# Georgetown University Lombardi Comprehensive Cancer Center Support Grant

> **NIH NIH P30** · GEORGETOWN UNIVERSITY · 2021 · $149,779

## Abstract

Cancer Center Organizational Assessment to Eliminate Outcome Disparities Among CCS
Continuity of care for childhood cancer survivors (CCS) is essential to promote lifelong health and well-being, as
many survivors will confront prolonged late-effects of their disease and treatment. However, there are barriers
to CCS equitably accessing follow-up care. Underserved racial/ethnic minorities, especially those who are
already facing multiple social determinants of health (SDOH) barriers, are among the most adversely impacted
by this inequity. The majority of prior research has focused on the organization and delivery of CCS care in well-
resourced and majority groups: gaps remain in studies designed to identify and reduce disparities among
vulnerable CCS. The complex and multiply-determined nature of CCS care delivery, along with recognizing the
importance of SDOH, inform our research. The goal of this P30 supplement application, submitted on behalf of
Georgetown University's Lombardi Comprehensive Cancer Center (Washington, DC) and its NCI-designated
research consortium partner John Theurer Cancer Center (Hackensack, NJ), is to better understand and help
eradicate disparities and barriers to the receipt of recommended CCS care. This care includes risk-based cancer
surveillance, screening, and management, the prevention of cancer late effects, and care coordination. We plan
to do this by assessing our cancer centers' internal organizational attributes and behaviors (including both
practices and policies) that may inadvertently curtail access to such care among adolescent and young adult
(AYA; ages 15-39 years) CCS in our geographic areas. This is important because these AYAs could (and could
continue to) be served by our health systems in addressing the needs of this special population. Among the
issues we seek to study are: 1) how prevalent underserved AYA CCS are across our systems; 2) what happens
if/when they transition from pediatric to adult care (or become lost to follow-up); 3) if they are universally identified
and recognized by our systems as CCS in need of CCS services, and; 4) if differences in care outcomes exist
and may be attributable to organizational and SDOH factors, among others. We will thoroughly analyze our AYA
CCS care systems, determine how to improve their quality, and formulate institutional action plans that will close
gaps and remove obstacles to underserved CCS receiving the services they need across the lifespan. These
action plans will then be tested and followed-up in subsequent interventional pilot initiatives promoting adherence
to cancer treatment or guideline-concordant care. And they will be sustained by resources and a strengthening
of our organizational capacity to better serve our catchment's diverse populations of AYA CCS.

## Key facts

- **NIH application ID:** 10409001
- **Project number:** 3P30CA051008-28S2
- **Recipient organization:** GEORGETOWN UNIVERSITY
- **Principal Investigator:** Louis M. Weiner
- **Activity code:** P30 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $149,779
- **Award type:** 3
- **Project period:** 2021-09-01 → 2022-08-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10409001

## Citation

> US National Institutes of Health, RePORTER application 10409001, Georgetown University Lombardi Comprehensive Cancer Center Support Grant (3P30CA051008-28S2). Retrieved via AI Analytics 2026-05-25 from https://api.ai-analytics.org/grant/nih/10409001. Licensed CC0.

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