San Juan Minority - Based Community Clinical Oncology Program

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）于1990年由NIH成立并资助。该计划促进和扩大波多黎各岛的癌症临床研究，为少数民族在自己的环境中提供最先进的治疗，预防和控制研究。它包括初级保健提供者和其他癌症预防和控制专家。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，并扩大了我们的计划到整个岛屿，越来越多的私人执业团体和组织的参与。该岛是100英里35宽，位于加勒比海1200英里，从美国大陆。我们的人口是西班牙后裔。最近一次2000年人口普查显示，女性居民总数为380万（51%）。岛屿癌症登记处报告每年约有12 000例新的癌症病例。与美国相比， 在中国大陆，烟草/酒精相关的恶性肿瘤，特别是头颈癌、食管癌和肝癌。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%的人口是医疗贫困（无保险）。这部分人口的大多数从政府发起和资助的保健改革中获得医疗保健。在这一改革中，政府与私人保险公司及其提供者签订了合同，在他们的执业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安德森、SWOG和CTSU。我们的收益重点是乳腺癌治疗和预防试验;和前列腺癌预防（SELECT）。我们的参与机构/研究者已累计近100名女性参与NSABP的乳腺癌预防研究，超过1,000名受试者参与前列腺癌预防。1990年，圣胡安MBCCOP在PR医疗中心设施内开始。自那时以来，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家大型医生/团体诊所。目前，MBCCOP有76名研究人员，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。该方案的目的是继续开展能够涵盖波多黎各岛所有地区的外联方案。 1.圣胡安医院，圣胡安，PR 2.圣胡安肿瘤医院，圣胡安，PR 3. Ponce肿瘤医院，Ponce，PR 4.弗吉尼亚州加勒比保健系统，圣胡安，PR 5.医生中心医院血液肿瘤组，马纳蒂，PR 6. Hato Rey血液学-肿瘤学组，圣胡安，PR 7.波多黎各血液肿瘤组，圣胡安，PR 8.初级保健医师小组，圣胡安，PR 9.医生中心医院血液肿瘤组，巴阿蒙，PR

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