title: Cancer research network: using integrated healthcare delivery systems as platforms for cancer survivorship research.
abstract: BACKGROUND
  Much progress has been made in cancer survivorship research, but there are still many unanswered questions that can and need to be addressed by collaborative research consortia.
  
  
  METHODS
  Since 1999, the National Cancer Institute-funded HMO Cancer Research Network (CRN) has engaged in a wide variety of research focusing on cancer survivorship. With a focus on thematic topics in cancer survivorship, we describe how the CRN has contributed to research in cancer survivorship and the resources it offers for future collaborations.
  
  
  RESULTS
  We identified the following areas of cancer survivorship research: surveillance for and predictors of recurrences, health care delivery and care coordination, health care utilization and costs, psychosocial outcomes, cancer communication and decision making, late effects of cancer and its treatment, use of and adherence to adjuvant therapies, and lifestyle and behavioral interventions following cancer treatment.
  
  
  CONCLUSIONS
  With over a decade of experience using cancer data in community-based settings, the CRN investigators and their collaborators are poised to generate evidence in cancer survivorship research.
  
  
  CONCLUSIONS
  Collaborative research within these settings can improve the quality of care for cancer survivors within and beyond integrated health care delivery systems.
authors.affiliation: Department of Population Medicine Harvard Medical School/Harvard Pilgrim Health Care Institute Department of Medicine Harvard Vanguard Medical Associates, Boston, MA 02215, USA. Larissa_Nekhlyudov@harvardpilgrim.org
authors.forename: Larissa
authors.initials: L
authors.lastname: Nekhlyudov
authors.forename: Sarah M
authors.initials: SM
authors.lastname: Greene
authors.forename: Jessica
authors.initials: J
authors.lastname: Chubak
authors.forename: Borsika
authors.initials: B
authors.lastname: Rabin
authors.forename: Leah
authors.initials: L
authors.lastname: Tuzzio
authors.forename: Sharon
authors.initials: S
authors.lastname: Rolnick
authors.forename: Terry S
authors.initials: TS
authors.lastname: Field
mesh_terms: D003695:Delivery of Health Care; D019033:Delivery of Health Care, Integrated; D006801:Humans; D009369:Neoplasms / Q000401:mortality* / Q000628:therapy; D015996:Survival Rate; D057170:Translational Research, Biomedical / Q000458:organization & administration*