# Presentation: 761377

## Improving Cancer Outcomes for African Americans

- Update for RTOG in Tampa
- Feb 2, 2007
- Patrick D. Maguire, MD
- New Hanover Regional (NHRMC)

## Update for NHRMCFeb 2, 2007

- I.	Radiotherapy (RT) Clinical Trials
- II. 	Publications
- III.	Partnership & Telesynergy
- IV.	Patient Navigation & Outreach

## RT Clinical Trials at NHRMC

- CALGB 30407 – NSCLC
- RTOG 0214 – PCI, Advanced NSCLC
- RTOG 9804 – Good Risk DCIS (closed)
- NSABP-B35 – Tam vs. AI, DCIS (closed)
- CALGB 99809 – B + EB, Prostate (closed)
- RTOG 0232 – B _+_ EB, Prostate
- RTOG 9811 – Anus (closed)

## RT Clinical Trialsat NHMRC

- S – screened & eligible
- E – enrolled
- U – underserved (AA &/or poor)

## RT Clinical Trials Accrual 2006

- _Trial_			_S_		_E_		_U_
- NSCLC			8		3		0
- PCI, NSCLC		5		0(2 pend) 0
- DCIS, 9804		3		1		0
- DCIS, B35		9		2	        1

## RT Clinical TrialsAccrual 2006

- _Trial_			_S_	_E_	  	_U_
- Prostate, 0232	7	1(2pend)	1
- H&N, Z0204		12	11		2

## RT Clinical Trial Accrual

**	****	**_**S**_**	****	**_**E**_**	****	**_**U**_
- 2003-05	60		27		12
- _2006 __	__	__44__	__	__18__	__	__ 4_
- Total		104		45		16

## Publications: Manuscripts

- Maguire, Meyerson, Neal, et al, Toxic Cure: hyperfractionated radiotherapy with concurrent cisplatin and fluorouracil for stage III and IVa head and neck cancer in the community.  IJROBP 58: 698-704, 2004.
- Hamann, Kotwall, & Maguire, The role of an AHEC in developing a model program to reduce cancer disparities.  National AHEC Bulletin XXI: 39-40, 2005.
- Johnson, Race, health, and anti-white prejudice: the influence of chronic and temporary accessibility of anti-white stereotypes on black healthcare responses.  J Person Soc Psych, manuscript under review.
- Hamann & Bost, Black-white differences in the influence of cancer experiences on religious beliefs and healthcare satisfaction.  Manuscript in preparation.

## Publications: Abstracts

- Hamann, Maguire, Bost, et al.  Interactions of race, cancer knowledge and beliefs, religious beliefs, and perceived racism an cancer treatment decisions.  ASTRO, Denver, 10/05
- Hamann, Bost, Johnson, et al.  Measuring the influence of cultural and social factors on cancer treatment decisions.  Am Eval Assoc, Toronto, 10/05
- Bost & Hamann.  Effects of cancer on cultural and social beliefs.  Intercultural Cancer Council, Washington DC, 4/06
- Maguire & Rosenman.  Bridging academic and community radiation oncology treatment planning.  Am Telemed Assoc, San Diego, 5/06
- Maguire & Honaker.  A Year of Telesynergy in Southeastern North Carolina.  Am Telemed Assoc, San Diego, 5/06.

## Publications: Abstracts

- Hamann MS, Johnson J, Maguire PD, Effects of Cancer on Cultural Beliefs.  ASTRO, Philadelphia, 10/06
- Maguire PD, Neal CR, Menon RP, et al.  Prostate Cancer in Southeastern North Carolina: It’s Not All Black & White.  ASTRO, Philadelphia, 10/06

## Partnership with UNC-CH& Telesynergy

- Relationship solid; visits Q4-6 months
- Telesynergy
- IMRT  planning (infrequent)
- H&N Tumor Board -Qwk
- ZCC 00204 Trial – complete soon!
- Cyberknife – trials??

## Patient Navigation & Outreach 2006

- Navigator - LaSonia Melvin
- Asst Navigator – Ursula Wilson
- Patients Navigated:
- 2006 = 78
- Total = 126
- Outreach Sessions:
- 2006 = 28
- Total = 53