A5101597780- Global Cancer Incidence and Screening
- Colorectal Cancer Screening and Detection
- Clinical practice guidelines implementation
- Cancer survivorship and care
- Cancer Risks and Factors
- Cervical Cancer and HPV Research
- BRCA gene mutations in cancer
- Breast Cancer Treatment Studies
- AI in cancer detection
- Primary Care and Health Outcomes
- Digital Radiography and Breast Imaging
- Microscopic Colitis
- Cancer Genomics and Diagnostics
- Cytokine Signaling Pathways and Interactions
- Respiratory viral infections research
- Economic and Financial Impacts of Cancer
- Family Support in Illness
- Dermatology and Skin Diseases
- Influenza Virus Research Studies
- Inflammatory Bowel Disease
- Cancer-related cognitive impairment studies
- Hepatitis C virus research
General Hospital of Shenyang Military Region
2025
Ontario Medical Association
2023
National Cancer Center
2020
Queen's University
2015-2019
Institute for Clinical Evaluative Sciences
2016-2018
CARE Canada
2018
University Health Network
2018
University of Toronto
2017
Queens University
2016
Chinese Academy of Medical Sciences & Peking Union Medical College
2016
In Canada, clinical practice guidelines recommend breast cancer screening, but there are gaps in adherence to recommendations for particularly among certain hard-to-reach populations, that may differ by province. We compared stage of diagnosis, proportion screen-detected cancers, and length diagnostic interval immigrant women versus long-term residents BC Ontario. conducted a retrospective cohort study using linked administrative databases identified all residing either province who were...
The duration of the cancer diagnostic process has considerable influence on patients' psychosocial well-being. Breast assessment units (DAUs) in Ontario, Canada are designed to improve quality and timeliness care during a breast diagnosis. We compared patients diagnosed through DAU vs usual (UC). Retrospective population-based cohort study 2499 screen-detected cancers (2011) using administrative health-care databases linked Ontario Cancer Registry. interval was measured from initial screen...
Oncologists have traditionally been responsible for providing routine follow-up care cancer survivors; in recent years, however, primary providers (pcps) are taking a greater role during the period. In present study, we used longitudinal multi-province retrospective cohort study to examine how and specialist intersect delivery of breast care.Various databases (registry, clinical, administrative) were linked each four provinces: British Columbia, Manitoba, Ontario, Nova Scotia....
In order to maximize later health, there are established components and guidelines for quality follow-up care of breast cancer survivors. However, adherence in Canada may not be optimal, vary by province. We determined compared the proportion patients each province who received adherent non-adherent surveillance recurrence, new cancers late effects, recommended preventive care, physician visits comorbidities.
The length of the cancer diagnostic interval can affect a patient's survival and psychosocial well-being. Ontario Diagnostic Assessment Units (DAUs) were designed to expedite process through coordinated care. We examined effect DAUs on among female patients with symptomatic breast in using Cancer Registry linked administrative healthcare data. was defined as time from patients' first referral or test diagnosis. DAU use determined based hospital where biopsy/surgery performed. Multivariable...
Breast cancer is detected through screening or signs and symptoms. In Canada, mammograms for breast are offered in organized programs independently (opportunistic screening). Province of Ontario Diagnostic Assessment Units (DAUs) facility-based that provide coordinated diagnostic services, as opposed to usual care, which the primary care provider arranges tests consultations. This study describes detection method, interval DAU use across Ontario.The cohort consisted 6898 women with invasive...
Cancer care is complex and exists within the broader healthcare system. The CanIMPACT team sought to enhance primary cancer capacity improve integration between specialist care, focusing on breast cancer. In Canada, all medically-necessary publicly funded but overseen at provincial/territorial level. Administrative Health Data Group’s (AHDG) role was describe inter-sectoral across five Canadian provinces: British Columbia, Alberta, Manitoba, Ontario Nova Scotia.
 This paper describes...
Background: Family physicians (fps) play a role in aspects of personalized medicine cancer, including assessment increased risk because family history. Little is known about the potential fps supporting cancer patients who undergo tumour gene expression profile (gep) testing. Methods: We conducted mixed-methods study with qualitative and quantitative components. Qualitative data from focus groups interviews specialists breast gep testing were obtained during studies within pan-Canadian...
5 Background: CanIMPACT is a multi-provincial Canadian research team funded to identify and address key issues faced by cancer patients providers at the intersection of primary specialist oncology care. Canada has national healthcare standards, but provincial/territorial delivery systems. One facet will use administrative data from population-based, publicly-funded system evaluate during pre-diagnosis, treatment, post-treatment survivorship for breast patients. For phase, we aim conduct...
The cancer diagnostic process can be protracted, and it is a time of great anxiety for patients. objective this study was to examine inter- intra-provincial variation in intervals explore factors related the variation. This multi-province retrospective cohort using linked administrative health databases. All females with diagnosis histologically confirmed invasive breast British Columbia (2007–2010), Manitoba (2007–2011), Ontario Nova Scotia (2007–2012), Alberta (2004–2010) were included....
Abstract Lung cancer has been the leading cause of death in China since 1990s and disease burden likely will increase. The US National Screening Trial (NLST) showed a 16-20% mortality reduction high-risk population that had undergone Low-Dose Computed Tomography (LDCT). would like to confirm main result from NLST Chinese population. aim this study is obtain necessary information on performance organizations involved designing, conducting, monitoring managing study. Another goal test...
ABSTRACT
 ObjectiveCanIMPACT is a multi-province Canadian research team funded to understand the interplay between primary and oncology breast cancer care. A first step was describe current practice inter/intra-provincial care variation across continuum using provincial administrative health data. Here we inter-provincial process analysis plans.
 ApproachOur multi-disciplinary includes five provinces: British Columbia, Alberta, Manitoba, Ontario Nova Scotia. Cohorts consist of all...
ABSTRACT
 ObjectivesEarly diagnosis leads to better cancer survival and short diagnostic intervals reduce patient anxiety. We are studying factors that prolong the breast process in Ontario, Canada. 
 ApproachThis is a retrospective study of all patients diagnosed 2007-2011 (n=33,752). linked data from Cancer Care Ontario Institute for Clinical Evaluative Sciences including: Registry, physician claims, ambulatory, ER visits, hospital discharges. Detection method (screening versus...
IntroductionBreast cancer survivors are at risk for late and ongoing problems including recurrence effects of treatment. Lack access to quality follow-up care may affect later mortality, morbidity, life. This study examines variation in utilization guideline-based separately four Canadian provinces.
 Objectives ApproachFor our retrospective population-based cohort breast diagnosed from 2007 2010 British Columbia (BC), 2007-2011 Manitoba (MB), 2007-2010 Ontario (ON), 2007-2012 Nova...
IntroductionBreast cancer survivors are at risk for late and ongoing problems including recurrence effects of treatment. Vulnerable groups may not enjoy equitable access to quality follow-up care. This study examines utilization guideline-based care among vulnerable subpopulations in four Canadian provinces.
 Objectives ApproachFor breast diagnosed from 2007-2010 British Columbia (BC), 2007-2011 Manitoba (MB), Ontario (ON), 2007-2012 Nova Scotia (NS), alive 30 months post-diagnosis...
<sec> <title>Introduction</title> Le cancer du sein est détecté soit par un examen de dépistage, à l’aide signes et symptômes. Au Canada, les mammographies pour le dépistage sont offertes dans cadre programmes organisés ainsi qu'en contexte indépendant (dépistage opportuniste). Les unités d’évaluation diagnostique (UED) la province l’Ontario des en établissement qui fournissent services diagnostiques coordonnés sein. différence soins habituels où fournisseur première ligne organise examens...