The HMO Cancer Research Network (CRN)

描述（由申请人提供） HMO癌症研究网络（CRN）的总体目标，以及资助它的NCI倡议，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。对于这种竞争性的延续，我们寻求进一步提高CRN的研究能力，并利用它来进行与NCI研究优先事项相关的更广泛的癌症研究。 这项更新建议包括对CRN基础设施的一些修改和增强，以及三个新的研究项目建议。这些对CRN基础设施和功能的拟议变化旨在提高研究的质量和效率，合作的程度以及开发新研究思路和初级研究人员的能力。该项目提案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在癌症控制创新方面的跟踪记录所带来的研究机会。这三个项目是： 1)导管原位癌术后复发的临床和病理预测因素 2)癌症预防的有效营养选择：菜单研究 3)使用电子病历来衡量和改善初级保健中对烟草治疗指南的依从性。

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.