SEER: NCI Patterns of Care (POC)/Quality of Care Study: Diagnosis Years 2017 (NSCLC) and 2018 (NSCLC and Melanoma)

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 reportsch. To satisfy the directive and to update and enhance the utility of the POC/QOC Studies, a working group including representatives from the NCIfs 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 yearfs 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.
StatusFinished
Effective start/end date9/18/193/17/21

Funding

  • National Cancer Institute: $265,538.00

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