Last data update: May 13, 2024. (Total: 46773 publications since 2009)
Records 1-5 (of 5 Records) |
Query Trace: Lakhani N[original query] |
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Evidence-based cancer survivorship activities for comprehensive cancer control
Underwood JM , Lakhani N , Finifrock D , Pinkerton B , Johnson KL , Mallory SH , Migliore Santiago P , Stewart SL . Am J Prev Med 2015 49 S536-42 INTRODUCTION: One of six priorities of CDC's National Comprehensive Cancer Control Program (NCCCP) is to address the needs of cancer survivors within the local population served by individually funded states, tribes, and territories. This report examines cancer survivorship activities implemented in five NCCCP grantees, which have initiated evidence-based activities outlined in A National Action Plan for Cancer Survivorship: Advancing Public Health Strategies (NAP). METHODS: NCCCP action plans, submitted annually to CDC, from 2010 to 2014 were reviewed in February 2015 to assess implementation of cancer survivorship activities and recommended strategies consistent with the NAP. Four state-level and one tribal grantee with specific activities related to one of each of the four NAP strategies were chosen for inclusion. Brief case reports describing the initiation and impact of implemented activities were developed in collaboration with each grantee program director. RESULTS: New Mexico, South Carolina, Vermont, Washington state, and Fond Du Lac Band of Lake Superior Chippewa programs each implemented activities in surveillance and applied research; communication, education, and training; programs, policies, and infrastructure; and access to quality care and services. CONCLUSIONS: This report provides examples for incorporating cancer survivorship activities within Comprehensive Cancer Control programs of various sizes, demographic makeup, and resource capacity. New Mexico, South Carolina, Vermont, Washington state, and Fond Du Lac Band developed creative cancer survivorship activities that meet CDC recommendations. NCCCP grantees can follow these examples by implementing evidence-based survivorship interventions that meet the needs of their specific populations. |
An evaluation of cancer survivorship activities across national comprehensive cancer control programs
Underwood JM , Lakhani N , Rohan E , Moore A , Stewart SL . J Cancer Surviv 2015 9 (3) 554-9 INTRODUCTION: Centers for Disease Control and Prevention's (CDC) National Comprehensive Cancer Control Program (NCCCP) funds states, the District of Columbia, tribal organizations, territories, and jurisdictions across the USA develop and implement jurisdiction-specific comprehensive cancer control (CCC) plans. The objective of this study was to analyze NCCCP action plan data for incorporation and appropriateness of cancer survivorship-specific goals and objectives. METHODS: In August 2013, NCCCP action plans maintained within CDC's Chronic Disease Management Information System (CDMIS) from years 2010 to 2013 were reviewed to assess the inclusion of cancer survivorship objectives. We used the CDMIS search engine to identify "survivorship" within each plan and calculated the proportion of programs that incorporate cancer survivorship-related content during the study period and in each individual year. Cancer survivorship objectives were then categorized by compatibility with nationally accepted, recommended strategies from the report A National Action Plan for Cancer Survivorship: Advancing Public Health Strategies (NAP). RESULTS: From 2010 to 2013, 94 % (n = 65) of NCCCP action plans contained survivorship content in at least 1 year during the time period and 38 % (n = 26) of all NCCCP action plans addressed cancer survivorship every year during the study period. Nearly 64 % (n = 44) of NCCCP action plans included cancer survivorship objectives recommended in NAP. CONCLUSION: Nearly all NCCCP action plans addressed cancer survivorship from 2010 to 2013, and most programs implemented recommended cancer survivorship efforts during the time period. IMPLICATIONS FOR CANCER SURVIVORS: NCCCP grantees can improve cancer survivorship support by incorporating recommended efforts within each year of their plans. |
Total body skin examination for skin cancer screening among U.S. adults from 2000 to 2010
Lakhani NA , Saraiya M , Thompson TD , King SC , Guy GP Jr . Prev Med 2014 61 75-80 OBJECTIVE: Melanoma incidence and mortality are increasing among United States (U.S.) adults. Currently, routine skin cancer screening total body skin examinations (TBSEs) by a physician are not recommended by the United States Preventive Services Task Force (USPSTF); while organizations such as the American Cancer Society recommend screening. Currently, there are limited data on the prevalence, correlates, and trends of TBSE among U.S. adults. METHODS: We analyzed data by race/ethnicity, age, and skin cancer risk level, among other characteristics from three different National Health Interview Survey (NHIS) cancer control supplements conducted every five years since 2000 in random U.S. households. High-risk status and middle-risk status were defined based on the USPSTF criteria (age, race, sunburn, and family history). RESULTS: Prevalence of having at least one TBSE increased from 14.5 in 2000 to 16.5 in 2005 to 19.8 in 2010 (P<0.0001). In 2010, screening rates were higher among the elderly, the fair-skinned, those reporting sunburn(s), and individuals with a family history of skin cancer. Approximately 104.7million (51.1%) U.S. adults are at high-risk for developing melanoma, of which 24.0% had at least one TBSE. CONCLUSIONS: TBSE rates have been increasing since 2000 both overall and among higher-risk groups. Data on screening trends could help tailor future prevention strategies. |
Gynecologic cancer prevention and control in the National Comprehensive Cancer Control Program: progress, current activities, and future directions
Stewart SL , Lakhani N , Brown PM , Larkin OA , Moore AR , Hayes NS . J Womens Health (Larchmt) 2013 22 (8) 651-7 Gynecologic cancer confers a large burden among women in the United States. Several evidence-based interventions are available to reduce the incidence, morbidity, and mortality from these cancers. The National Comprehensive Cancer Control Program (NCCCP) is uniquely positioned to implement these interventions in the US population. This review discusses progress and future directions for the NCCCP in preventing and controlling gynecologic cancer. |
Prevalence and predictors of total-body skin examination among US adults: 2005 National Health Interview Survey
Lakhani NA , Shaw KM , Thompson T , Yaroch AL , Glanz K , Hartman AM , Saraiya M . J Am Acad Dermatol 2011 65 (3) 645-8 In 2006, melanoma affected 53,919 persons and resulted in 8441 deaths.1 Periodic total-body skin examination (TBSE) may increase the detection of earlier-stage melanomas.2 However, skin cancer screening guidelines vary, with one organization citing insufficient evidence to recommend for or against routine TBSEs3 and another recommending skin cancer examination for individuals 20 years and older during a periodic health examination.4 | Using data from the National Health Interview Survey, an annual household survey, we examined the prevalence and correlates of having a TBSE by a physician. In 2000 and 2005, respondents were asked, “Have you ever had all of your skin from head to toe checked for cancer either by a dermatologist or some other kind of doctor?” Respondents who answered positively were also asked the date of their most recent skin examination. Sample sizes for adults (aged ≥18 years) were 30,119 in 2000 and 28,551 in 2005. TBSE percentages were age standardized using the direct method. Adjusted TBSE percentages were calculated as predictive margins from a multivariable logistic regression model. The predictive margin for a given group represents the average predicted response had everyone in the sample been in that group (Table I). |
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