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Fulfilling the Potential of Cancer Prevention and Early Detection
and facilitates communication among those involved in guideline development and dissemination. As of mid-2001, 289 guidelines were related to cancer, and 179 of those were accessed by use of “cancer and prevention” (www.guideline.gov).
CONQUEST CONQUEST (Computerized Needs-Oriented Quality Measurement Evaluation System) is a database of performance measures (conditions, diseases, and procedures), measure sets (measures with a common purpose and developer), and conditions (with detailed epidemiological information). CONQUEST includes measures related to the management of several cancers (i.e., colorectal, lung, prostate, and breast cancer), the use of screening tests (i.e., mammography and Pap smear), and cigarette use.
U.S. Preventive Services Task Force and Put Prevention into Practice Since the 1980s, the U.S. Preventive Services Task Force (USPSTF) has evaluated scientific evidence for the effectiveness of clinical prevention services (e.g., screening tests, counseling, immunization, and chemoprophylaxis) and produced age- and risk factor-specific recommendations for the services that should be included in a periodic health examination. The USPSTF Guide to Clinical Preventive Services (2nd edition) was published in 1996 (U.S. Preventive Services Task Force, 1996). The work of USPSTF is supported by the AHRQ Evidence-Based Practice Centers. An evidence-based review on screening for skin cancer was published in 2001 (U.S. Preventive Services Task Force, 2001b). Put Prevention into Practice is designed to help implement the recommendations of USPSTF. Roughly 20 percent of the services considered by USPSTF and Put Prevention into Practice relate to cancer detection or prevention.
Translating Research into Practice AHRQ funds translational research and demonstrations through Translating Research into Practice (TRIP). The first round (TRIP-I) supported 14 studies that addressed a variety of health care problems, primarily through randomized controlled trials. Two TRIP-I projects were related to cancer prevention and early detection: (1) practice profiling to increase rates of tobacco cessation and (2) dissemination strategies for smoking control programs in maternal and child health clinics. Building on earlier initiatives, TRIP-II is aimed at applying and assessing strategies and methods that were developed in idealized practice settings or that are in current use but that have not been previously or rigorously evaluated. TRIP-II focuses on implementation techniques and factors—such as organizational and clinical characteristics—associated with the successful translation of research findings into diverse applied settings. Two TRIP-II projects are related to cancer prevention and early detection: (1) implementation of adolescent preventive guidelines and (2) translation of prevention research into practice (www.ahrq.gov/research/trip2fac.htm).