Update EPIDEMIOLOGY AND APPLIED RESEARCH BRANCH Division of Cancer Prevention and Control

1. UpdateEPIDEMIOLOGY AND APPLIED RESEARCH BRANCHDivision of Cancer Prevention and Control Mary C. White, Sc.D. National Comprehensive Cancer Control Program Business Meeting May 13, 2008

3. MISSION • Direct and support research that contributes to scientific knowledge related to cancer control • Collaborate in the application of scientific knowledge to the design, implementation and evaluation of effective programs

4. Selected Highlights • Special cancer monographs “in press” • Surveillance updates • CPCRN update • Quality of CRC screening • Population estimates • Survivorship research

5. Future Impact of HPV vaccine/HPV tests ABHACUS: Assessing the Burden of HPV-Associated Cancers in the US, special supplement monograph (23 manuscripts) in press Cancer (August 2008) Cancers included: • cervical, vaginal, vulvar, penile, anal, oropharynx and oral cavity

6. Cancer Occurrence in AI/AN populations Annual Report to the Nation on the Status of Cancer, 1975-2004, Featuring Cancer in American Indians and Alaska Natives, Espey DK et al., Cancer 2007;110:2119-52. Special supplement monograph (12 manuscripts) in Cancer (fall 2008) Clark J. Mischler Photo/Courtesy of Alaska Native Tribal Health Consortium

7. Surveillance Updates • Revised cancer screening questions: • BRFSS 2008: new questions that distinguish colonoscopy from flex. sig. • NHIS 2010 cancer control supplement: new questions proposed to address HPV, emerging screening technologies, survivorship • Upcoming publications (in press): • CRC screening data (2005 NHIS) • Trends in mammography (2006 BRFSS)

8. Surveillance Updates • New surveys of provider behaviors: • NCI/CDC/AHRQ survey of primary care physicians’ cancer screening recommendations and practices • CDC national survey of physician attitudes and practices regarding PSA • General practitioners’ awareness and adherence to ovarian cancer screening guidelines (with U. Wash.). • NAMCS 2006-10 added questions on screening for cervical cancer

9. The Cancer Prevention and Control Research Network (CPCRN) provides an infrastructure for applying relevant research to local cancer prevention and control needs.  • Mission of CPCRN: To accelerate the adoption of evidence-based cancer prevention and control in communities. • Vision of CPCRN: The Network will be engaged in research and practice activities that span the translation continuum from discovery to the dissemination and adoption of effective interventions. 

10. CPCRN Network Center Map University of Washington WA Saint Louis University Harvard University MO CA NC University of California at Los Angeles University of North Carolina GA Emory University Morehouse School of Medicine TX University of Texas www.cpcrn.org

11. Quality of Colonoscopy • CO-RADS: Colonoscopy Reporting and Data System • Developed by the Quality Assurance Task Group of the National Colorectal Cancer Roundtable with support and leadership of DCPC/CDC, in partnership with ACS • Specifies the elements that should be included in all colonoscopy reports and quality indicators to be monitored • Lieberman D, Nadel M, Smith R, et al. Standardized colonoscopy reporting and data system. Gastrointestinal Endoscopy (2007) 65:757-766. • In progress: development of guidance to help primary care providers recognize high quality endoscopy

12. Population Estimates • Research on estimating the number of women eligible for the NBCCEDP; Collaboration between CDC and Census Bureau • Available Data (through 2006) from CPS ASEC* Tabulations • Women • 2-year and 3-year state level estimates of the number of low-income (at or below 200 percent or at or below 250 percent of the federal poverty threshold), uninsured women by age group (18-64, 40-64, and 50-64) • The National estimates include the same information by race and ethnicity • Men • State level estimates of low-income uninsured men by age, and national level tabulations of low-income uninsured men by age, race, and ethnicity *Current Population Survey Annual Social and Economic Supplement

13. Population Estimates • Future Data – Modeled Based Estimates • By the end of FY08, county level estimates of the NBCCEDP eligible population (low-income uninsured women by age) will be published on the Census Bureau’s web site (with links to the CDC website) • FY09, publish state and county estimates • Possibility of annual production of model-based state estimates of low-income uninsured women by age, race, and ethnicity and county estimates of low-income uninsured women by age

14. Current Research on Survivorship • Examining health behaviors among CRC survivors 5 years after cancer. • Assessing quality of life and choice in prostate cancer treatment (with Fred Hutchinson Cancer Res. Cntr, Univ. S. Cal., Univ. Texas, and the Medical Univ. of S.C.). • Evaluating the effectiveness of a nationally-available survivorship program among a disadvantaged population (with UAB). • Collaborating with researchers at the ACS to examine lifestyle changes made by cancer survivors 2, 6, and 11 yrs after diagnosis. Photo Courtesy of Nikki Hawkins

15. Contact information: Mary White, Chief Epidemiology and Applied Research Branch DCPC mxw5@cdc.gov (770) 488-3032 The findings and conclusions in this presentation are those of the author and do not necessarilyrepresent the views of the Centers for Disease Control and Prevention.