San Juan Minority - Based Community Clinical Oncology Program

圣胡安少数民族社区临床肿瘤学计划

• 批准号: 8317975
• 负责人: Luis Baez- Diaz
• 金额: $ 53.66万
• 依托单位: MUNICIPIO DE SAN JUAN
• 依托单位国家: 美国
• 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/8317975
• 关键词: Alcohols; Breast Cancer Prevention; Breast Cancer Treatment; Cancer Control; Cancer Control Research; Cancer Prevention Trial; Caribbean region; Caring; Censuses; Clinical Research; Communities; Contracts; Controlled Study; Death Rate; Eastern Cooperative Oncology Group; Environment; Esophageal; 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; Malignant Neoplasms; Malignant neoplasm of esophagus; Malignant neoplasm of larynx; 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; cancer therapy; cervical and uterine cancer; community setting; improved; malignant mouth neoplasm; malignant stomach neoplasm; mortality; neoplasm registry; outreach program; population based; programs; prostate cancer prevention

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)： 圣胡安少数民族社区临床肿瘤学项目(SJMBCCOP)由美国国立卫生研究院于1990年成立并资助。该计划促进和扩大波多黎各岛上的癌症临床研究，将最先进的治疗、预防和控制研究带给少数民族个人，使他们在自己的环境中。它包括初级卫生保健提供者和癌症预防和控制方面的其他专家。它确定了癌症预防和治疗研究的障碍和挑战。它改善了我们的业务基础，并随着越来越多的私人执业团体和组织的参与，将我们的计划扩展到整个岛上。该岛宽100英里，宽35英里，位于加勒比海，距离美国本土1200英里。我们的人口是西班牙裔。上一次以人口为基础的2000年人口普查显示，总共有380万女性居民(51%)。岛屿癌症登记处每年报告约12000例新的癌症病例。与美国相比，中国的发病率偏高 中国内地与烟草/酒精相关的恶性肿瘤，特别是头颈癌、食道癌和肝癌。宫颈癌/子宫癌和胃癌的发病率也有所增加。口腔癌、食道癌、喉癌、肝癌和胃癌的死亡率较高。近40%的人口缺乏医疗(未参保)。这部分人口中的大多数人从政府发起和资助的医疗保健改革中获得医疗保健。在这项改革中，政府与私营保险公司及其提供者签订了合同，让他们在执业的医疗机构和办公室提供癌症护理。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。我们积累的亮点是乳腺癌治疗和预防试验；以及前列腺癌预防(SELECT)。我们的参与机构/调查人员聚集了近100名妇女参加NSABP的乳腺癌预防研究，以及1000多名受试者参加了前列腺癌预防研究。1990年，圣胡安医疗保健中心在公关医疗中心设施内启动。自那以来，该方案已扩大到包括圣胡安、庞塞、巴亚蒙和马纳蒂地区的4家医院/机构和5名大型医生/团体诊所。目前，MBCCOP有76名调查人员，其中包括22名内科肿瘤学家、7名放射肿瘤学家、21名外科医生、10名内科医生和4名家庭医生。该方案的目标是继续开展能够覆盖波多黎各所有地区的外展方案。 1.宾夕法尼亚州圣胡安圣胡安医院 2.美国宾夕法尼亚州圣胡安圣胡安肿瘤医院 3.庞塞肿瘤医院，庞塞，PR 4.弗吉尼亚州加勒比海医疗保健系统，俄勒冈州圣胡安 5.医生中心医院血液病-肿瘤科小组，马纳蒂，PR 6.美国俄勒冈州圣胡安的Hato Rey血液学-肿瘤学小组 7.波多黎各血液学-肿瘤学小组，美国俄勒冈州圣胡安 8.宾夕法尼亚州圣胡安初级保健医生小组 9.医生中心医院血液病-肿瘤科，巴亚蒙，PR