Health Services Research & Development

• Wong MS, Arnold CM, Roberts ET, Pollack CE. The Relationship Between Federal Housing Assistance and Uptake of Cancer Screening Among Low-Income Adults. Journal of general internal medicine. 2019 Jun 13.
• Regier NG, Naik AD, Mulligan EA, Nasreddine ZS, Driver JA, Sada YH, Moye J. Cancer-Related Cognitive Impairment and Associated Factors in a Sample of Older Male Oral-Digestive Cancer Survivors. Psycho-oncology. 2019 May 27.
• Johnson DC, Yang JJ, Kwan L, Barsa DE, Mirak SA, Pooli A, Sadun T, Jayadevan R, Zhou S, Priester AM, Natarajan S, Bajgiran AM, Shakeri S, Sisk A, Felker ER, Raman SS, Marks LS, Reiter RE. Do contemporary imaging and biopsy techniques reliably identify unilateral prostate cancer? Implications for hemiablation patient selection. Cancer. 2019 May 1.
• Sheppard VB, He J, Sutton A, Cromwell L, Adunlin G, Salgado TM, Tolsma D, Trout M, Robinson BE, Edmonds MC, Bosworth HB, Tadesse MG. Adherence to Adjuvant Endocrine Therapy in Insured Black and White Breast Cancer Survivors: Exploring Adherence Measures in Patient Data. Journal of managed care & specialty pharmacy. 2019 May 1; 25(5):578-586.
• Zou WY, Choi K, Kramer JR, Yu X, Cao Y, El-Serag HB, Kanwal F. Risk of Hepatocellular Cancer Recurrence in Hepatitis C Virus+ Patients Treated with Direct-Acting Antiviral Agents. Digestive diseases and sciences. 2019 Apr 30.

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• 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
• Evidence Review Identifies Modest Mortality Disparities among Racial and Ethnic Minority Groups in VA Healthcare
  To support VA’s efforts to better understand the scale and determinants of disparities in racial and ethnic mortality – and to develop interventions to reduce disparities, investigators from the VA Evidence-based Synthesis Program (ESP) Coordinating Center in Portland, OR conducted an evidence review of mortality disparities specific to VA. Findings showed that although VA’s equal access healthcar...
  
  Date: March 1, 2018

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• Management Briefs eBrief-no63 - Treatment of Metastatic Non-Small Cell Lung Cancer
  ...and Cost-Effectiveness: Treatment of Metastatic Non-Small Cell Lung Cancer Most patients with lung cancer are diagnosed when the cancer is already...
  
  
• Management Briefs eBrief-no70 - Effects of Caregiver Interventions on Outcomes for Memory-related Disorders or Cancer
  ...Management Briefs eBrief-no70 Effects of Caregiver Interventions on Outcomes for Memory-related Disorders or Cancer Management eBrief no. 70...
  
  
• Management Briefs eBrief-no87 - A Systematic Review: Shared Decision Making for Cancer Screening
  ...all Management eBriefs Issue 87 October 2014 A Systematic Review: Shared Decision Making for Cancer Screening Patient decisions about cancer screening...
  
  
• The Effects of Shared Decision Making on Cancer Screening
  ...Most organizations publishing clinical practice guidelines for cancer screening now recommend that preference-sensitive cancer screening decisions...
  
  
• Treatment of Metastatic Non-Small Cell Lung Cancer: A Systematic Review of Comparative Effectiveness and Cost-Effectiveness
  ...and more effective treatments. Most patients with lung cancer are diagnosed when the cancer is already advanced (stage IIIB or IV), and they are...
  
  

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Other Resources

• Visit the Office of Research and Development website to learn more about all VA cancer research milestones and other research service investigations.
• Access the Veterans Health Library cancer information section.
• Visit the National Institute’s of Health National Cancer Institute website.