Cancer is a leading cause of death in Kansas and the burden of cancer is formidable. More than 15,000 Kansans are diagnosed with cancer and approximately 5,500 die from the disease each year in a state with an adult population that numbers under 2 million. Kansas healthcare expenditures related to cancer diagnoses are estimated to be $1,213,000,000 annually, however the humanitarian costs are incalculable. In DP22-2202, Kansas Cancer Prevention and Control program will successfully implement the proposed program strategies and activities depending on existing agency staff expertise, including a state-wide strong network of cancer prevention collaborators, and efficient surveillance systems. As a result of the coordinated efforts by the Kansas Cancer prevention and control program, the overall cancer incidence rates decreased significantly from 487.5 to 449.2 cases per 100,000 persons during the period 2008-2017, and the overall mortality rates decreased significantly from 173.2 to 153.9 deaths per 100,000 persons during the same period. KDHE DP22-2202 proposal requests resources for coordinated population-based approaches across five strategies to inform policy, systems and environmental changes to decrease the burden of cancer in Kansas. The breast and cervical cancer screening and diagnostic (KS BC, Program One) component of the proposal conducts statewide screening for uninsured/low-income women, with evidence-based interventions and specialized events tailored to engage and serve communities and populations of focus who experience breast and cervical cancer disparities. The Comprehensive Cancer Control and Prevention (KS CCC, Program Two) component of the proposal supports the Kansas Cancer Partnership (KCP) and its network of regional cancer coalitions to implement state cancer plan priorities, ensure high quality screening services, and monitor cancer burden through surveillance activities. The Kansas Cancer Registry (KS NPCR, Program Thr
ee) component of the proposal will enhance the current capacity, maintenance, and further improvement in cancer surveillance, data modernization, use of cancer registry data for Kansas and in cancer prevention and control activities, and to provide a mechanism for reducing cancer burden disparities and advancement of clinical effectiveness using KS NPCR data. The proposed activities across the five strategies of the three KDHE’s DP22-2202 programs are woven together to increase the impact and reach of all three programs. This includes activities to enhance KS NPCR data quality, completeness, use, and dissemination; use surveillance systems and population-based surveys to assess cancer burden, examine health disparities, focus program efforts and inform efforts to address social determinants of health; and support partnerships for cancer control and prevention. The proposal has also included activities to deliver cancer screening and implementing evidence-based interventions (EBIs) in primary care clinics that serve populations impacted by health disparities, as well as activities to conduct program monitoring and evaluation to strengthen program processes and improve equitable outcomes. In addition, the KDHE Cancer Prevention and Control Program incorporated collaboration with the Kansas Colorectal Cancer Control and Prevention program (KS CRCCP) which focuses on implementing evidence-based interventions to increase CRC screening at the clinic level through a health systems approach. Moreover, the state-funded Palliative Care program will work in collaboration with the Cancer Prevention and Control program on cancer survivorship and palliative care education for providers and the public. In conclusion, KDHE relies on a legacy of successful implementation of a series of CDC cooperative agreements to execute the proposed DP22-2202 application activities that will effectively reduce cancer burden in the State of Kansas.