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 on 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 for
colorectal and breast cancer between 1987-2000 are available in NCI's Cancer Trends Progress Report.
- One particularly notable Patterns of Care study, the Prostate Cancer Outcomes Study, was initiated in 1994 by NCI
researchers to look at the impact of treatments for primary prostate cancer on
the quality of life of men living with this cancer.
- 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 5-year project supports
prospective cohort studies on 10,000 patients with newly diagnosed lung or
colorectal cancers and is designed to increase the knowledge of the relationship
between cancer care practices in the general population and patient outcomes
including survival and quality of life.
Our bibliographies of publications in the areas of cancer
outcomes include a list of
articles that provide detailed results from these and similar studies.