1. What steps can be taken to overcome barriers to using effective interventions and to improve what is known about cancer prevention and early detection?

In the preparation of this report, the Board listened to presentations made by representatives of federal agencies at its quarterly meetings and commissioned six background papers on cancer prevention and early detection.1 Several of the report’s chapters were based on these commissioned papers. The six papers and their authors are as follows:

  • Quantifying the Contribution of Risk Factors to Cancer Incidence and the Estimated Reduction in Cancer Burden Through Selected Risk Factor Modifications, Graham A. Colditz, Catherine Tomeo Ryan, Charles H. Dart III, Geetanjali Datta, Laurie Fisher, and Beverly Rockhill

  • Interventions to Promote Key Behaviors in Cancer Prevention and Early Detection, Edwin B. Fisher, Ross C. Brownson, Amy A. Eyler, Debra L. Haire-Joshu, and Mario Schootman

  • Interventions to Reduce Obesity and Maintain a Healthy Weight, Suzanne Phelan and Rena R. Wing

  • The Effectiveness of Screening for Cancer and Its Unfulfilled Potential in the United States: A Review of the Evidence, Steven H. Woolf

  • Fulfilling the Potential of Lung Cancer Prevention and Early Detection. What Are the Implications of Adopting New Technologies in the Face of Uncertain Science? Parthiv J. Mahadevia, Farin Kamangar, and Jonathan M. Samet

  • Provider, System, and Policy Strategies to Enhance the Delivery of Cancer Prevention and Control Activities in Primary Care, Judith Ockene, Jane Zapka, Lori Pbert, Suzanne Brodney, and Stephenie Lemon

The Board has also drawn on its previous work on tobacco control (IOM, 1998, 2000a) and has benefited from other recent IOM reports relating to behavior and health (IOM, 2001a,b, 2000b,c, 1999a,b) and by prevention-related reports of the President’s Cancer Panel (President’s Cancer Panel, 1998, 1994).

FRAMEWORK OF THE REPORT

The Board chose to focus its attention on opportunities to fulfill the potential of cancer prevention and early detection in light of current epidemiological knowledge and evidence regarding the effectiveness of interven-

1  

Copies of the commissioned papers are available at the National Cancer Policy Board website, www.IOM.edu/ncpb.



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