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A review of the Department of Defense's program for breast cancer research / Committee to Review the Department of Defense's Breast Cancer Research Program, Institute of Medicine.

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Format:
Book
Contributor:
Institute of Medicine (U.S.). Committee to Review the Department of Defense's Breast Cancer Research Program.
Language:
English
Subjects (All):
United States. Department of Defense.
United States.
Breast--Cancer--Research--United States.
Breast.
Physical Description:
1 online resource (150 p.)
Edition:
1st ed.
Place of Publication:
Washington, D.C. : National Academy Press, 1997.
Language Note:
English
Summary:
According to current statistical data, one in eight women will be diagnosed with breast cancer. The five-year survival rate for breast cancer patients has improved in recent years, but the overall mortality rates have changed little. In 1993 Congress allocated $210 million for breast cancer research as part of the Department of Defense budget. An Institute of Medicine (IOM) committee was convened at that time to advise the U.S. Army Medical Research and Development Command on strategies for managing a breast cancer research program. This book evaluates the program's management and achievements to date. Although it is too early to evaluate the program in terms of breakthrough results and new insights produced by the funded projects or investigators, this book documents the process used to select research proposals for funding and analyzes the portfolio of funded projects in terms of their responsiveness to the recommendations and fundamental questions articulated in the 1993 IOM report.
Contents:
A Review of the Department of Defense's Program for Breast Cancer Research
Copyright
Preface
Contents
Executive Summary
CHARGE TO THE COMMITTEE
THE ARMY'S BREAST CANCER RESEARCH PROGRAM
METHODS
FINDINGS
The Army's Breast Cancer Research Program Operation
The Breast Cancer Research Program Portfolio
Support for Breast Cancer Research Other Than the Army's Program
Research Advances and Opportunities
CONCLUSIONS
RECOMMENDATIONS RELATED TO PROGRAM ACHIEVEMENT AND MANAGEMENT
RECOMMENDATIONS FOR FUTURE RESEARCH DIRECTIONS
1 Introduction
THE ARMY BREAST CANCER RESEARCH PROGRAM
CHARGE TO THE 1997 IOM COMMITTEE
RESOURCES AND METHODS USED FOR THIS REPORT
2 Breast Cancer: Biology and Medicine
INCIDENCE AND MORTALITY
STAGES OF BREAST CANCER DEVELOPMENT
BREAST CANCER GENETICS
OTHER RISK FACTORS
BREAST IMAGING, TREATMENT, AND PREVENTION
Breast Imaging
Treatment
Prevention
SOCIAL AND PSYCHOLOGICAL ASPECTS
3 Non-BCRP Support for Breast Cancer Research
PUBLISHED LITERATURE
FUNDING FROM THE FEDERAL GOVERNMENT
Non-BCRP Department of Defense Programs
Other Federal Entities (Excluding Department of Health and Human Services)
Department of Health and Human Services
The National Cancer Institute
Other NIH Institutes
Other DHHS Agencies
National Action Plan on Breast Cancer
THE CALIFORNIA BREAST CANCER RESEARCH PROGRAM
PRIVATE FOUNDATIONS
American Cancer Society
Susan G. Komen Foundation
Other Philanthropic Organizations
NATIONAL PROFESSIONAL ORGANIZATIONS AND SOCIETIES
PHARMACEUTICAL INDUSTRY
4 U.S. Army Breast Cancer Research Program
HISTORICAL OVERVIEW
IOM PROGRAMMATIC VISION (1993)
Two-Tiered Review Process
Program Administration and Management
BCRP IMPLEMENTATION, 1993-1996
Scientific Oversight.
The Integration Panel
Executive Committee
Programmatic Goals
THE REVIEW PROCESS
Tier 1: Scientific Peer Review
Tier 2: Programmatic Review
Consumer Participation
Award Negotiation and Processing
Monitoring and Evaluation of Progress
5 The Funded Portfolio of the 1993/1994 and 1995 BCRP Award Cycles
RESEARCH PROJECTS
INFRASTRUCTURE ENHANCEMENT
TRAINING AND RECRUITMENT
Breast Cancer Centers and Mammography/Breast Imaging Projects
Historically Black Colleges and Universities/Minority Institutions
Opportunities for Minorities and Women
FUNDING FOR PROGRAM ADMINISTRATION
DISTRIBUTION OF AWARDS AMONG RESEARCH AREAS
6 Critique
ORGANIZATIONAL STRUCTURE AND PROGRAM OVERSIGHT
APPLICATION PROCESS
SCIENTIFIC PEER REVIEW
PROGRAMMATIC REVIEW
AWARD NEGOTIATION AND PROCESSING
MONITORING AND EVALUATION OF PROGRESS
CONSUMER PARTICIPATION
FUNDED PORTFOLIO
7 Conclusions and Recommendations
Major Recommendations
Other Recommendations
References
APPENDIX A Individuals Who Provided Testimony to the Committee
USAMRMC
BCRP SUPPORT
BREAST CANCER FUNDING INSTITUTIONS
PEER REVIEW ORGANIZATIONS
BCRP EXECUTIVE SECRETARIES
CONSUMER ORGANIZATIONS/ADVOCACY GROUPS
INTEGRATION PANEL MEMBERS
OTHER IOM STAFF
APPENDIX B Individuals Who Provided Written Responses to Committee Questions
PROFESSIONAL SOCIETIES
EXECUTIVE SECRETARIES
CONSUMER GROUPS
APPENDIX C ''Dear Colleague" Letter
APPENDIX D Responses to "Dear Colleague" Letter
APPENDIX E Tissue Bank Letter and Questionnaire
Glossary and Acronyms
Biographical Sketches.
Notes:
Bibliographic Level Mode of Issuance: Monograph
Includes bibliographical references (p. 107-111).
ISBN:
9786610191444
9780309174565
0309174562
9781280191442
1280191449
9780309590525
0309590523
9780585002491
0585002495
OCLC:
42328535

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