The University of Kansas Cancer Center's- MCA Rural NCORP
The University of Kansas Cancer Center's- MCA Rural NCORP
批准号:
10672221
负责人:
GARY C. DOOLITTLE
金额:
$179.4万
依托单位国家:
美国
项目类别:
财政年份:
2019
资助国家:
美国
项目状态:
未结题
起止时间:
2019-08-13 至 2025-07-31
关键词:
AddressAffectAreaCancer CenterCancer ControlCancer Control ResearchCancer health equityCaringClinical ResearchClinical TrialsCommunitiesCommunity Clinical Oncology ProgramDiagnosisDisadvantagedDisparityFaceFundingGeographyGoalsHealthHealth PersonnelHealthcareHomeHospitalsHumanInfrastructureInstitutionInsurance CoverageKansasLeadershipLocalized Malignant NeoplasmLow incomeMalignant NeoplasmsMidwestern United StatesMinorityMissouriOncologyPatientsPopulationPopulation GroupPositioning AttributePreventionPrevention ResearchPrimary CareProcessProductivityProviderRecording of previous eventsResearchResearch PersonnelRiskRisk FactorsRunningRuralRural CommunityRural PopulationSiteSouthwest Oncology GroupStructureSubgroupTelemedicineTrainingUniversitiesaccess disparitiesbasecancer carecancer health disparitycancer preventioncare deliverydata qualityexperiencegeographic barrierhigh standardhuman old age (65+)human subject protectionlow socioeconomic statusmedical specialtiesmemberoutreachpatient-level barrierspractice-based research networkprimary care practiceprimary care providerprimary care settingprogramsracial minorityrural arearural dwellersrural healthcarerural patientsrural settingsuburbunderserved communityurban areaweight loss intervention
中文摘要
摘要
堪萨斯大学癌症中心-中西部农村癌症联盟的总体目标
NCORP(KUCC-MCA Rural NCORP)旨在提高增加临床试验累积的能力,
农村人口参与癌症控制、预防、治疗和护理临床试验,
以及由NCORP研究基地开发和进行的其他人类研究。当癌症影响
所有人口群体、某些亚群体,包括生活在农村社区的人,
他人[1,2]促成风险因素包括年龄较大、保险覆盖面不足、社会经济地位较低、
地位、少数民族和更孤立的地理位置--所有这些都可能成为接受专业的障碍
健康护理由于地理障碍而无法进行临床试验,显然使农村患者处于不利地位,
是他们不参加研究的最常引用的理由。[5]居住在郊区的患者
临床试验的累积率最高,而生活在农村地区的患者的累积率相当低[6,7]。大学
堪萨斯癌症中心(KUCC)的研究人员将加强临床试验的积累和参与,
农村人口通过其领导的中西部癌症联盟(MCA)及其干部的成就
调查人员在农村社区和做法方面有着丰富的经验。作为外联网络,
作为KUCC的一部分,MCA与全州的医院、癌症中心和医疗保健提供者合作,
堪萨斯州的一个多月。这些MCA伙伴关系的目标一直是扩大
在代表性不足的社区开展临床研究,重点是农村和低收入社区。MCA
最近扩大到包括我们的全州农村初级保健实践为基础的研究网络,堪萨斯
患者和提供者参与预防研究(KPPEPR),一个由75个初级保健网络组成的网络
来自堪萨斯各地的供应商,长期以来一直支持癌症预防和控制研究
举措KUCC-MCA Rural NCORP将利用我们作为SWOG成员超过45年的经验,
通过远程医疗提供肿瘤护理的经验,15年成功开展研究的历史,
农村初级保健机构,以及在农村卫生保健领域开展和运行临床试验的10年经验
所有这些都得到KUCC与农村肿瘤学和初级保健实践合作的专业知识的支持,
实现我们的目标。特别是对于KUCC-MCA农村NCORP,我们将评估机构,供应商,
临床试验,和患者的障碍,试验收益,并实施流程,以:1)加强基础设施,
地方癌症中心和初级保健办公室,以支持农村社区的临床试验; 2)扩大
通过在当地农村地区提供可用的NCORP临床试验,
社区; 3)减少堪萨斯农村和低收入患者参与临床试验的障碍
和西部密苏里州通过提供试验参与机会,在他们的家乡社区;和4)杠杆
KUCC/MCA专业知识,用于解决农村癌症与NCORP受助人临床试验参与的差异。
英文摘要
Abstract
The overarching goal for The University of Kansas Cancer Center – Midwest Cancer Alliance Rural
NCORP (KUCC-MCA Rural NCORP) is to enhance capacity for increasing clinical trials accrual and
participation of rural populations in cancer control, prevention, treatment, and care delivery clinical trials, as
well as in other human research developed and conducted by NCORP Research Bases. While cancer affects
all population groups, certain subgroups, including those living in rural communities, are more at risk than
others.[1, 2] Contributing risk factors include older age, inadequate insurance coverage, lower socio-economic
status, minority race, and more isolated geography—all of which can be barriers to receiving specialty
healthcare. Inaccessibility of clinical trials due to geographical barriers clearly disadvantages rural patients and
is their most frequently cited reason for not enrolling in studies.[5] Patients living in suburban areas have the
highest accrual rates to clinical trials, while those by patients living in rural areas is quite low[6, 7]. The University
of Kansas Cancer Center (KUCC) is strongly positioned to enhance clinical trial accrual and participation of
rural populations through its leadership of the Midwest Cancer Alliance (MCA) and its cadre of accomplished
investigators with extensive experience working with rural communities and practices. As the outreach network
of the KUCC, the MCA has partnered with hospitals, cancer centers, and health care providers across the state
of Kansas for over a decade. The goal of these MCA partnerships has always been to extend the reach of
clinical research into under-represented communities, with a focus on rural and low-income communities. MCA
recently expanded to include our state-wide rural primary care practice based research network, Kansas
Patients and Providers Engaged in Prevention Research (KPPEPR), a network of over 75 primary care
providers from across Kansas with a longstanding history of supporting cancer prevention and control research
initiatives. KUCC-MCA Rural NCORP will leverage our over 45-year experience as a SWOG-member, 20-year
experience providing oncology care via telemedicine, 15-year history of successfully conducting research in
rural primary care settings, and 10-year experience opening and running clinical trials within rural health care
networks—all supported by KUCC expertise in partnering with rural oncology and primary care practices to
accomplish our goals. Specifically for the KUCC-MCA Rural NCORP, we will assess institutional, provider,
clinical trial, and patient barriers to trial accrual, and implement processes to: 1) Enhance the infrastructure of
local cancer centers and primary care offices to support clinical trials accrual in rural communities; 2) Expand
access to clinical trials across the MCA network by offering available NCORP clinical trials in local rural
communities; 3) Decrease barriers to clinical trial participation for rural and low-income patients across Kansas
and western Missouri by providing trial participation opportunities in their home communities; and 4) Leverage
KUCC/MCA expertise for addressing rural cancer disparities to clinical trial participation with NCORP grantees.
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The University of Kansas Cancer Center's- MCA Rural NCORP
-
批准号:10229548
-
项目类别:
-
资助金额:$169.34万
-
财政年份:2019
-
负责人:GARY C. DOOLITTLE
-
依托单位:
The University of Kansas Cancer Center's- MCA Rural NCORP
-
批准号:10460177
-
项目类别:
-
资助金额:$169.61万
-
财政年份:2019
-
负责人:GARY C. DOOLITTLE
-
依托单位:
海外基金