Grants and Contracts Details
Description
SEER Patterns of Care/Quality of Care Studies (POC/QOC) describe, characterize, and compare practice
patterns and treatments provided for cancer in different geographic areas of the United States.
POC/QOC Studies are conducted to satisfy a Congressional directive (under Public Law 100]607, Sec. 413
(a) (2) (C) adopted November 4, 1988) to the National Cancer Institute (NCI) to gassess the incorporation
of state]of]the]art cancer treatments into clinical practice and the extent to which cancer patients
receive such treatments and include the results of such assessment in the biennial reportsch. To satisfy
the directive and to update and enhance the utility of the POC/QOC Studies, a working group including
representatives from the NCIfs Divisions of Cancer Control and Population Sciences and Cancer
Treatment and Diagnosis and a representative from the American Cancer Society was developed to
review knowledge gaps cancer therapy dissemination and to develop priority areas for study. The group
reached a consensus that a gap remains regarding factors associated with guideline use of biomarker
tests and targeted therapy. Furthermore, there is little known about whether there is documentation of
discussions about palliative care and patient finances in the medical record; both important aspects of
cancer care. Therefore, this yearfs POC/QOC Study shall investigate patterns of care for biomarker
testing and targeted cancer therapy for patients with advanced non]small cell lung cancer and
melanoma. The Study will also collect data on documentation of palliative care and financial discussions
in the medical record.
The primary objectives of the Fiscal Year 2019 NCI POC/QOC Study are to: 1) describe the use of
recommended biomarker tests which shall be verified with the treating physician/physician office staff
or with a unified medical record (record with all inpatient and outpatient records in a single file) and 2)
describe the use of targeted therapy which shall be verified with the treating physician/physician office
staff or with a unified medical record (record with all inpatient and outpatient records in a single file).
Other objectives are to: 3) describe the use of adjuvant therapy, which shall be verified with the treating
physician/physician office staff or with a unified medical record (record with all inpatient and outpatient
records in a single file); 4) characterize the practice patterns in different communities; 5) compare the
patterns of treatment (surgery, radiation therapy, systemic therapy (chemotherapy, immunotherapy,
hormonal therapy, targeted therapy)) over time and by age, sex, race/ethnicity, and insurance status; 6)
describe comorbidities and the effect of co]morbid conditions on treatment; 7) describe treatment by
hospital characteristics (i.e., for profit vs. not for profit, teaching vs. non]teaching, bed size, etc.); 8)
describe the use of diagnostic tests and compare their use by demographic variables and geographic
region; 9) describe the medical record documentation of discussions about palliative care and patient
finances; and 10) match the patterns of care data with the SEER]Medicare linked files as appropriate by
age.
Status | Finished |
---|---|
Effective start/end date | 9/18/19 → 3/17/21 |
Funding
- National Cancer Institute: $265,538.00
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