Cervical cancer screening has dramatically decreased cervical cancer mortality in the US, yet there is a strong need for optimization of cervical cancer screening due to many factors, including the availability of multiple screening tests;the availability of HPV immunization;the need to balance benefits and harms through selection of appropriate screening ages, intervals, and screening tests;the need to identify critical points of failure in the screening processes;and the massive economic costs of cervical cancer screening in the US. The existing Vermont PROSPR Research Center at the University of Vermont is a statewide registry of breast cancer screening with 20 years of experience in collecting integrated screening process data. In this revision application, the Vermont PROSPR Research Center (VPRC) proposes: (1) To collect high-quality, multilevel cervical cancer screening process data among women in the state of Vermont;and (2) To lead and participate in collaborative multicenter research projects within the PROSPR consortium. We will create a statewide registry of cervical cancer screening exams and biopsy results, which will include Pap smear, HPV tests, and cervical biopsies interpreted by 7 hospital laboratory facilities in the stat as well as such tests interpreted out of state for Vermont women attending the eleven Planned Parenthood clinics. The second tier of our approach will consist of more detailed screening process data ascertainment from the electronic health record systems of Fletcher Allen Health Care (affiliated with the University of Vermont), the Community Health Centers of Burlington, and Planned Parenthood of Northern New England. Together, this data will provide a rich source of high-quality cervical cancer screening data for a sizable and diverse population-based cohort that includes a wide range of the spectrum of health care settings experienced in the United States. We have assembled a multidisciplinary research team with extensive collaborative experience and expertise across the cervical cancer screening spectrum, including primary care, cervical pathology and HPV testing, diagnostic work-up and treatment, and comparative effectiveness research. We are well poised to rapidly contribute both important cervical cancer screening data to the PROSPR central data repository and valuable expertise towards the evaluation of the cervical cancer screening processes in collaborative projects.

Public Health Relevance

While cervical cancer screening has dramatically reduced cervical cancer mortality in the United States, there is an urgent need to improve its efficiency, effectiveness, and safety. We aim to collect high quality, comprehensive cervical cancer screening data and to contribute to and lead collaborative research projects within the PROSPR Consortium that will help to optimize cervical cancer screening.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Specialized Center--Cooperative Agreements (U54)
Project #
3U54CA163303-04S1
Application #
8791392
Study Section
Special Emphasis Panel (ZCA1)
Program Officer
Ogunbiyi, Peter
Project Start
2011-09-23
Project End
2016-05-31
Budget Start
2014-06-01
Budget End
2015-05-31
Support Year
4
Fiscal Year
2014
Total Cost
Indirect Cost
Name
University of Vermont & St Agric College
Department
Miscellaneous
Type
Schools of Medicine
DUNS #
City
Burlington
State
VT
Country
United States
Zip Code
05405
Onega, Tracy; Lee, Christoph I; Benkeser, David et al. (2016) Travel Burden to Breast MRI and Utilization: Are Risk and Sociodemographics Related? J Am Coll Radiol 13:611-9
Carney, Patricia A; Allison, Kimberly H; Oster, Natalia V et al. (2016) Identifying and processing the gap between perceived and actual agreement in breast pathology interpretation. Mod Pathol 29:717-26
Corley, Douglas A; Haas, Jennifer S; Kobrin, Sarah (2016) Reducing Variation in the ""Standard of Care"" for Cancer Screening: Recommendations From the PROSPR Consortium. JAMA 315:2067-8
Hubbard, Rebecca A; Ripping, Theodora M; Chubak, Jessica et al. (2016) Statistical Methods for Estimating the Cumulative Risk of Screening Mammography Outcomes. Cancer Epidemiol Biomarkers Prev 25:513-20
Mandelblatt, Jeanne S; Stout, Natasha K; Schechter, Clyde B et al. (2016) Collaborative Modeling of the Benefits and Harms Associated With Different U.S. Breast Cancer Screening Strategies. Ann Intern Med 164:215-25
Schapira, Marilyn M; Sprague, Brian L; Klabunde, Carrie N et al. (2016) Inadequate Systems to Support Breast and Cervical Cancer Screening in Primary Care Practice. J Gen Intern Med 31:1148-55
Sprague, Brian L; Conant, Emily F; Onega, Tracy et al. (2016) Variation in Mammographic Breast Density Assessments Among Radiologists in Clinical Practice: A Multicenter Observational Study. Ann Intern Med 165:457-464
Hubbard, Rebecca A; O'Meara, Ellen S; Henderson, Louise M et al. (2016) Multilevel factors associated with long-term adherence to screening mammography in older women in the U.S. Prev Med 89:169-77
Klabunde, Carrie N; Zheng, Yingye; Quinn, Virginia P et al. (2016) Influence of Age and Comorbidity on Colorectal Cancer Screening in the Elderly. Am J Prev Med 51:e67-75
Valeri, Linda; Chen, Jarvis T; Garcia-Albeniz, Xabier et al. (2016) The Role of Stage at Diagnosis in Colorectal Cancer Black-White Survival Disparities: A Counterfactual Causal Inference Approach. Cancer Epidemiol Biomarkers Prev 25:83-9

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