A New Vision for Integrated Breast Care
Final rept. 15 Aug 1996-14 Aug 2001.
CALIFORNIA UNIV SAN FRANCISCO
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This grant helped create an interdisciplinary center where the integration of physicians across disciplines has led to an improvement in the management of patients. We see an increase in clinical trial accrual, more attention at the time of diagnosis and fewer numbers of follow-up visits. We created extensive educational materials and a framework for patient-physician collaborative decision-making. A database links clinical information and clinical research. There are programs based on disease stage prevention to metastatic care and a longitudinal program for disease management. Project 3 has developed a method to project life expectancy and impact of therapeutic interventions to use as a decision making tool for all patients and for tumor board conferences. We have successfully integrated clinical trials into all stages of breast cancer treatments. Our program volume has grown from 150 patients per month to 1000 patients per month, and from 3 active clinical trials to 33 active clinical trials. We successfully completed a lifestyle intervention and personal support clinical trial showing that women adjust better when they receive psychosocial intensive intervention around the time of their diagnosis. A number of publications are detailing our achievements under this grant.
- Medicine and Medical Research