National Capital Area (NCA) Minority/Underserved NCORP

摘要 国家首都地区（NCA）少数民族/服务不足的NCORP将设在乔治敦伦巴第 综合癌症中心（LCCC），包括Medstar乔治城大学医院（MGUH）和 MedStar华盛顿医院中心（MWHC）作为主要附属机构，其集水区占48.3% 非拉丁裔黑人（NLB）和10.6%的西班牙裔/拉丁裔（H/L），包括华盛顿，华盛顿特区和邻近地区 马里兰州和弗吉尼亚州的县。MWHC主要服务于，即，> 85%少数民族和服务不足 人口;并治疗了2,000多名主要为少数民族的癌症患者和48,000名门诊患者， 每年。新大屿山人口的癌症负担和差异最大， 美国乳腺癌、前列腺癌和结肠直肠癌的死亡率最高。之间 在H/L人群中，癌症是H/L患者死亡的主要原因，通常在后期出现 与非拉丁裔白色（NLW）患者相比。高比例的可预防癌症风险因素，如肥胖， 缺乏运动和吸烟，加上某些癌症的筛查率要低得多，如结肠直肠癌。 少数群体的癌症和宫颈癌导致了集水区的癌症差异。国家指挥机构 NCORP建议解决与这些癌症差异相关的最重要因素之一-有限 通过提高认识，获得最佳和最先进的预防、癌症控制和癌症护理服务 以及在服务范围内为新大屿山医院和H/L提供癌症临床试验。LCCC办公室 少数民族健康和健康差异研究（OMH），代表了社区外展部门，由 博士亚当斯-坎贝尔，这已经建立了可行的学术社区伙伴关系，使NCA NCORP将在预防、控制、筛查、健康差异和癌症领域开展临床研究 关注的少数群体中的护理提供。鉴于人口老龄化和越来越多的 癌症幸存者，这个NCORP的专业知识和领导力，这是显而易见的，通过在这些领域的可论证的研究， 解决癌症控制和以患者为中心的癌症护理提供领域。此外，解决 青少年和年轻人（AYA）的癌症预防和控制也是我们团队的主要优势。 NCA NCORP将通过癌症预防、控制和筛查来满足我们集水区的需求 作为治疗和成像研究。拟议的国家首都地区NCORP的具体目标是：（1） 设计并参与癌症临床研究的临床试验，以提高护理质量和健康 （2）增加大DC地区的参与; 社区肿瘤学家和医学专家及其患者参与NCORP领导的临床研究;以及（3） 通过社区外展扩大健康差距研究，重点是临床研究参与， 参与和教育。

Abstract The National Capital Area (NCA) Minority/Underserved NCORP will be based at Georgetown Lombardi Comprehensive Cancer Center (LCCC), comprising Medstar Georgetown University Hospital (MGUH) and MedStar Washington Hospital Center (MWHC) as the primary affiliate, with a catchment area comprising 48.3% non-Latino Blacks (NLB) and 10.6% Hispanics/Latinos (H/L) that includes Washington, D.C. and adjacent counties in Maryland and Virginia. MWHC serves predominantly, i.e., > 85% minority and underserved populations; and treats more than 2,000 predominantly minority cancer patients and 48,000 outpatients, annually. The cancer burden and disparities are greatest among NLB population in the catchment area as evident by some of the highest mortality rates in the nation for breast, prostate, and colorectal cancers. Among the H/L population, cancer is the leading cause of death with H/L patients typically presenting at a later stage compared to Non-Latino White (NLW) patients. High rates of preventable cancer risk factors such as obesity, physical inactivity, and smoking, coupled with much lower screening rates for certain cancers, such as colorectal and cervical cancers in minorities contribute to the cancer disparities seen in the catchment area. The NCA NCORP proposes to address one of the most significant factors associated with these cancer disparities - limited access to optimal and cutting edge prevention, cancer control, and cancer care delivery by increasing awareness and providing access to cancer clinical trials among NLB and H/L in the catchment area. LCCC’s Office of Minority Health and Health Disparities Research (OMH), represents the community outreach arm that is led by Dr. Adams-Campbell, that has established viable academic-community partnerships that enable the NCA NCORP to conduct clinical research in areas of prevention, control, screening, health disparities, and cancer care delivery among the minority populations of interest. In light of an aging population and the increasing number of cancer survivors, this NCORP has the expertise and leadership as evident by demonstrable research in these areas that address cancer control and patient centered cancer care delivery. Furthermore, the ability to address cancer prevention and control among adolescents and young adults (AYA) is also a key strength of our team. The NCA NCORP will address the needs of our catchment area via cancer prevention, control, screening as well as treatment and imaging studies. The specific aims of the proposed National Capital Area NCORP are to: (1) Design and participate in clinical trials in cancer clinical research that improves the quality of care and the health outcomes of the US population in our catchment area; (2) Increase the participation of the greater DC area’s community oncologists and medical specialists and their patients in NCORP-led clinical research; and (3) Expand health disparities research focused on clinical research participation via community outreach, engagement, and education.