Health Services Research & Development

• Skolarus TA, Metreger T, Wittmann D, Hwang S, Kim HM, Grubb RL, Gingrich JR, Zhu H, Piette JD, Hawley ST. Self-Management in Long-Term Prostate Cancer Survivors: A Randomized, Controlled Trial. Journal of clinical oncology : official journal of the American Society of Clinical Oncology. 2019 Mar 29; JCO1801770.
• Cheng C, Ganz DA, Chang ET, Huynh A, De Peralta S. Reducing Rejected Fecal Immunochemical Tests Received in the Laboratory for Colorectal Cancer Screening. Journal for healthcare quality : official publication of the National Association for Healthcare Quality. 2019 Mar 1; 41(2):75-82.
• Tuzovic M, Yang EH, Sevag Packard RR, Ganz PA, Fonarow GC, Ziaeian B. National Outcomes in Hospitalized Patients with Cancer and Comorbid Heart Failure. Journal of cardiac failure. 2019 Feb 12.
• Portuondo JI, Massarweh NN, Zhang Q, Chai CY, Tran Cao HS. Nodal downstaging as a treatment goal for node-positive pancreatic cancer. Surgery. 2019 Feb 10.
• Jiao L, Maity S, Coarfa C, Rajapakshe K, Chen L, Jin F, Putluri V, Tinker LF, Mo Q, Chen F, Sen S, Sangi-Hyghpeykar H, El-Serag HB, Putluri N. A Prospective Targeted Serum Metabolomics Study of Pancreatic Cancer in Postmenopausal Women. Cancer prevention research (Philadelphia, Pa.). 2019 Apr 1; 12(4):237-246.

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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...
  
  
• 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.