Anneke T. Schroen, MD, MPH

Anneke T. Schroen, MD, MPH

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Health services research in oncology research and care

The Schroen research program focuses on health services research in breast oncology and complements her clinical activities in the surgical care of breast disease.  She recently completed studies evaluating the influence of patient distance to health services on treatment choices and tumor size at diagnosis. The first study evaluated the impact of distance to radiation therapy on mastectomy use among Virginia women with early stage breast cancer. This work was presented at the Society of Surgical Oncology and is currently in review at the Journal of Clinical Oncology. This work was performed in collaboration with Cancer Center investigators Drs. David Brenin, Craig Slingluff, and Maria Kelly. The second project assessed the relationship of travel distance to nearest mammography facility with tumor size at diagnosis for women in Virginia. These results have been submitted this year as an abstract to the San Antonio Breast Cancer Symposium. Both projects involved data from the Virginia Cancer Registry and geographical software support from the University of Virginia Geospatial and Statistical Data Center. A third, ongoing project uses a survey to explore practice patterns in U.S. general surgery practice in specific controversial areas in breast cancer care. This project is funded by the ACS-IRG grant.

A new direction in her research focus involves the evaluation of clinical trial accrual in the cooperative oncology trial group setting. A R01 grant proposal was submitted this year for a project seeking to identify factors predictive of clinical trial accrual success in order to improve clinical trial design and to establish benchmarks for clinical trial termination or redesign in the cooperative trial group setting performing phase III trials.