Improving Cancer Outcomes for African Americans

1
Improving Cancer Outcomes for African Americans

• Update for RTOG in Tampa
• Feb 2, 2007
• Patrick D. Maguire, MD
• New Hanover Regional (NHRMC)

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Update for NHRMCFeb 2, 2007

• I. Radiotherapy (RT) Clinical Trials
• II. Publications
• III. Partnership Telesynergy
• IV. Patient Navigation Outreach

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RT Clinical Trials at NHRMC

• CALGB 30407 NSCLC
• RTOG 0214 PCI, Advanced NSCLC
• RTOG 9804 Good Risk DCIS (closed)
• NSABP-B35 Tam vs. AI, DCIS (closed)
• CALGB 99809 B EB, Prostate (closed)
• RTOG 0232 B EB, Prostate
• RTOG 9811 Anus (closed)

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RT Clinical Trialsat NHMRC

• S screened eligible
• E enrolled
• U underserved (AA /or poor)

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RT Clinical Trials Accrual 2006

• Trial S E U
• NSCLC 8 3 0
• PCI, NSCLC 5 0(2 pend) 0
• DCIS, 9804 3 1 0
• DCIS, B35 9 2 1

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RT Clinical TrialsAccrual 2006

• Trial S E U
• Prostate, 0232 7 1(2pend) 1
• HN, Z0204 12 11 2

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RT Clinical Trial Accrual

• S E U
• 2003-05 60 27 12
• 2006 44 18 4
• Total 104 45 16

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Publications Manuscripts

• Maguire, Meyerson, Neal, et al, Toxic Cure
  hyperfractionated radiotherapy with concurrent
  cisplatin and fluorouracil for stage III and IVa
  head and neck cancer in the community. IJROBP
  58 698-704, 2004.
• Hamann, Kotwall, Maguire, The role of an AHEC
  in developing a model program to reduce cancer
  disparities. National AHEC Bulletin XXI 39-40,
  2005.
• Johnson, Race, health, and anti-white prejudice
  the influence of chronic and temporary
  accessibility of anti-white stereotypes on black
  healthcare responses. J Person Soc Psych,
  manuscript under review.
• Hamann Bost, Black-white differences in the
  influence of cancer experiences on religious
  beliefs and healthcare satisfaction. Manuscript
  in preparation.

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Publications Abstracts

• Hamann, Maguire, Bost, et al. Interactions of
  race, cancer knowledge and beliefs, religious
  beliefs, and perceived racism an cancer treatment
  decisions. ASTRO, Denver, 10/05
• Hamann, Bost, Johnson, et al. Measuring the
  influence of cultural and social factors on
  cancer treatment decisions. Am Eval Assoc,
  Toronto, 10/05
• Bost Hamann. Effects of cancer on cultural and
  social beliefs. Intercultural Cancer Council,
  Washington DC, 4/06
• Maguire Rosenman. Bridging academic and
  community radiation oncology treatment planning.
  Am Telemed Assoc, San Diego, 5/06
• Maguire Honaker. A Year of Telesynergy in
  Southeastern North Carolina. Am Telemed Assoc,
  San Diego, 5/06.

10
Publications Abstracts

• Hamann MS, Johnson J, Maguire PD, Effects of
  Cancer on Cultural Beliefs. ASTRO, Philadelphia,
  10/06
• Maguire PD, Neal CR, Menon RP, et al. Prostate
  Cancer in Southeastern North Carolina Its Not
  All Black White. ASTRO, Philadelphia, 10/06

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Partnership with UNC-CH Telesynergy

• Relationship solid visits Q4-6 months
• Telesynergy
• IMRT planning (infrequent)
• HN Tumor Board -Qwk
• ZCC 00204 Trial complete soon!
• Cyberknife trials??

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Patient Navigation Outreach 2006

• Navigator - LaSonia Melvin
• Asst Navigator Ursula Wilson
• Patients Navigated
• 2006 78
• Total 126
• Outreach Sessions
• 2006 28
• Total 53