Grant Number:	1UM1CA173642-01 Interpret this number
Primary Investigator:	Anderson, Garnet
Organization:	Fred Hutchinson Cancer Research Center
Project Title:	Women's Health Initiative Cancer Survivor Cohort
Fiscal Year:	2013

DESCRIPTION (provided by applicant): The Women's Health Initiative represents a large population-based sample of 161,000 postmenopausal US women. These women have been well-characterized in terms of demographics, diverse exposures, quality of life assessments and incidence of chronic diseases, including over 20,000 incident invasive cancers over a mean 12 years of follow-up. A biorepository maintains >5 million vials of serum, plasma and DNA, and over 93,000 women continue in active follow-up. WHI investigators seek to enhance opportunities for cancer survivorship studies, particularly those that recognize the import of molecular heterogeneity of tumors, by addressing two key limitations in the existing program. Specifically, we propose to; 1) collect information on cancer treatment, clinical outcomes (recurrence) and patient reported outcomes in women diagnosed with selected cancers (breast, colorectal, endometrial, lung, and ovarian cancers, lymphoma, leukemia, and melanoma, projected n=21,882) during WHI participation using Medicare linkages or direct medical record abstraction; and 2) collect paraffin-embedded tumor tissue from selected cancers (colorectal and ovarian cancers, melanoma, lymphoma, and breast and lung cancer subtypes, projected n=5,900). We will collect treatment and outcome data via linkage to Medicare datasets for cost efficiencies, whenever possible, and will pursue and evaluate methods to collect these data through access to other administrative databases. By enhancing the WHI database with cancer treatment and recurrence data, WHI will be a valuable resource to examine the effects of cancer diagnosis and treatment on overall health and quality of life in an aging cohort-one that represents the fastest growing population, bears the great cancer burden but has been under-represented in randomized trials. By supplementing the specimen repository with tumor specimens, the WHI Program will be able to support "up-to-date" phenotyping of cancers and contribute to our understanding of the molecular basis of cancer, its treatment and survival. We want to begin soon to ensure that a large and representative resource can be realized, because tumor tissue and records for cases diagnosed in the early period of the WHI will become increasingly difficult to obtain.




Low physical function following cancer diagnosis is associated with higher mortality risk in postmenopausal women.
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Pre-diagnosis lipid levels and mortality after obesity-related cancer diagnosis in the Women's Health Initiative cardiovascular disease biomarker cohort.
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Bayesian semiparametric joint modeling of a count outcome and inconveniently timed longitudinal predictors.
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Social Support, social ties, and cognitive function of women with breast cancer: findings from the Women's Health Initiative (WHI) Life and Longevity After Cancer (LILAC) Study.
Authors: Yang Y. , McLaughlin E.M. , Naughton M.J. , Lustberg M.B. , Nolan T.S. , Kroenke C.H. , Weitlauf J.C. , Saquib N. , Shadyab A.H. , Follis S. , et al. .
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Racial differences in the association of body mass index and ovarian cancer risk in the OCWAA Consortium.
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Correlates of common concerns in older cancer survivors of leukemia and lymphoma: results from the WHI LILAC study.
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Race Differences in the Associations between Menstrual Cycle Characteristics and Epithelial Ovarian Cancer.
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Associations of Health-Related Quality of Life and Sleep Disturbance With Cardiovascular Disease Risk in Postmenopausal Breast Cancer Survivors.
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Racial disparities in epithelial ovarian cancer survival: An examination of contributing factors in the Ovarian Cancer in Women of African Ancestry consortium.
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Inflammatory, Oxidative Stress, and Cardiac Damage Biomarkers and Radiation-Induced Fatigue in Breast Cancer Survivors.
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Self-reported symptoms among cancer survivors in the Women's Health Initiative (WHI) Life and Longevity after Cancer (LILAC) cohort.
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Correlates of physical activity among older breast cancer survivors: Findings from the Women's Health Initiative LILAC study.
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Source: Cancer Medicine, 2021-08-14 00:00:00.0; , .
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Genital powder use and risk of epithelial ovarian cancer in the Ovarian Cancer in Women of African Ancestry Consortium.
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Cardiometabolic risk factors and survival after cancer in the Women's Health Initiative.
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Association of Prediagnostic Frailty, Change in Frailty Status, and Mortality After Cancer Diagnosis in the Women's Health Initiative.
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Comparison of Mortality Among Participants of Women's Health Initiative Trials With Screening-Detected Breast Cancers vs Interval Breast Cancers.
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The association of delay in curative intent treatment with survival among breast cancer patients: findings from the Women's Health Initiative.
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Prediagnosis social support, social integration, living status, and colorectal cancer mortality in postmenopausal women from the women's health initiative.
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Association between prediagnosis depression and mortality among postmenopausal women with colorectal cancer.
Authors: Liang X. , Hendryx M. , Qi L. , Lane D. , Luo J. .
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Guideline-concordant endometrial cancer treatment and survival in the Women's Health Initiative Life and Longevity After Cancer study.
Authors: Felix A.S. , McLaughlin E.M. , Caan B.J. , Cohn D.E. , Anderson G.L. , Paskett E.D. .
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Pre-Diagnosis Exercise and Cardiovascular Events in Primary Breast Cancer: Women's Health Initiative.
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PMID: 31236792
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Fear of recurrence among older breast, ovarian, endometrial, and colorectal cancer survivors: Findings from the WHI LILAC study.
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Cardiometabolic risk factors and survival after breast cancer in the Women's Health Initiative.
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The Women's Health Initiative (WHI) Life and Longevity After Cancer (LILAC) Study: Description and Baseline Characteristics of Participants.
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Change in longitudinal trends in sleep quality and duration following breast cancer diagnosis: results from the Women's Health Initiative.
Authors: Beverly C.M. , Naughton M.J. , Pennell M.L. , Foraker R.E. , Young G. , Hale L. , Feliciano E.M.C. , Pan K. , Crane T.E. , Danhauer S.C. , et al. .
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Methodological considerations for disentangling a risk factor's influence on disease incidence versus postdiagnosis survival: The example of obesity and breast and colorectal cancer mortality in the Women's Health Initiative.
Authors: Cespedes Feliciano E.M. , Prentice R.L. , Aragaki A.K. , Neuhouser M.L. , Banack H.R. , Kroenke C.H. , Ho G.Y.F. , Zaslavsky O. , Strickler H.D. , Cheng T.D. , et al. .
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Addressing Bias in Electronic Health Record-Based Surveillance of Cardiovascular Disease Risk: Finding the Signal Through the Noise.
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Effect of depression before breast cancer diagnosis on mortality among postmenopausal women.
Authors: Liang X. , Margolis K.L. , Hendryx M. , Reeves K. , Wassertheil-Smoller S. , Weitlauf J. , Danhauer S.C. , Chlebowski R.T. , Caan B. , Qi L. , et al. .
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Low-Fat Dietary Pattern and Breast Cancer Mortality in the Women's Health Initiative Randomized Controlled Trial.
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Medication use trajectories of postmenopausal breast cancer survivors and matched cancer-free controls.
Authors: Pan K. , Chlebowski R.T. , Simon M.S. , Ray R.M. , Livaudais-Toman J. , Sullivan S.D. , Stefanick M.L. , Wallace R.B. , LeBoff M. , Bluhm E.C. , et al. .
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Enhancing Breast Cancer Recurrence Algorithms Through Selective Use of Medical Record Data.
Authors: Kroenke C.H. , Chubak J. , Johnson L. , Castillo A. , Weltzien E. , Caan B.J. .
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Survivorship: screening for cancer and treatment effects, version 2.2014.
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