McCaskill-Stevens Worta, Lyss Alan P, Good Marge, Marsland Thomas, Lilenbaum Rogerio
From the National Cancer Institute, National Institutes of Health, Bethesda, MD; BJC HealthCare, St. Louis, MO; Yale University, New Haven, CT.
Am Soc Clin Oncol Educ Book. 2013. doi: 10.1200/EdBook_AM.2013.33.e84.
Research in the community setting is essential for the translation of advances in cancer research into practice and improving cancer care for all populations. The National Cancer Institute is proposing a new community-based program, NCI Community Oncology Research Program (NCORP), which is the alignment of two existing programs, the Community Clinical Oncology Program, Minority-Based Community Clinical Oncology Program, and their Research Bases, and the National Cancer Institute's Community Cancer Centers Program. NCROP will support cancer control, prevention, treatment, and screening clinical trials and expand its research scope to include cancer care delivery research. Cancer disparities research will be integrated into studies across the continuum of NCORP research. Input from current NCI-funded community investigators provides critical insight into the challenges faced by oncology practices within various organizational structures. Furthermore, these investigators identify the resources, both administrative and clinical, that will be required in the community setting to support cancer care delivery research and to meet the requirements for a new generation of clinical research. The American Society for Clinical Oncology (ASCO) has initiated a forum to focus on the conduct of clinical research in the community setting. Resources are being developed to help practices in managing cancer care in community settings.
社区环境中的研究对于将癌症研究进展转化为实际应用以及改善所有人群的癌症护理至关重要。美国国立癌症研究所正在提议一项新的基于社区的项目,即国立癌症研究所社区肿瘤学研究项目(NCORP),该项目整合了两个现有项目,即社区临床肿瘤项目、基于少数族裔的社区临床肿瘤项目及其研究基地,以及国立癌症研究所的社区癌症中心项目。NCROP将支持癌症控制、预防、治疗和筛查临床试验,并扩大其研究范围,将癌症护理服务研究纳入其中。癌症差异研究将整合到NCORP研究连续体的各项研究中。目前由国立癌症研究所资助的社区研究人员提供的意见,对于了解不同组织结构下肿瘤学实践所面临的挑战至关重要。此外,这些研究人员还确定了在社区环境中支持癌症护理服务研究并满足新一代临床研究要求所需的行政和临床资源。美国临床肿瘤学会(ASCO)已启动一个论坛,专注于社区环境中的临床研究开展。目前正在开发相关资源,以帮助社区环境中的医疗机构管理癌症护理。