Improving the Timeliness and Quality of Care for Rural Cancer Patients with Solid Tumors

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Details
Age

Adult

Eligibility

1. Provision to sign and date the consent form. 2. Stated willingness to comply with all study procedures and be available for the duration of the study. 3. Male and female adults over 18 years old 4. English or Spanish speaking 5. Receives cancer treatment at UCH- Aurora, UCH-Highlands Ranch, RMCC-Pueblo, or SCL-St. Mary’s. 6. Resides in any of the rural counties served by the UCH-Aurora, UCH-Highlands Ranch, RMCC-Pueblo or SCL-St. Mary’s with Rural-Urban Continuum Codes (RUCC) codes 4-9. 7. Diagnosed with lung cancer (LC): small cell lung cancer (SCLC), non-small cell lung cancer (NSCLC), using incident LC diagnosis according to the International Classification of Diseases for Oncology [ICD-O] codes: C34.0, C34.1, C34.2, C34.3, C34.8, C34.9, and C33.9, and other lung cancer variants 8. Stage of diagnosis for SCLC (limited vs. extensive), NSCLC (Stages 0, I, II, IIA, IIIB, IV), according to the American Joint Committee on Cancer Staging [AJCC] Tumor Node Metastasis [TNM] stages: I-IV) 9. Will receive the following types of LC and/or HNC treatments (surgery, radiation therapy, chemotherapy, or a combination of those modalities, including neoadjuvant and adjuvant therapy) 10. Diagnosed with HNC using head and neck squamous cell carcinoma (HNSCC) ICD-O codes for the oral cavity (including lip; codes C00.0-C00.6, C00.8, C00.9, C02.0-C02.3, C02.8, C0.2.9, C03.0, C03.1, C03.9-C04.1, C04.8-C05.0, C06.0-C06.2, C06.8, and C06.9), the oropharynx (codes C01.9, C02.4, C05.1, C05.2, C5.8, C5.9, C09.0, C09.1, C09.8-C10.4, C10.8, C10.9, C14.0, C14.2, and C14.8), the hypopharynx (codes C12.9-C13.2, C13.8, and C13.9), and the larynx (codes C32.0- C32.3 and C32.8-C32.9) and histology codes for squamous cell carcinoma (SCC) or its variants (codes 8032, 8050, 8052, 8070-8075, and 8083-8084), and salivary gland cancer (code C07 and variants), and other head and neck cancer variants 11. Stage of diagnosis for HNC (Stages I, II, III, IV) according to the AJCC's TNM stages I-IV 12. Diagnosed with malignant neoplasm of thyroid gland, ICD-10 code: C73, and other thyroid cancer variants 13. Inclusion Criteria Confirmed via Baseline Survey: 14. Rural and medically underserved, defined as meeting the following criteria: 15. Rural: Resides in a rural county with a RUCC code 4-9 AND, 16. Underserved population who come from counties meeting any of the “health professional shortage areas” OR “Medically Underserved Areas/Populations” AND/OR 17. Uninsured: No health insurance (public or private insurance) AND/OR 18. Underinsured: (c.1) Public insurance (e.g., Medicaid, Medicare Part B exclusive, VA) (c.2) 10% or more of annual income is spent on out-of-pocket medical expenses

Type of Study

Health Services Research

Locations

Greeley Campus
Highlands Ranch Hospital
Medical Center of the Rockies
Memorial Hospital Central
Memorial Hospital North
Poudre Valley Hospital
Pueblo
San Juan Cancer Center
St. Marys Hospital, Grand Junction
University of Colorado Hospital
Yampa Valley Medical Center

Principal Investigator
Photograph of Evelinn Borrayo

Evelinn Borrayo

Study ID

Protocol Number: 21-2666

More information available at ClinicalTrials.gov: NCT04916990

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