Journal of the National Cancer Institute. Monographs最新文献_第9页

Health Economics Research in Cancer Treatment: Current Challenges and Future Directions. 癌症治疗中的卫生经济学研究:当前挑战与未来方向。

Journal of the National Cancer Institute. Monographs Pub Date : 2022-07-05 DOI: 10.1093/jncimonographs/lgac009

James B Yu, Deborah Schrag, K Robin Yabroff

{"title":"Health Economics Research in Cancer Treatment: Current Challenges and Future Directions.","authors":"James B Yu, Deborah Schrag, K Robin Yabroff","doi":"10.1093/jncimonographs/lgac009","DOIUrl":"https://doi.org/10.1093/jncimonographs/lgac009","url":null,"abstract":"The National Cancer Institute Division of Cancer Control and Population Science hosted a virtual conference on the Future of Cancer Health Economics Research and included a presentation from a workgroup that considered current challenges and future directions in health economics research centered on cancer treatment. The workgroup identified 3 broad categories of focus: data limitations, opportunities for training for clinicians and health economists interested in collaboration, and the need for prospective economic study of cancer treatment. Within these areas of focus, the workgroup recommended the following: improvement of the availability of key economic measures in data available to researchers, creation of more comprehensive datasets robust to insurance type or coverage, development of cancer care health economics research-focused symposia, instituting clear mechanisms to support integration of economic analyses alongside clinical trials, development of standardized methods to measure the cost of cancer care to health-care systems and patients, and development of standardized evaluations that include measures of social determinants of health.","PeriodicalId":73988,"journal":{"name":"Journal of the National Cancer Institute. Monographs","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9671878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Methods and Study Design for Cancer Health Economics Research: Summary of Discussions From a Breakout Session. 癌症卫生经济学研究的方法和研究设计：分组会议讨论摘要。

Journal of the National Cancer Institute. Monographs Pub Date : 2022-07-05 DOI: 10.1093/jncimonographs/lgac013

Henry J Henk, Ya-Chen Tina Shih, Bijan J Borah

引用次数: 0

Health Economics Research in Primary Prevention of Cancer: Assessment, Current Challenges, and Future Directions. 癌症初级预防中的卫生经济学研究：评估、当前挑战和未来方向》。

Journal of the National Cancer Institute. Monographs Pub Date : 2022-07-05 DOI: 10.1093/jncimonographs/lgac014

Donatus U Ekwueme, Michael T Halpern, Harrell W Chesson, Mahima Ashok, Jeffrey Drope, Young-Rock Hong, Michael Maciosek, Michael F Pesko, Donald S Kenkel

{"title":"Health Economics Research in Primary Prevention of Cancer: Assessment, Current Challenges, and Future Directions.","authors":"Donatus U Ekwueme, Michael T Halpern, Harrell W Chesson, Mahima Ashok, Jeffrey Drope, Young-Rock Hong, Michael Maciosek, Michael F Pesko, Donald S Kenkel","doi":"10.1093/jncimonographs/lgac014","DOIUrl":"10.1093/jncimonographs/lgac014","url":null,"abstract":"In the past 2 decades, the demand for information on health economics research to guide health care decision making has substantially increased. Studies have provided evidence that eliminating or reducing tobacco use; eating a healthy diet, including fruit and vegetables; being physically active; reducing alcohol consumption; avoiding ultraviolet radiation; and minimizing exposure to environmental and occupational carcinogenic agents should substantially reduce cancer incidence in the population. The benefits of these primary prevention measures in reducing cancer incidence are not instantaneous. Therefore, health economics research has an important role to play in providing credible information to decision makers on the health and economic benefits of primary prevention. This article provides an overview of health economics research related to primary prevention of cancer. We addressed the following questions: 1) What are the gaps and unmet needs for performing health economics research focused on primary prevention of cancer? 2) What are the challenges and opportunities to conducting health economics research to evaluate primary prevention of cancer? and 3) What are the future directions for enhancing health economics research on primary prevention of cancer? Modeling primary prevention of cancer is often difficult given data limitations, long delays before the policy or intervention is effective, possible unintended effects of the policy or intervention, and the necessity of outside expertise to understand key inputs or outputs to the modeling. Despite these challenges, health economics research has an important role to play in providing credible information to decision makers on the health and economic benefits of primary prevention of cancer.","PeriodicalId":73988,"journal":{"name":"Journal of the National Cancer Institute. Monographs","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9609253/pdf/lgac014.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10275984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Health Economics Research in Cancer Screening: Research Opportunities, Challenges, and Future Directions. 癌症筛查中的卫生经济学研究：癌症筛查中的卫生经济学研究：研究机遇、挑战和未来方向》。

Journal of the National Cancer Institute. Monographs Pub Date : 2022-07-05 DOI: 10.1093/jncimonographs/lgac008

Ya-Chen Tina Shih, Lindsay M Sabik, Natasha K Stout, Michael T Halpern, Joseph Lipscomb, Scott Ramsey, Debra P Ritzwoller

{"title":"Health Economics Research in Cancer Screening: Research Opportunities, Challenges, and Future Directions.","authors":"Ya-Chen Tina Shih, Lindsay M Sabik, Natasha K Stout, Michael T Halpern, Joseph Lipscomb, Scott Ramsey, Debra P Ritzwoller","doi":"10.1093/jncimonographs/lgac008","DOIUrl":"10.1093/jncimonographs/lgac008","url":null,"abstract":"Cancer screening has long been considered a worthy public health investment. Health economics offers the theoretical foundation and research methodology to understand the demand- and supply-side factors associated with screening and evaluate screening-related policies and interventions. This article provides an overview of health economic theories and methods related to cancer screening and discusses opportunities for future research. We review 2 academic disciplines most relevant to health economics research in cancer screening: applied microeconomics and decision science. We consider 3 emerging topics: cancer screening policies in national as well as local contexts, \"choosing wisely\" screening practices, and targeted screening efforts for vulnerable subpopulations. We also discuss the strengths and weaknesses of available data sources and opportunities for methodological research and training. Recommendations to strengthen research infrastructure include developing novel data linkage strategies, increasing access to electronic health records, establishing curriculum and training programs, promoting multidisciplinary collaborations, and enhancing research funding opportunities.","PeriodicalId":73988,"journal":{"name":"Journal of the National Cancer Institute. Monographs","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9255920/pdf/lgac008.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9749553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Fostering Transdisciplinary Collaborations in Cancer Health Economics Research. 促进癌症健康经济学研究的跨学科合作。

Journal of the National Cancer Institute. Monographs Pub Date : 2022-07-05 DOI: 10.1093/jncimonographs/lgac001

James B Yu

引用次数: 0

Current State of Funded National Cancer Institute Grants That Include Economic Analyses. 包含经济分析的国家癌症研究所资助项目现状。

Journal of the National Cancer Institute. Monographs Pub Date : 2022-07-05 DOI: 10.1093/jncimonographs/lgac002

Michael T Halpern, Sharon McCarthy, Priyanga Tuovinen

{"title":"Current State of Funded National Cancer Institute Grants That Include Economic Analyses.","authors":"Michael T Halpern, Sharon McCarthy, Priyanga Tuovinen","doi":"10.1093/jncimonographs/lgac002","DOIUrl":"10.1093/jncimonographs/lgac002","url":null,"abstract":"Background: Health economics research is an integral part of the transdisciplinary research supported by the National Cancer Institute (NCI). To better understand NCI activities in this area, we conducted a portfolio analysis of funded NCI grants including health economics research.Methods: We examined all competitive grants funded by NCI from fiscal years 2015 to 2020 that included economic analyses or outcomes. Grant titles, abstracts, and specific aims were independently reviewed by 2 study team members; content of included grants was then coded for analysis.Results: A total 212 grants were identified from searches; 146 of these included economic analyses and were included in the portfolio analysis. These 146 grants represent approximately 0.9% of all NCI competitively funded grants awarded 2015-2020. Of these grants, 100 were R01 awards, representing approximately 2.4% of all NCI R01 grants funded 2015-2020. The most common study type was interventional randomized controlled-trial, followed by simulation or model. Screening and prevention were the most frequent grant cancer continuum topic; survivorship was included in only 16 grants (11.0%). Cost-effectiveness analysis was the most frequently listed economic outcome (97 grants, 66.4%), whereas policy impact (20 grants, 13.7%) and financial hardship (15 grants, 10.3%) were less-frequently included economic outcomes. However, economic outcomes differed by cancer control continuum topic, with financial hardship being included in a greater proportion of treatment and survivorship grants.Conclusions: Although relatively small, the NCI portfolio of funded grants including economic analyses is diverse, covering a range of cancer types, methods, and economic outcomes, and increasing over time.","PeriodicalId":73988,"journal":{"name":"Journal of the National Cancer Institute. Monographs","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9255945/pdf/lgac002.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40471143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cancer Health Economics Research: The Future Is Now. 癌症健康经济学研究:未来就是现在。

Journal of the National Cancer Institute. Monographs Pub Date : 2022-07-05 DOI: 10.1093/jncimonographs/lgac005

Michael T Halpern, Joseph Lipscomb, K Robin Yabroff

{"title":"Cancer Health Economics Research: The Future Is Now.","authors":"Michael T Halpern, Joseph Lipscomb, K Robin Yabroff","doi":"10.1093/jncimonographs/lgac005","DOIUrl":"https://doi.org/10.1093/jncimonographs/lgac005","url":null,"abstract":"The goals of the \"Future of Cancer Health Economics Research\" virtual conference were to identify challenges, gaps, and unmet needs for conducting cancer health economics research; and develop suggestions and ideas to address these challenges and to support the development of this field. The conference involved multiple presentations and panels featuring several key themes, including data limitations and fragmentation; improving research methods; role and impacts of structural and policy factors; and the transdisciplinary nature of this field. The conference also highlighted emerging areas such as communicating results with nonresearchers; balancing data accessibility and data security; emphasizing the needs of trainees; and including health equity as a focus in cancer health economics research. From this conference, it is clear that cancer health economics research can have substantial impacts on how cancer care is delivered and how related health-care policies are developed and implemented. To support further growth and development, this field should continue to welcome individuals from multiple disciplines and enhance opportunities for training in economics and in analytic methods and perspectives from across the social and clinical sciences. Researchers should continue to engage with diverse stakeholders throughout the cancer community, building collaborations and focusing on the goal of improving health and well-being.","PeriodicalId":73988,"journal":{"name":"Journal of the National Cancer Institute. Monographs","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9609248/pdf/lgac005.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40471142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

A History of Health Economics and Healthcare Delivery Research at the National Cancer Institute. 国家癌症研究所卫生经济学和医疗保健服务研究史。

Journal of the National Cancer Institute. Monographs Pub Date : 2022-07-05 DOI: 10.1093/jncimonographs/lgac003

V Paul Doria-Rose, Nancy Breen, Martin L Brown, Eric J Feuer, Ann M Geiger, Larry Kessler, Joseph Lipscomb, Joan L Warren, K Robin Yabroff

{"title":"A History of Health Economics and Healthcare Delivery Research at the National Cancer Institute.","authors":"V Paul Doria-Rose, Nancy Breen, Martin L Brown, Eric J Feuer, Ann M Geiger, Larry Kessler, Joseph Lipscomb, Joan L Warren, K Robin Yabroff","doi":"10.1093/jncimonographs/lgac003","DOIUrl":"https://doi.org/10.1093/jncimonographs/lgac003","url":null,"abstract":"With increased attention to the financing and structure of healthcare, dramatic increases in the cost of diagnosing and treating cancer, and corresponding disparities in access, the study of healthcare economics and delivery has become increasingly important. The Healthcare Delivery Research Program (HDRP) in the Division of Cancer Control and Population Sciences at the National Cancer Institute (NCI) was formed in 2015 to provide a hub for cancer-related healthcare delivery and economics research. However, the roots of this program trace back much farther, at least to the formation of the NCI Division of Cancer Prevention and Control in 1983. The creation of a division focused on understanding and explaining trends in cancer morbidity and mortality was instrumental in setting the direction of cancer-related healthcare delivery and health economics research over the subsequent decades. In this commentary, we provide a brief history of health economics and healthcare delivery research at NCI, describing the organizational structure and highlighting key initiatives developed by the division, and also briefly discuss future directions. HDRP and its predecessors have supported the growth and evolution of these fields through the funding of grants and contracts; the development of data, tools, and other research resources; and thought leadership including stimulation of research on previously understudied topics. As the availability of new data, methods, and computing capacity to evaluate cancer-related healthcare delivery and economics expand, HDRP aims to continue to support this growth and evolution.","PeriodicalId":73988,"journal":{"name":"Journal of the National Cancer Institute. Monographs","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9255921/pdf/lgac003.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40584220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

New Data Resources, Linkages, and Infrastructure for Cancer Health Economics Research: Main Topics From a Panel Discussion. 癌症健康经济学研究的新数据资源、联系和基础设施:小组讨论的主要议题。

Journal of the National Cancer Institute. Monographs Pub Date : 2022-07-05 DOI: 10.1093/jncimonographs/lgac016

Stacie B Dusetzina PhD, Lindsey Enewold Mph PhD, Danielle Gentile PhD, Scott D Ramsey Md PhD, Michael T Halpern

{"title":"New Data Resources, Linkages, and Infrastructure for Cancer Health Economics Research: Main Topics From a Panel Discussion.","authors":"Stacie B Dusetzina PhD, Lindsey Enewold Mph PhD, Danielle Gentile PhD, Scott D Ramsey Md PhD, Michael T Halpern","doi":"10.1093/jncimonographs/lgac016","DOIUrl":"https://doi.org/10.1093/jncimonographs/lgac016","url":null,"abstract":"Although a broad range of data resources have played a key role in the substantial achievements of cancer health economics research, there are now needs for more comprehensive data that represent a fuller picture of the cancer care experience. In particular, researchers need information that represents more diverse populations; includes more clinical details; and provides greater context on individual- and neighborhood-level factors that can affect cancer prevention, screening, treatment, and survivorship, including measures of financial health or toxicity, health-related social needs, and social determinants of health. This article highlights 3 critical topics for cancer health economics research: the future of the National Cancer Institute's Surveillance, Epidemiology, and End Results-Centers for Medicare & Medicaid Services-linked data resources; use of social media data for cancer outcomes research; and multi-site-linked electronic health record data networks. These 3 topics represent different approaches to enhance data resources, linkages, and infrastructures and are complementary strategies to provide more complete information on activities involved in and factors affecting the cancer control continuum. These and other data resources will assist researchers in examining the complex and nuanced questions now at the forefront of cancer health economics research.","PeriodicalId":73988,"journal":{"name":"Journal of the National Cancer Institute. Monographs","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9255924/pdf/lgac016.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40584219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Research on the Economics of Cancer-Related Health Care: An Overview of the Review Literature. 癌症相关医疗保健经济学研究:综述文献。

Journal of the National Cancer Institute. Monographs Pub Date : 2022-07-05 DOI: 10.1093/jncimonographs/lgac011

Amy J Davidoff, Kaitlin Akif, Michael T Halpern

{"title":"Research on the Economics of Cancer-Related Health Care: An Overview of the Review Literature.","authors":"Amy J Davidoff, Kaitlin Akif, Michael T Halpern","doi":"10.1093/jncimonographs/lgac011","DOIUrl":"https://doi.org/10.1093/jncimonographs/lgac011","url":null,"abstract":"We reviewed current literature reviews regarding economics of cancer-related health care to identify focus areas and gaps. We searched PubMed for systematic and other reviews with the Medical Subject Headings \"neoplasms\" and \"economics\" published between January 1, 2010, and April 1, 2020, identifying 164 reviews. Review characteristics were abstracted and described. The majority (70.7%) of reviews focused on cost-effectiveness or cost-utility analyses. Few reviews addressed other types of cancer health economic studies. More than two-thirds of the reviews examined cancer treatments, followed by screening (15.9%) and survivorship or end-of-life (13.4%). The plurality of reviews (28.7%) cut across cancer site, followed by breast (20.7%), colorectal (11.6%), and gynecologic (8.5%) cancers. Specific topics addressed cancer screening modalities, novel therapies, pain management, or exercise interventions during survivorship. The results indicate that reviews do not regularly cover other phases of care or topics including financial hardship, policy, and measurement and methods.","PeriodicalId":73988,"journal":{"name":"Journal of the National Cancer Institute. Monographs","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9255923/pdf/lgac011.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40563561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3