Cardozo Clinic

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Cardozo Clinic

• National Cancer Institute
• National Institute of Health

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Background

• The Center for Cancer Research (CCR), in
  collaboration with The Center to Reduce Cancer
  Health Disparities (CRCHD), The Division of
  Cancer Treatment and Diagnosis (DCTD), and The
  Division of Cancer Control and Population Science
  (DCCPS), has initiated two major projects (1)
  The Cardozo Clinic and (2) The Nurse Navigator
  Academy. Both programs focus on improvement of
  patient quality of care and accessibility to
  optimal cancer treatment with the ultimate goal
  of decreasing the burden of disease (cancer) in
  underserved populations by providing education
  and training on clinical trials, and facilitating
  access to clinical trials. Whereas this
  initiative grew out of discussions within the
  CCR, the efforts described below represent
  trans-NCI effort and provide a platform for
  continuing to build relationships within the NCI
  and with other ICs, as well as communities in the
  extramural setting.

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Background

• The CCR has partnered with the NIAMS IRP and
  their Community Health Center (CHC) facility in
  the Shaw/Cardozo area of the District of Columbia
  to develop an NCI community-based site for
  patient evaluation and treatment as well as
  screening and enrollment into clinical trials.
  The CCR is reaching out and establishing
  connections with community physicians and
  leaders. The CCR Clinical Program proposes to
  increase minority accrual to its clinical trials
  as it builds trust within the community and helps
  people learn about clinical trials being
  performed at the NIH Clinical Center.
• Cardozo Clinic is a Unity Health Care site. They
  have 10 primary care doctors at this site. The
  patient population that visits the center is
  largely Hispanic (70) and African-American
  (20). Approximately 82 of the patient
  population is the working poor or uninsured, and
  18 are homeless.

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The objectives for the Cardozo Clinic effort

• Establish a research initiative in underserved
  (minority) populations
• The Cardozo NCI Clinic opened July 9, 2004,
  establishing community-based research in health
  disparities. The first stage It fosters the
  enrollment of minority patients in clinical
  trials (Phase I and II clinical trials in
  molecular targeted therapeutics unique to CCR)
  and provides a means for community-based (Cardozo
  clinic) improvement in cancer care by providing
  access to state of the art clinical cancer care
  to minority patients at NCI. The second stage
  will attempt to correlate ethnic differences in
  chemotherapy metabolizing ability associated with
  genetic (CYP polymorphisms) and clinical
  outcomes. A component of this effort is the
  study of energy balance as it relates to cancer
  prevention and survivorship. The third stage
  will study, in an exploratory fashion,
  serum/tumor proteomics in minority patients with
  aero-digestive malignancies.

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The objectives for the Cardozo Clinic effort

• Educate providers and fellows in minority cancer
  care
• This is viewed as an opportunity for the
  education / training of NCI Fellows in health
  disparities cancer care. A continuity clinic,
  staffed by second year fellows of The Medical
  Oncology Branch will start at Cardozo in June
  2005. Two DCCPS Fellows have been interviewed,
  and research collaborations started, in the area
  of psychosocial behavior.

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