Cancer research network: using integrated healthcare delivery systems as platforms for cancer survivorship research
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REVIEW
Cancer research network: using integrated healthcare delivery systems as platforms for cancer survivorship research Larissa Nekhlyudov & Sarah M. Greene & Jessica Chubak & Borsika Rabin & Leah Tuzzio & Sharon Rolnick & Terry S. Field
Received: 29 May 2012 / Accepted: 22 September 2012 / Published online: 14 December 2012 # Springer Science+Business Media New York 2012
Abstract Introduction Much progress has been made in cancer survivorship research, but there are still many unanswered questions that can and need to be addressed by collaborative research consortia. Methods Since 1999, the National Cancer Institute-funded HMO Cancer Research Network (CRN) has engaged in a L. Nekhlyudov (*) Department of Population Medicine Harvard Medical School/Harvard Pilgrim Health Care Institute Department of Medicine Harvard Vanguard Medical Associates, 133 Brookline Avenue, 6th Floor, Boston, MA 02215, USA e-mail: [email protected] S. M. Greene : J. Chubak : L. Tuzzio Group Health, Research Institute, Seattle, WA, USA J. Chubak Department of Epidemiology, University of Washington School of Public Health, Seattle, WA, USA B. Rabin Institute for Health Research, Kaiser Permanente Colorado, CRN Cancer Communication Research Center, Denver, CO, USA S. Rolnick HealthPartners Research Foundation, Minneapolis, MN, USA T. S. Field Meyers Primary Care Institute, Fallon Community Health Plan, University of Massachusetts Medical School, and Reliant Medical Group, Worcester, MA, USA
wide variety of research focusing on cancer survivorship. With a focus on thematic topics in cancer survivorship, we describe how the CRN has contributed to research in cancer survivorship and the resources it offers for future collaborations. Results We identified the following areas of cancer survivorship research: surveillance for and predictors of recurrences, health care delivery and care coordination, health care utilization and costs, psychosocial outcomes, cancer communication and decision making, late effects of cancer and its treatment, use of and adherence to adjuvant therapies, and lifestyle and behavioral interventions following cancer treatment. Conclusions With over a decade of experience using cancer data in community-based settings, the CRN investigators and their collaborators are poised to generate evidence in cancer survivorship research. Implications for Cancer Survivors Collaborative research within these settings can improve the quality of care for cancer survivors within and beyond integrated health care delivery systems. Keywords Cancer survivorship . Integrated health care systems . Heath services research
Introduction Since the release of the Institute of Medicine Report entitled “From Cancer Patient to Cancer Survivor: Lost in Transition,” [1] the field of cancer survivorship research has grown. There is now greater awareness of the unique array of issues faced by cancer survivors, including the late effects of cancer and its treatment, recurrences, management of comorbid conditions,
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J Cancer Survi
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