cancer disparities research partnership (cdrp): linking university & community radiation...
TRANSCRIPT
![Page 1: Cancer Disparities Research Partnership (CDRP): Linking University & Community Radiation Oncology to Improve Cancer Outcomes Patrick D. Maguire, M.D. New](https://reader035.vdocuments.mx/reader035/viewer/2022070401/56649f165503460f94c2bcc1/html5/thumbnails/1.jpg)
Cancer Disparities Research Cancer Disparities Research Partnership (CDRP): Linking Partnership (CDRP): Linking
University & Community University & Community Radiation Oncology to Improve Radiation Oncology to Improve
Cancer OutcomesCancer Outcomes
Patrick D. Maguire, M.D.Patrick D. Maguire, M.D.
New Hanover Radiation OncologyNew Hanover Radiation Oncology
Wilmington, NCWilmington, NC
![Page 2: Cancer Disparities Research Partnership (CDRP): Linking University & Community Radiation Oncology to Improve Cancer Outcomes Patrick D. Maguire, M.D. New](https://reader035.vdocuments.mx/reader035/viewer/2022070401/56649f165503460f94c2bcc1/html5/thumbnails/2.jpg)
CDRP: Partnerships in CDRP: Partnerships in Radiation OncologyRadiation Oncology
• The Problem– Clinical Trial Enrollment– University vs. Community
• The CDRP Solution– Long-lasting Relationships– TELESYNERGY®
![Page 3: Cancer Disparities Research Partnership (CDRP): Linking University & Community Radiation Oncology to Improve Cancer Outcomes Patrick D. Maguire, M.D. New](https://reader035.vdocuments.mx/reader035/viewer/2022070401/56649f165503460f94c2bcc1/html5/thumbnails/3.jpg)
Clinical Trial Enrollment: Clinical Trial Enrollment: Failing our patients, both Failing our patients, both
current & future?current & future?
• Pediatric vs. Adult– ~50% vs. <5% (DHHS, 2003)
• Majority vs. Underserved– Low minority enrollment (0.05 x 0.1)– Are trial endpoints representative?
![Page 4: Cancer Disparities Research Partnership (CDRP): Linking University & Community Radiation Oncology to Improve Cancer Outcomes Patrick D. Maguire, M.D. New](https://reader035.vdocuments.mx/reader035/viewer/2022070401/56649f165503460f94c2bcc1/html5/thumbnails/4.jpg)
University vs. Community University vs. Community Radiation Oncology:Radiation Oncology:
Ivory Tower vs. Ivory Tower vs. The Dark Side!The Dark Side!
![Page 5: Cancer Disparities Research Partnership (CDRP): Linking University & Community Radiation Oncology to Improve Cancer Outcomes Patrick D. Maguire, M.D. New](https://reader035.vdocuments.mx/reader035/viewer/2022070401/56649f165503460f94c2bcc1/html5/thumbnails/5.jpg)
““Make Love, Not War”Make Love, Not War”
• UNIVERSITY:• Research, lab & clinic• Focused expertise• New technologies• Clinical trials
• COMMUNITY:• Large n (patients)• Convenience• Cultural bonds• Clinical trials less
common
![Page 6: Cancer Disparities Research Partnership (CDRP): Linking University & Community Radiation Oncology to Improve Cancer Outcomes Patrick D. Maguire, M.D. New](https://reader035.vdocuments.mx/reader035/viewer/2022070401/56649f165503460f94c2bcc1/html5/thumbnails/6.jpg)
Essentials of A Successful Essentials of A Successful RelationshipRelationship
• Mutual contribution & care
• Mutual benefit
• Marriage: love & effort!
![Page 7: Cancer Disparities Research Partnership (CDRP): Linking University & Community Radiation Oncology to Improve Cancer Outcomes Patrick D. Maguire, M.D. New](https://reader035.vdocuments.mx/reader035/viewer/2022070401/56649f165503460f94c2bcc1/html5/thumbnails/7.jpg)
The CDRP Solution to The The CDRP Solution to The Clinical Trials Problem:Clinical Trials Problem:
Marriages Between University &Marriages Between University &
Community Radiation Oncology Centers Community Radiation Oncology Centers
![Page 8: Cancer Disparities Research Partnership (CDRP): Linking University & Community Radiation Oncology to Improve Cancer Outcomes Patrick D. Maguire, M.D. New](https://reader035.vdocuments.mx/reader035/viewer/2022070401/56649f165503460f94c2bcc1/html5/thumbnails/8.jpg)
U.S. Map
![Page 9: Cancer Disparities Research Partnership (CDRP): Linking University & Community Radiation Oncology to Improve Cancer Outcomes Patrick D. Maguire, M.D. New](https://reader035.vdocuments.mx/reader035/viewer/2022070401/56649f165503460f94c2bcc1/html5/thumbnails/9.jpg)
New Hanover Regional Medical Center
Wilmington
University of North Carolina
Chapel Hill
160 Miles
CDRP in North CarolinaCDRP in North Carolina
![Page 10: Cancer Disparities Research Partnership (CDRP): Linking University & Community Radiation Oncology to Improve Cancer Outcomes Patrick D. Maguire, M.D. New](https://reader035.vdocuments.mx/reader035/viewer/2022070401/56649f165503460f94c2bcc1/html5/thumbnails/10.jpg)
The UNC – NHRMC BondThe UNC – NHRMC Bond
• We started with:• Strong foundation• Patient referrals (two-
way street)• Occasional visits
• CDRP grant added: • TELESYNERGY®
• New multi-disciplinary & enhanced rad onc relationships
• Regular tumor boards• IMRT shared planning• Phase II H&N trial• Quarterly visits
![Page 11: Cancer Disparities Research Partnership (CDRP): Linking University & Community Radiation Oncology to Improve Cancer Outcomes Patrick D. Maguire, M.D. New](https://reader035.vdocuments.mx/reader035/viewer/2022070401/56649f165503460f94c2bcc1/html5/thumbnails/11.jpg)
![Page 12: Cancer Disparities Research Partnership (CDRP): Linking University & Community Radiation Oncology to Improve Cancer Outcomes Patrick D. Maguire, M.D. New](https://reader035.vdocuments.mx/reader035/viewer/2022070401/56649f165503460f94c2bcc1/html5/thumbnails/12.jpg)
A Year of TELESYNERGYA Year of TELESYNERGY®® in NC in NC
• August 2004 – August 2005
• Multi-disciplinary tumor boards 79
• Treatment planning 7
• Other 9
• Total 95
![Page 13: Cancer Disparities Research Partnership (CDRP): Linking University & Community Radiation Oncology to Improve Cancer Outcomes Patrick D. Maguire, M.D. New](https://reader035.vdocuments.mx/reader035/viewer/2022070401/56649f165503460f94c2bcc1/html5/thumbnails/13.jpg)
““Improving Cancer Improving Cancer Outcomes for African Outcomes for African
Americans in Southeastern Americans in Southeastern North Carolina”North Carolina”
![Page 14: Cancer Disparities Research Partnership (CDRP): Linking University & Community Radiation Oncology to Improve Cancer Outcomes Patrick D. Maguire, M.D. New](https://reader035.vdocuments.mx/reader035/viewer/2022070401/56649f165503460f94c2bcc1/html5/thumbnails/14.jpg)
Rad Onc Clinical Trial Enrollment at Rad Onc Clinical Trial Enrollment at NHRMC (2004 – 2006)NHRMC (2004 – 2006)
Disease Site African American/TotalH&N 4 22Lung 0 6Breast 5 8Prostate 2 2Cervix 0 2Anal 1 2Total 12 42
![Page 15: Cancer Disparities Research Partnership (CDRP): Linking University & Community Radiation Oncology to Improve Cancer Outcomes Patrick D. Maguire, M.D. New](https://reader035.vdocuments.mx/reader035/viewer/2022070401/56649f165503460f94c2bcc1/html5/thumbnails/15.jpg)
Phase II Trial of Hyperfractionated Phase II Trial of Hyperfractionated IMRT with Concurrent Weekly IMRT with Concurrent Weekly
Cisplatin for Stage III & IVa Head & Cisplatin for Stage III & IVa Head & Neck CancerNeck Cancer
• Designed & opened in community with IMRT planning advice from university
• Later opened at university
• A model of cooperation & teamwork!
![Page 16: Cancer Disparities Research Partnership (CDRP): Linking University & Community Radiation Oncology to Improve Cancer Outcomes Patrick D. Maguire, M.D. New](https://reader035.vdocuments.mx/reader035/viewer/2022070401/56649f165503460f94c2bcc1/html5/thumbnails/16.jpg)
CDRP SummaryCDRP Summary
• Enrollment in adult clinical oncology trials is poor, especially for underserved
• Relationships b/w university & community cancer centers can be enhanced
• These bonds may improve patient care, including clinical trial enrollment