Opportunities for Cancer Health Care Disparities and Care Delivery Research: An Analysis of the NCI Health Care Delivery Research Program Portfolio

Adjei, Brenda A.; White, Dolly P; McCarthy, Sharon; Priede, Lianne M; Baker, Melanie; Kent, Erin E.; Weaver, Sallie J.; Geiger, Ann M.

doi:10.1353/hpu.2021.0145

Cited by 8 publications

(8 citation statements)

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“…Importantly, research that addresses the patient/family, oncologist/clinician, and healthcare system levels while simultaneously integrating a health equity lens are critical to achieving successful integration of geriatric assessment as part of standard care. [23][24][25][26] Our analysis of scientific topics revealed the limited attention in the pool of funded grants to cognitive functioning in aging and older adults with cancer. Although cognitive function assessment has been recommended for individuals with cancer, including older adults, 27,28 actual utilization rates remain low.…”

Section: Discussionmentioning

confidence: 99%

“…Healthcare delivery‐related factors may include organizational readiness/capacity, teamwork processes, and options in relation to care delivery approaches (i.e., in‐person/telehealth). Importantly, research that addresses the patient/family, oncologist/clinician, and healthcare system levels while simultaneously integrating a health equity lens are critical to achieving successful integration of geriatric assessment as part of standard care 23–26 …”

Section: Discussionmentioning

confidence: 99%

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Healthcare delivery research in older adults with cancer: A review of National Institutes of Health‐funded projects

Sun

Tuovinen

Jacobsen

et al. 2023

J American Geriatrics Society

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Background Cancer is a disease of aging, and most people with cancer are older than 65. However, widespread uptake of evidence‐based approaches that facilitate quality care delivery for older adults with cancer are lacking. This project aimed to review National Institutes of Health (NIH) grants funded in the last decade that focused on healthcare delivery in aging and older adults with cancer, and to examine grant‐related characteristics, study designs, and scientific topics included. Methods A search was conducted of all extramural NIH research grants awarded between fiscal year 2012 to 2021. We examined NIH terms; keyword searches of titles, abstracts, and specific aims were implemented to maximize search efficiency. Extraction criteria focused on grant‐related and study characteristics. A priori scientific topics for coding included geriatric assessment, care decision‐making, communication, care coordination, physical and psychosocial functioning/symptoms, and clinical outcomes. Results A total of 48 funded grants met the inclusion criteria. A near‐equal split was observed between R03, R21, and R01 grants. Most grants did not include family caregivers or focus on end‐of‐life care. Most grants included multiple cancers and were conducted during active treatment and in hospital/clinic settings. Common scientific topics included geriatric assessment, care decision‐making, physical and psychosocial functioning/symptoms, communication, and care coordination. Few grants focused on cognitive functioning. Conclusions Several gaps in the portfolio were identified, including family caregiver inclusion, end‐of‐life care, and studies focusing on cognitive functioning.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Healthcare delivery research in older adults with cancer: A review of National Institutes of Health‐funded projects

Sun

Tuovinen

Jacobsen

et al. 2023

J American Geriatrics Society

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“…Compared with non-Hispanic Whites, Hispanics are also more likely to be diagnosed with advanced stages of disease and experience poor quality of life following a cancer diagnosis (Yanez et al, 2016). The intersection with rural residence (Zahnd et al, 2021), socioeconomic status (Aloysius et al, 2021), and health care delivery access (Adjei et al, 2021) can further exacerbate these disparities. Supported by the Centers for Disease Control and Prevention (CDC), Comprehensive Cancer Control (CCC) state plans provide an important policy strategy for how a state identifies and addresses its cancer burden.…”

Section: Resources Framework and Perspectivesmentioning

confidence: 99%

Improving Comprehensive Cancer Control State Plans for Colorectal Cancer Screening in the Four Corners Region of the United States

Rodman

Mishra

Adsul

2022

Health Promotion Practice

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Colorectal cancer (CRC) disparities continue to persist in the four corners region (states of New Mexico, Arizona, Utah, and Colorado) of the United States. The Comprehensive Cancer Control (CCC) state plans provide a policy and practice snapshot on how a state identifies and addresses its cancer burden. This study critically examines the four state plans to identify gaps and opportunities for cancer prevention and control. Using a conventional content analysis approach, we reviewed the CCC plans for CRC screening-related information, culminating in a conceptual framework that highlights three themes. First, states reported their cancer burden using national data from American Cancer Society, Centers for Disease Control and Prevention, or the NCI’s Surveillance, Epidemiology, and End Results. Although these data informed specific goals and objectives, not all plans reported state-level data on CRC differences by specific social determinants of health and other characteristics. Second, it was not clear whether the interventions chosen to address state plan objectives were evidence-based and whether or not clearly described criteria were used for the selection of the interventions. Third, very limited information was provided in terms of state-specific contextual challenges and practical implementation of interventions. Study findings highlight opportunities to improve state-level cancer prevention and control efforts: first, by promoting the selection and adaptation of contextually relevant evidence-based interventions for this unique region; and second, through multidirectional engagement with communities, researchers, and policy and practice stakeholders. Such synergies in research and policies are vital for a coordinated and integrated approach to cancer prevention and control.

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“…The National Cancer Institute's recent portfolio analysis of health care delivery research grants demonstrates that most studies focus on the detection and intervention phases of the Kilbourne's research continuum, with far fewer focused on understanding causes of disparities. 77 Regarding detection of health disparities, several examples exist of the persistence of disparities in cancer outcomes post-treatment among older survivors. Racial or ethnic disparities in mental health among older adults with a history of cancer have been increasing since the late 1990s.…”

Section: Apply a Health Equity Lensmentioning

confidence: 99%

Survivorship Care of Older Adults With Cancer: Priority Areas for Clinical Practice, Training, Research, and Policy

Kent

Park

Wood

et al. 2021

JCO

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Opportunities for Cancer Health Care Disparities and Care Delivery Research: An Analysis of the NCI Health Care Delivery Research Program Portfolio

Cited by 8 publications

References 0 publications

Healthcare delivery research in older adults with cancer: A review of National Institutes of Health‐funded projects

Healthcare delivery research in older adults with cancer: A review of National Institutes of Health‐funded projects

Improving Comprehensive Cancer Control State Plans for Colorectal Cancer Screening in the Four Corners Region of the United States

Survivorship Care of Older Adults With Cancer: Priority Areas for Clinical Practice, Training, Research, and Policy

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