Grant Number:	1U01CA093339-01 Interpret this number
Primary Investigator:	Wallace, Robert
Organization:	University Of Iowa
Project Title:	Lung Cancer Care Outcomes/Surveillance Consortium-Iowa
Fiscal Year:	2001

We have assembled a team of multi-disciplinary investigators to study, on a population basis, the patterns of treatment initially and continuing for a representative sample of lung cancer patients in the state of Iowa. These patterns will be explored in terms of patient decision-making processes for short and long-term treatment, with follow-up for suitable outcomes including disease-free interval, quality-of-life measures, end of-life care and overall survivorship. Factors proposed for exploration include including patient demographic, economic and behavioral attributes, including traits such as the patient's cancer learning environment and fatalism, the influences of geographically-dispersed practitioners with varied clinical management approaches, practitioner continuing education and information sources, the application of treatments where optimal approaches are uncertain and the influence of spatial and fiscal access to care. Special features of this proposal include: a) a multi-disciplinary team of investigators including epidemiology, disease registration, biostatistics, health economics, behavioral science and thoracic oncology; b) proven ability to access approximately 2000 lung cancer patients per year and achieve long term follow-up rates of 98-99%, using the Iowa Cancer Registry (NCI SEER Program); c) the elaboration of an economics model to guide both theory and questionnaire design for patients and practitioners, and offered to understand patient decision-making and its relation to outcomes; and d) demonstrable high levels of community cooperation, from patients, cancer care practitioners and pathologists. The goal of the special study is to use Instrumental Variable (IV) techniques to assess whether patient survival rates can be increased by increasing adjuvant therapy treatment rates for early stage non-small cell lung cancer (ENSCLC) patients. If providers are accurately sorting patients by their expected treatment benefits, and only patients expected to benefit from adjuvant treatments actually receive them, we would expect that treatment benefits for patients on the extensive margin to be minimal. We hypothesize there will be little or no treatment survival benefits for patients on the ENSCLC patients provides the rationale for this study.




Social Factors In Informal Cancer Caregivers: The Interrelationships Among Social Stressors, Relationship Quality, And Family Functioning In The Cancors Data Set
Authors: Litzelman K. , Kent E.E. , Rowland J.H. .
Source: Cancer, 2016-01-15 00:00:00.0; 122(2), p. 278-86.
PMID: 26479767
Related Citations

Economic Hardship Of Minority And Non-minority Cancer Survivors 1 Year After Diagnosis: Another Long-term Effect Of Cancer?
Authors: Pisu M. , Kenzik K.M. , Oster R.A. , Drentea P. , Ashing K.T. , Fouad M. , Martin M.Y. .
Source: Cancer, 2015-04-15 00:00:00.0; 121(8), p. 1257-64.
PMID: 25564986
Related Citations

Effects Of Gender And Depressive Symptoms On Quality Of Life Among Colorectal And Lung Cancer Patients And Their Family Caregivers
Authors: Kim Y. , van Ryn M. , Jensen R.E. , Griffin J.M. , Potosky A. , Rowland J. .
Source: Psycho-oncology, 2015 Jan; 24(1), p. 95-105.
PMID: 24831223
Related Citations

Facility-level Analysis Of Pet Scanning For Staging Among Us Veterans With Non-small Cell Lung Cancer
Authors: Gould M.K. , Wagner T.H. , Schultz E.M. , Xu X. , Ghaus S.J. , Provenzale D. , Au D.H. , Cancer Care Outcomes Research and Surveillance (CanCORS) Consortium .
Source: Chest, 2014 Apr; 145(4), p. 839-47.
PMID: 24306819
Related Citations

Surveillance Instructions And Knowledge Among African American Colorectal Cancer Survivors
Authors: Pisu M. , Holt C.L. , Brown-Galvan A. , Fairley T. , Smith J.L. , White A. , Hall I.J. , Oster R.A. , Martin M.Y. .
Source: Journal Of Oncology Practice / American Society Of Clinical Oncology, 2014 Mar; 10(2), p. e45-50.
PMID: 24385336
Related Citations

The Role Of Social Support In Posttreatment Surveillance Among African American Survivors Of Colorectal Cancer
Authors: Le D. , Holt C.L. , Pisu M. , Brown-Galvan A. , Fairley T.L. , Lee Smith J. , White A. , Hall I.J. , Oster R.A. , Martin M.Y. .
Source: Journal Of Psychosocial Oncology, 2014; 32(3), p. 245-63.
PMID: 24611486
Related Citations

Enrollment Of Patients With Lung And Colorectal Cancers Onto Clinical Trials
Authors: Fouad M.N. , Lee J.Y. , Catalano P.J. , Vogt T.M. , Zafar S.Y. , West D.W. , Simon C. , Klabunde C.N. , Kahn K.L. , Weeks J.C. , et al. .
Source: Journal Of Oncology Practice / American Society Of Clinical Oncology, 2013 Mar; 9(2), p. e40-7.
PMID: 23814523
Related Citations

Racial Variation In The Cancer Caregiving Experience: A Multisite Study Of Colorectal And Lung Cancer Caregivers
Authors: Martin M.Y. , Sanders S. , Griffin J.M. , Oster R.A. , Ritchie C. , Phelan S.M. , Atienza A.A. , Kahn K. , van Ryn M. .
Source: Cancer Nursing, 2012 Jul-Aug; 35(4), p. 249-56.
PMID: 22088979
Related Citations

Objective Burden, Resources, And Other Stressors Among Informal Cancer Caregivers: A Hidden Quality Issue?
Authors: van Ryn M. , Sanders S. , Kahn K. , van Houtven C. , Griffin J.M. , Martin M. , Atienza A.A. , Phelan S. , Finstad D. , Rowland J. .
Source: Psycho-oncology, 2011 Jan; 20(1), p. 44-52.
PMID: 20201115
Related Citations

Economic Burden For Informal Caregivers Of Lung And Colorectal Cancer Patients
Authors: Van Houtven C.H. , Ramsey S.D. , Hornbrook M.C. , Atienza A.A. , van Ryn M. .
Source: The Oncologist, 2010; 15(8), p. 883-93.
PMID: 20667966
Related Citations

Understanding Cancer Patients' Experience And Outcomes: Development And Pilot Study Of The Cancer Care Outcomes Research And Surveillance Patient Survey
Authors: Malin J.L. , Ko C. , Ayanian J.Z. , Harrington D. , Nerenz D.R. , Kahn K.L. , Ganther-Urmie J. , Catalano P.J. , Zaslavsky A.M. , Wallace R.B. , et al. .
Source: Supportive Care In Cancer : Official Journal Of The Multinational Association Of Supportive Care In Cancer, 2006 Aug; 14(8), p. 837-48.
PMID: 16482448
Related Citations

Understanding Cancer Treatment And Outcomes: The Cancer Care Outcomes Research And Surveillance Consortium
Authors: Ayanian J.Z. , Chrischilles E.A. , Fletcher R.H. , Fouad M.N. , Harrington D.P. , Kahn K.L. , Kiefe C.I. , Lipscomb J. , Malin J.L. , Potosky A.L. , et al. .
Source: Journal Of Clinical Oncology : Official Journal Of The American Society Of Clinical Oncology, 2004-08-01 00:00:00.0; 22(15), p. 2992-6.
PMID: 15284250
Related Citations