Cancer Treatment & Outcomes
The most favorable outcomes for cancer patients can be achieved only when cancer treatments of proven efficacy are effectively delivered in the general
community. The Health Services and Economics Branch monitors the dissemination of recommended cancer treatment and conducts studies that describe clinical
and quality-of-life outcomes of cancer treatment in large, diverse, and representative patient populations.
The overall goal of the Patterns of Care/Quality of Care initiative is to evaluate the
dissemination of state-of-the-art therapy into community practice, disseminate findings in scientific journals and professional meetings, and work with
professional organizations to develop relevant educational or training opportunities to improve the dissemination of state-of-the-art therapy into
community practice. Trends in treatment are available in NCI's Cancer Trends Progress Report.
We also support research to document patterns of cancer treatment and analyze determinants of these patterns using the SEER- Medicare Linked Database. SEER-Medicare studies include explorations of how
individual socio-demographic and clinical characteristics affect treatment patterns as well as how healthcare provider, hospital, and broad healthcare
system patterns influence treatment patterns for the most common cancers.
In 2001, NCI initiated the Cancer Care Outcomes Research and Surveillance Consortium (CanCORS)
project. This project supports prospective cohort studies on 10,000 patients with newly diagnosed lung or colorectal cancer and is designed to increase
knowledge of the relationship between cancer care practices in the general population and patient outcomes including survival and quality of life.
NCI initiated the Adolescent and Young Adult Health Outcomes and Patient Experience (AYA HOPE) Study
to assess the impact of cancer, health-related quality of life, healthcare delivery practice patterns, demographic, socioeconomic, and supportive care
characteristics among adolescents and young adults approximately 24 months after being diagnosed with cancer. AYA HOPE is the first longitudinal
population-based study in the AYA oncology population in the United States.
The Survey of Physician Attitudes Regarding the Care of Cancer Survivors (SPARCCS) is
designed to identify perceptions, knowledge, and practices of primary care oncology specialist physicians regarding post-treatment follow-up care of
adult cancer survivors. Fielded in 2009, SPARCCS surveyed 1,100 primary care physicians and 1,100 oncology specialists.
Our bibliographies of publications in the areas of cancer treatment and outcomes list articles that provide
detailed results from these and similar studies.