Hendrix Ellen L, Chollette Veronica Y, Wentzensen Nicolas, Loukissas Jennifer K, McGee-Avila Jennifer K, Tookmanian Elise, Temkin Sarah M, Douthard Regine A, Rossy Madeline, Donald Cheryl, Kobrin Sarah C, Segebrecht Jane W
Office of Women's Health, Health Resources and Services Administration, United States Department of Health and Human Services, Rockville, Maryland, USA.
Health Systems and Interventions Research Branch, Healthcare Delivery Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, National Institutes of Health, United States Department of Health and Human Services, Rockville, Maryland, USA.
Cancer. 2025 Jan 1;131(1):e35655. doi: 10.1002/cncr.35655. Epub 2024 Dec 11.
The Federal Cervical Cancer Collaborative (FCCC) was established by the Health Resources and Services Administration Office of Women's Health and its interagency partners within the U.S. Department of Health and Human Services. Its primary mission, aligned with the goals of the Cancer Moonshot (https://www.cancer.gov/research/key-initiatives/moonshot-cancer-initiative/implementation/prevention-early-detection), is to accelerate control of cervical cancer within safety-net settings of care. This interagency partnership works in close collaboration to reduce disparities in cervical cancer care, particularly among populations that are geographically isolated, economically challenged, and medically underserved. The FCCC bridges federal priorities of cancer research from the National Institutes of Health National Cancer Institute to health care delivery in Health Resources and Services Administration-supported and safety-net settings of care. In this commentary, FCCC activities are discussed to improve cervical cancer prevention and control through vaccination, screening, and management of preinvasive cervical disease in safety-net settings of care. These activities include the development and implementation of an evidence-based, action-oriented provider toolkit and federal opportunities report. The FCCC's efforts to increase the readiness of safety-net settings of care to implement the 2019 American Society for Colposcopy and Cervical Pathology Risk-Based Management Consensus Guidelines for patients with abnormal cervical cancer screening results are discussed. Also described are the results from a survey of National Cancer Institute-designated cancer centers, designed to inform future efforts to strengthen referrals and care coordination with safety-net settings of care.
联邦宫颈癌协作组织(FCCC)由美国卫生与公众服务部妇女健康办公室及其跨部门合作伙伴共同设立。其主要使命与“抗癌登月计划”(https://www.cancer.gov/research/key-initiatives/moonshot-cancer-initiative/implementation/prevention-early-detection)的目标一致,即在安全网医疗环境中加速宫颈癌防控。这种跨部门伙伴关系紧密合作,以减少宫颈癌护理方面的差异,特别是在地理上孤立、经济上有困难且医疗服务不足的人群中。FCCC将美国国立卫生研究院国家癌症研究所的癌症研究联邦优先事项与卫生资源和服务管理局支持的安全网医疗环境中的医疗服务提供联系起来。在本评论中,将讨论FCCC在安全网医疗环境中通过疫苗接种、筛查和宫颈癌前病变管理来改善宫颈癌预防和控制的活动。这些活动包括开发和实施基于证据、以行动为导向的医疗服务提供者工具包和联邦机会报告。还将讨论FCCC为提高安全网医疗环境对实施2019年美国阴道镜检查和宫颈病理学会基于风险的宫颈癌筛查异常结果患者管理共识指南的准备程度所做的努力。此外,还介绍了对美国国立癌症研究所指定癌症中心的一项调查结果,旨在为未来加强与安全网医疗环境的转诊和护理协调的努力提供信息。