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 2956 CANCER focused publications)
- Haggstrom DA, Kahn KL, Klabunde CN, Gray SW, Keating NL. Oncologists' perceptions of the usefulness of cancer survivorship care plan components. Supportive Care in Cancer : Official Journal of The Multinational Association of Supportive Care in Cancer. 2020 Jun 14.
- Cohee AA, Kroenke K, Vachon E, Wu J, Tu W, Johns SA. Predictors of depression outcomes in adults with cancer: A 12 month longitudinal study. Journal of psychosomatic research. 2020 Jun 11; 136:110169.
- Schlick CJR, Khorfan R, Odell DD, Merkow RP, Bentrem DJ. Adequate Lymphadenectomy as a Quality Measure in Esophageal Cancer: Is there an Association with Treatment Approach? Annals of Surgical Oncology. 2020 Jun 9.
- Turaga KK, Girotra S. Are We Harming Cancer Patients by Delaying Their Cancer Surgery During the COVID-19 Pandemic? Annals of surgery. 2020 Jun 2.
- O'Hanlon CE, Walling AM, Lindvall C. Shortlist of Quality Indicators for End-of-Life Cancer Care. JAMA oncology. 2020 May 14.
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(5 of more than 86 CANCER focused publication briefs)
- VA Patients Have Fewer Potentially Avoidable Hospitalizations Post-Chemotherapy than Medicare Patients
The Centers for Medicare and Medicaid Services (CMS) released a new quality measure to reduce potentially avoidable hospital admissions among patients receiving outpatient chemotherapy. In this study, investigators used this CMS measure to compare the quality of care received by chemotherapy patients treated through traditional Fee-for-Service Medicare versus VA, using a cohort of dually-enrolled ...
Date: July 15, 2020
- VA HIT-Related Outpatient Diagnostic Delays
This study evaluated the role of health information technology (HIT) in the root cause analyses (RCAs) of outpatient diagnostic delays submitted to the VA National Center for Patient Safety, which leads patient safety initiatives and uses RCAs of adverse events and close calls to promote learning across the VA healthcare system. Findings showed that of the 214 RCAs included in this study, 88 invol...
Date: June 25, 2020
- Increases in Opioid Dosing of 20% or Greater were Not Associated with Improvements in Pain among Veterans
This study examined the influence of opioid dose escalation on pain scores recorded in the VA electronic medical record among patients on chronic opioid therapy for chronic non-cancer pain. Findings showed that increases in opioid dose of 20% or greater were not associated with improvements in pain scores. In the follow-up period, dose escalators had higher average morphine milligram equivalents (...
Date: January 7, 2020
- 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
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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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