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Resources by Topic: Cancer

Pre-Pandemic Geographic Access to Hospital-Based Telehealth for Cancer Care in the United States
Explores the availability of telehealth and oncology services across geographic and sociodemographic domains before the start of the COVID-19 pandemic. Utilizes 2019 and 2020 data sources to examine hospital characteristics by telehealth and oncology services, with information on hospital ownership, number of hospital beds, Health Professional Shortage Area (HPSA) status, presence of Rural Health Clinic (RHC) co-located at hospital, and more. Includes availability of telehealth, oncology, and hospital services broken down by county; HPSA status; income, average age, and race/ethnicity of residents; ratio of population to primary care physicians; rural noncore, rural micropolitan, or urban status; and more.
Author(s): David I. Shalowitz, Peiyin Hung, Whitney E. Zahnd, Jan Eberth
Citation: PLoS One, 18(1)
Date: 01/2023
Type: Document
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Geographic Access to Pediatric Cancer Care in the US
Examines estimated travel time for various populations to access pediatric cancer care in the United States. Analyzes data from more than 90 million children and adolescents and young adults (AYAs) extracted from 2015-2019 American Community Survey 5-year estimates. Includes demographic breakdowns of median travel time by race/ethnicity, age, health insurance status, area deprivation index (ADI), U.S. region, and urban, large town, small town, or rural location. Provides maps that show travel time from population centroids of U.S. ZIP code tabulation areas as well as per capita pediatric oncologist supply by Census division and state.
Author(s): Xiaohui Liu, Mark N. Fluchel, Anne C. Kirchhoff, Haojie Zhu, Tracy Onega
Citation: JAMA Network Open, 6(1), e2251524
Date: 01/2023
Type: Document
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Shorter Time to Treatment Is Associated With Improved Survival in Rural Patients With Breast Cancer Despite Other Adverse Socioeconomic Factors
Analyzes the relationship between time to treatment initiation (TTI) and overall survival (OS) of cancer patients. Examines 1,205,031 women with breast cancer from 2004 to 2012 by socioeconomic and demographic information, with data further broken down by rural versus urban location.
Author(s): Minh-Tri Nguyen, Wei Wei, Gregory Cooper, Alok A. Khorana, Suneel D. Kamath
Citation: Oncology, 37(1), 19-24
Date: 01/2023
Type: Document
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Care Coordination and Community Partnerships for Cancer Care in Critical Access Hospitals
Presents findings from a survey of 135 Critical Access Hospitals (CAHs) regarding care coordination practices for patients with cancer. Describes the types of care coordination services provided by CAHs and the staff that provide these services. Discusses partnerships between CAHs and community organizations regarding cancer initiatives.
Author(s): Megan Lahr, Xiomara Santana, Nathan Bean, Helen Parsons, Ira Moscovice
Date: 01/2023
Type: Document
Sponsoring organization: Flex Monitoring Team
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Assessing the Use of Constructs from the Consolidated Framework for Implementation Research in U.S. Rural Cancer Screening Promotion Programs: A Systematic Search and Scoping Review
Reports on a literature review examining the Consolidated Framework for Implementation Research (CFIR) domains and constructs in rural cancer screening promotion programs. Explains the 5 CFIR domains of intervention, inner setting, outer setting, individuals, and process that influence the success of implementing interventions. Discusses 15 studies that examine how CFIR is used and reflects on how cancer screening promotion programs can be improved in rural areas.
Author(s): Jennifer L. Moss, Kelsey C. Stoltzfus, Madyson L. Popalis, William A. Calo, Jennifer L. Kraschnewski
Citation: BMC Health Services Research, 23, 48
Date: 01/2023
Type: Document
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Distance and Transportation Barriers to Colorectal Cancer Screening in a Rural Community
Discusses barriers, facilitators, and intervention needs related to colorectal cancer (CRC) screening at the system, provider, and patient levels. Reports on 40 interviews conducted with clinical practitioners and staff in rural Southern Illinois from 2017 to 2018 about assisting patients with navigating barriers. Focuses on issues of transportation, distance, and access in rural areas.
Author(s): Katharine M. N. Lee, Jean Hunleth, Liz Rolf, et al.
Citation: Journal of Primary Care & Community Health, 14
Date: 01/2023
Type: Document
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Advancing Equity in Cancer Prevention in Primary Care and Rural Health Settings
Discusses equity and social determinants of health related to cancer prevention in rural primary care health settings. Presents projects and collaborations from the Health Resources and Services Administration (HRSA) grantees and stakeholders to improve cancer prevention and screening.
Date: 12/2022
Type: Video/Multimedia
Sponsoring organization: Health Resources and Services Administration
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Cancer Clinical Trials: Federal Actions and Selected Non-Federal Practices to Facilitate Diversity of Patients
Examines actions taken by federal agencies to increase diverse population enrollment in cancer clinical trials as well as practices by non-federal cancer centers to facilitate diverse enrollment. Discusses strategies such as collaboration, reducing barriers, data standardization, training, utilization of community ambassadors, and more. Focuses on inclusion of underrepresented groups such as racial/ethnic minorities, young adults, older adults, those with low incomes, women, American Indian and Alaska Native (AI/AN) persons, and people living in rural communities.
Additional links: Full Report
Date: 12/2022
Type: Document
Sponsoring organization: Government Accountability Office
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Developing a Co-Production Strategy to Facilitate the Adoption and Implementation of Evidence-Based Colorectal Cancer Screening Interventions for Rural Health Systems: A Pilot Study
Reports on the process of introducing a co-production/bundle strategy of evidence-based colorectal cancer screening (CRCS) interventions in 2 rural clinics to allow the clinics to evaluate and select the CRCS interventions best suited for their clinics. Explains the study design, evaluation plan, measures, and results of the bundled implementation strategy to improve CRCS in rural areas.
Author(s): Jungyoon Kim, Paul Estabrooks, Alisha Aggarwal, Analisa McMillan, Khalid Alshehri
Citation: Implementation Science Communications, 3, 131
Date: 12/2022
Type: Document
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Rural–Urban Disparities in Mortality and Place of Death for Gastrointestinal Cancer in the United States From 2003 to 2019
A research letter that examines age-adjusted mortality rates (AAMR) from gastrointestinal cancer in large metro, medium/small metro, and rural areas. Analyzes 2,490,412 AAMR records between 2013 and 2019 utilizing the Centers for Disease Control and Prevention's Wide-ranging Online Data for Epidemiologic Research (CDC Wonder) database. Provides breakdowns of AAMR data by age, sex, race/ethnicity, cancer type, urbanicity, and location of death, such as nursing facility, hospice facility, medical facility, or home.
Author(s): S. M. Qasim Hussaini, Amanda L. Blackford, Nivedita Arora, et al.
Citation: Gastroenterology, 163(6), 1676-1678
Date: 12/2022
Type: Document
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