title: Comparing the Maryland Comprehensive Cancer Control Plan With Federal Cancer Prevention and Control Recommendations.
abstract: BACKGROUND
  Since the introduction of the Affordable Care Act (ACA) in 2012, 11 million more Americans now have access to preventive services via health care coverage. Several prevention-related recommendations issued by the US Preventive Services Task Force (USPSTF), Centers for Disease Control and Prevention (CDC), and Advisory Committee on Immunization Practices (ACIP) are covered under the ACA. State cancer plans often provide prevention strategies, but whether these strategies correspond to federal evidence-based recommendations is unclear. The objective of this article is to assess whether federal evidence-based recommendations, including those covered under the ACA, are included in the Maryland Comprehensive Cancer Control Plan (MCCCP).
  
  
  METHODS
  A total of 19 federal recommendations pertaining to cancer prevention and control were identified. Inclusion of federal cancer-related recommendations by USPSTF, CDC, and ACIP in the MCCCP's goals, objectives, and strategies was examined.
  
  
  RESULTS
  Nine of the federal recommendations were issued after the MCCCP's publication. MCCCP recommendations corresponded completely with 4 federal recommendations and corresponded only partially with 3. Reasons for partial correspondence included specification of less restrictive at-risk populations or different intervention implementers. Three federal recommendations were not mentioned in the MCCCP's goals, objectives, and strategies.
  
  
  CONCLUSIONS
  Many cancer-related federal recommendations were released after the MCCCP's publication and therefore do not appear in the most current version. We recommend that the results of this analysis be considered in the update of the MCCCP. Our findings underscore the need for a periodic scan for changes to federal recommendations and for adjusting state policies and programs to correspond with federal recommendations, as appropriate for Marylanders.
authors.affiliation: National Cancer Institute, National Institutes of Health, 9609 Medical Center Dr, RM 3E-542, Bethesda, MD 20892-9712. Email: stephanie.fowler@nih.gov.
authors.forename: Stephanie L
authors.initials: SL
authors.lastname: Fowler
authors.affiliation: Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, and the Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, Maryland.
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Platz
authors.affiliation: Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
authors.forename: Marie
authors.initials: M
authors.lastname: Diener-West
authors.affiliation: Maryland Department of Health and Mental Hygiene, Center for Cancer Prevention and Control, Baltimore, Maryland.
authors.forename: Sarah
authors.initials: S
authors.lastname: Hokenmaier
authors.affiliation: Maryland Department of Health and Mental Hygiene, Center for Cancer Prevention and Control, Baltimore, Maryland.
authors.forename: Meredith
authors.initials: M
authors.lastname: Truss
authors.affiliation: Maryland Department of Health and Mental Hygiene, Center for Cancer Prevention and Control, Baltimore, Maryland.
authors.forename: Courtney
authors.initials: C
authors.lastname: Lewis
authors.affiliation: Department of Environmental Health Sciences, Johns Hopkins Bloomberg School of Public Health, and the Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, Maryland.
authors.forename: Norma F
authors.initials: NF
authors.lastname: Kanarek
mesh_terms: D026683:Advisory Committees; D002487:Centers for Disease Control and Prevention, U.S.; D003191:Comprehensive Health Care / Q000379:methods*; D055317:Evidence-Based Practice / Q000379:methods; D006077:Government Agencies; D019983:Guideline Adherence / Q000592:standards / Q000706:statistics & numerical data*; D006801:Humans; D017589:Immunization Programs / Q000592:standards; D008396:Maryland; D009369:Neoplasms / Q000517:prevention & control*; D009937:Organizational Objectives; D058991:Patient Protection and Affordable Care Act / Q000592:standards*; D055502:Secondary Prevention / Q000592:standards; D014481:United States