Cancer Care Delivery Research (CCDR) within the NCI Community Oncology Research Program (NCORP)
Cancer Care Delivery Research (CCDR) is a multidisciplinary science that examines how patient and clinician behavior, organizational structures, health technologies, and financing approaches influence the availability, quality, cost, and outcomes of cancer care. CCDR generates evidence that can be used to improve clinical practice patterns as well as develop and test promising interventions within the health care delivery system. It also supports development of new and generalizable knowledge about the effectiveness, acceptability, cost, optimal delivery mode, and causal mechanisms that influence outcomes and affect the value of cancer care across diverse settings and populations. The goal of CCDR is evidence-based practice transformation.
The NCI Community Oncology Research Program (NCORP) offers unique opportunities to conduct clinical research in community practices where the majority of cancer patients receive their treatment. Integrating CCDR into NCORP provides the ability to collect primary data and initiate interventions; look across a mix of practice models and heterogeneous populations; and follow patients from time of diagnosis through treatment and survivorship.
Integrating CCDR Into the NCORP Structure
NCORP consists of three major components: Research Bases, Community Sites, and Minority/Underserved Community Sites. For more details, please see NCORP Structure.
CCDR studies are designed and conducted by NCORP Research Bases. These Research Bases are equipped with the appropriate infrastructure and research expertise to carry out complex studies. Research Bases work with Community Sites and Minority/Underserved Community Sites across the country to accrue participants into research studies.
There are a total of seven Research Bases, each with their own program of cancer care delivery research:
- Children's Oncology Group (COG)
- NRG Oncology
- University of Rochester
- Wake Forest NCORP Research Base
CCDR concepts submitted by Research Bases are reviewed and prioritized by the NCI CCDR Steering Committee.
Community Sites and Minority/Underserved Community Sites
There are a 34 Community Sites and 12 Minority/Underserved Community Sites, which are each comprised of a consortium of hospitals, oncology practices, and/or integrated healthcare systems. Each of these sites has a CCDR Lead responsible for advancing and coordinating cancer care delivery research activities. Among the 46 Community and Minority/Underserved Community Sites, there are over 900 components and sub-components (e.g. practices, clinics) that are eligible to participate in CCDR studies.
More details about NCORP Community and Minority/Underserved Community Sites and Research Bases can be found here.
- CCDR At-a-Glance (PDF, 534 KB)
- Cancer Care Delivery Research: Building the Evidence Base to Support Practice Change in Community Oncology (Kent EE, et al. JCO, Aug 2015)
Last Updated: 20 Feb 2018