Refinement and Expansion of the Palliative Care Research Cooperative Group (PCRC)

描述（由申请人提供）：2010年，姑息治疗研究合作小组（PCRC）发展成为一个全国性的合作研究网络，成为开展高质量临床试验所迫切需要的可扩展的、支持性的结构。根据当前拨款提出的工作将建立在PCRC （UC4NR012584）的初始NINR资助期间取得的成就。本次U24拨款申请的总体目标是通过利用和建立之前的NINR投资和PCRC迄今取得的成就，扩大PCRC作为国家资源的作用，以有效开展高质量，协作，多站点，姑息治疗和临终（PCEOL）研究。PCRC进一步发展的计划步骤将使其能够：(1)支持研究和开发未充分研究的PCEOL领域的专业知识，如护理人员和生物行为研究；(2)促进高效、快速地进行需要大量样本和多个地点的重要前沿研究；(3)为未来的研究人员做好利用和维持企业的准备，同时继续建立PCEOL证据基础；(4)描述、量化和理解限制生命的疾病对多种相关结果的风险、问题和影响，包括患者和护理人员的健康结果以及生物行为干预和结果。具体而言，我们建议迅速提高PCRC的能力，以开发和开展多样化的高质量研究组合，以应对科学知识的关键空白。我们将通过以下具体目标实现这些目标：(1)以最大限度地提高研究质量和效率以及合作小组的效力的方式，发展合作、多地点、PCEOL研究的国家研究能力；(2)为PCEOL研究提供综合支持，特别是开展、分析和传播具有临床意义、高质量、高效、以患者为中心的多地点研究。实现这些目标的综合结果将是一个高效，适应性和标准化的系统，以推进PCEOL研究中的优先级，创新性，严格设计和执行的研究，特别强调需要多个招募地点的临床试验。

DESCRIPTION (provided by applicant): In 2010, the Palliative Care Research Cooperative Group (PCRC) was developed as a national collaborative research network to become the scalable, supportive structure so critically needed for the conduct of high quality clinical trials Work proposed under the current grant will build on the accomplishments achieved during the initial NINR funding for the PCRC (UC4NR012584). The overarching objective of this U24 grant application is to amplify the role of the PCRC as a national resource for efficient conduct of high quality, collaborative, multisite, palliative care and end-of-life (PCEOL) research by leveraging and building upon the prior NINR investment and accomplishments of the PCRC to date. The steps planned for further PCRC development will enable it to: (1) support research and develop expertise in understudied PCEOL areas such as caregiver and bio-behavioral research; (2) facilitate efficient and expeditious conduct of important, cutting-edge studies that require large samples and multiple sites; (3) prepare future researchers to utilize and sustain the enterprise, while continuing to build the PCEOL evidence base, and; (4) describe, quantify, and understand the risks, issues, and impact of life-limiting disease on multiple relevant outcomes including health outcomes for patients and caregivers and bio-behavioral interventions and outcomes. Specifically, we propose to rapidly increase the capacity of the PCRC to develop and conduct a diversified portfolio of high quality research studies that are responsive to key gaps in the scientific knowledge. We will achieve these goals through the following specific aims: (1) develop a national research capacity for collaborative, multisite, PCEOL research in a way that maximizes the quality and efficiency of research and the effectiveness of cooperative groups; and (2) provide integrated support for PCEOL research, specifically, for the conduct, analysis, and dissemination of clinically meaningful, high-quality, efficient, patient-centered, multisite studies. The combined result of achieving these aims will be a highly efficient, adaptive, and standardized system to advance prioritized, innovative, rigorously designed and performed, studies in PCEOL research, with a particular emphasis on clinical trials requiring multiple recruitment sites.