A5075794192- Global Cancer Incidence and Screening
- Colorectal Cancer Screening and Detection
- Economic and Financial Impacts of Cancer
- Health Systems, Economic Evaluations, Quality of Life
- Gastric Cancer Management and Outcomes
- Cardiovascular Health and Risk Factors
- Interprofessional Education and Collaboration
- Food Security and Health in Diverse Populations
- Clinical practice guidelines implementation
- Public Health Policies and Education
- BRCA gene mutations in cancer
- Palliative Care and End-of-Life Issues
- Ethics in Clinical Research
- Nutritional Studies and Diet
- Patient-Provider Communication in Healthcare
- Childhood Cancer Survivors' Quality of Life
- Cancer Genomics and Diagnostics
- Obesity, Physical Activity, Diet
- Chronic Disease Management Strategies
- Delphi Technique in Research
- Nutrition, Genetics, and Disease
- Diversity and Career in Medicine
- Health disparities and outcomes
- Multiple and Secondary Primary Cancers
- Genetic factors in colorectal cancer
National Institutes of Health
2023-2024
National Cancer Institute
2020-2024
Office of the Director
2024
National Institute on Minority Health and Health Disparities
2022
University of Washington
2018-2021
Fred Hutch Cancer Center
2020
New Mexico State University
2013-2017
Background: Cancer registry-based “primary payer at diagnosis” (PPDx) data are commonly used to evaluate the effect of insurance on cancer care outcomes, yet little is known about how well they capture Medicaid or Medicare enrollment. Methods: We linked National Institute’s Surveillance, Epidemiology, and End Results registry monthly Centers for Services (CMS) enrollment records, state-year policy, managed selected adults aged 19–64 years diagnosed between 2007 2011. bivariate analyses...
Abstract Background: Disparities in colorectal cancer incidence and mortality rates exist among racial/ethnic minorities, especially those living rural areas. There is an urgent need to implement interventions improve screening behaviors such groups, particularly areas the United States. Methods: From a community of Hispanics, we recruited participants attend home-based promotor(a)-led “home health parties” which were taught about screening; ages 50 older given free fecal occult blood test...
PURPOSE Oncologists are increasingly using molecular profiling to inform personalized patient treatment decisions. Despite its promising utility, the integration of genomic testing into diverse clinical health care settings across geographic has been understudied. METHODS We used data from National Survey Precision Medicine in Cancer Treatment, a nationally representative sample practicing US oncologists, assess availability six resources, including on-site pathology, contracts with outside...
Abstract Background Cancer patients and survivors with food insecurity, housing instability, transportation-related barriers face challenges in access utilization of quality cancer care thereby adversely impacting their health outcomes. This portfolio analysis synthesized described National Institute (NCI)–supported social risk research focused on assessing among individuals diagnosed cancer. Methods We conducted a query using the Institutes Health iSearch tool to identify NCI-awarded...
Colorectal cancer (CRC) mortality rates in New Mexico (NM) continue to be higher than national rates. Hispanic CRC NM surpass those of overall Hispanics the US. This study was designed characterize and understand factors contributing low screening this border region.A Knowledge Assessment Survey (KAS) administered either English or Spanish 247 individuals attending community events throughout southern NM. A subset these completed an online risk assessment survey managed by National Cancer...
PURPOSE: Black women are disproportionately burdened by comorbidities and breast cancer. The complexities of coordinating care for multiple health conditions can lead to adverse consequences. Care coordination may be exacerbated when is received outside the same system, defined as fragmentation. We examine types practice setting primary cancer assess MATERIALS AND METHODS: analyzed data from a prospective cohort diagnosed with in New Jersey who also had prior diagnosis diabetes and/or...
Abstract Pharmacogenomics promises improved outcomes through individualized prescribing. However, the lack of diversity in studies impedes clinical translation and equitable application precision medicine. We evaluated frequencies PGx variants, predicted phenotypes, medication exposures using whole genome sequencing EHR data from nearly 100k diverse All Us Research Program participants. report 100% participants carried at least one pharmacogenomics variant all (99.13%) had a phenotype with...
Abstract Objectives The NIH All of Us Research Program (All Us) is engaging a diverse community more than 10 000 registered researchers using robust engagement ecosystem model. We describe strategies used to build an that attracts and supports inclusive researcher use the dataset provide metrics on usage growth. Materials Methods Researcher audiences diversity categories were defined guide strategy. A strategy was codeveloped with program partners support ecosystem. An adapted ecological...
To assess changes in the prevalence of multidisciplinary cancer consultations (MDCc) over last decade and examine patient, surgeon, hospital, neighborhood factors associated with receipt MDCc among individuals diagnosed cancer.Surveillance, Epidemiology End Results (SEER)-Medicare data from 2006 to 2016.We used time-series analysis change 2007 2015. We also conducted multilevel logistic regression random surgeon- hospital-level effects associations between neighborhood, health care...
Colorectal cancer (CRC) is a disease that can be prevented through early detection. Through the use of effective educational tools, individuals become better informed about CRC and understand importance screening The walk Inflatable Colon an innovative resource developed to engage educate communities on receiving at appropriate ages. Assessment Survey (ICAS) assessed knowledge behavioral intentions obtain promote awareness. New Mexico State University faculty, staff, students completed...
Innovative technologies have been used to promote colorectal cancer (CRC) screening among the underserved. However, impact of these innovative on knowledge and social engagement likelihood as they relate subsequent intention be screened across different populations has not fully explored.Using a pre-post-test design with an inflatable walk-through colon, we assessed changes in their associations two community settings. One was setting Washington State (WA); other, college campus New Mexico...
Sixty percent of adults have multiple chronic conditions at cancer diagnosis. These patients may require a multidisciplinary clinical team-of-teams, or multiteam system (MTS), high-complexity involving specialists and primary care, who, ideally, coordinate responsibilities, share information, align decisions to ensure comprehensive care needs are managed. However, insights examining MTS composition complexity among individuals with comorbidities diagnosis using US population-level data limited.
Background After colorectal cancer (CRC) surgery, surveillance with colonoscopy is an important step for the early detection of local recurrence. Unfortunately, underused, especially among racial/ethnic minorities. This study assesses association between patient and neighborhood factors receipt colonoscopy. Methods retrospective, population‐based cohort used Surveillance, Epidemiology, End Results–Medicare linked data (2009‐2014). Beneficiaries surgically resected stage II or III CRC ages 66...
Abstract Background In the U.S., obesity disproportionately affects some racial/ethnic groups more than others; 42.5% of Hispanic adults are obese, compared to 32.6% non-Hispanic whites (NHW). Research also shows that Mexican American women 40% likely be overweight, as NHW women. With high rates among Hispanics, improving healthier lifestyle practices is an important step for reducing health disparities. The Eat Healthy, Be Active (EHBA) community workshops were developed assist individuals...
Objective: Multidisciplinary cancer consultations play a critical role in the delivery of quality care by promoting treatment planning and collaborative decision-making. The objective this study was to evaluate associations between multidisciplinary receipt guideline-recommended adjuvant treatments among breast, colorectal, or non-small cell lung patients assess these within racial ethnic groups. Methods: This is population-based retrospective cohort using Surveillance, Epidemiology, End...
Abstract The objective of this study is to explore differences in cancer prevalence across self-identified Hispanic sub-categories using All Us Research Program data. Cancer a leading cause morbidity and mortality worldwide, with substantial variation outcomes different population groups. Understanding disparities crucial for developing effective public health strategies personalized medicine. Program, landmark initiative by the National Institutes Health (NIH), aims gather data from diverse...
Abstract The NIH All of Us Research Program is building one the largest, richest, and most diverse health datasets its kind. program aims to promote equity across multiple conditions including cancer by making a comprehensive dataset available over 10,000 vetted registered researchers on Researcher Workbench (RW). RW offers access various data types genomics, electronic records, physical measurements, wearable data, survey social determinants (SDOH) self- reported diagnoses. latest release...
1587 Background: Researchers commonly use “Primary Payer at Diagnosis” measured in cancer registry data to assess the impact of health policy, such as Affordable Care Act, on insurance, and insurance care outcomes. Measurement error may bias estimated effect size significance. Little is known about patterns Medicaid or Medicare misreporting databases used for policy analysis. Methods: We National Cancer Institute’s Surveillance, Epidemiology End Results adults aged 19-64 years diagnosis with...
Abstract Introduction: Cancer continues to be one of the leading causes death in US; colorectal cancer (CRC) for example, has high incidence and mortality rates, even though much CRC is preventable. The rates preventable cancers could reduced through promotion early detection screening. However, providing access screening services rural underserved communities, such as those found along US – Mexico border can difficult. Developing multidisciplinary collaborative efforts may expand reach...