Update EPIDEMIOLOGY AND APPLIED RESEARCH BRANCH Division of Cancer Prevention and Control Mary C. White, Sc.D. National Comprehensive Cancer Control Program.

Update

EPIDEMIOLOGY AND APPLIED RESEARCH BRANCH

Division of Cancer Prevention and Control

Mary C. White, Sc.D.

National Comprehensive Cancer Control Program

Business Meeting

May 13, 2008

MISSION

Direct and support research that contributes to scientific knowledge related to cancer control

Collaborate in the application of scientific knowledge to the design, implementation and evaluation of effective programs

Selected Highlights

Special cancer monographs “in press”

Surveillance updates

CPCRN update

Quality of CRC screening

Population estimates

Survivorship research

Future Impact of HPV vaccine/HPV tests

ABHACUS: Assessing the Burden of HPV-Associated Cancers in the US, special supplement monograph (23 manuscripts) in press Cancer (August 2008)

Cancers included: cervical, vaginal, vulvar, penile,

anal, oropharynx and oral cavity

Cancer Occurrence in AI/AN populations

Annual Report to the Nation on the Status of Cancer, 1975-2004, Featuring Cancer in American Indians and Alaska Natives, Espey DK et al., Cancer 2007;110:2119-52.

Special supplement monograph (12 manuscripts) in Cancer (fall 2008)

Clark J. Mischler Photo/Courtesy ofAlaska Native Tribal Health Consortium

Surveillance Updates

Revised cancer screening questions: BRFSS 2008: new questions that distinguish

colonoscopy from flex. sig. NHIS 2010 cancer control supplement: new

questions proposed to address HPV, emerging screening technologies, survivorship

Upcoming publications (in press): CRC screening data (2005 NHIS) Trends in mammography (2006 BRFSS)

Surveillance Updates

New surveys of provider behaviors: NCI/CDC/AHRQ survey of primary care

physicians’ cancer screening recommendations and practices

CDC national survey of physician attitudes and practices regarding PSA

General practitioners’ awareness and adherence to ovarian cancer screening guidelines (with U. Wash.).

NAMCS 2006-10 added questions on screening for cervical cancer

The Cancer Prevention and Control Research Network (CPCRN) provides an infrastructure for applying relevant research to local cancer prevention and control needs. 

Mission of CPCRN: To accelerate the adoption of evidence-based cancer prevention and control in communities.

Vision of CPCRN: The Network will be engaged in research and practice activities that span the translation continuum from discovery to the dissemination and adoption of effective interventions. 

CPCRN Network Center Map

CA

WA

TX

NC

GA

MO

University of Washington

University of California at Los Angeles

University of Texas

Emory UniversityMorehouse School of Medicine

University of North Carolina

Harvard University

Saint LouisUniversity

www.cpcrn.org

Quality of Colonoscopy

CO-RADS: Colonoscopy Reporting and Data System Developed by the Quality Assurance Task Group of the

National Colorectal Cancer Roundtable with support and leadership of DCPC/CDC, in partnership with ACS

Specifies the elements that should be included in all colonoscopy reports and quality indicators to be monitored

Lieberman D, Nadel M, Smith R, et al. Standardized colonoscopy reporting and data system. Gastrointestinal Endoscopy (2007) 65:757-766.

In progress: development of guidance to help primary care providers recognize high quality endoscopy

Population Estimates

Research on estimating the number of women eligible for the NBCCEDP; Collaboration between CDC and Census Bureau

Available Data (through 2006) from CPS ASEC* Tabulations Women

2-year and 3-year state level estimates of the number of low-income (at or below 200 percent or at or below 250 percent of the federal poverty threshold), uninsured women by age group (18-64, 40-64, and 50-64)

The National estimates include the same information by race and ethnicity

Men State level estimates of low-income uninsured men by age, and

national level tabulations of low-income uninsured men by age, race, and ethnicity

*Current Population Survey Annual Social and Economic Supplement

Population Estimates

Future Data – Modeled Based Estimates By the end of FY08, county level estimates of the

NBCCEDP eligible population (low-income uninsured women by age) will be published on the Census Bureau’s web site (with links to the CDC website)

FY09, publish state and county estimates

Possibility of annual production of model-based state estimates of low-income uninsured women by age, race, and ethnicity and county estimates of low-income uninsured women by age

Current Research on Survivorship

Examining health behaviors among CRC survivors 5 years after cancer.

Assessing quality of life and choice in prostate cancer treatment (with Fred Hutchinson Cancer Res. Cntr, Univ. S. Cal., Univ. Texas, and the Medical Univ. of S.C.).

Evaluating the effectiveness of a nationally-available survivorship program among a disadvantaged population (with UAB).

Collaborating with researchers at the ACS to examine lifestyle changes made by cancer survivors 2, 6, and 11 yrs after diagnosis.

Photo Courtesy of Nikki Hawkins

Contact information:

Mary White, ChiefEpidemiology and Applied

Research BranchDCPC

[email protected](770) 488-3032

The findings and conclusions in this presentation are those of the author and do not necessarily represent the views of the Centers for Disease Control and Prevention.