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Landscape analysis of environmental data sources for linkage with SEER cancer patients database

Journal of the National cancer Institute - Monographs 2024年第65期2024卷 132-144页

作者： Tatalovich, Zaria Chtourou, Amina Zhu, Li Dellavalle, Curt Hanson, Heidi A. Henry, Kevin A. Penberthy, Lynne Surveillance Research Program Division of Cancer Control and Population Sciences National Cancer Institute Rockville MD United States Computational Sciences and Engineering Division Oak Ridge National Laboratory US Department of Energy Oakridge TN United States Temple University Philadelphia PA United States Cancer Prevention and Control Fox Chase Cancer Center Philadelphia PA United States

One of the challenges associated with understanding environmental impacts on cancer risk and outcomes is estimating potential exposures of individuals diagnosed with cancer to adverse environmental conditions over the life course. Historically, this has been partly due to the lack of reliable measures of cancer patients' potential environmental exposures before a cancer diagnosis. The emerging sources of cancer-related spatiotemporal environmental data and residential history information, coupled with novel technologies for data extraction and linkage, present an opportunity to integrate these data into the existing cancer surveillance data infrastructure, thereby facilitating more comprehensive assessment of cancer risk and outcomes. In this paper, we performed a landscape analysis of the available environmental data sources that could be linked to historical residential address information of cancer patients' records collected by the National cancer Institute's Surveillance, Epidemiology, and End Results program. The objective is to enable researchers to use these data to assess potential exposures at the time of cancer initiation through the time of diagnosis and even after diagnosis. The paper addresses the challenges associated with data collection and completeness at various spatial and temporal scales, as well as opportunities and directions for future research. © 2024 The Author(s). Published by Oxford University Press. All rights reserved.

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Using simulation modeling to guide policy to reduce disparities and achieve equity in cancer outcomes: state of the science and a road map for the future

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Journal of the National cancer Institute - Monographs 2023年第62期2023卷 159-166页

作者： Mandelblatt, Jeanne Meza, Rafael Trentham-Dietz, Amy Heckman-Stoddard, Brandy Feuer, Eric Department of Oncology Georgetown University Medical Center WA United States Georgetown Lombardi Comprehensive Cancer Center Cancer Prevention and Control Program WA United States Georgetown Lombardi Institute for Cancer and Aging Research Georgetown University Medical Center WA United States Department of Integrative Oncology British Columbia Cancer Research Centre Vancouver BC Canada Department of Population Health Sciences School of Medicine and Public Health University of Wisconsin-Madison Madison WI United States Carbone Cancer Center University of Wisconsin-Madison Madison WI United States Breast and Gynecologic Cancer Research Program Division of Cancer Prevention National Cancer Institute at the National Institutes of Health Bethesda MD United States Surveillance Research Program Division of Cancer Control and Population Sciences National Cancer Institute at the National Institutes of Health Bethesda MD United States

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Comprehensive Analysis of cancer Incidence and Mortality Trends in Costa Rica: Implications for Public Health

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Journal of cancer Therapy 2024年第5期15卷 219-221页

作者： Guzman Percy Cancer Prevention Fellowship Program (CPFP) Division of Cancer Prevention (DCP) National Cancer Institute (NCI) Rockville Maryland United States Health Assessment Research Branch (HARB) Health Delivery Research Program (HDRP) Division of Cancer Control and Population Sciences (DCCPS) Rockville Maryland United States

This commentary delves into the evolving landscape of cancer incidence and mortality in Costa Rica, presenting a comprehensive analysis of the data. Key findings reveal a concerning upward trajectory in cancer incidence rates, placing Costa Rica at the forefront within Central America. While prostate cancer and breast cancer dominate, disparities emerge when scrutinizing gender-specific trends. Notably, stomach and cervical cancers show declines, potentially attributed to targeted interventions. However, colorectal and liver cancers witness mortality increases, necessitating strategic responses. Geographical disparities persist across provinces, highlighting the need for equitable healthcare access. In conclusion, this commentary underscores the urgency of addressing the burgeoning cancer burden in Costa Rica, calling for evidence-based interventions and collaborative efforts on a global scale.

关键词： cancer Incidence cancer Mortality Costa Rica cancer Trends Risk Factors Early Detection Public Health

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A health equity framework to support the next generation of cancer population simulation models

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Journal of the National cancer Institute - Monographs 2023年第62期2023卷 255-264页

作者： Chapman, Christina Jayasekera, Jinani Dash, Chiranjeev Sheppard, Vanessa Mandelblatt, Jeanne Department of Radiation Oncology Baylor College of Medicine the Center for Innovations in Quality Safety in the Department of Medicine Baylor College of Medicine and the Houston VA Houston TX United States Health Equity and Decision Sciences Research Laboratory National Institute on Minority Health and Health Disparities Intramural Research Program National Institutes of Health Bethesda MD United States Office of Minority Health and Health Disparities Research and Cancer Prevention and Control Program Georgetown Lombardi Comprehensive Cancer Center WA United States Department of Health Behavior and Policy and Massey Cancer Center Virginia Commonwealth University Richmond VA United States Departments of Oncology and Medicine Georgetown University Medical Center Cancer Prevention and Control Program at Georgetown Lombardi Comprehensive Cancer Center and the Georgetown Lombardi Institute for Cancer and Aging Research WA United States

Over the past 2 decades, population simulation modeling has evolved as an effective public health tool for surveillance of cancer trends and estimation of the impact of screening and treatment strategies on incidence and mortality, including documentation of persistent cancer inequities. The goal of this research was to provide a framework to support the next generation of cancer population simulation models to identify leverage points in the cancer control continuum to accelerate achievement of equity in cancer care for minoritized populations. In our framework, systemic racism is conceptualized as the root cause of inequity and an upstream influence acting on subsequent downstream events, which ultimately exert physiological effects on cancer incidence and mortality and competing comorbidities. To date, most simulation models investigating racial inequity have used individual-level race variables. Individual-level race is a proxy for exposure to systemic racism, not a biological construct. However, single-level race variables are suboptimal proxies for the multilevel systems, policies, and practices that perpetuate inequity. We recommend that future models designed to capture relationships between systemic racism and cancer outcomes replace or extend single-level race variables with multilevel measures that capture structural, interpersonal, and internalized racism. Models should investigate actionable levers, such as changes in health care, education, and economic structures and policies to increase equity and reductions in health-care-based interpersonal racism. This integrated approach could support novel research approaches, make explicit the effects of different structures and policies, highlight data gaps in interactions between model components mirroring how factors act in the real world, inform how we collect data to model cancer equity, and generate results that could inform policy. © The Author(s) 2023. Published by Oxford University Press. All rights re

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Polλ promotes microhomology-mediated end-joining (vol 30, pg 107, 2023)

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NATURE STRUCTURAL & MOLECULAR BIOLOGY 2023年第7期30卷 1048-1048页

作者： Chandramouly, Gurushankar Jamsen, Joonas Borisonnik, Nikita Tyagi, Mrityunjay Calbert, Marissa L. Tredinnick, Taylor Ozdemir, Ahmet Y. Kent, Tatiana Demidova, Elena V. Arora, Sanjeevani Wilson, Samuel H. Pomerantz, Richard T. Department of Biochemistry and Molecular Biology Sidney Kimmel Cancer Center Thomas Jefferson University Philadelphia PA USA Department of Biochemistry and Molecular Biology University of Arkansas for Medical Sciences Little Rock AR USA Spark Therapeutics Philadelphia PA USA Cancer Prevention and Control Program Fox Chase Cancer Center Philadelphia PA USA Kazan Federal University Kazan Russian Federation Department of Radiation Oncology Fox Chase Cancer Center Philadelphia PA USA Genome Integrity and Structural Biology Laboratory National Institute of Environmental Health Sciences National Institutes of Health Research Triangle Park NC USA

The double-strand break (DSB) repair pathway called microhomology-mediated end-joining (MMEJ) is thought to be dependent on DNA polymerase theta (Polθ) and occur independently of nonhomologous end-joining (NHEJ) factors. An unresolved question is whether MMEJ is facilitated by a single Polθ-mediated end-joining pathway or consists of additional undiscovered pathways. We find that human X-family Polλ, which functions in NHEJ, additionally exhibits robust MMEJ activity like Polθ. Polλ promotes MMEJ in mammalian cells independently of essential NHEJ factors LIG4/XRCC4 and Polθ, which reveals a distinct Polλ-dependent MMEJ mechanism. X-ray crystallography employing in situ photo-induced DSB formation captured Polλ in the act of stabilizing a microhomology-mediated DNA synapse with incoming nucleotide at 2.0 Å resolution and reveals how Polλ performs replication across a DNA synapse joined by minimal base-pairing. Last, we find that Polλ is semisynthetic lethal with BRCA1 and BRCA2. Together, these studies indicate Polλ MMEJ as a distinct DSB repair mechanism.

关键词： DNA DNA damage and repair Nanocrystallography Non-homologous-end joining X-ray crystallography

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Health Economics research in Primary prevention of cancer: Assessment, Current Challenges, and Future Directions

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Journal of the National cancer Institute - Monographs 2022年第59期2022卷 28-41页

作者： Ekwueme, Donatus U. Halpern, Michael T. Chesson, Harrell W. Ashok, Mahima Drope, Jeffrey Hong, Young-Rock Maciosek, Michael Pesko, Michael F. Kenkel, Donald S. Division of Cancer Prevention and Control Centers for Disease Control and Prevention Atlanta GA United States Healthcare Delivery Research Program National Cancer Institute Bethesda MD United States Division of STD Prevention Centers for Disease Control and Prevention Atlanta GA United States Health Transformation & Network Management Blue Shield of California Oakland CA United States Health Policy and Administration Division The School of Public Health University of Illinois Chicago Chicago IL United States Department of Health Service Research Management and Policy University of Florida Gainesville FL United States HealthPartners Institute Minneapolis MN United States Department of Economics Georgia State University Atlanta GA United States Department of Economics Cornell University Ithaca NY United States

In the past 2 decades, the demand for information on health economics research to guide health care decision making has substantially increased. Studies have provided evidence that eliminating or reducing tobacco use;eating a healthy diet, including fruit and vegetables;being physically active;reducing alcohol consumption;avoiding ultraviolet radiation;and minimizing exposure to environmental and occupational carcinogenic agents should substantially reduce cancer incidence in the population. The benefits of these primary prevention measures in reducing cancer incidence are not instantaneous. Therefore, health economics research has an important role to play in providing credible information to decision makers on the health and economic benefits of primary prevention. This article provides an overview of health economics research related to primary prevention of cancer. We addressed the following questions: 1) What are the gaps and unmet needs for performing health economics research focused on primary prevention of cancer? 2) What are the challenges and opportunities to conducting health economics research to evaluate primary prevention of cancer? and 3) What are the future directions for enhancing health economics research on primary prevention of cancer? Modeling primary prevention of cancer is often difficult given data limitations, long delays before the policy or intervention is effective, possible unintended effects of the policy or intervention, and the necessity of outside expertise to understand key inputs or outputs to the modeling. Despite these challenges, health economics research has an important role to play in providing credible information to decision makers on the health and economic benefits of primary prevention of cancer. © 2022 Published by Oxford University Press.

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Opportunities, challenges, and future directions for simulation modeling the effects of structural racism on cancer mortality in the United States: a scoping review

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Journal of the National cancer Institute - Monographs 2023年第62期2023卷 231-245页

作者： Jayasekera, Jinani El Kefi, Safa Fernandez, Jessica R. Wojcik, Kaitlyn M. Woo, Jennifer M.P. Ezeani, Adaora Ish, Jennifer L. Bhattacharya, Manami Ogunsina, Kemi Chang, Che-Jung Cohen, Camryn M. Ponce, Stephanie Kamil, Dalya Zhang, Julia Le, Randy Ramanathan, Amrita L. Butera, Gisela Chapman, Christina Grant, Shakira J. Lewis-Thames, Marquita W. Dash, Chiranjeev Bethea, Traci N. Forde, Allana T. Division of Intramural Research at the National Institute on Minority Health and Health Disparities National Institutes of Health Bethesda MD United States NYU Langone Health New York University New York NY USA Epidemiology Branch at the National Institute of Environmental Health Sciences at the National Institutes of Health Bethesda MD United States Health Behaviors Research Branch of the Behavioral Research Program Division of Cancer Control and Population Sciences National Cancer Institute Rockville MD United States Cancer Prevention Fellowship Program Division of Cancer Prevention the Surveillance Research Program Division of Cancer Control and Population Sciences National Cancer Institute Rockville MD United States Division of Cancer Epidemiology and Genetics National Cancer Institute National Institutes of Health Rockville MD United States Sophomore at Williams College Williamstown MA United States Diabetes Endocrinology Obesity Branch National Institute of Diabetes and Digestive and Kidney Diseases National Institutes of Health Bethesda MD United States Office of Research Services National Institutes of Health Library Bethesda MD United States Department of Radiation Oncology Baylor College of Medicine the Center for Innovations in Quality Safety in the Department of Medicine Baylor College of Medicine and the Houston Veterans Affairs Houston TX United States Department of Medicine Division of Hematology University of North Carolina Chapel Hill NC United States Department of Medical Social Science Center for Community Health at Northwestern University Feinberg School of Medicine Chicago IL United States Office of Minority Health and Health Disparities Research at the Georgetown-Lombardi Comprehensive Cancer Center WA United States

Purpose: Structural racism could contribute to racial and ethnic disparities in cancer mortality via its broad effects on housing, economic opportunities, and health care. However, there has been limited focus on incorporating structural racism into simulation models designed to identify practice and policy strategies to support health equity. We reviewed studies evaluating structural racism and cancer mortality disparities to highlight opportunities, challenges, and future directions to capture this broad concept in simulation modeling research. Methods: We used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses-Scoping Review Extension guidelines. Articles published between 2018 and 2023 were searched including terms related to race, ethnicity, cancer-specific and all-cause mortality, and structural racism. We included studies evaluating the effects of structural racism on racial and ethnic disparities in cancer mortality in the United States. Results: A total of 8345 articles were identified, and 183 articles were included. Studies used different measures, data sources, and methods. For example, in 20 studies, racial residential segregation, one component of structural racism, was measured by indices of dissimilarity, concentration at the extremes, redlining, or isolation. Data sources included cancer registries, claims, or institutional data linked to area-level metrics from the US census or historical mortgage data. Segregation was associated with worse survival. Nine studies were location specific, and the segregation measures were developed for Black, Hispanic, and White residents. Conclusions: A range of measures and data sources are available to capture the effects of structural racism. We provide a set of recommendations for best practices for modelers to consider when incorporating the effects of structural racism into simulation models. © 2023 Oxford University Press. All rights reserved.

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Changes in Perceptions of the Near-Home Walking Environment Among Us Adults—2015 and 2020 National Health Interview Survey

SSRN

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SSRN 2023年

作者： Soto, Graycie W. Whitfield, Geoffrey P. Smith, Akimi Berrigan, David Fulton, Janet E. Division of Nutrition Physical Activity and Obesity National Center for Chronic Disease Prevention and Health Promotion Centers for Disease Control and Prevention AtlantaGA United States Research Participation Program Oak RidgeTN United States Division of Diabetes Translation National Center for Chronic Disease Prevention and Health Promotion Centers for Disease Control and Prevention AtlantaGA United States Goldbelt C6 LLC AtlantaGA United States Health Behaviors Research Branch Division of Cancer Control and Population Sciences National Cancer Institute RockvilleMD United States

The built environments in which we work, live, and play can influence physical activity behaviors, and perceptions of these environments are associated with walking behavior. This study’s objective is to compare national-level data on perceptions of the near-home walking environment from the 2015 and 2020 National Health Interview Survey. Adults in 2015 (n = 30,811) and 2020 (n = 29,636) reported perceptions of walkable supports (roads, sidewalks, paths, or trails;sidewalks on most streets), destinations (shops, stores, or markets;bus or transit stops;movies, libraries, or churches;and places that help you relax, clear your mind, and reduce stress), and barriers to walking (traffic, crime, and animals). Age-adjusted prevalence estimates, prevalence differences, and 95% confidence intervals were calculated overall and by demographic characteristics. The reported prevalence of roads, sidewalks, paths, or trails for walking increased overall (85.3% in 2015 to 88.0% in 2020) and for many subgroups. Perceived places to walk to for relaxation, to clear your mind, and to reduce stress increased overall (72.1% in 2015 to 77.1% in 2020) and for all subgroups. Perceptions of crime as a barrier to walking decreased overall (12.5% in 2015 to 11.2% in 2020) and for some subgroups. From 2015 to 2020, perceptions of the near-home walking environment did not change, although perceptions increased regarding having roads, sidewalks, paths, or trails, places to relax, and crime. Continuing to monitor perceptions of the walking environment could contribute to progress toward national walking and walkability goals in the United States. © 2023, The Authors. All rights reserved.

关键词： Crime

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Age at menarche by birth cohort: A pooled analysis of half a million women in Asia

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Public Health 2024年 237卷 130-134页

作者： Abe, Sarah K. Nishio, Marisa Huang, Hsi-Lan Leung, Chi Yan Islam, Md Rashedul Rahman, Md Shafiur Saito, Eiko Shin, Aesun Merritt, Melissa A. Choi, Ji-Yeob Katagiri, Ryoko Mohammadi, Zahra Shu, Xiao-Ou Wakai, Kenji Sawada, Norie Ideno, Yuki Tamakoshi, Akiko Seow, Wei Jie Koh, Woon-Puay Sakata, Ritsu Hozawa, Atsushi Kim, Jeongseon Nagata, Chisato Sugawara, Yumi Park, Sue K. Kweon, Sun-Seog Azizi, Fereidoun Malekzadeh, Reza Moy, Foong-Ming Pourfarzi, Farhad Gao, Yu-Tang Kubo, Yoko Hirabayashi, Mayo Nagai, Kazue Kimura, Takashi Yuan, Jian-Min Kanemura, Seiki Wada, Keiko Kang, Daehee Shin, Min-Ho Khalili, Davood Poustchi, Hossein Rezaianzadeh, Abbas Mansour-Ghanaei, Fariborz Najafi, Farid Mohebbi, Iraj Boffetta, Paolo Lee, Jung Eun Matsuo, Keitaro Rothman, Nathaniel Qiao, You-Lin Zheng, Wei Inoue, Manami Division of Prevention National Cancer Center Institute for Cancer Control Japan Hitotsubashi Institute for Advanced Study Hitotsubashi University Japan Research Center for Child Mental Development Hamamatsu University School of Medicine Japan Sustainable Society Design Center Graduate School of Frontier Sciences the University of Tokyo Japan Department of Preventive Medicine Seoul National University College of Medicine Seoul South Korea Cancer Research Institute Seoul National University Seoul South Korea The Daffodil Centre The University of Sydney a joint venture with Cancer Council NSW Sydney NSW Australia Department of Biomedical Sciences Seoul National University Graduate School Seoul South Korea Graduate School of Informatics Faculty of Informatics Chiba University Japan Liver and Pancreatobiliary Diseases Research Center Digestive Diseases Research Institute Tehran University of Medical Sciences Tehran Iran Division of Epidemiology Department of Medicine Vanderbilt Epidemiology Center Vanderbilt-Ingram Cancer Center Vanderbilt University Medical Center Nashville TN United States Department of Preventive Medicine Nagoya University School of Medicine Nagoya Japan Division of Cohort Research National Cancer Center Institute for Cancer Control Japan Gunma University Center for Food Science and Wellness Maebashi Japan Department of Public Health Hokkaido University Faculty of Medicine Sapporo Japan Saw Swee Hock School of Public Health and Department of Medicine National University of Singapore and National University Health System Singapore Healthy Longevity Translational Research Programme Yong Loo Lin School of Medicine National University of Singapore Singapore Singapore Institute for Clinical Sciences Agency for Science Technology and Research (A∗STAR) Singapore Department of Epidemiology Radiation Effects Research Foundation Hiroshima Japan Division of Epidemiology Department of Public Health and Forensic Medicine Tohoku University Graduate School

Objectives: To evaluate changes in the age at menarche in Asian populations. Study design: Retrospective cohort study. Methods: We included 548,830 women from six countries in Asia. The data were sourced from 20 cohorts participating in the Asia Cohort Consortium (ACC) and two additional cohort studies: Japan Multi-institutional Collaborative Cohorts (J-MICC), and Japan Nurse Health Study (JNHS) with data on age at menarche. Joinpoint regression was used to evaluate changes in age at menarche by birth year and by country. Results: The study includes data from cohorts in six Asian countries namely, China, Iran, Japan, Korea, Malaysia and Singapore. Birth cohorts ranged from 1873 to 1995. The mean age of menarche was 14.0 years with a standard deviation (SD) of 1.4 years, ranged from 12.6 to 15.5 years. Over 100 years age at menarche showed an overall decrease in all six countries. China showed a mixed pattern of decrease, increase, and subsequent decrease from 1926 to 1960. Iran and Malaysia experienced a sharp decline between about 1985 and 1990, with APC values of −4.48 and −1.24, respectively, while Japan, South Korea, and Singapore exhibited a nearly linear decline since the 1980s, notably with an APC of −3.41 in Singapore from 1993 to 1995. Conclusions: Overall, we observed a declining age at menarche, while the pace of the change differed by country. Additional long-term observation is needed to examine the contributing factors of differences in trend across Asian countries. The study could serve as a tool to strengthen global health campaigns. © 2024 The Royal Society for Public Health

关键词： Age Asia Birth cohort Menarche

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Population simulation modeling of disparities in US breast cancer mortality

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Journal of the National cancer Institute - Monographs 2023年第62期2023卷 178-187页

作者： Mandelblatt, Jeanne S. Schechter, Clyde B. Stout, Natasha K. Huang, Hui Stein, Sarah Hunter Chapman, Christina Trentham-Dietz, Amy Jayasekera, Jinani Gangnon, Ronald E. Hampton, John M. Abraham, Linn O’Meara, Ellen S. Sheppard, Vanessa B. Lee, Sandra J. Department of Oncology Georgetown University Medical Center and Cancer Prevention and Control Program at Georgetown Lombardi Comprehensive Cancer Center WA United States Departments of Family and Social Medicine and of Epidemiology and Population Health Albert Einstein College of Medicine Bronx NY United States Department of Population Sciences Harvard Medical School and Harvard Pilgrim Health Care Institute Boston MA United States Department of Data Science Dana-Farber Cancer Institute and Harvard Medical School Boston MA United States Department of Radiation Oncology Section of Health Services Research Baylor College of Medicine and Health Policy Quality and Informatics Program at the Center for Innovations in Quality Effectiveness and Safety Michael E. DeBakey VA Medical Center Houston TX United States Department of Population Health Sciences and Carbone Cancer Center University of Wisconsin-Madison Madison WI United States Health Equity and Decision Sciences Research Lab National Institute on Minority Health and Health Disparities Intramural Research Program National Institutes of Health Bethesda MD United States Departments of Population Health Sciences and of Biostatistics and Medical Informatics and Carbone Cancer Center University of Wisconsin-Madison Madison WI United States Kaiser Permanente Washington Health Research Institute Seattle WA United States Department of Health Behavior and Policy and Massey Cancer Center Virginia Commonwealth University Richmond VA United States

BACKGROUND: Populations of African American or Black women have persistently higher breast cancer mortality than the overall US population, despite having slightly lower age-adjusted incidence. METHODS: Three cancer Intervention and Surveillance Modeling Network simulation teams modeled cancer mortality disparities between Black female populations and the overall US population. Model inputs used racial group-specific data from clinical trials, national registries, nationally representative surveys, and observational studies. Analyses began with cancer mortality in the overall population and sequentially replaced parameters for Black populations to quantify the percentage of modeled breast cancer morality disparities attributable to differences in demographics, incidence, access to screening and treatment, and variation in tumor biology and response to therapy. RESULTS: Results were similar across the 3 models. In 2019, racial differences in incidence and competing mortality accounted for a net ‒1% of mortality disparities, while tumor subtype and stage distributions accounted for a mean of 20% (range across models = 13%-24%), and screening accounted for a mean of 3% (range = 3%-4%) of the modeled mortality disparities. Treatment parameters accounted for the majority of modeled mortality disparities: mean = 17% (range = 16%-19%) for treatment initiation and mean = 61% (range = 57%-63%) for real-world effectiveness. CONCLUSION: Our model results suggest that changes in policies that target improvements in treatment access could increase breast cancer equity. The findings also highlight that efforts must extend beyond policies targeting equity in treatment initiation to include high-quality treatment completion. This research will facilitate future modeling to test the effects of different specific policy changes on mortality disparities. © The Author(s) 2023. Published by Oxford University Press. All rights reserved. For permissions, please email: ***

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