Institute for Clinical Research and Health Policy Studies and the Division of Hematology/Oncology, Tufts Medical Center, Tufts University School of Medicine, Boston, Massachusetts, USA.
Columbia University School of Nursing, CUIMC Minority/Underserved NCI Community Oncology Research Program, Herbert Irving Comprehensive Cancer Center, Columbia University Irving Medical Center, New York, New York, USA.
Pediatr Blood Cancer. 2023 Sep;70 Suppl 6(Suppl 6):e30579. doi: 10.1002/pbc.30579. Epub 2023 Jul 19.
The National Cancer Institute (NCI) has a 40-year history of initiatives to encourage the participation of community oncology sites into clinical trials research and clinical care. In 2014, the NCI re-organized to form the NCI Community Oncology Research Program (NCORP) network across seven research bases, including the Children's Oncology Group (COG), and numerous community sites. The COG portfolio for Cancer Care Delivery Research (CCDR), mirroring the larger NCORP network, has included two studies addressing guideline congruence, as an important marker of quality cancer care, and another focusing on financial toxicity, addressing the pervasive problems of healthcare cost. CCDR is a cross-cutting field that frequently examines intersectional aspects of healthcare delivery. With that in mind, we explicitly define domains of CCDR to propel our research agenda into the next phase of the NCORP CCDR program while acknowledging the complex and dynamic fields of clinical care, policy level decisions, research findings, and needs of communities served by the NCORP network that will inform the subsequent research questions. To ensure programmatic success, we will engage a broad interdisciplinary group of investigators and clinicians with expertise and dedication to community oncology and the populations they serve.
美国国家癌症研究所（NCI）有 40 年的历史，一直致力于鼓励社区肿瘤学站点参与临床试验研究和临床护理。2014 年，NCI 进行了重组，在包括儿童肿瘤学组（COG）在内的七个研究基地中形成了 NCI 社区肿瘤学研究计划（NCORP）网络，以及众多社区站点。COG 的癌症护理交付研究（CCDR）组合与更大的 NCORP 网络相呼应，其中包括两项研究，旨在解决指南一致性问题，这是癌症护理质量的重要标志，另一项研究则侧重于财务毒性，以解决医疗保健成本普遍存在的问题。CCDR 是一个跨领域的领域，经常研究医疗保健交付的交叉方面。考虑到这一点，我们明确界定了 CCDR 的领域，以推动我们的研究议程进入 NCORP CCDR 计划的下一阶段，同时承认临床护理、政策决策、研究结果和 NCORP 网络服务的社区的复杂和动态领域，这些将为随后的研究问题提供信息。为了确保项目的成功，我们将聘请广泛的跨学科研究人员和临床医生，他们具有社区肿瘤学和他们服务的人群的专业知识和奉献精神。
