Health Services Research & Development

• Jacobs RC, Groth S, Farjah F, Wilson MA, Petersen LA, Massarweh NN. Potential Impact of "Take the Volume Pledge" on Access and Outcomes for Gastrointestinal Cancer Surgery. Annals of surgery. 2019 Dec 1; 270(6):1079-1089.
• Musselwhite LW, Redding TS, Sims KJ, O'Leary MC, Hauser ER, Hyslop T, Gellad ZF, Sullivan BA, Lieberman D, Provenzale D. Advanced neoplasia in Veterans at screening colonoscopy using the National Cancer Institute Risk Assessment Tool. BMC cancer. 2019 Nov 12; 19(1):1097.
• Demb J, Yaseyyedi A, Liu L, Bustamante R, Earles A, Ghosh P, Gutkind JS, Gawron AJ, Kaltenbach TR, Martinez ME, Gupta S. Metformin Is Associated With Reduced Odds for Colorectal Cancer Among Persons With Diabetes. Clinical and translational gastroenterology. 2019 Nov 11.
• Chou C, Hohmann NS, Hastings TJ, Li C, McDaniel CC, Maciejewski ML, Farley JF, Domino ME, Hansen RA. How comfortable are primary care physicians and oncologists prescribing medications for comorbidities in patients with cancer? Research in social & administrative pharmacy : RSAP. 2019 Nov 9.
• Caverly TJ, Meza R. Using Risk Models to Make Lung Cancer Screening Decisions: Evidence-Based and Getting Better. Annals of internal medicine. 2019 Oct 22.

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• 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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• 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...
  
  
• In Progress: Improving Cancer Care
  ...may provide an opportunity to improve this aspect of care. Lung cancer is the second most common cancer treated within the VA healthcare system,...
  
  
• In Progress: Improving Cancer Care
  ...In Progress: Improving Cancer Care VA HSR&D In Progress February 2018 In this Issue: Improving Cancer Care » Table of Contents Incorporating...
  
  

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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.