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In 1999
the Texas Cancer Council allocated funding for the formulation of an Action
Plan on Colorectal Cancer for the State of Texas. The goal of the project
was to identify the education, prevention and support resources currently
available in the state and to recommend and prioritize those needing development,
to reduce the impact of colorectal cancer in Texas.

A dynamic committee
was assembled that included physicians from private and public healthcare
sectors, epidemiologists and behavioral science experts, representatives
from the Texas Department of Health and the American Cancer Society,
Texas Division, various non-physician healthcare professionals, public
affairs and media specialists, survivors and family members and featured
geographical representation from El Paso, Dallas, San Antonio, Lubbock,
Rio Grande Valley and West Texas. The committee was chaired by Bernard
Levin, M.D., Vice President for Cancer Prevention at The University
of Texas M. D. Anderson Cancer Center in Houston. Members included:
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Frank Ambriz,
P.A.-C.,
The University
of Texas Pan American,
Edinburg
Grace Butler,
Ph.D., survivor,
The University
of Houston,
Houston
Silvia Castañeda,
Healthbeat reporter,
KPRC-TV Channel
2,
Houston
Susan Cooley,
Ph.D., R.N., survivor,
Houston
Pearlie Fennell,
Ph.D.,
Texas Southern
University,
Houston
Jeff Hurley,
M.D.
Dallas
Nora JanJan,
M.D., Radiation Oncology,
U.T. M. D. Anderson
Cancer Center,
Houston
Constance Johnson,
R.N., Cancer Prevention,
U.T. M. D. Anderson
Cancer Center,
Houston
Rosalie Johnson,
R.N., C.E.T.N.,
Wound, Ostomy
& Continence,
U.T. M. D. Anderson
Cancer Center,
Houston
Jordan Lovy,
D.O.,
AmCare Health
Plans, Houston
Gayle McMorrow,
family member,
Houston
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Ann Marie Newman,
Associate Vice
President Diversity,
American Cancer
Society, Texas Division,
Austin
Kimberly Ridl,
M.D.,
The University
of Texas Medical Branch
Galveston
Catherine Ronaghan,
M.D., F.A.C.S.,
Texas Medical
Association,
Lubbock
Alison Ruffin,
Public Affairs
U.T. M. D. Anderson
Cancer Center,
Houston
Rolando Saenz,
M.D.,
San Antonio
Juanita Salinas,
Adult Health
Programs,
Texas Department
of Health,
Austin
Virginia Schneider,
P.A.-C.,
Director, Physician
Assistant Program,
Baylor College
of Medicine,
Houston
Roxanne Tyroch,
M.D.,
Texas Tech University
Health Sciences Center
El Paso
Sally W. Vernon,
Ph.D.,
The University
of Texas School of Public Health,
Houston
Laura Wood,
Harris County
Hospital District,
Houston
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Ex Officio:
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Gerald D. Dodd,
M.D.,
Diagnostic Radiology,
U.T. M. D. Anderson
Cancer Center,
Houston
Lewis Foxhall,
M.D.,
Referral Relations
Office,
U.T. M. D. Anderson
Cancer Center,
Houston
Sarah Tropman
Hawley, Ph.D.,
Baylor College
of Medicine,
Houston
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Harry Holmes,
Ph.D.,
Governmental
Affairs,
U.T. M. D. Anderson
Cancer Center,
Houston
Mickey L. Jacobs,
M.S.H.P.,
Executive Director,
Texas Cancer Council,
Austin
Alex Prokhorov,
M.D.,
Behavioral Science,
U.T. M. D. Anderson
Cancer Center,
Houston
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The initial planning
meeting for the project was held August 24, 1999. The full committee
was recruited by mid-October, and a project timeline was constructed
to convene three in-depth discussion sessions to address the many facets
of colorectal cancer in Texas, including prevention, screening and detection;
diagnosis and treatment; and rehabilitation, symptom control and palliative
care. Guest presenters contributed their expert perspectives to the
meetings. The Steering Committee identified a number of major issues
and proposed a range and variety of strategies.
In April and May
2000, the committee was reorganized into a number of smaller working
groups, to discuss in more depth the recommended goals and strategies
from specific points of view. They defined a number of needs more precisely
and designated priorities. In its fourth meeting the full committee
confirmed its recommendations formatted in alignment with the 1998 Texas
Cancer Plan.
The draft Action
Plan document was reviewed and revised by members of the Steering Committee
and Texas Cancer Council staff. The final printed document is scheduled
for distribution to healthcare professionals, educators, policy-makers
and opinion leaders, and for public posting on the World Wide Web, by
the end of summer. The committee will convene one more time in August
2000 to discuss implementation of its recommendations.
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Schedule
of Activities |
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November
30, 1999 |
Meeting
#1: Prevention & Early Detection |
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January 18,
2000
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Meeting
#2: Diagnosis & Treatment |
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March
27 |
Meeting
#3: Rehabilitation, Symptom Control & Palliative Care |
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April
to May |
Working
Group Discussions:
Service
Availability: Prevention, Screening & Diagnosis
Professional
Education
Patient
& Family Education
Public Information
Policy Development
& Enactment
Research
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June
9
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Meeting
#4: Review of
Action Plan Recommendations |
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June
15 |
Final
Plan to Texas Cancer Council for review |
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July
31 |
Plan
completed |
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August
15 |
Plan
distributed in hard copy and via Internet |
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August
15
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Meeting #5: Implementation in FY2001 |
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In addition to
the project Steering Committee, appreciation goes to the Texas Cancer
Council staff and the following people, all of whom contributed to the
successful completion of the Action Plan:
Carolyn G. Bernard,
Texas Cancer Data Center
Patricia Diana
Brooks, M.S., Texas Cancer Data Center
Eduardo Bruera,
M.D., U.T. M. D. Anderson Cancer Center
Nora Burkhalter,
U.T. M. D. Anderson Cancer Center
Vonna Caleb-Drayton,
Ph.D., Cancer Information Service
Linda Civallero,
Cancer Information Service
Charles Cleeland,
Ph.D., U.T. M. D. Anderson Cancer Center
Ken Condon, Texas
Department of Health
Lynn S. Couey,
New York State Department of Health
Rosanne L. Evans,
U.T. M. D. Anderson Cancer Center
Greg Fredo, Cancer
Information Service
Elizabeth Gammon,
C.P.A., U.T. M. D. Anderson Cancer Center
Carol J. Garlinghouse,
M.S.N., R.N.C., Michigan Department of Community Health
Gayle Harris, Texas
Medical Association
Lyone Hochman,
M.D., St. Lukes Episcopal Hospital
Nancy C. Lee, M.D.,
National Centers for Disease Control
Andrea Littlefield,
Breast and Cervical Cancer Control Program, Texas Department of Health
Susan Loehner,
Nurse Oncology Education Program
Susan Madigan,
R.N., U.T. M. D. Anderson Cancer Center
Gary Marsh, U.T.
M. D. Anderson Cancer Center
Andy Miller, M.H.S.E.,
C.H.E.S., Physician Oncology Education Program, Texas Medical Association
Mark Moreno, U.T.
M. D. Anderson Cancer Center
Beth Notzon, U.T.
M. D. Anderson Cancer Center
Billy U. Philips,
Jr., Ph.D., M.P.H., F.A.C.E., U.T. Medical Branch
David R. Risser,
Ph.D., M.P.H., Cancer Registry, Texas Department of Health
Porter Storey,
M.D., The Hospice at the Texas Medical Center
Claire Turney,
U.T. M. D. Anderson Cancer Center
Sadai Varghese,
U.T. M. D. Anderson Cancer Center
Jo Ann Ward, M.P.H.,
Cancer Information Service
Jane T. Williams,
M.S.N., R.N., C.S., F.N.P., O.C.N., U.T. M. D. Anderson Cancer Center
Martha Crosier
Wood, Massachusetts Department of Public Health
Jenny E. Young,
M.A., Texas Medical Association
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