[Federal Register Volume 85, Number 228 (Wednesday, November 25, 2020)]
[Notices]
[Pages 75326-75327]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-26041]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Agency for Healthcare Research and Quality


Supplemental Evidence and Data Request on Models of Care That 
Include Primary Care for Adult Survivors of Childhood Cancer

AGENCY: Agency for Healthcare Research and Quality (AHRQ), HHS.

ACTION: Request for Supplemental Evidence and Data Submissions

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SUMMARY: The Agency for Healthcare Research and Quality (AHRQ) is 
seeking scientific information submissions from the public. Scientific 
information is being solicited to inform our review on Models of Care 
that Include Primary Care for Adult Survivors of Childhood Cancer, 
which is currently being conducted by the AHRQ's Evidence-based 
Practice Centers (EPC) Program. Access to published and unpublished 
pertinent scientific information will improve the quality of this 
review.

DATES: Submission Deadline on or before December 28, 2020.

ADDRESSES: 
    Email submissions: [email protected].
    Print submissions:
    Mailing Address: Center for Evidence and Practice Improvement, 
Agency for Healthcare Research and Quality, ATTN: EPC SEADs 
Coordinator, 5600 Fishers Lane, Mail Stop 06E53A, Rockville, MD 20857.
    Shipping Address (FedEx, UPS, etc.): Center for Evidence and 
Practice Improvement, Agency for Healthcare Research and Quality, ATTN: 
EPC SEADs Coordinator, 5600 Fishers Lane, Mail Stop 06E77D, Rockville, 
MD 20857.

FOR FURTHER INFORMATION CONTACT: Jenae Benns, Telephone: 301-427-1496 
or Email: [email protected].

SUPPLEMENTARY INFORMATION: The Agency for Healthcare Research and 
Quality has commissioned the Evidence-based Practice Centers (EPC) 
Program to complete a review of the evidence for Models of Care that 
Include Primary Care for Adult Survivors of Childhood Cancer. AHRQ is 
conducting this systematic review pursuant to Section 902 of the Public 
Health Service Act, 42 U.S.C. 299a.
    The EPC Program is dedicated to identifying as many studies as 
possible that are relevant to the questions for each of its reviews. In 
order to do so, we are supplementing the usual manual and electronic 
database searches of the literature by requesting information from the 
public (e.g., details of studies conducted). We are looking for studies 
that report on Models of Care that Include Primary Care for Adult 
Survivors of Childhood Cancer, including those that describe adverse 
events. The entire research protocol is available online at: https://effectivehealthcare.ahrq.gov/products/pediatric-adolescent-cancer-survivorship/protocol.
    This is to notify the public that the EPC Program would find the 
following information on Models of Care that Include Primary Care for 
Adult Survivors of Childhood Cancer helpful:
    [ssquf] A list of completed studies that your organization has 
sponsored for this indication. In the list, please indicate whether 
results are available on ClinicalTrials.gov along with the 
ClinicalTrials.gov trial number.
    [ssquf] For completed studies that do not have results on 
ClinicalTrials.gov, a summary, including the following elements: Study 
number, study period, design, methodology, indication and diagnosis, 
proper use instructions, inclusion and exclusion criteria, primary and 
secondary outcomes, baseline characteristics, number of patients 
screened/eligible/enrolled/lost to follow-up/withdrawn/analyzed, 
effectiveness/efficacy, and safety results.
    [ssquf] A list of ongoing studies that your organization has 
sponsored for this indication. In the list, please provide the 
ClinicalTrials.gov trial number or, if the trial is not registered, the 
protocol for the study including a study number, the study period, 
design, methodology, indication and diagnosis, proper use instructions, 
inclusion and exclusion criteria, and primary and secondary outcomes.
    [ssquf] Description of whether the above studies constitute ALL 
Phase II and above clinical trials sponsored by your organization for 
this indication and an index outlining the relevant information in each 
submitted file.
    Your contribution is very beneficial to the Program. Materials 
submitted must be publicly available or able to be made public. 
Materials that are considered confidential; marketing materials; study 
types not included in the review; or information on indications not 
included in the review cannot be used by the EPC Program. This is a 
voluntary request for information, and all costs for complying with 
this request must be borne by the submitter.
    The draft of this review will be posted on AHRQ's EPC Program 
website and available for public comment for a period of 4 weeks. If 
you would like to be notified when the draft is posted, please sign up 
for the email list at: https://www.effectivehealthcare.ahrq.gov/email-updates.
    The systematic review will answer the following questions. This 
information is provided as background. AHRQ is not requesting that the 
public provide answers to these questions.

Contextual and Key Questions

    We have developed contextual questions to guide our preliminary 
discussions with the stakeholders, as well as the specific review 
questions (or key questions) to be addressed.

Contextual Questions (CQ)

    CQ1. How is effectiveness defined and measured for survivorship 
care models for adult survivors of childhood cancer?
    CQ2. What are the models of survivorship care for adult survivors 
of childhood cancer?
    a. Which of these models include primary care?
    i. What is the evidence of effectiveness of the different models 
that include primary care?
    CQ3. What survivorship care resources are available for adult 
survivors of childhood cancer and their families?
    a. What are the intended outcomes of the different resources 
available for adult survivors of childhood cancer and their families?
    b. What is the evidence of effectiveness of the different resources 
available for adult survivors of childhood cancer and their families?
    c. What are the monetary costs to access these resources?

[[Page 75327]]

    CQ4. What survivorship care resources are available to providers 
who care for adult survivors of childhood cancer?
    a. What are the intended outcomes of the different resources 
available to care providers?
    b. What is the evidence of effectiveness of the different resources 
available to care providers?
    c. What are the monetary costs to access these resources?

Key Questions (KQs) for the Realist Review

    KQ1. For whom and under what circumstances could different 
survivorship care models for adult survivors of childhood cancer that 
include primary care be effective?
    a. What are the key mechanisms by which these models could be 
effective?
    b. What are important contexts that determine whether different 
mechanisms could be effective?
    KQ2. For whom and under what circumstances could different 
survivorship care resources for adult survivors of childhood cancer be 
effective in achieving their intended outcomes?
    a. For survivors and their families
    i. What are the key mechanisms by which these resources could lead 
to their intended outcome?
    ii. What are important contexts that determine whether different 
mechanisms could lead to outcomes?
    b. For care providers
    i. What are the key mechanisms by which these resources could lead 
to their intended outcome?
    ii. What are important contexts that determine whether different 
mechanisms could lead to outcomes?

PICOTS (Populations, Interventions, Comparators, Outcomes, Timing, 
Settings)

    We will adapt the PICOTS framework (populations, interventions, 
comparators, outcomes, timing, and setting) to inform our realist 
review. The PICOTS include but are not limited to the following.

Population(s)

 Adult survivors of childhood cancer (cancer diagnosed prior to 
age 21years old) with no evidence of clinical disease; and their 
families
 Care providers of adult survivors of childhood cancer

Interventions

 Models of childhood cancer survivorship care for use in adult 
survivors
    [cir] Models of childhood cancer survivorship care for use in adult 
survivors that include primary care
 Survivorship resources available to adult survivors of 
childhood cancer and their families
 Survivorship resources available to care providers of adult 
survivors of childhood cancer

Comparators

 Optional (will not require a comparison)

Outcomes

    List of outcomes will be informed by contextual questions but may 
include:

 Intermediate patient health outcomes
 Morbidity
 Mortality
 Relapse
 Quality of life
 Psychosocial outcomes
 Mental health outcomes
 Caregiver burden
 Satisfaction with care
 Educational attainment
 Adherence with care
 Cost and resource utilization
 Unintended consequences
 Additional burdens
 Late effects--new cancers, cardiac or respiratory issues, etc. 
from original treatment

Timing

 After the transition from childhood cancer care

Settings

 All care settings

    Dated: November 19, 2020.
Marquita Cullom,
Associate Director.
[FR Doc. 2020-26041 Filed 11-24-20; 8:45 am]
BILLING CODE 4160-90-P