Cancer Care Delivery in Adolescent and Young Adult Patients With Acute Lymphoblastic Leukemia
Sponsor
Children's Oncology Group (Other)
Overall Status
Active, not recruiting
CT.gov ID
NCT03204916
Collaborator
National Cancer Institute (NCI) (NIH)
270
482
57.4
0.6
0
Study Details
Study Description
Brief Summary
This study investigates cancer care delivery in adolescent and young adult patients with acute lymphoblastic leukemia. Surveying institutions, evaluating delivery of care at the patient level and seeking input from healthcare providers may help doctors increase rates of adherence to National Comprehensive Cancer Network (NCCN) treatment guidelines. It may also improve care for adolescent and young adult patients with acute lymphoblastic leukemia.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
Detailed Description
PRIMARY OBJECTIVES:
-
To evaluate the proportion of adolescent and young adult (AYA) acute lymphoblastic leukemia (ALL) patients with a documented treatment plan consistent with NCCN guidelines for AYAs with ALL.
-
To evaluate the proportion of AYA ALL patients whose delivered treatment during induction and post-induction therapy (PIT) is consistent with NCCN guidelines for AYAs with ALL.
-
To determine the impact of treating physician specialty and facility type on likelihood of AYA ALL patients having a documented treatment plan concordant with NCCN guidelines when stratified by age group (15-17year[y], 18-21y, and 22-39y).
-
To determine the impact of treating physician specialty and facility type on the likelihood of AYA ALL patients receiving induction and post-induction therapy (PIT) concordant with NCCN guidelines when stratified by age group (15-17y, 18-21y, and 22-39y).
-
To identify for AYAs with ALL, targetable structure- and process-level barriers and facilitators which will increase the proportion of patients having a documented treatment plan and receiving treatment according to NCCN guidelines.
EXPLORATORY OBJECTIVE:
- To explore potential correlations with clinical and social demographic variables to the presence of a documented treatment plan and delivered treatment consistent with NCCN guidelines in AYAs with ALL.
OUTLINE:
CHART REVIEW: Patient medical record data is abstracted and treatment plans are reviewed for consistency to NCCN guidelines. For each patient, induction and post-induction care is recorded as either concordant with NCCN guidelines or non-concordant with NCCN guidelines.
SITE QUESTIONNAIRE: Participating sites complete a questionnaire which is designed to capture facility-oriented data.
FOCUS GROUPS: Healthcare providers participate in focus groups over 2-3 hours to discuss facilitators and barriers to AYA ALL guideline concordance. Participants provide responses which will be recorded on a flip-chart or white board, followed by discussion of the ideas for clarification.
Study Design
Study Type:
Observational
Actual Enrollment
:
270 participants
Observational Model:
Case-Only
Time Perspective:
Retrospective
Official Title:
Documentation and Delivery of Guideline-Consistent Treatment in Adolescent and Young Adult (AYA) Acute Lymphoblastic Leukemia (ALL)
Actual Study Start Date
:
Dec 18, 2017
Anticipated Primary Completion Date
:
Sep 30, 2022
Anticipated Study Completion Date
:
Sep 30, 2022
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Observational (cancer care delivery analysis) CHART REVIEW: Patient medical record data is abstracted and treatment plans are reviewed for consistency to NCCN guidelines. For each patient, induction and post-induction care is recorded as either concordant with NCCN guidelines or non-concordant with NCCN guidelines. SITE QUESTIONNAIRE: Participating sites complete a questionnaire which is designed to capture facility-oriented data. FOCUS GROUPS: Healthcare providers participate in focus groups over 2-3 hours to discuss facilitators and barriers to AYA ALL guideline concordance. Participants provide responses which will be recorded on a flip-chart or white board, followed by discussion of the ideas for clarification |
Behavioral: Discussion
Participate in focus group
Other Names:
Other: Medical Chart Review
Data abstraction and central review
Other Names:
Other: Questionnaire Administration
Complete questionnaire
|
Outcome Measures
Primary Outcome Measures
- Proportion of patients with a documented treatment plan concordant with National Comprehensive Cancer Network (NCCN) guidelines for adolescent and young adults with acute lymphoblastic leukemia [Overall evaluation window, an average of 12 weeks after start of treatment]
Primary analysis will describe the proportion of patients meeting this endpoint in overall evaluation window.
- Proportion of patients with a documented treatment plan concordant with National Comprehensive Cancer Network (NCCN) guidelines for adolescent and young adults with acute lymphoblastic leukemia [Induction evaluation window, an average of 4 weeks after start of treatment]
Primary analysis will describe the proportion of patients meeting this endpoint in induction evaluation window.
- Proportion of patients with a documented treatment plan concordant with National Comprehensive Cancer Network (NCCN) guidelines for adolescent and young adults with acute lymphoblastic leukemia [PIT evaluation window, an average of 8 weeks after induction]
Primary analysis will describe the proportion of patients in post-induction therapy (PIT) evaluation window.
- Proportion of patients whose delivered treatment in induction and two months of post-induction phase chemotherapy is consistent with National Comprehensive Cancer Network guidelines for adolescents and young adults with acute lymphoblastic leukemia [An average of 12 weeks after start of treatment]
Primary analysis will describe the proportion of patients meeting this endpoint.
- Proportion of patients with a documented treatment plan consistent with the National Comprehensive Cancer Network guidelines based upon primary physician type (pediatric oncology versus other) and facility type groups (children's hospital versus other) [An average of 12 weeks after start of treatment]
Descriptive analysis will be used to examine the differences in the proportion of patients with a documented treatment plan consistent with the NCCN guidelines and with induction and post-induction therapy delivered according to guidelines, between primary physician type (pediatric oncology vs. other) and facility type groups (children's hospital [CH] vs. other).
- Proportion of patients with induction and post-induction therapy delivered consistent with the National Comprehensive Cancer Network guidelines based upon primary physician type and facility type groups [An average of 12 weeks after start of treatment]
Descriptive analysis will be used to examine the differences in the proportion of patients with a documented treatment plan consistent with the NCCN guidelines and with induction and post-induction therapy delivered according to guidelines, between primary physician type (pediatric oncology vs. other) and facility type groups (CH vs. other).
- Facilitators and barriers ranked by importance to National Comprehensive Cancer Network guidelines for adolescent and young adults with acute lymphoblastic leukemia [Up to 6 focus groups, assessed up to 4 years]
These endpoints will be defined by the issues and language used by the participants during the focus groups. Will be descriptive in nature and employ thematic analysis.
Eligibility Criteria
Criteria
Ages Eligible for Study:
15 Years
to 39 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
Inclusion Criteria:
-
Newly diagnosed with either Ph- or Ph+ ALL between January 1st, 2012 and December 31st, 2016
-
Both diagnosed and initially treated at the participating National Cancer Institute Community Oncology Research Program (NCORP) institution during induction and post-induction therapy (PIT)
-
Aim 3: Healthcare professional currently employed at a participating NCORP institution
-
Eligible healthcare providers include but are not limited to: physicians, registered nurses (RNs), nurse practitioners, physician assistants, patient advocates, social workers, pharmacists and clinical research associates (CRAs)
-
Aim 3: Direct involvement in the care of AYA ALL patients
Exclusion Criteria:
-
Diagnosis of secondary ALL
-
Diagnosis of mixed lineage acute leukemia
-
Diagnosis of acute leukemia of ambiguous lineage (ALAL)
-
Diagnosis of Burkitt's leukemia
-
Transfer of care to another institution during induction or post-induction therapy (PIT)
-
Aim 3: Trainee
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Anchorage Associates in Radiation Medicine | Anchorage | Alaska | United States | 98508 |
| 2 | Alaska Breast Care and Surgery LLC | Anchorage | Alaska | United States | 99508 |
| 3 | Alaska Oncology and Hematology LLC | Anchorage | Alaska | United States | 99508 |
| 4 | Alaska Women's Cancer Care | Anchorage | Alaska | United States | 99508 |
| 5 | Anchorage Oncology Centre | Anchorage | Alaska | United States | 99508 |
| 6 | Katmai Oncology Group | Anchorage | Alaska | United States | 99508 |
| 7 | Providence Alaska Medical Center | Anchorage | Alaska | United States | 99508 |
| 8 | Fairbanks Memorial Hospital | Fairbanks | Alaska | United States | 99701 |
| 9 | Mercy Hospital Fort Smith | Fort Smith | Arkansas | United States | 72903 |
| 10 | CHI Saint Vincent Cancer Center Hot Springs | Hot Springs | Arkansas | United States | 71913 |
| 11 | Baptist Memorial Hospital and Fowler Family Cancer Center - Jonesboro | Jonesboro | Arkansas | United States | 72401 |
| 12 | Kaiser Permanente-Anaheim | Anaheim | California | United States | 92806 |
| 13 | Kaiser Permanente-Deer Valley Medical Center | Antioch | California | United States | 94531 |
| 14 | PCR Oncology | Arroyo Grande | California | United States | 93420 |
| 15 | Kaiser Permanente-Baldwin Park | Baldwin Park | California | United States | 91706 |
| 16 | Kaiser Permanente-Bellflower | Bellflower | California | United States | 90706 |
| 17 | Providence Saint Joseph Medical Center/Disney Family Cancer Center | Burbank | California | United States | 91505 |
| 18 | Kaiser Permanente Dublin | Dublin | California | United States | 94568 |
| 19 | Kaiser Permanente-Fontana | Fontana | California | United States | 92335 |
| 20 | Kaiser Permanente-Fremont | Fremont | California | United States | 94538 |
| 21 | Fresno Cancer Center | Fresno | California | United States | 93720 |
| 22 | Kaiser Permanente-Fresno | Fresno | California | United States | 93720 |
| 23 | Kaiser Permanente - Harbor City | Harbor City | California | United States | 90710 |
| 24 | Kaiser Permanente-Irvine | Irvine | California | United States | 92618 |
| 25 | Kaiser Permanente Los Angeles Medical Center | Los Angeles | California | United States | 90027 |
| 26 | Kaiser Permanente West Los Angeles | Los Angeles | California | United States | 90034 |
| 27 | Kaiser Permanente-Modesto | Modesto | California | United States | 95356 |
| 28 | UCSF Benioff Children's Hospital Oakland | Oakland | California | United States | 94609 |
| 29 | Kaiser Permanente Oakland-Broadway | Oakland | California | United States | 94611 |
| 30 | Kaiser Permanente-Oakland | Oakland | California | United States | 94611 |
| 31 | Kaiser Permanente-Ontario | Ontario | California | United States | 91761 |
| 32 | Kaiser Permanente - Panorama City | Panorama City | California | United States | 91402 |
| 33 | Kaiser Permanente-Rancho Cordova Cancer Center | Rancho Cordova | California | United States | 95670 |
| 34 | Kaiser Permanente-Redwood City | Redwood City | California | United States | 94063 |
| 35 | Kaiser Permanente-Richmond | Richmond | California | United States | 94801 |
| 36 | Kaiser Permanente-Riverside | Riverside | California | United States | 92505 |
| 37 | Rohnert Park Cancer Center | Rohnert Park | California | United States | 94928 |
| 38 | Kaiser Permanente-Roseville | Roseville | California | United States | 95661 |
| 39 | The Permanente Medical Group-Roseville Radiation Oncology | Roseville | California | United States | 95678 |
| 40 | Kaiser Permanente Downtown Commons | Sacramento | California | United States | 95814 |
| 41 | Kaiser Permanente-South Sacramento | Sacramento | California | United States | 95823 |
| 42 | South Sacramento Cancer Center | Sacramento | California | United States | 95823 |
| 43 | Kaiser Permanente - Sacramento | Sacramento | California | United States | 95825 |
| 44 | Kaiser Permanente-San Diego Mission | San Diego | California | United States | 92108 |
| 45 | Kaiser Permanente-San Diego Zion | San Diego | California | United States | 92120 |
| 46 | Kaiser Permanente-San Francisco | San Francisco | California | United States | 94115 |
| 47 | Kaiser Permanente-Santa Teresa-San Jose | San Jose | California | United States | 95119 |
| 48 | Kaiser Permanente-San Marcos | San Marcos | California | United States | 92078 |
| 49 | Kaiser Permanente-San Rafael | San Rafael | California | United States | 94903 |
| 50 | Kaiser San Rafael-Gallinas | San Rafael | California | United States | 94903 |
| 51 | Kaiser Permanente Medical Center - Santa Clara | Santa Clara | California | United States | 95051 |
| 52 | Kaiser Permanente-Santa Rosa | Santa Rosa | California | United States | 95403 |
| 53 | Kaiser Permanente Cancer Treatment Center | South San Francisco | California | United States | 94080 |
| 54 | Kaiser Permanente-South San Francisco | South San Francisco | California | United States | 94080 |
| 55 | Kaiser Permanente-Stockton | Stockton | California | United States | 95210 |
| 56 | Kaiser Permanente Medical Center-Vacaville | Vacaville | California | United States | 95688 |
| 57 | Kaiser Permanente-Vallejo | Vallejo | California | United States | 94589 |
| 58 | Kaiser Permanente-Walnut Creek | Walnut Creek | California | United States | 94596 |
| 59 | Kaiser Permanente-Woodland Hills | Woodland Hills | California | United States | 91367 |
| 60 | Rocky Mountain Cancer Centers-Aurora | Aurora | Colorado | United States | 80012 |
| 61 | The Medical Center of Aurora | Aurora | Colorado | United States | 80012 |
| 62 | Boulder Community Hospital | Boulder | Colorado | United States | 80301 |
| 63 | Boulder Community Foothills Hospital | Boulder | Colorado | United States | 80303 |
| 64 | Rocky Mountain Cancer Centers-Boulder | Boulder | Colorado | United States | 80304 |
| 65 | Penrose-Saint Francis Healthcare | Colorado Springs | Colorado | United States | 80907 |
| 66 | Rocky Mountain Cancer Centers-Penrose | Colorado Springs | Colorado | United States | 80907 |
| 67 | Cancer Center of Colorado at Sloan's Lake | Denver | Colorado | United States | 80204 |
| 68 | Denver Health Medical Center | Denver | Colorado | United States | 80204 |
| 69 | National Jewish Health-Main Campus | Denver | Colorado | United States | 80206 |
| 70 | The Women's Imaging Center | Denver | Colorado | United States | 80209 |
| 71 | Porter Adventist Hospital | Denver | Colorado | United States | 80210 |
| 72 | Colorado Blood Cancer Institute | Denver | Colorado | United States | 80218 |
| 73 | Presbyterian - Saint Lukes Medical Center - Health One | Denver | Colorado | United States | 80218 |
| 74 | Rocky Mountain Cancer Centers-Midtown | Denver | Colorado | United States | 80218 |
| 75 | SCL Health Saint Joseph Hospital | Denver | Colorado | United States | 80218 |
| 76 | Rocky Mountain Cancer Centers-Rose | Denver | Colorado | United States | 80220 |
| 77 | Rose Medical Center | Denver | Colorado | United States | 80220 |
| 78 | Western Surgical Care | Denver | Colorado | United States | 80220 |
| 79 | Mercy Medical Center | Durango | Colorado | United States | 81301 |
| 80 | Southwest Oncology PC | Durango | Colorado | United States | 81301 |
| 81 | Mountain Blue Cancer Care Center - Swedish | Englewood | Colorado | United States | 80113 |
| 82 | Swedish Medical Center | Englewood | Colorado | United States | 80113 |
| 83 | Mountain Blue Cancer Care Center | Golden | Colorado | United States | 80401 |
| 84 | National Jewish Health-Western Hematology Oncology | Golden | Colorado | United States | 80401 |
| 85 | Saint Mary's Hospital and Regional Medical Center | Grand Junction | Colorado | United States | 81501 |
| 86 | North Colorado Medical Center | Greeley | Colorado | United States | 80631 |
| 87 | Good Samaritan Medical Center | Lafayette | Colorado | United States | 80026 |
| 88 | Rocky Mountain Cancer Centers-Lakewood | Lakewood | Colorado | United States | 80228 |
| 89 | Saint Anthony Hospital | Lakewood | Colorado | United States | 80228 |
| 90 | Rocky Mountain Cancer Centers-Littleton | Littleton | Colorado | United States | 80120 |
| 91 | Littleton Adventist Hospital | Littleton | Colorado | United States | 80122 |
| 92 | Rocky Mountain Cancer Centers-Sky Ridge | Lone Tree | Colorado | United States | 80124 |
| 93 | Sky Ridge Medical Center | Lone Tree | Colorado | United States | 80124 |
| 94 | Longmont United Hospital | Longmont | Colorado | United States | 80501 |
| 95 | Rocky Mountain Cancer Centers-Longmont | Longmont | Colorado | United States | 80501 |
| 96 | McKee Medical Center | Loveland | Colorado | United States | 80539 |
| 97 | Parker Adventist Hospital | Parker | Colorado | United States | 80138 |
| 98 | Rocky Mountain Cancer Centers-Parker | Parker | Colorado | United States | 80138 |
| 99 | Saint Mary Corwin Medical Center | Pueblo | Colorado | United States | 81004 |
| 100 | Rocky Mountain Cancer Centers - Pueblo | Pueblo | Colorado | United States | 81008 |
| 101 | National Jewish Health-Northern Hematology Oncology | Thornton | Colorado | United States | 80260 |
| 102 | Rocky Mountain Cancer Centers-Thornton | Thornton | Colorado | United States | 80260 |
| 103 | SCL Health Lutheran Medical Center | Wheat Ridge | Colorado | United States | 80033 |
| 104 | Beebe Medical Center | Lewes | Delaware | United States | 19958 |
| 105 | Delaware Clinical and Laboratory Physicians PA | Newark | Delaware | United States | 19713 |
| 106 | Helen F Graham Cancer Center | Newark | Delaware | United States | 19713 |
| 107 | Medical Oncology Hematology Consultants PA | Newark | Delaware | United States | 19713 |
| 108 | Christiana Care Health System-Christiana Hospital | Newark | Delaware | United States | 19718 |
| 109 | Beebe Health Campus | Rehoboth Beach | Delaware | United States | 19971 |
| 110 | TidalHealth Nanticoke / Allen Cancer Center | Seaford | Delaware | United States | 19973 |
| 111 | Christiana Care Health System-Wilmington Hospital | Wilmington | Delaware | United States | 19801 |
| 112 | Alfred I duPont Hospital for Children | Wilmington | Delaware | United States | 19803 |
| 113 | Holy Cross Hospital | Fort Lauderdale | Florida | United States | 33308 |
| 114 | Golisano Children's Hospital of Southwest Florida | Fort Myers | Florida | United States | 33908 |
| 115 | Memorial Regional Hospital/Joe DiMaggio Children's Hospital | Hollywood | Florida | United States | 33021 |
| 116 | Nemours Children's Clinic-Jacksonville | Jacksonville | Florida | United States | 32207 |
| 117 | Nemours Children's Hospital | Orlando | Florida | United States | 32827 |
| 118 | Saint Joseph's Hospital/Children's Hospital-Tampa | Tampa | Florida | United States | 33607 |
| 119 | Northside Hospital | Atlanta | Georgia | United States | 30342 |
| 120 | Augusta University Medical Center | Augusta | Georgia | United States | 30912 |
| 121 | Hawaii Cancer Care - Savio | 'Aiea | Hawaii | United States | 96701 |
| 122 | Pali Momi Medical Center | 'Aiea | Hawaii | United States | 96701 |
| 123 | Queen's Cancer Center - Pearlridge | 'Aiea | Hawaii | United States | 96701 |
| 124 | The Cancer Center of Hawaii-Pali Momi | 'Aiea | Hawaii | United States | 96701 |
| 125 | Hawaii Cancer Care Inc - Waterfront Plaza | Honolulu | Hawaii | United States | 96813 |
| 126 | Island Urology | Honolulu | Hawaii | United States | 96813 |
| 127 | Queen's Cancer Cenrer - POB I | Honolulu | Hawaii | United States | 96813 |
| 128 | Queen's Medical Center | Honolulu | Hawaii | United States | 96813 |
| 129 | Straub Clinic and Hospital | Honolulu | Hawaii | United States | 96813 |
| 130 | University of Hawaii Cancer Center | Honolulu | Hawaii | United States | 96813 |
| 131 | Hawaii Cancer Care Inc-Liliha | Honolulu | Hawaii | United States | 96817 |
| 132 | Kuakini Medical Center | Honolulu | Hawaii | United States | 96817 |
| 133 | Queen's Cancer Center - Kuakini | Honolulu | Hawaii | United States | 96817 |
| 134 | The Cancer Center of Hawaii-Liliha | Honolulu | Hawaii | United States | 96817 |
| 135 | Kaiser Permanente Moanalua Medical Center | Honolulu | Hawaii | United States | 96819 |
| 136 | Kapiolani Medical Center for Women and Children | Honolulu | Hawaii | United States | 96826 |
| 137 | Wilcox Memorial Hospital and Kauai Medical Clinic | Lihue | Hawaii | United States | 96766 |
| 138 | Saint Alphonsus Cancer Care Center-Boise | Boise | Idaho | United States | 83706 |
| 139 | Saint Luke's Cancer Institute - Boise | Boise | Idaho | United States | 83712 |
| 140 | Saint Alphonsus Cancer Care Center-Caldwell | Caldwell | Idaho | United States | 83605 |
| 141 | Walter Knox Memorial Hospital | Emmett | Idaho | United States | 83617 |
| 142 | Saint Luke's Cancer Institute - Fruitland | Fruitland | Idaho | United States | 83619 |
| 143 | Idaho Urologic Institute-Meridian | Meridian | Idaho | United States | 83642 |
| 144 | Saint Luke's Cancer Institute - Meridian | Meridian | Idaho | United States | 83642 |
| 145 | Saint Alphonsus Medical Center-Nampa | Nampa | Idaho | United States | 83686 |
| 146 | Saint Luke's Cancer Institute - Nampa | Nampa | Idaho | United States | 83686 |
| 147 | Saint Luke's Cancer Institute - Twin Falls | Twin Falls | Idaho | United States | 83301 |
| 148 | Illinois CancerCare-Bloomington | Bloomington | Illinois | United States | 61704 |
| 149 | Illinois CancerCare-Canton | Canton | Illinois | United States | 61520 |
| 150 | Memorial Hospital of Carbondale | Carbondale | Illinois | United States | 62902 |
| 151 | SIH Cancer Institute | Carterville | Illinois | United States | 62918 |
| 152 | Illinois CancerCare-Carthage | Carthage | Illinois | United States | 62321 |
| 153 | Centralia Oncology Clinic | Centralia | Illinois | United States | 62801 |
| 154 | John H Stroger Jr Hospital of Cook County | Chicago | Illinois | United States | 60612 |
| 155 | Cancer Care Specialists of Illinois - Decatur | Decatur | Illinois | United States | 62526 |
| 156 | Decatur Memorial Hospital | Decatur | Illinois | United States | 62526 |
| 157 | Illinois CancerCare-Dixon | Dixon | Illinois | United States | 61021 |
| 158 | Crossroads Cancer Center | Effingham | Illinois | United States | 62401 |
| 159 | Illinois CancerCare-Eureka | Eureka | Illinois | United States | 61530 |
| 160 | Illinois CancerCare-Galesburg | Galesburg | Illinois | United States | 61401 |
| 161 | Western Illinois Cancer Treatment Center | Galesburg | Illinois | United States | 61401 |
| 162 | Illinois CancerCare-Kewanee Clinic | Kewanee | Illinois | United States | 61443 |
| 163 | Illinois CancerCare-Macomb | Macomb | Illinois | United States | 61455 |
| 164 | Cancer Care Center of O'Fallon | O'Fallon | Illinois | United States | 62269 |
| 165 | Illinois CancerCare-Ottawa Clinic | Ottawa | Illinois | United States | 61350 |
| 166 | Illinois CancerCare-Pekin | Pekin | Illinois | United States | 61554 |
| 167 | Illinois CancerCare-Peoria | Peoria | Illinois | United States | 61615 |
| 168 | Methodist Medical Center of Illinois | Peoria | Illinois | United States | 61636 |
| 169 | Illinois CancerCare-Peru | Peru | Illinois | United States | 61354 |
| 170 | Valley Radiation Oncology | Peru | Illinois | United States | 61354 |
| 171 | Illinois CancerCare-Princeton | Princeton | Illinois | United States | 61356 |
| 172 | Southern Illinois University School of Medicine | Springfield | Illinois | United States | 62702 |
| 173 | Springfield Clinic | Springfield | Illinois | United States | 62702 |
| 174 | Memorial Medical Center | Springfield | Illinois | United States | 62781 |
| 175 | Southwest Illinois Health Services LLP | Swansea | Illinois | United States | 62226 |
| 176 | Medical Oncology and Hematology Associates-West Des Moines | Clive | Iowa | United States | 50325 |
| 177 | Mercy Cancer Center-West Lakes | Clive | Iowa | United States | 50325 |
| 178 | Alegent Health Mercy Hospital | Council Bluffs | Iowa | United States | 51503 |
| 179 | Greater Regional Medical Center | Creston | Iowa | United States | 50801 |
| 180 | Blank Children's Hospital | Des Moines | Iowa | United States | 50309 |
| 181 | Iowa Methodist Medical Center | Des Moines | Iowa | United States | 50309 |
| 182 | Medical Oncology and Hematology Associates-Des Moines | Des Moines | Iowa | United States | 50309 |
| 183 | Medical Oncology and Hematology Associates-Laurel | Des Moines | Iowa | United States | 50314 |
| 184 | Mercy Medical Center - Des Moines | Des Moines | Iowa | United States | 50314 |
| 185 | Iowa Lutheran Hospital | Des Moines | Iowa | United States | 50316 |
| 186 | Mercy Medical Center-West Lakes | West Des Moines | Iowa | United States | 50266 |
| 187 | Flaget Memorial Hospital | Bardstown | Kentucky | United States | 40004 |
| 188 | Commonwealth Cancer Center-Corbin | Corbin | Kentucky | United States | 40701 |
| 189 | Saint Joseph Radiation Oncology Resource Center | Lexington | Kentucky | United States | 40504 |
| 190 | Saint Joseph Hospital East | Lexington | Kentucky | United States | 40509 |
| 191 | Saint Joseph London | London | Kentucky | United States | 40741 |
| 192 | Jewish Hospital | Louisville | Kentucky | United States | 40202 |
| 193 | Saints Mary and Elizabeth Hospital | Louisville | Kentucky | United States | 40215 |
| 194 | UofL Health Medical Center Northeast | Louisville | Kentucky | United States | 40245 |
| 195 | Jewish Hospital Medical Center South | Shepherdsville | Kentucky | United States | 40165 |
| 196 | Children's Hospital New Orleans | New Orleans | Louisiana | United States | 70118 |
| 197 | Ochsner Medical Center Jefferson | New Orleans | Louisiana | United States | 70121 |
| 198 | Mercy Medical Center | Springfield | Massachusetts | United States | 01104 |
| 199 | Saint Joseph Mercy Hospital | Ann Arbor | Michigan | United States | 48106 |
| 200 | Bronson Battle Creek | Battle Creek | Michigan | United States | 49017 |
| 201 | IHA Hematology Oncology Consultants-Brighton | Brighton | Michigan | United States | 48114 |
| 202 | Saint Joseph Mercy Brighton | Brighton | Michigan | United States | 48114 |
| 203 | IHA Hematology Oncology Consultants-Canton | Canton | Michigan | United States | 48188 |
| 204 | Saint Joseph Mercy Canton | Canton | Michigan | United States | 48188 |
| 205 | Caro Cancer Center | Caro | Michigan | United States | 48723 |
| 206 | IHA Hematology Oncology Consultants-Chelsea | Chelsea | Michigan | United States | 48118 |
| 207 | Saint Joseph Mercy Chelsea | Chelsea | Michigan | United States | 48118 |
| 208 | Hematology Oncology Consultants-Clarkston | Clarkston | Michigan | United States | 48346 |
| 209 | Newland Medical Associates-Clarkston | Clarkston | Michigan | United States | 48346 |
| 210 | Ascension Saint John Hospital | Detroit | Michigan | United States | 48236 |
| 211 | Great Lakes Cancer Management Specialists-Doctors Park | East China Township | Michigan | United States | 48054 |
| 212 | Green Bay Oncology - Escanaba | Escanaba | Michigan | United States | 49829 |
| 213 | Genesee Cancer and Blood Disease Treatment Center | Flint | Michigan | United States | 48503 |
| 214 | Genesee Hematology Oncology PC | Flint | Michigan | United States | 48503 |
| 215 | Genesys Hurley Cancer Institute | Flint | Michigan | United States | 48503 |
| 216 | Hurley Medical Center | Flint | Michigan | United States | 48503 |
| 217 | Helen DeVos Children's Hospital at Spectrum Health | Grand Rapids | Michigan | United States | 49503 |
| 218 | Mercy Health Saint Mary's | Grand Rapids | Michigan | United States | 49503 |
| 219 | Spectrum Health at Butterworth Campus | Grand Rapids | Michigan | United States | 49503 |
| 220 | Academic Hematology Oncology Specialists | Grosse Pointe Woods | Michigan | United States | 48236 |
| 221 | Great Lakes Cancer Management Specialists-Van Elslander Cancer Center | Grosse Pointe Woods | Michigan | United States | 48236 |
| 222 | Michigan Breast Specialists-Grosse Pointe Woods | Grosse Pointe Woods | Michigan | United States | 48236 |
| 223 | Bronson Methodist Hospital | Kalamazoo | Michigan | United States | 49007 |
| 224 | West Michigan Cancer Center | Kalamazoo | Michigan | United States | 49007 |
| 225 | Borgess Medical Center | Kalamazoo | Michigan | United States | 49048 |
| 226 | Sparrow Hospital | Lansing | Michigan | United States | 48912 |
| 227 | Hope Cancer Clinic | Livonia | Michigan | United States | 48154 |
| 228 | Saint Mary Mercy Hospital | Livonia | Michigan | United States | 48154 |
| 229 | Great Lakes Cancer Management Specialists-Macomb Medical Campus | Macomb | Michigan | United States | 48044 |
| 230 | Michigan Breast Specialists-Macomb Township | Macomb | Michigan | United States | 48044 |
| 231 | Saint Mary's Oncology/Hematology Associates of Marlette | Marlette | Michigan | United States | 48453 |
| 232 | Mercy Health Mercy Campus | Muskegon | Michigan | United States | 49444 |
| 233 | Lakeland Hospital Niles | Niles | Michigan | United States | 49120 |
| 234 | 21st Century Oncology-Pontiac | Pontiac | Michigan | United States | 48341 |
| 235 | Hope Cancer Center | Pontiac | Michigan | United States | 48341 |
| 236 | Newland Medical Associates-Pontiac | Pontiac | Michigan | United States | 48341 |
| 237 | Saint Joseph Mercy Oakland | Pontiac | Michigan | United States | 48341 |
| 238 | Lake Huron Medical Center | Port Huron | Michigan | United States | 48060 |
| 239 | Spectrum Health Reed City Hospital | Reed City | Michigan | United States | 49677 |
| 240 | Great Lakes Cancer Management Specialists-Rochester Hills | Rochester Hills | Michigan | United States | 48309 |
| 241 | Ascension Saint Mary's Hospital | Saginaw | Michigan | United States | 48601 |
| 242 | Oncology Hematology Associates of Saginaw Valley PC | Saginaw | Michigan | United States | 48604 |
| 243 | Lakeland Medical Center Saint Joseph | Saint Joseph | Michigan | United States | 49085 |
| 244 | Marie Yeager Cancer Center | Saint Joseph | Michigan | United States | 49085 |
| 245 | Bhadresh Nayak MD PC-Sterling Heights | Sterling Heights | Michigan | United States | 48312 |
| 246 | Ascension Saint Joseph Hospital | Tawas City | Michigan | United States | 48764 |
| 247 | Munson Medical Center | Traverse City | Michigan | United States | 49684 |
| 248 | Advanced Breast Care Center PLLC | Warren | Michigan | United States | 48088 |
| 249 | Great Lakes Cancer Management Specialists-Macomb Professional Building | Warren | Michigan | United States | 48093 |
| 250 | Macomb Hematology Oncology PC | Warren | Michigan | United States | 48093 |
| 251 | Michigan Breast Specialists-Warren | Warren | Michigan | United States | 48093 |
| 252 | Saint John Macomb-Oakland Hospital | Warren | Michigan | United States | 48093 |
| 253 | Saint Mary's Oncology/Hematology Associates of West Branch | West Branch | Michigan | United States | 48661 |
| 254 | Metro Health Hospital | Wyoming | Michigan | United States | 49519 |
| 255 | Huron Gastroenterology PC | Ypsilanti | Michigan | United States | 48106 |
| 256 | IHA Hematology Oncology Consultants-Ann Arbor | Ypsilanti | Michigan | United States | 48197 |
| 257 | Essentia Health Saint Joseph's Medical Center | Brainerd | Minnesota | United States | 56401 |
| 258 | Fairview Ridges Hospital | Burnsville | Minnesota | United States | 55337 |
| 259 | Cambridge Medical Center | Cambridge | Minnesota | United States | 55008 |
| 260 | Mercy Hospital | Coon Rapids | Minnesota | United States | 55433 |
| 261 | Essentia Health - Deer River Clinic | Deer River | Minnesota | United States | 56636 |
| 262 | Essentia Health Saint Mary's - Detroit Lakes Clinic | Detroit Lakes | Minnesota | United States | 56501 |
| 263 | Essentia Health Cancer Center | Duluth | Minnesota | United States | 55805 |
| 264 | Essentia Health Saint Mary's Medical Center | Duluth | Minnesota | United States | 55805 |
| 265 | Miller-Dwan Hospital | Duluth | Minnesota | United States | 55805 |
| 266 | Fairview Southdale Hospital | Edina | Minnesota | United States | 55435 |
| 267 | Lake Region Healthcare Corporation-Cancer Care | Fergus Falls | Minnesota | United States | 56537 |
| 268 | Essentia Health - Fosston | Fosston | Minnesota | United States | 56542 |
| 269 | Unity Hospital | Fridley | Minnesota | United States | 55432 |
| 270 | Essentia Health Hibbing Clinic | Hibbing | Minnesota | United States | 55746 |
| 271 | Fairview Clinics and Surgery Center Maple Grove | Maple Grove | Minnesota | United States | 55369 |
| 272 | Minnesota Oncology Hematology PA-Maplewood | Maplewood | Minnesota | United States | 55109 |
| 273 | Saint John's Hospital - Healtheast | Maplewood | Minnesota | United States | 55109 |
| 274 | Abbott-Northwestern Hospital | Minneapolis | Minnesota | United States | 55407 |
| 275 | Hennepin County Medical Center | Minneapolis | Minnesota | United States | 55415 |
| 276 | Health Partners Inc | Minneapolis | Minnesota | United States | 55454 |
| 277 | Monticello Cancer Center | Monticello | Minnesota | United States | 55362 |
| 278 | New Ulm Medical Center | New Ulm | Minnesota | United States | 56073 |
| 279 | Essentia Health - Park Rapids | Park Rapids | Minnesota | United States | 56470 |
| 280 | Fairview Northland Medical Center | Princeton | Minnesota | United States | 55371 |
| 281 | North Memorial Medical Health Center | Robbinsdale | Minnesota | United States | 55422 |
| 282 | Park Nicollet Clinic - Saint Louis Park | Saint Louis Park | Minnesota | United States | 55416 |
| 283 | Regions Hospital | Saint Paul | Minnesota | United States | 55101 |
| 284 | United Hospital | Saint Paul | Minnesota | United States | 55102 |
| 285 | Essentia Health Sandstone | Sandstone | Minnesota | United States | 55072 |
| 286 | Saint Francis Regional Medical Center | Shakopee | Minnesota | United States | 55379 |
| 287 | Lakeview Hospital | Stillwater | Minnesota | United States | 55082 |
| 288 | Essentia Health Virginia Clinic | Virginia | Minnesota | United States | 55792 |
| 289 | Ridgeview Medical Center | Waconia | Minnesota | United States | 55387 |
| 290 | Rice Memorial Hospital | Willmar | Minnesota | United States | 56201 |
| 291 | Minnesota Oncology Hematology PA-Woodbury | Woodbury | Minnesota | United States | 55125 |
| 292 | Fairview Lakes Medical Center | Wyoming | Minnesota | United States | 55092 |
| 293 | Baptist Memorial Hospital and Cancer Center-Golden Triangle | Columbus | Mississippi | United States | 39705 |
| 294 | Baptist Cancer Center-Grenada | Grenada | Mississippi | United States | 38901 |
| 295 | Baptist Memorial Hospital and Cancer Center-Union County | New Albany | Mississippi | United States | 38652 |
| 296 | Baptist Memorial Hospital and Cancer Center-Oxford | Oxford | Mississippi | United States | 38655 |
| 297 | Baptist Memorial Hospital and Cancer Center-Desoto | Southhaven | Mississippi | United States | 38671 |
| 298 | Parkland Health Center-Bonne Terre | Bonne Terre | Missouri | United States | 63628 |
| 299 | Saint Francis Medical Center | Cape Girardeau | Missouri | United States | 63703 |
| 300 | Southeast Cancer Center | Cape Girardeau | Missouri | United States | 63703 |
| 301 | Parkland Health Center - Farmington | Farmington | Missouri | United States | 63640 |
| 302 | Capital Region Southwest Campus | Jefferson City | Missouri | United States | 65109 |
| 303 | Saint Louis Cancer and Breast Institute-South City | Saint Louis | Missouri | United States | 63109 |
| 304 | Mercy Hospital South | Saint Louis | Missouri | United States | 63128 |
| 305 | Missouri Baptist Medical Center | Saint Louis | Missouri | United States | 63131 |
| 306 | Mercy Hospital Saint Louis | Saint Louis | Missouri | United States | 63141 |
| 307 | Sainte Genevieve County Memorial Hospital | Sainte Genevieve | Missouri | United States | 63670 |
| 308 | CoxHealth South Hospital | Springfield | Missouri | United States | 65807 |
| 309 | Missouri Baptist Sullivan Hospital | Sullivan | Missouri | United States | 63080 |
| 310 | Missouri Baptist Outpatient Center-Sunset Hills | Sunset Hills | Missouri | United States | 63127 |
| 311 | Saint Vincent Healthcare | Billings | Montana | United States | 59101 |
| 312 | Saint Vincent Frontier Cancer Center | Billings | Montana | United States | 59102 |
| 313 | Saint James Community Hospital and Cancer Treatment Center | Butte | Montana | United States | 59701 |
| 314 | Saint Patrick Hospital - Community Hospital | Missoula | Montana | United States | 59802 |
| 315 | CHI Health Saint Francis | Grand Island | Nebraska | United States | 68803 |
| 316 | Heartland Hematology and Oncology | Kearney | Nebraska | United States | 68845 |
| 317 | CHI Health Good Samaritan | Kearney | Nebraska | United States | 68847 |
| 318 | Saint Elizabeth Regional Medical Center | Lincoln | Nebraska | United States | 68510 |
| 319 | Alegent Health Immanuel Medical Center | Omaha | Nebraska | United States | 68122 |
| 320 | Hematology and Oncology Consultants PC | Omaha | Nebraska | United States | 68122 |
| 321 | Alegent Health Bergan Mercy Medical Center | Omaha | Nebraska | United States | 68124 |
| 322 | Alegent Health Lakeside Hospital | Omaha | Nebraska | United States | 68130 |
| 323 | Creighton University Medical Center | Omaha | Nebraska | United States | 68131 |
| 324 | Midlands Community Hospital | Papillion | Nebraska | United States | 68046 |
| 325 | Carson Tahoe Regional Medical Center | Carson City | Nevada | United States | 89703 |
| 326 | Comprehensive Cancer Centers of Nevada - Henderson | Henderson | Nevada | United States | 89052 |
| 327 | Comprehensive Cancer Centers of Nevada-Horizon Ridge | Henderson | Nevada | United States | 89052 |
| 328 | Las Vegas Cancer Center-Henderson | Henderson | Nevada | United States | 89052 |
| 329 | OptumCare Cancer Care at Seven Hills | Henderson | Nevada | United States | 89052 |
| 330 | Comprehensive Cancer Centers of Nevada-Southeast Henderson | Henderson | Nevada | United States | 89074 |
| 331 | GenesisCare USA - Henderson | Henderson | Nevada | United States | 89074 |
| 332 | OptumCare Cancer Care at Charleston | Las Vegas | Nevada | United States | 89102 |
| 333 | University Medical Center of Southern Nevada | Las Vegas | Nevada | United States | 89102 |
| 334 | Hope Cancer Care of Nevada | Las Vegas | Nevada | United States | 89103 |
| 335 | GenesisCare USA - Las Vegas | Las Vegas | Nevada | United States | 89109 |
| 336 | Sunrise Hospital and Medical Center | Las Vegas | Nevada | United States | 89109 |
| 337 | Cancer Therapy and Integrative Medicine | Las Vegas | Nevada | United States | 89121 |
| 338 | Ann M Wierman MD LTD | Las Vegas | Nevada | United States | 89128 |
| 339 | Comprehensive Cancer Centers of Nevada - Northwest | Las Vegas | Nevada | United States | 89128 |
| 340 | GenesisCare USA - Vegas Tenaya | Las Vegas | Nevada | United States | 89128 |
| 341 | OptumCare Cancer Care at MountainView | Las Vegas | Nevada | United States | 89128 |
| 342 | Alliance for Childhood Diseases/Cure 4 the Kids Foundation | Las Vegas | Nevada | United States | 89135 |
| 343 | Comprehensive Cancer Centers of Nevada-Summerlin | Las Vegas | Nevada | United States | 89144 |
| 344 | Summerlin Hospital Medical Center | Las Vegas | Nevada | United States | 89144 |
| 345 | Las Vegas Cancer Center-Medical Center | Las Vegas | Nevada | United States | 89148-2405 |
| 346 | Comprehensive Cancer Centers of Nevada | Las Vegas | Nevada | United States | 89148 |
| 347 | GenesisCare USA - Fort Apache | Las Vegas | Nevada | United States | 89148 |
| 348 | OptumCare Cancer Care at Fort Apache | Las Vegas | Nevada | United States | 89148 |
| 349 | Comprehensive Cancer Centers of Nevada - Central Valley | Las Vegas | Nevada | United States | 89169 |
| 350 | University Cancer Center | Las Vegas | Nevada | United States | 89169 |
| 351 | Hope Cancer Care of Nevada-Pahrump | Pahrump | Nevada | United States | 89048 |
| 352 | Renown Regional Medical Center | Reno | Nevada | United States | 89502 |
| 353 | Saint Mary's Regional Medical Center | Reno | Nevada | United States | 89503 |
| 354 | Radiation Oncology Associates | Reno | Nevada | United States | 89509 |
| 355 | Cancer Care Specialists - Reno | Reno | Nevada | United States | 89511 |
| 356 | University of New Mexico Cancer Center | Albuquerque | New Mexico | United States | 87102 |
| 357 | Montefiore Medical Center-Einstein Campus | Bronx | New York | United States | 10461 |
| 358 | Montefiore Medical Center-Weiler Hospital | Bronx | New York | United States | 10461 |
| 359 | Children's Hospital at Montefiore | Bronx | New York | United States | 10467 |
| 360 | Montefiore Medical Center - Moses Campus | Bronx | New York | United States | 10467 |
| 361 | Northwell Health/Center for Advanced Medicine | Lake Success | New York | United States | 11042 |
| 362 | NYP/Columbia University Medical Center/Herbert Irving Comprehensive Cancer Center | New York | New York | United States | 10032 |
| 363 | Essentia Health Cancer Center-South University Clinic | Fargo | North Dakota | United States | 58103 |
| 364 | Sanford Broadway Medical Center | Fargo | North Dakota | United States | 58122 |
| 365 | Essentia Health - Jamestown Clinic | Jamestown | North Dakota | United States | 58401 |
| 366 | Good Samaritan Hospital - Cincinnati | Cincinnati | Ohio | United States | 45220 |
| 367 | Bethesda North Hospital | Cincinnati | Ohio | United States | 45242 |
| 368 | TriHealth Cancer Institute-Westside | Cincinnati | Ohio | United States | 45247 |
| 369 | TriHealth Cancer Institute-Anderson | Cincinnati | Ohio | United States | 45255 |
| 370 | Saint Alphonsus Medical Center-Baker City | Baker City | Oregon | United States | 97814 |
| 371 | Saint Charles Health System | Bend | Oregon | United States | 97701 |
| 372 | Clackamas Radiation Oncology Center | Clackamas | Oregon | United States | 97015 |
| 373 | Providence Cancer Institute Clackamas Clinic | Clackamas | Oregon | United States | 97015 |
| 374 | Bay Area Hospital | Coos Bay | Oregon | United States | 97420 |
| 375 | Providence Newberg Medical Center | Newberg | Oregon | United States | 97132 |
| 376 | Saint Alphonsus Medical Center-Ontario | Ontario | Oregon | United States | 97914 |
| 377 | Providence Portland Medical Center | Portland | Oregon | United States | 97213 |
| 378 | Providence Saint Vincent Medical Center | Portland | Oregon | United States | 97225 |
| 379 | Lehigh Valley Hospital-Cedar Crest | Allentown | Pennsylvania | United States | 18103 |
| 380 | Lehigh Valley Hospital - Muhlenberg | Bethlehem | Pennsylvania | United States | 18017 |
| 381 | Bryn Mawr Hospital | Bryn Mawr | Pennsylvania | United States | 19010 |
| 382 | Christiana Care Health System-Concord Health Center | Chadds Ford | Pennsylvania | United States | 19317 |
| 383 | Geisinger Medical Center | Danville | Pennsylvania | United States | 17822 |
| 384 | Pocono Medical Center | East Stroudsburg | Pennsylvania | United States | 18301 |
| 385 | Geisinger Medical Center-Cancer Center Hazleton | Hazleton | Pennsylvania | United States | 18201 |
| 386 | Lehigh Valley Hospital-Hazleton | Hazleton | Pennsylvania | United States | 18201 |
| 387 | Geisinger Medical Oncology-Lewisburg | Lewisburg | Pennsylvania | United States | 17837 |
| 388 | Lewistown Hospital | Lewistown | Pennsylvania | United States | 17044 |
| 389 | Riddle Memorial Hospital | Media | Pennsylvania | United States | 19063 |
| 390 | Paoli Memorial Hospital | Paoli | Pennsylvania | United States | 19301 |
| 391 | Geisinger Cancer Services-Pottsville | Pottsville | Pennsylvania | United States | 17901 |
| 392 | Community Medical Center | Scranton | Pennsylvania | United States | 18510 |
| 393 | Geisinger Medical Oncology-Selinsgrove | Selinsgrove | Pennsylvania | United States | 17870 |
| 394 | Geisinger Medical Group | State College | Pennsylvania | United States | 16801 |
| 395 | Geisinger Wyoming Valley/Henry Cancer Center | Wilkes-Barre | Pennsylvania | United States | 18711 |
| 396 | Lankenau Medical Center | Wynnewood | Pennsylvania | United States | 19096 |
| 397 | Prisma Health Cancer Institute - Spartanburg | Boiling Springs | South Carolina | United States | 29316 |
| 398 | Prisma Health Cancer Institute - Easley | Easley | South Carolina | United States | 29640 |
| 399 | Gibbs Cancer Center-Gaffney | Gaffney | South Carolina | United States | 29341 |
| 400 | Saint Francis Hospital | Greenville | South Carolina | United States | 29601 |
| 401 | BI-LO Charities Children's Cancer Center | Greenville | South Carolina | United States | 29605 |
| 402 | Prisma Health Cancer Institute - Butternut | Greenville | South Carolina | United States | 29605 |
| 403 | Prisma Health Cancer Institute - Faris | Greenville | South Carolina | United States | 29605 |
| 404 | Prisma Health Greenville Memorial Hospital | Greenville | South Carolina | United States | 29605 |
| 405 | Saint Francis Cancer Center | Greenville | South Carolina | United States | 29607 |
| 406 | Prisma Health Cancer Institute - Eastside | Greenville | South Carolina | United States | 29615 |
| 407 | Prisma Health Cancer Institute - Greer | Greer | South Carolina | United States | 29650 |
| 408 | Gibbs Cancer Center-Pelham | Greer | South Carolina | United States | 29651 |
| 409 | Prisma Health Cancer Institute - Seneca | Seneca | South Carolina | United States | 29672 |
| 410 | Spartanburg Medical Center | Spartanburg | South Carolina | United States | 29303 |
| 411 | MGC Hematology Oncology-Union | Union | South Carolina | United States | 29379 |
| 412 | Sanford USD Medical Center - Sioux Falls | Sioux Falls | South Dakota | United States | 57117-5134 |
| 413 | Memorial Hospital | Chattanooga | Tennessee | United States | 37404 |
| 414 | Baptist Memorial Hospital and Cancer Center-Collierville | Collierville | Tennessee | United States | 38017 |
| 415 | Pulmonary Medicine Center of Chattanooga-Hixson | Hixson | Tennessee | United States | 37343 |
| 416 | Baptist Memorial Hospital and Cancer Center-Memphis | Memphis | Tennessee | United States | 38120 |
| 417 | Memorial GYN Plus | Ooltewah | Tennessee | United States | 37363 |
| 418 | Dell Children's Medical Center of Central Texas | Austin | Texas | United States | 78723 |
| 419 | Saint Joseph Regional Cancer Center | Bryan | Texas | United States | 77802 |
| 420 | Driscoll Children's Hospital | Corpus Christi | Texas | United States | 78411 |
| 421 | Methodist Children's Hospital of South Texas | San Antonio | Texas | United States | 78229 |
| 422 | University of Texas Health Science Center at San Antonio | San Antonio | Texas | United States | 78229 |
| 423 | American Fork Hospital / Huntsman Intermountain Cancer Center | American Fork | Utah | United States | 84003 |
| 424 | Sandra L Maxwell Cancer Center | Cedar City | Utah | United States | 84720 |
| 425 | Logan Regional Hospital | Logan | Utah | United States | 84321 |
| 426 | Intermountain Medical Center | Murray | Utah | United States | 84107 |
| 427 | McKay-Dee Hospital Center | Ogden | Utah | United States | 84403 |
| 428 | Utah Valley Regional Medical Center | Provo | Utah | United States | 84604 |
| 429 | Riverton Hospital | Riverton | Utah | United States | 84065 |
| 430 | Dixie Medical Center Regional Cancer Center | Saint George | Utah | United States | 84770 |
| 431 | Utah Cancer Specialists-Salt Lake City | Salt Lake City | Utah | United States | 84106 |
| 432 | LDS Hospital | Salt Lake City | Utah | United States | 84143 |
| 433 | Providence Regional Cancer System-Aberdeen | Aberdeen | Washington | United States | 98520 |
| 434 | MultiCare Auburn Medical Center | Auburn | Washington | United States | 98001 |
| 435 | PeaceHealth Saint Joseph Medical Center | Bellingham | Washington | United States | 98225 |
| 436 | Harrison HealthPartners Hematology and Oncology-Bremerton | Bremerton | Washington | United States | 98310 |
| 437 | Harrison Medical Center | Bremerton | Washington | United States | 98310 |
| 438 | Highline Medical Center-Main Campus | Burien | Washington | United States | 98166 |
| 439 | Providence Regional Cancer System-Centralia | Centralia | Washington | United States | 98531 |
| 440 | Swedish Cancer Institute-Edmonds | Edmonds | Washington | United States | 98026 |
| 441 | Saint Elizabeth Hospital | Enumclaw | Washington | United States | 98022 |
| 442 | Providence Regional Cancer Partnership | Everett | Washington | United States | 98201 |
| 443 | Saint Francis Hospital | Federal Way | Washington | United States | 98003 |
| 444 | MultiCare Gig Harbor Medical Park | Gig Harbor | Washington | United States | 98335 |
| 445 | Swedish Cancer Institute-Issaquah | Issaquah | Washington | United States | 98029 |
| 446 | Kadlec Clinic Hematology and Oncology | Kennewick | Washington | United States | 99336 |
| 447 | Providence Regional Cancer System-Lacey | Lacey | Washington | United States | 98503 |
| 448 | Saint Clare Hospital | Lakewood | Washington | United States | 98499 |
| 449 | PeaceHealth Saint John Medical Center | Longview | Washington | United States | 98632 |
| 450 | Jefferson Healthcare | Port Townsend | Washington | United States | 98368 |
| 451 | Harrison HealthPartners Hematology and Oncology-Poulsbo | Poulsbo | Washington | United States | 98370 |
| 452 | MultiCare Good Samaritan Hospital | Puyallup | Washington | United States | 98372 |
| 453 | Pacific Gynecology Specialists | Seattle | Washington | United States | 98104 |
| 454 | Swedish Medical Center-Ballard Campus | Seattle | Washington | United States | 98107 |
| 455 | Kaiser Permanente Washington | Seattle | Washington | United States | 98112 |
| 456 | Swedish Medical Center-First Hill | Seattle | Washington | United States | 98122-4307 |
| 457 | Swedish Medical Center-Cherry Hill | Seattle | Washington | United States | 98122-5711 |
| 458 | Providence Regional Cancer System-Shelton | Shelton | Washington | United States | 98584 |
| 459 | MultiCare Deaconess Cancer and Blood Specialty Center - Valley | Spokane Valley | Washington | United States | 99216 |
| 460 | MultiCare Deaconess Cancer and Blood Specialty Center - Downtown | Spokane | Washington | United States | 99204 |
| 461 | MultiCare Deaconess Cancer and Blood Specialty Center - North | Spokane | Washington | United States | 99218 |
| 462 | Franciscan Research Center-Northwest Medical Plaza | Tacoma | Washington | United States | 98405 |
| 463 | Mary Bridge Children's Hospital and Health Center | Tacoma | Washington | United States | 98405 |
| 464 | MultiCare Tacoma General Hospital | Tacoma | Washington | United States | 98405 |
| 465 | Northwest Medical Specialties PLLC | Tacoma | Washington | United States | 98405 |
| 466 | PeaceHealth Southwest Medical Center | Vancouver | Washington | United States | 98664 |
| 467 | Providence Saint Mary Regional Cancer Center | Walla Walla | Washington | United States | 99362 |
| 468 | Providence Regional Cancer System-Yelm | Yelm | Washington | United States | 98597 |
| 469 | Duluth Clinic Ashland | Ashland | Wisconsin | United States | 54806 |
| 470 | Northwest Wisconsin Cancer Center | Ashland | Wisconsin | United States | 54806 |
| 471 | Saint Vincent Hospital Cancer Center Green Bay | Green Bay | Wisconsin | United States | 54301 |
| 472 | Saint Vincent Hospital Cancer Center at Saint Mary's | Green Bay | Wisconsin | United States | 54303 |
| 473 | Gundersen Lutheran Medical Center | La Crosse | Wisconsin | United States | 54601 |
| 474 | Holy Family Memorial Hospital | Manitowoc | Wisconsin | United States | 54221 |
| 475 | Saint Vincent Hospital Cancer Center at Marinette | Marinette | Wisconsin | United States | 54143 |
| 476 | Cancer Center of Western Wisconsin | New Richmond | Wisconsin | United States | 54017 |
| 477 | Saint Vincent Hospital Cancer Center at Oconto Falls | Oconto Falls | Wisconsin | United States | 54154 |
| 478 | HSHS Saint Nicholas Hospital | Sheboygan | Wisconsin | United States | 53081 |
| 479 | Saint Vincent Hospital Cancer Center at Sturgeon Bay | Sturgeon Bay | Wisconsin | United States | 54235-1495 |
| 480 | Cheyenne Regional Medical Center-West | Cheyenne | Wyoming | United States | 82001 |
| 481 | San Jorge Children's Hospital | San Juan | Puerto Rico | 00912 | |
| 482 | University Pediatric Hospital | San Juan | Puerto Rico | 00926 |
Sponsors and Collaborators
- Children's Oncology Group
- National Cancer Institute (NCI)
Investigators
- Principal Investigator: Julie A Wolfson, Children's Oncology Group
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.Responsible Party:
Children's Oncology Group
ClinicalTrials.gov Identifier:
NCT03204916
Other Study ID Numbers:
- ACCL16N1CD
- NCI-2017-01053
- ACCL16N1CD
- COG-ACCL16N1CD
- ACCL16N1CD
- UG1CA189955
First Posted:
Jul 2, 2017
Last Update Posted:
Aug 24, 2022
Last Verified:
Aug 1, 2022
Additional relevant MeSH terms: