search Program, Division of Cancer Control and Population Sciences, NCI, personal communication, December 16, 1998):
Funding for this four-year extramural grant is approximately $4 million per year, with a total award of approximately $16 million.
The division has established an Outcomes Research Section to examine outcomes measures used in clinical trials and to monitor the national burden of cancer. The section will support research in the areas of measurement of quality of life, cost, and quality of care. Aspects of clinical trial organization and financing will also be addressed (e.g., integrating trials into routine care) (Martin Brown, Head, Health Services and Economics Section, Applied Research Branch, Cancer Surveillance Research Program, Division of Cancer Control and Population Sciences, NCI, personal communication, December 16, 1998).
Office of Cancer Survivorship. In 1996, NCI established the Office of Cancer Survivorship to develop and support a research agenda that explores the long-and short-term physical and psychological effects of cancer and its treatment. The office has provided $4 million to supplement existing cooperative agreements, grants, and contracts. An additional $700,000 was committed by the Susan Komen Foundation. Investigator-initiated research will be funded with an additional $3 million per year for five years. Most of the research funded to date has focused on treatment complications (e.g., effects of cancer treatment on gonadal function and reproductive health) and quality-of-life issues (e.g., quality of life for adult survivors of childhood leukemia), but a few awards have addressed health services research issues (e.g., medical care costs of cancer). Box 7.3 shows prioritized areas of research for the Office of Cancer Survivorship.
Several other NIH institutes have supported extramural health services research (Table 7.1).