN的研究能力，并利用它进行与NCI研究优先事项相关的更广泛的癌症研究。 除了三个新的研究项目提案外，这项续签提案还包括对CRN基础设施的一些修改和增强。这些对CRN基础设施和职能的拟议改革旨在提高研究的质量和效率、合作程度以及开发新研究想法和初级调查人员的能力。项目建议充分利用了我们丰富的数据资源、CRN研究人员的兴趣和专业知识，以及大型医疗保健提供系统提供的研究机会，这些系统在癌症控制方面有着创新的记录。这三个项目是： 1)DCIS术后复发的临床和病理预测因素； 2)为预防癌症做出有效的营养选择：菜单研究； 3)在初级保健中使用电子医疗记录来衡量和改善对烟草治疗指南的遵守情况。

DESCRIPTION (provided by applicant) The overall goal of the HMO Cancer Research Network (CRN), and the NCI initiative under which it was funded, is to enhance research on cancer prevention, early detection, treatment, long-term care and post-diagnosis monitoring in the context of health care delivery systems. For this competing continuation, we seek to further improve the research capacity of the CRN, and use it to conduct a broader array of cancer research studies that relate to NCI research priorities. This renewal proposal includes a number of modifications and enhancements to the CRN Infrastructure, in addition to three new research project proposals. These proposed changes to the CRN's Infrastructure and functioning are directed at increasing the quality and efficiency of the research, the extent of collaboration, and the ability to develop new research ideas and junior investigators. The project proposals capitalize on our rich data resources, interests and expertise of CRN investigators, and the research opportunities presented by large health care delivery systems with track records of innovation in cancer control. The three projects are: 1) Clinical and Pathologic Predictors for Recurrence after DCIS; 2) Making Effective Nutritional Choices for Cancer Prevention: the MENU Study; 3) Using Electronic Medical Records to Measure and Improve Adherence to Tobacco Treatment Guidelines in Primary Care.