This study aims to reduce the burden of cancer by influencing adherence to standards of cancer care for female breast cancer and by better understanding patterns of care for prostate cancer. Disparities in cancer treatment that are identified in the Minnesota component of this study will inform interventions undertaken by the Minnesota Cancer Alliance, the public-private collaboration implementing the state's comprehensive cancer control plan. Cancer Plan Minnesota has identified reducing disparities in cancer treatment as a top priority. This study addresses the goals of CDC-supported research by improving cancer control and enhancing the health of persons diagnosed with two common cancers. The specific objectives of this study are to develop and implement a standardized protocol which will 1) evaluate the quality of data on stage at diagnosis and first course of treatment on a representative sample of eligible invasive female breast and prostate cancers reported to each of the selected registries, 2) collect additional information from the medical records of reabstracted cases which may not be routinely abstracted but which has been shown to influence treatment received (e.g., comorbid illnesses, type of insurance, method of detection, diagnostic workup, and family history of cancer), 3) analyze the enhanced data to determine the proportion of persons diagnosed with these cancers who received the recommended standard of therapy, or, for prostate cancer, different treatment modalities, and assess the determinants of receiving quality care (e.g., race/ethnicity, urban/rural residence, insurance status, and publicly available information on hospital and provider characteristics) in each of the selected registries, and 4) combine data from all selected registries to assess data quality and cancer treatment for these two common cancer sites in the selected registries. This application proposes to reabstract clinical information on 2,500 Minnesota women diagnosed with Stage I, II, or III breast cancer and 2,500 men diagnosed with prostate cancer during 2004 (non-Hispanic white) or 2003-2005 (not non-Hispanic white). Results of consolidated reabstracted data on stage at diagnosis and treatment received will be compared to originally abstracted data to determine data quality. Simple descriptive statistics will be used to describe treatment received. Logistic regression will be used to evaluate determinants of treatment received and identify disparities. Findings will be disseminated through presentations and papers. ? ?

Agency
National Institute of Health (NIH)
Institute
National Center for Chronic Disease Prev and Health Promo (NCCDPHP)
Type
Research Project--Cooperative Agreements (U01)
Project #
1U01DP000259-01
Application #
7090991
Study Section
Special Emphasis Panel (ZDP1-GXC (01))
Program Officer
Colley Gilbert, Brenda J
Project Start
2005-09-30
Project End
2008-09-29
Budget Start
2005-09-30
Budget End
2006-09-29
Support Year
1
Fiscal Year
2005
Total Cost
$310,110
Indirect Cost
Name
Minnesota State Department of Health
Department
Type
DUNS #
804887321
City
St. Paul
State
MN
Country
United States
Zip Code
55164
Satkunasivam, Raj; Lo, Mary; Stern, Mariana et al. (2018) The Role of Provider Characteristics in the Selection of Surgery or Radiation for Localized Prostate Cancer and Association With Quality of Care Indicators. Am J Clin Oncol :
Hamilton, Ann S; Fleming, Steven T; Wang, Dian et al. (2016) Clinical and Demographic Factors Associated With Receipt of Non Guideline-concordant Initial Therapy for Nonmetastatic Prostate Cancer. Am J Clin Oncol 39:55-63
Anderson, Roger T; Morris, Cyllene R; Kimmick, Gretchen et al. (2015) Patterns of locoregional treatment for nonmetastatic breast cancer by patient and health system factors. Cancer 121:790-9
Fleming, Steven T; Hamilton, Ann S; Sabatino, Susan A et al. (2014) Treatment patterns for prostate cancer: comparison of Medicare claims data to medical record review. Med Care 52:e58-64
Kimmick, Gretchen; Fleming, Steven T; Sabatino, Susan A et al. (2014) Comorbidity burden and guideline-concordant care for breast cancer. J Am Geriatr Soc 62:482-8
Wang, Dian; Ho, Alex; Hamilton, Ann S et al. (2014) Type and dose of radiotherapy used for initial treatment of non-metastatic prostate cancer. Radiat Oncol 9:47
Fleming, Steven T; Kimmick, Gretchen G; Sabatino, Susan A et al. (2012) Defining care provided for breast cancer based on medical record review or Medicare claims: information from the Centers for Disease Control and Prevention Patterns of Care Study. Ann Epidemiol 22:807-13
Hamilton, Ann S; Wu, Xiao-Cheng; Lipscomb, Joseph et al. (2012) Regional, provider, and economic factors associated with the choice of active surveillance in the treatment of men with localized prostate cancer. J Natl Cancer Inst Monogr 2012:213-20
Fleming, Steven T; Sabatino, Susan A; Kimmick, Gretchen et al. (2011) Developing a claim-based version of the ACE-27 comorbidity index: a comparison with medical record review. Med Care 49:752-60