Gynecologic cancer prevention and control in the National Comprehensive Cancer Control Program: progress, current activities, and future directions

Abstract

Gynecologic cancer confers a large burden among women in the United States. Several evidence-based interventions are available to reduce the incidence, morbidity, and mortality from these cancers. The National Comprehensive Cancer Control Program (NCCCP) is uniquely positioned to implement these interventions in the US population. This review discusses progress and future directions for the NCCCP in preventing and controlling gynecologic cancer.

FIG. 1.

Logic model for the National Comprehensive Cancer Control Program (NCCCP) (available at www.cdc.gov/cancer/ncccp/pdf/NCCCPLogicModel.pdf). †NCCCP grantee activities are aligned with recipient activities in the current funding agreement. §Assessment of the burden and conduct surveillance is done in collaboration/coordination with the National Program of Cancer Registries (NPCR). ¶Support of service delivery & utilization of clinical preventive services, including patient navigation, is done in collaboration/coordination the National Breast and Cervical Cancer Early Detection Program (NBCCEDP). ‡Priorities 1–4 are from reference . CCC, comprehensive cancer control. MAPPS, Media, Access, Point of decision information, Price, and Social support/services; USPSTF, United States Prevention Services Task Force; AHRQ, Agency for Healthcare Research and Quality; MMWR, Morbidity and Mortality Weekly Report; TCPs, Tobacco Control Programs; PDQ, Physician Data Query; IOM, Institute of Medicine; RTIPS, Research-Tested Interventions Program.

FIG. 2.

Recent trends in gynecologic cancer mortality in the United States, 1999–2009. Mortality is displayed as death rates per 100,000 women; all rates are age-adjusted to the 2000 US standard. Hispanic ethnicity is not mutually exclusive from race. Rates for vaginal and vulvar cancer among American Indian/Alaska Native women are suppressed due to fewer than 16 deaths. *Vaginal cancer rates among white and Hispanic populations are the same for 2008 and 2009. API, Asian/Pacific Islander; AI/AN, American Indian/Alaska Native.