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Cancer

Cancer Research in the Family Medicine Research Division

Research on how to improve early detection strategies and intervention in the primary care setting is an important study emphasis for the Research Division.  Early detection of cancer through effective screening has a significant impact on treatment, outcomes and patient survival. Over the past nine years members of the research division have collaborated with colleagues at the Cancer Institute of New Jersey, the only National Cancer Institute designated-Comprehensive Cancer Center in the state to improve cancer screening, education and awareness as well as treatment of cancer survivors.  The research division has conducted a series of funded studies that describe challenges in the primary care setting that lead to less than optimal cancer screening.  Our research seeks to understand discrepancies between cancer prevention and screening recommendations and the actual delivery of these services in primary care.   Our aim is to use this data to develop targeted, tailored interventions that enhance cancer-related patient care.

PUBLICATIONS:

Ferrante JM, Balasubramanian B, Hudson SV, Crabtree BF.  Principles of the Patient-Centered Medical Home and Preventive Services.  Annals of Family Medicine; 2010; 8: 108-116.

Ferrante JM, Fyffe DC, Vega ML, Piasecki AK, Ohman-Strickland PA, Crabtree BF. Family physicians' barriers to cancer screening in extremely obese patients. Obesity (Silver Spring). 2009 Dec 17. [Epub ahead of print]

Ferrante JM, Ohman-Strickland P, Hahn KA, Hudson SV, Shaw EK, Crosson JC, Crabtree BF. Self-report versus medical records for assessing cancer-preventive services delivery. Cancer Epidemiology Biomarkers and Prevention 2008;17:2987-94.

Ferrante JM, Chen P, Kim S.  “The Effect of Patient Navigation on Time to Diagnosis, Anxiety, and Satisfaction in Urban Minority Women with Abnormal Mammograms: a Randomized Controlled Trial”, J Urban Health, 2007 Vol. 85, No. 1.

Ferrante JM, Winston DG, Chen P, de la Torre A. Family Physicians’ Knowledge and Screening of Chronic Hepatitis and Liver Cancer,  Fam Med, 2007 Vol. 40, No. 5: 345-351.

Ferrante JM, Chen PH, Crabtree BF, Wartenberg D. Cancer screening in women: body mass index and adherence to physician recommendations. Am J Prev Med. 2007 Jun;32(6):525-31.

Ferrante JM, Rovi S, Das K, Kim S. Family physicians expedite diagnosis of breast disease in urban minority women. J Am Board Fam Med. 2007 Jan-Feb;20(1):52-9.

Ferrante JM, Ohman-Strickland P, Hudson SV, Hahn KA, Scott JG, Crabtree BF. Colorectal cancer screening among obese versus non-obese patients in primary care practices. Cancer Detection and Prevention 2006;30:459-65.

Ferrante JM, Chen PH, Jacobs A. Breast and cervical cancer screening in obese minority women. J Womens Health (Larchmt). 2006 Jun;15(5):531-41.

Fyffe D, Hudson SV, Fagan J, Brown D. Knowledge and Barriers Related to Prostate and Colorectal Cancer Prevention in Underserved Black Men.Journal of the National Medical Association, 2008 Oct;100(10): 1161-7.

Gandi S, Vega M, Rovi S, Johnson MS, Ferrante J, Chen PH. Intimate partner violence and cancer screening among urban minority women. J Am Board Fam Med 2010 May-June;23(3):343–353.

Hade EM, Murray DM, Pennell ML, Rhoda D, Champion VL, Crabtree BF, Dietrich A, Dignan MB, Farmer M,  Fenton JJ, Flocke S, Hiatt RA, Hudson SV, Mitchell M, Monahan P, Ohman-Strickland P, Shariff-Marco S, Stange K, Stewart SL, Paskett ED.  Intraclass Correlation Estimates for Cancer Screening Outcomes:  Estimates and Applications in the Design of Group Randomized Cancer Screening Studies. Journal of the National Cancer Institute 2010; 40:97-103.

Hudson SV, Hahn K, Ohman-Strickland P, Cunningham RC, Miller SM, Crabtree BF. Breast, Colorectal and Prostate Cancer Screening for Cancer Survivors and Non-Cancer Patients in Community Practices. Journal of General Internal Medicine 2009; 24 (10):487-90.

Hudson SV, Chubak J, Coups EJ, Blake-Gumbs L, Jacobsen PB, Neugut AI, Buist DS. Identifying key questions to advance research and practice in cancer survivorship follow-up care: A Report from the ASPO Survivorship Interest Group.  Cancer Epidemiology Biomarkers and Prevention 2009;18:2152-4.

Hudson SV, Ohman-Strickland P, Ferrante JM, Lu-Yao G, Orzano AJ, Crabtree BF. Prostate-specific antigen testing among the elderly in community-based family medicine practices. Journal of the American Board of Family Medicine 2009;22:257-65.

Hudson SV, Ohman-Strickland P, Cunningham R, Ferrante JM, Hahn K, Crabtree BF. The effects of teamwork and system support on colorectal cancer screening in primary care practices. Cancer Detection and Prevention 2007;31:417-23.

Kim SH, Ferrante J, Won BR, Hameed M. Barriers to adequate follow-up during adjuvant therapy may be important factors in the worse outcome for Black women after breast cancer treatment. World J Surg Oncol. 2008 Feb 25;6:26.

GRANTS:

Crabtree BF, PI: “Integrating Practice and Community Cancer Control,” NCI, 1K05CA140237, 9/1/2009 – 8/31/2014.

This established investigator in Cancer Prevention and Control award will foster this investigator’s ability to advance the field of dissemination and implementation of cancer control evidence.

Crabtree BF, PI: “Enhancing Colorectal CA Screening Through Learning Teams,” NCI; 5R01CA112387, 7/1/2005 – 4/30/2011.

This study evaluates a tailored practice-level MAP/RAP intervention that seeks to enhance relationships among practice members in order to improve rates of colorectal cancer screening in primary care practice.

Ferrante J, PI: “Breast and Cervical Cancer Screening in Obese Women”, NCI, K07CA101780, 9/8/2005 – 8/31/2010.

The objectives of this multi-method research project are to quantify the extent of the association of obesity to delayed cancer screening, identify patient and physician barriers to cancer screening in obese women, and develop an interventional plan and materials to increase cancer screening in obese women.

Ferrante J, PI: “Breast and Cervical Cancer Screening in Obese Women”, NCI,  K07CA101780-04S1,  9/1/2009-8/31/2010.

This supplement provides funding to hire a field researcher to actively recruit women in the community, conduct interviews at the point of contact, and assist with data analysis of the  parent grant.

“Factors Affecting Men’s Decisions Regarding Prostate Cancer Screening and Treatment,” pilot project as part of DOD (W81XWH06-1-0514), 9/1/2009-8/31/2010.

The purpose of this exploratory qualitative study is to identify and understand the factors that influence men’s decision regarding prostate cancer screening, diagnosis, and treatment. Results from these interviews will help us to develop strategies to assist men in making informed decisions regarding prostate cancer screening and treatment and guide the design of a future patient navigator outreach program to educate and navigate men to prostate cancer screening, diagnosis and treatment programs.

Hudson S, PI: "Life After Cancer: Examining Survivor Transitions from Specialist to Primary Care," National Cancer Institute; K01 CA131500, 8/1/2008 – 7/30/2013.

Using a combination of interviewing and survey research methodologies, the proposed studies build on each other to (1) explore early stage breast and prostate cancer survivors' attitudes toward primary care for follow-up cancer screening and (2) develop and validate a survey to be implemented in a study that describes primary care usage and assesses cognitive-affective, patient support and demographic factors that affect how survivors use specialists and primary care physicians for follow-up care.