Cancer Prevention and Control Programs for State Territorial and Tribal Organizations - NPCR (carryover funds)

Project Abstract: The University of Kentucky (UK) Research Foundation submits this application to opportunity CDC-RFA- DP22-2202: Cancer Prevention and Control Programs for State, Territorial, and Tribal Organizations. Our application includes two of Kentucky’s (KY) flagship CDC-funded cancer prevention and control programs: Program 2-National Comprehensive Cancer Control Program (NCCCP), and Program 3- National Program of Cancer Registries (NPCR). Both programs have a long history of success at UK since their inception at CDC. The Kentucky Department of Public Health (KDPH) designates UK as the designated bona fide agent to receive the NCCCP grant and state law designates Kentucky Cancer Registry and receive the NPCR grant. Dr. Pamela Hull serves as the Principal Investigator (PI) for the Program 2-NCCCP, and Dr. Eric Durbin serves as the PI for Program 3-NPCR. Since the two programs must be submitted under a single combined application, Dr. Hull and Dr. Durbin collaborate together as Multi-PIs, and Dr. Hull is listed as the Contact PI in the application system. Both programs collaborate closely with KY’s third flagship program, KY Women’s Cancer Screening Program (National Breast and Cervical Cancer Early Detection Program), administered in the KY Department of Public Health. The need for all three flagship programs in KY is high, given that KY ranks 1st among states for both the highest all- site cancer incidence and the highest all-site cancer mortality, with significant geographic disparities in Appalachian and rural areas and significant racial disparities among Black Kentuckians and high poverty rates. Program 3-NPCR Summary: The primary objective of the Kentucky Cancer Registry (KCR) is to provide complete, timely, and accurate population-based cancer surveillance data for the purposes of evidence- based cancer prevention and control planning and evaluation. Since 1994, KCR has consistently met and exceeded NPCR completeness, timeliness, and quality standards. KCR is highly integrated with the KCCCP and KWCSP. The Registry provides data to KCCCP that are used to develop, revise, and evaluate the Kentucky Cancer Action Plan. Annually KCR also provides data tailored for each of the states 15 District Cancer Councils who use these data to target their limited resources toward those cancers that represent the greatest burden. KCR also provides data and conducts linkages with data from the KWCSP to guide and evaluation their cancer screening activities. In order to continue meeting NPCR program goals in Kentucky, KCR has established four key strategies through ongoing activities, processes, procedures, and documented work plans: 1) Enhance NPCR data quality, completeness, use, and dissemination; 2) Use surveillance systems and population-based surveys to assess cancer burden, examine health disparities, target program efforts, and inform efforts to address social determinants of health (SDOH); 3) Support partnerships for cancer control and prevention; 4) Conduct program monitoring and evaluation.