CDRP Program Update UPMC McKeesport

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CDRP Program UpdateUPMC McKeesport

• Program Steering Committee
• RTOG Meeting
• Toronto, Canada
• June 23rd, 2006

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Overview

• Multi-modality RT trials clinical trials
• UPMC Cancer Center Initiatives
• Clinical trials accrual
• Navigators update
• TELESYNERGY update
• Mentors update

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Multi-modality Clinical Trials

• Tracking Mechanisms
• UPMC Health System sites (UPMC McKeesport, New
  Castle, Murtha Cancer Pavilion)
• Scan UPMC Cancer Centers protocol listings on
  monthly basis to identify service area patients
• Navigators will work with on-site department
  nurses and med-onc protocol nurses to identify
  patients as they are put on trials
• Mercy Cancer Institute
• No multi-modality trials offered
• Somerset Oncology Center
• No trials offered at this site to date
• Remains a challenge 20 to infrastructure but
  progress being made

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UPMC Cancer Centers Initiative

• African American Cancer Care Partnership (AACCP)
• 750,000 provided by UPMC Health System
• 4 UPMC sites designated including UPMC
  McKeesport
• Provides payment for initial consult for newly
  diagnosed breast, colorectal, lung or prostate
  cancer
• On consult patients are evaluated for clinical
  trials as well as needs for resource programs
  such as Patient Navigator
• To date 8 of 38 patients at the four sites have
  been entered on clinical trials!!

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All Clinical Trials Distributionby ethnicity
(A/A 14) May 2006
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All Clinical TrialsComparison of multi-modality
to RT enrollment
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All Clinical TrialsBy age A/A (2004 2005)
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All Clinical Trialsby gender May 2006
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Other Clinical Trials

• Patient Navigator
• Total patients 195
• African American 48 (25 over all 5 sites)
• Hispanic 2 Asian 1
• ASTRO-Sponsored Study
• How Can Radiation Oncologists Better Serve Their
  Patients? A Randomized Study to Determine Whether
  Radiation Oncologists Can Improve Patient
  Satisfaction by Attempting to Meet Their
  Patients Preferences (anticipated accrual 500)

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Patient NavigatorMay 2006
14 A/A
18 A/A
32 A/A
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Evaluation of the Tailored Patient Navigator
Programs for the Underserved Populations with
Cancer

• is a process evaluation of a PNP
• study has enrolled 44 African Americans and 130
  non-African Americans from the target areas who
  have a confirmed diagnosis of cancer
• 174 participants enrolled from January 2005
  through May 2006, 32.1 of enrollees within the
  urban facility were African Americans versus
  14.7 at the non-urban facility

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TELESYNERGY

• Continue to formulate ways to integrate its use
  with mentors, esp. for professional development
• System is integral to tumor board _at_ McKeesport
• Streaming video capabilities allows for wider
  audience participation with teleconferencing
• Demo at this meeting

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Abstracts Publications

• Abstracts accepted for ASTRO 2006
• A Comprehensive Outcomes-Based Planning and
  Evaluation Program for Implementing TELESYNERGY
  and Other Videoconferencing Approaches in
  Radiation Oncology Ed Ricci, PhD
• Analysis of Best Practice Treatment Patterns
  for a Radiation Oncology Community Outreach
  Group (ROCOG) Engaged in Cancer Disparities
  Outcome-Julian Proctor, MD
• Cancer Health Disparities symposium 2006
• UPMC McKeesport Radiation Oncology Minorities
  Community Outreach Group- Dwight Heron, MD
• International Intercultural Council 2006
• Breaking Barriers A Navigator Program of Cancer
  Care for the Underserved Populations-Karen
  Schwaderer, RN
• Academy Health Symposium
• Evaluation of the Tailored Patient Navigator
  Programs for the Underserved Populations with
  Cancer-Cho Cho Lin, PhD
• American Telemedicine Association
• A Multi-institutional Mobility Initiative for
  TELESYNERGY and other Teleconferencing
  Systems-Larry Schenken, PhD
• 4 Manuscripts in preparation at various stages