title: Walking forward: the South Dakota Native American project.
abstract: BACKGROUND
  The "Walking Forward" program is a scientific collaborative program between Rapid City Regional Hospital, the University of Wisconsin, the Mayo Clinic, and partnerships with the American Indian community in western South Dakota-3 reservations and 1 urban population. The purpose is to increase participation of health disparities populations on National Cancer Institute clinical trials as part of the Cancer Disparities Research Partnership program. Clinical practice suggests that Native American cancer patients present with more advanced stages of cancer and hence have lower cure rates and higher treatment-related morbidities. It is hypothesized that a conventional course of cancer treatment lasting 6 to 8 weeks may be a barrier.
  
  
  METHODS
  Innovative clinical trials have been developed to shorten the course of treatment. A molecular predisposition to treatment side effects is also explored. These clinical endeavors will be performed in conjunction with a patient navigator research program.
  
  
  CONCLUSIONS
  Research metrics include analysis of process, clinical trials participation, treatment outcome, and assessment of access to cancer care at an early stage of disease.
authors.affiliation: John T. Vucurevich Cancer Institute, Rapid City, SD 57701, USA. dpetereit@rcrh.org
authors.forename: Daniel G
authors.initials: DG
authors.lastname: Petereit
authors.forename: Deborah
authors.initials: D
authors.lastname: Rogers
authors.forename: Linda
authors.initials: L
authors.lastname: Burhansstipanov
authors.forename: Judith
authors.initials: J
authors.lastname: Kaur
authors.forename: Frank
authors.initials: F
authors.lastname: Govern
authors.forename: Steve P
authors.initials: SP
authors.lastname: Howard
authors.forename: Christen H
authors.initials: CH
authors.lastname: Osburn
authors.forename: C Norman
authors.initials: CN
authors.lastname: Coleman
authors.forename: Jack F
authors.initials: JF
authors.lastname: Fowler
authors.forename: Richard
authors.initials: R
authors.lastname: Chappell
authors.forename: Minesh P
authors.initials: MP
authors.lastname: Mehta
mesh_terms: D001943:Breast Neoplasms / Q000208:ethnology* / Q000532:radiotherapy; D002986:Clinical Trials as Topic / Q000379:methods*; D003256:Community Participation / Q000379:methods*; D003159:Community-Institutional Relations; D003466:Cultural Characteristics; D005260:Female; D006297:Health Services Accessibility / Q000458:organization & administration; D006801:Humans; D007198:Indians, North American; D008297:Male; D016730:Program Development; D011471:Prostatic Neoplasms / Q000208:ethnology* / Q000532:radiotherapy; D011787:Quality of Health Care; D012424:Rural Population; D013023:South Dakota / Q000453:epidemiology; D014505:Urban Population