Cancer is considered a collection of related diseases in which some of the body’s cells begin to divide without stopping and spread into surrounding tissues. Malfunctioning genes trigger the formation of cancer cells, and those malfunctions may be inherited, or may arise as a result of damage to DNA caused by certain environmental exposures—including chemicals or ultraviolet radiation. VA conducts cancer research to help better understand how Veterans’ deployments may expose them to environmental cancer triggers, and or how lifestyle choices known to cause cancer—such as tobacco use—may disproportionately impact them.
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(5 of more than 2913 CANCER focused publications)
- Obeng-Gyasi S, Timsina L, Bhattacharyya O, Fisher CS, Haggstrom DA. Breast Cancer Presentation, Surgical Management and Mortality Across the Rural-Urban Continuum in the National Cancer Database. Annals of Surgical Oncology. 2020 Mar 23.
- Matthias MS, Imperiale TF. A risk prediction tool for colorectal cancer screening: a qualitative study of patient and provider facilitators and barriers. BMC family practice. 2020 Feb 26; 21(1):43.
- Hou JK. Colorectal cancer in Crohn's disease: closing the gap. The lancet. Gastroenterology & hepatology. 2020 Feb 13.
- Natarajan Y, Kramer JR, Yu X, Li L, Thrift AP, El-Serag HB, Kanwal F. Risk of Cirrhosis and Hepatocellular Cancer in Patients with Non-Alcoholic Fatty Liver Disease and Normal Liver Enzymes. Hepatology (Baltimore, Md.). 2020 Feb 5.
- Nugent SM, Meghani SH, Rogal SS, Merlin JS. Medical Cannabis Use Among Individuals With Cancer: An Unresolved and Timely Issue. Cancer. 2020 Feb 3.
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(5 of more than 83 CANCER focused publication briefs)
- Timing of Palliative Care for VA Patients with Advanced Lung Cancer is Associated with Survival
Palliative care is often underutilized – or delivered too late to provide meaningful benefit. This study sought to determine whether the early use of palliative care – received soon after diagnosis – is associated with improved survival, if referral did not occur as part of the dying process. Findings showed that palliative care was associated with survival among patients with advanced lung cancer...
Date: September 19, 2019
- Increased Hospice Care for Veterans Associated with Less Aggressive Medical Treatment and Lower Medical Costs
This study sought to determine if increased availability of hospice for Veterans is associated with reduced aggressive treatments and medical care costs at the end of life. Findings showed that Veterans with newly diagnosed end-stage lung cancer treated at VAMCs with the most expansion in hospice use had a significantly greater likelihood of receiving chemotherapy or radiation therapy after hospic...
Date: March 28, 2019
- Men Using VA More Likely to Receive Appropriate Prostate Cancer Imaging Tests Compared to Those Using Medicare
This study sought to assess the association between the quality of healthcare within VA vs. Medicare, by comparing rates of guideline-concordant and guideline-discordant staging imaging among patients with newly diagnosed prostate cancer utilizing VA services only, Medicare only, or a combination of the two. Findings showed that among men with low-risk prostate cancer, the VA-only and VA-Medicare ...
Date: August 17, 2018
- Increase in Conservative Management of Veterans with Low-Risk Prostate Cancer Suggests Reduction in Over-Treatment
Investigators assessed utilization of conservative management among Veterans by examining treatment patterns for Veterans diagnosed with low-risk prostate cancer. Untreated Veterans were classified as receiving conservative management through either active surveillance (> 2 PSAs and 1 biopsy within 2 years after diagnosis) or watchful waiting. Findings showed that utilization of conservative manag...
Date: June 5, 2018
- VA’s Lower Intensity Treatment of Kidney Failure – Compared to Medicare – Does Not Result in Associated Increased Mortality
This study compared the initiation of dialysis and mortality among Veterans ages 67 and older with incident kidney failure who received pre-end-stage renal disease (ESRD) care in fee-for-service Medicare vs. VA between January 2008 and December 2011. Findings showed that Veterans who received pre-ESRD nephrology care in Medicare received dialysis more often than Veterans who received VA care (82% ...
Date: April 9, 2018
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( 5 of more than 85 CANCER focused projects
|| Defining Quality of Care in Lung Cancer
|| Implementing Risk-aligned Bladder Cancer Surveillance
|| Imaging Surveillance After Lung Cancer Treatment
|| Establishing the Quality of Surgical Care among VA Patients with Kidney Cancer
|| Prevalence, Risk Factors and Outcomes of Post-colonoscopy Colorectal Cancer in Veterans
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