WS No. 10 Patterns of Care DX Year 2007

护理模式研究的目的是：1)描述辅助治疗的使用，这将与治疗医生进行验证；2)不同社区的实践模式特征；3)更完整地描述手术作为治疗的使用；4)比较不同时期的治疗模式（手术、放射治疗、化疗、激素治疗）以及年龄和种族/民族；5)描述共病条件对治疗的影响，6)描述美国不同地理区域的医院特征（即营利与非营利、教学与非教学、床位大小等）的治疗。进行护理模式研究是为了满足国会对国家癌症研究所的指示(根据1988年11月4日通过的公法100-607，第413 (a)（2)(C)节），以评估将最先进的癌症治疗纳入临床实践以及癌症患者接受此类治疗的程度，并将此类评估结果包括在两年一次的报告中。癌症控制和人口科学部一直在与癌症治疗部密切合作，以选择癌症地点。今年的护理模式（POC）研究将研究小细胞肺癌、急性髓性白血病、多发性骨髓瘤和肝细胞癌的最新治疗方法。

The objectives of the Patterns of Care Study are to: 1) describe the use of adjuvant therapy, which will be verified with the treating physician; 2) characterize the practice patterns in different communities; 3) describe more completely the use of surgery as treatment; 4) compare the patterns of treatment (surgery, radiation therapy, chemotherapy, hormonal therapy) over time and by age and race/ethnicity; 5) describe the effect of co-morbid conditions on treatment, and 6) describe treatment by hospital characteristics (i.e., profit vs. not for profit, teaching vs. non-teaching, bed size, etc.) in different geographic areas of the United States. Patterns of Care Studies are conducted to satisfy a Congressional directive (under Public Law 100-607, Sec. 413 (a)(2)(C) adopted November 4, 1988) to the National Cancer Institute to ¿assess the incorporation of state-of-the-art cancer treatments into clinical practice and the extent to which cancer patients receive such treatments and include the results of such assessment in the biennial reports¿¿. To select the cancers sites the Division of Cancer Control and Population Sciences has been working closely with the Division of Cancer Treatment. This year's Pattern's of Care (POC) Study will investigate state-of-the-art therapies for small cell lung cancer, acute myeloid leukemia, multiple myeloma, and hepatocellular carcinoma.