S1417CD Financial Impact Assessment Tool in Patients With Metastatic Colorectal Cancer
Sponsor
Southwest Oncology Group (Other)
Overall Status
Completed
CT.gov ID
NCT02728804
Collaborator
National Cancer Institute (NCI) (NIH)
380
537
45.8
0.7
0
Study Details
Study Description
Brief Summary
This clinical trial studies the use of the financial impact assessment tool in patients with colorectal cancer that has spread from the primary site to other places in the body. Gathering information about patients with colorectal cancer over time may help doctors better understand the financial impact of cancer and help patients avoid financial problems during treatment.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
Detailed Description
PRIMARY OBJECTIVES:
- To estimate the incidence of treatment-related major financial hardship over 12 months, among patients with newly diagnosed metastatic colorectal cancer (mCRC) treated at components and subcomponents of the National Cancer Institute (NCI) Community Oncology Research Program (NCORP).
SECONDARY OBJECTIVES:
-
To describe the association of major financial hardships with mCRC treatment by demographic factors, including age, race, marital status, employment status, and income.
-
To explore whether occurrence of major financial hardship is associated with poorer health-related quality of life over time.
-
To profile the magnitude and timing of treatment-related changes in patients' income, assets, debt, and employment, and to quantify major out-of-pocket expenses during the 12 months following registration.
-
To explore the extent to which health insurance factors (e.g. high copayments, deductibles, premiums, loss/change of insurance plan) are associated with major financial hardship and treatment non-adherence.
-
To determine feasibility of recruiting primary caregivers and measuring caregiver burden and caregivers' perceptions about cancer treatment costs.
-
To determine the feasibility of conducting a prospective-multi-site longitudinal cohort study assessing financial outcomes in patients with mCRC undergoing treatment within the NCORP network.
TERTIARY OBJECTIVES:
- To obtain objective measures of expenses, debt and credit through linkage with individual patient credit reports (TransUnion) at enrollment (baseline) and end of follow up (12 months).
OUTLINE:
Patients complete questionnaires (including the Baseline, Financial/Employment Impact, Insurance Impact, Quality of Life, and Treatment Perceptions questionnaires) over 30-60 minutes at baseline and at 3, 6, 9, and 12 months. Caregivers complete questionnaires over 30-60 minutes at baseline and at 6 and 12 months.
Study Design
Study Type:
Observational
Actual Enrollment
:
380 participants
Observational Model:
Cohort
Time Perspective:
Prospective
Official Title:
Implementation of a Prospective Financial Impact Assessment Tool in Patients With Metastatic Colorectal Cancer
Actual Study Start Date
:
Jun 22, 2016
Actual Primary Completion Date
:
Apr 15, 2020
Actual Study Completion Date
:
Apr 15, 2020
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Health Services Research (questionnaire administration) Patients complete questionnaires (including the Baseline, Financial/Employment Impact, Insurance Impact, Quality of Life, and Treatment Perceptions questionnaires) over 30-60 minutes at baseline and at 3, 6, 9, and 12 months. Caregivers complete questionnaires over 30-60 minutes at baseline and at 6 and 12 months. |
Other: Quality-of-Life Assessment
Complete questionnaire
Other Names:
Other: Questionnaire Administration
Complete questionnaires
|
Outcome Measures
Primary Outcome Measures
- Incidence of treatment-related major financial hardship, defined as one or more of the following: debt accumulation of any amount, selling or refinancing home, >= 20% income decline, borrowing money of any amount from family/friends [Up to 12 months]
The proportion of patients experiencing multiple financial hardships will also be reported. A sample size of n = 320 eligible, evaluable patients will allow us to estimate the confidence interval to within +/- 8% (based on the upper bound of the 95% confidence interval using an exact binomial in patients with complete follow-up), if he assumed incidence is at least 40%.
Secondary Outcome Measures
- Accrual to a prospective-multi-site longitudinal cohort study [Up to 3 years]
Each of the NCORP components (we anticipate 25 NCORP components) will each need to enroll, on average, about 5 patients per year. Accrual will be assessed at 1.5 years after study activation. If monthly average accrual in quarters 5-6 after study registration is < 50% of projected accrual, efforts will be made to increase accrual over the succeeding 6 month period. If after 2 years, monthly accrual remains < 50% of projected accrual, study revision will be considered. In order to address the potential for selection bias, demographics (age, race, gender, etc.) of the final cohort will be compared
- Caregiver participation [Up to 12 months]
The caregiver component will be considered feasible if the designated caregivers for > 50% of eligible patients complete and submit their baseline and at least one follow-up assessment. Means, medians, and proportions will be used to describe the participating caregiver population. Analyses will be largely descriptive. If caregiver accrual is very poor (< 20%), describing the patient population will be the focus rather than attempting to correlate caregiver and patient responses.
- Changes in assets/income/wealth [Baseline to up to 12 months]
Will be handled using descriptive statistics (e.g. mean, median, proportions). Descriptive statistics will be used to summarize baseline patient characteristics and will compare populations using two-sample means and proportions tests (alpha level 0.05). Caregiver strain index will be scored based on responses (score range 0 to 26). Mean scores will be compared for caregivers of patients reporting vs. not reporting at least one financial hardship.
- Changes in health insurance [Baseline to up to 12 months]
Will be handled using descriptive statistics (e.g. mean, median, proportions). Descriptive statistics will be used to summarize baseline patient characteristics and will compare populations using two-sample means and proportions tests (alpha level 0.05). Caregiver strain index will be scored based on responses (score range 0 to 26). Mean scores will be compared for caregivers of patients reporting vs. not reporting at least one financial hardship.
- Credit history (TransUnion) [Up to 12 months]
The linkage of SWOG clinical and financial data with credit histories obtained from TransUnion will allow exploration of additional indicators of financial stress, including high balances and past due amounts of credit card and bankcards as well as evidence of bankruptcies, liens, and collections or repossessions in the preceding 36 months (TransUnion Inc. 'Credit Vision' report). This linked database will also provide a more complete picture of patients' pre-diagnosis financial status and post-diagnosis financial hardship. These data will also allow corroboration of self-reports.
- Debt and spending by credit report histories [Up to 12 months]
Credit histories obtained from TransUnion measure the following: non-mortgage amounts past due on credit cards and bankcards; non-mortgage credit card and bankcard balances; bankruptcies, liens, collections or repossessions. Will be handled using descriptive statistics (e.g. mean, median, proportions). Descriptive statistics will be used to summarize baseline patient characteristics and will compare populations using two-sample means and proportions tests (alpha level 0.05). Caregiver strain index will be scored based on responses (score range 0 to 26). Mean scores will be compared.
- Financial stress (patient, caregiver, or bereaved caregiver) [Up to 12 months]
Will be handled using descriptive statistics (e.g. mean, median, proportions). Descriptive statistics will be used to summarize baseline patient characteristics and will compare populations using two-sample means and proportions tests (alpha level 0.05). Caregiver strain index will be scored based on responses (score range 0 to 26). Mean scores will be compared for caregivers of patients reporting vs. not reporting at least one financial hardship.
- Health-related quality of life (HRQOL) as measured by the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire C30 (EORTC QLQ-C30) version 3.0 [Up to 12 months]
The relationship between major financial hardship and HRQOL will be assessed. Landmark analysis will be used to establish major financial hardship as a baseline predictor of HRQOL. In particular, patients will be categorized as having major financial hardship at their 3 month assessment (yes vs. no). Linear regression will then be used to assess whether the 3-month assessment of financial hardship predicts the 6-month HRQOL score. HRQOL at 3 months will be included as an adjustment covariate. The 6-month HRQOL score will be based on the EORTC QLQ-C30 questionnaire transformed into a linear sco
- Out-of-pocket expenses, defined as total out-of-pocket direct medical (e.g., prescriptions, physician visits, deductibles) and non-medical (transportation, meals) expenses in the 3 months prior to each study visit [Up to 12 months]
Will be handled using descriptive statistics (e.g. mean, median, proportions). Descriptive statistics will be used to summarize baseline patient characteristics and will compare populations using two-sample means and proportions tests (alpha level 0.05). Caregiver strain index will be scored based on responses (score range 0 to 26). Mean scores will be compared for caregivers of patients reporting vs. not reporting at least one financial hardship.
- Risk factors for financial hardship [Up to 12 months]
Assess whether major financial hardship at one year differs by age (< 65 versus [vs.] >= 65), race (white vs. non-white), marital status (married vs. unmarried), employment status (any employment vs. unemployed), and income (household income < $50,000/year vs. >= $50,000 / year). The effect of age, race, marital status, employment status, and income on major financial hardship will be estimated using multivariable Cox regression. The regression will include the 5 covariates of interest plus insurance status, education, and gender.
Eligibility Criteria
Criteria
Ages Eligible for Study:
18 Years
and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
-
Patients must have newly diagnosed metastatic colon or rectal cancer (mCRC) (de novo metastatic diagnosis) or metastatic recurrence after prior treatment for stage I-III disease and be </= 120 days after diagnosis at time of registration
-
Systemic chemotherapy and/or systemic biologic therapy must be planned to be administered within 30 days after registration or must have been initiated within 60 days prior to registration; patients who are planning palliative or hospice care only (no chemotherapy or biologic therapy) are not eligible
-
Registering site must be an NCORP site; it is recommended that patients receive care for the mCRC at the registering site to ensure accessibility of patient records.
-
Patients must be able to complete questionnaires in English
-
Patients must provide their full name, primary address in the United States (U.S.), birth date and social security number at registration for the purposes of accessing credit report data
-
Patients must sign and give written informed consent in accordance with institutional and federal guidelines
-
As a part of the Oncology Patient Enrollment Network (OPEN) registration process the treating institution's identity is provided in order to ensure that the current (within 365 days) date of institutional review board approval for this study has been entered in the system
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 | Katmai Oncology Group | Anchorage | Alaska | United States | 99508 |
| 6 | Providence Alaska Medical Center | Anchorage | Alaska | United States | 99508 |
| 7 | CHI Saint Vincent Cancer Center Hot Springs | Hot Springs | Arkansas | United States | 71913 |
| 8 | Kaiser Permanente-Deer Valley Medical Center | Antioch | California | United States | 94531 |
| 9 | Providence Saint Joseph Medical Center/Disney Family Cancer Center | Burbank | California | United States | 91505 |
| 10 | Epic Care-Dublin | Dublin | California | United States | 94568 |
| 11 | Bay Area Breast Surgeons Inc | Emeryville | California | United States | 94608 |
| 12 | Epic Care Partners in Cancer Care | Emeryville | California | United States | 94608 |
| 13 | Kaiser Permanente-Fremont | Fremont | California | United States | 94538 |
| 14 | Kaiser Permanente-Fresno | Fresno | California | United States | 93720 |
| 15 | Contra Costa Regional Medical Center | Martinez | California | United States | 94553-3156 |
| 16 | Kaiser Permanente-Modesto | Modesto | California | United States | 95356 |
| 17 | Alta Bates Summit Medical Center - Summit Campus | Oakland | California | United States | 94609 |
| 18 | Bay Area Tumor Institute | Oakland | California | United States | 94609 |
| 19 | Kaiser Permanente-Oakland | Oakland | California | United States | 94611 |
| 20 | Kaiser Permanente-Redwood City | Redwood City | California | United States | 94063 |
| 21 | Kaiser Permanente-Richmond | Richmond | California | United States | 94801 |
| 22 | Kaiser Permanente-Roseville | Roseville | California | United States | 95661 |
| 23 | Kaiser Permanente-South Sacramento | Sacramento | California | United States | 95823 |
| 24 | Kaiser Permanente - Sacramento | Sacramento | California | United States | 95825 |
| 25 | Kaiser Permanente-San Francisco | San Francisco | California | United States | 94115 |
| 26 | Kaiser Permanente-Santa Teresa-San Jose | San Jose | California | United States | 95119 |
| 27 | Kaiser Permanente San Leandro | San Leandro | California | United States | 94577 |
| 28 | Kaiser Permanente-San Rafael | San Rafael | California | United States | 94903 |
| 29 | Kaiser San Rafael-Gallinas | San Rafael | California | United States | 94903 |
| 30 | Kaiser Permanente Medical Center - Santa Clara | Santa Clara | California | United States | 95051 |
| 31 | Kaiser Permanente-Santa Rosa | Santa Rosa | California | United States | 95403 |
| 32 | Kaiser Permanente-South San Francisco | South San Francisco | California | United States | 94080 |
| 33 | Kaiser Permanente-Stockton | Stockton | California | United States | 95210 |
| 34 | Kaiser Permanente Medical Center-Vacaville | Vacaville | California | United States | 95688 |
| 35 | Kaiser Permanente-Vallejo | Vallejo | California | United States | 94589 |
| 36 | Kaiser Permanente-Walnut Creek | Walnut Creek | California | United States | 94596 |
| 37 | Rocky Mountain Cancer Centers-Aurora | Aurora | Colorado | United States | 80012 |
| 38 | The Medical Center of Aurora | Aurora | Colorado | United States | 80012 |
| 39 | Boulder Community Hospital | Boulder | Colorado | United States | 80301 |
| 40 | Rocky Mountain Cancer Centers-Boulder | Boulder | Colorado | United States | 80304 |
| 41 | Penrose-Saint Francis Healthcare | Colorado Springs | Colorado | United States | 80907 |
| 42 | Rocky Mountain Cancer Centers-Penrose | Colorado Springs | Colorado | United States | 80907 |
| 43 | Denver Health Medical Center | Denver | Colorado | United States | 80204 |
| 44 | Kaiser Permanente-Franklin | Denver | Colorado | United States | 80205 |
| 45 | National Jewish Health-Main Campus | Denver | Colorado | United States | 80206 |
| 46 | The Women's Imaging Center | Denver | Colorado | United States | 80209 |
| 47 | Porter Adventist Hospital | Denver | Colorado | United States | 80210 |
| 48 | Colorado Blood Cancer Institute | Denver | Colorado | United States | 80218 |
| 49 | Presbyterian - Saint Lukes Medical Center - Health One | Denver | Colorado | United States | 80218 |
| 50 | Rocky Mountain Cancer Centers-Midtown | Denver | Colorado | United States | 80218 |
| 51 | SCL Health Saint Joseph Hospital | Denver | Colorado | United States | 80218 |
| 52 | Rocky Mountain Cancer Centers-Rose | Denver | Colorado | United States | 80220 |
| 53 | Rose Medical Center | Denver | Colorado | United States | 80220 |
| 54 | Mercy Medical Center | Durango | Colorado | United States | 81301 |
| 55 | Southwest Oncology PC | Durango | Colorado | United States | 81301 |
| 56 | Comprehensive Cancer Care and Research Institute of Colorado LLC | Englewood | Colorado | United States | 80113 |
| 57 | Swedish Medical Center | Englewood | Colorado | United States | 80113 |
| 58 | Mountain Blue Cancer Care Center | Golden | Colorado | United States | 80401 |
| 59 | National Jewish Health-Western Hematology Oncology | Golden | Colorado | United States | 80401 |
| 60 | North Colorado Medical Center | Greeley | Colorado | United States | 80631 |
| 61 | Rocky Mountain Cancer Centers-Greenwood Village | Greenwood Village | Colorado | United States | 80111 |
| 62 | Kaiser Permanente-Rock Creek | Lafayette | Colorado | United States | 80026 |
| 63 | Rocky Mountain Cancer Centers-Lakewood | Lakewood | Colorado | United States | 80228 |
| 64 | Saint Anthony Hospital | Lakewood | Colorado | United States | 80228 |
| 65 | Rocky Mountain Cancer Centers-Littleton | Littleton | Colorado | United States | 80120 |
| 66 | Littleton Adventist Hospital | Littleton | Colorado | United States | 80122 |
| 67 | Kaiser Permanente-Lone Tree | Lone Tree | Colorado | United States | 80124 |
| 68 | Rocky Mountain Cancer Centers-Sky Ridge | Lone Tree | Colorado | United States | 80124 |
| 69 | Sky Ridge Medical Center | Lone Tree | Colorado | United States | 80124 |
| 70 | Longmont United Hospital | Longmont | Colorado | United States | 80501 |
| 71 | Rocky Mountain Cancer Centers-Longmont | Longmont | Colorado | United States | 80501 |
| 72 | McKee Medical Center | Loveland | Colorado | United States | 80539 |
| 73 | Parker Adventist Hospital | Parker | Colorado | United States | 80138 |
| 74 | Rocky Mountain Cancer Centers-Parker | Parker | Colorado | United States | 80138 |
| 75 | Saint Mary Corwin Medical Center | Pueblo | Colorado | United States | 81004 |
| 76 | Rocky Mountain Cancer Centers - Pueblo | Pueblo | Colorado | United States | 81008 |
| 77 | National Jewish Health-Northern Hematology Oncology | Thornton | Colorado | United States | 80260 |
| 78 | Rocky Mountain Cancer Centers-Thornton | Thornton | Colorado | United States | 80260 |
| 79 | SCL Health Lutheran Medical Center | Wheat Ridge | Colorado | United States | 80033 |
| 80 | Lewis Cancer and Research Pavilion at Saint Joseph's/Candler | Savannah | Georgia | United States | 31405 |
| 81 | Queen's Medical Center | Honolulu | Hawaii | United States | 96813 |
| 82 | University of Hawaii Cancer Center | Honolulu | Hawaii | United States | 96813 |
| 83 | Kaiser Permanente Moanalua Medical Center | Honolulu | Hawaii | United States | 96819 |
| 84 | Saint Alphonsus Cancer Care Center-Boise | Boise | Idaho | United States | 83706 |
| 85 | Saint Luke's Mountain States Tumor Institute | Boise | Idaho | United States | 83712 |
| 86 | Saint Alphonsus Cancer Care Center-Caldwell | Caldwell | Idaho | United States | 83605 |
| 87 | Kootenai Medical Center | Coeur d'Alene | Idaho | United States | 83814 |
| 88 | Walter Knox Memorial Hospital | Emmett | Idaho | United States | 83617 |
| 89 | Saint Luke's Mountain States Tumor Institute - Fruitland | Fruitland | Idaho | United States | 83619 |
| 90 | Idaho Urologic Institute-Meridian | Meridian | Idaho | United States | 83642 |
| 91 | Saint Luke's Mountain States Tumor Institute - Meridian | Meridian | Idaho | United States | 83642 |
| 92 | Saint Alphonsus Medical Center-Nampa | Nampa | Idaho | United States | 83686 |
| 93 | Saint Luke's Mountain States Tumor Institute - Nampa | Nampa | Idaho | United States | 83686 |
| 94 | Kootenai Cancer Center | Post Falls | Idaho | United States | 83854 |
| 95 | Kootenai Cancer Clinic | Sandpoint | Idaho | United States | 83864 |
| 96 | Saint Luke's Mountain States Tumor Institute-Twin Falls | Twin Falls | Idaho | United States | 83301 |
| 97 | Illinois CancerCare-Bloomington | Bloomington | Illinois | United States | 61704 |
| 98 | Illinois CancerCare-Canton | Canton | Illinois | United States | 61520 |
| 99 | Memorial Hospital of Carbondale | Carbondale | Illinois | United States | 62902 |
| 100 | SIH Cancer Institute | Carterville | Illinois | United States | 62918 |
| 101 | Illinois CancerCare-Carthage | Carthage | Illinois | United States | 62321 |
| 102 | Centralia Oncology Clinic | Centralia | Illinois | United States | 62801 |
| 103 | Carle on Vermilion | Danville | Illinois | United States | 61832 |
| 104 | Cancer Care Specialists of Illinois - Decatur | Decatur | Illinois | United States | 62526 |
| 105 | Decatur Memorial Hospital | Decatur | Illinois | United States | 62526 |
| 106 | Carle Physician Group-Effingham | Effingham | Illinois | United States | 62401 |
| 107 | Crossroads Cancer Center | Effingham | Illinois | United States | 62401 |
| 108 | Illinois CancerCare-Eureka | Eureka | Illinois | United States | 61530 |
| 109 | Illinois CancerCare-Galesburg | Galesburg | Illinois | United States | 61401 |
| 110 | Western Illinois Cancer Treatment Center | Galesburg | Illinois | United States | 61401 |
| 111 | Illinois CancerCare-Kewanee Clinic | Kewanee | Illinois | United States | 61443 |
| 112 | Illinois CancerCare-Macomb | Macomb | Illinois | United States | 61455 |
| 113 | Carle Physician Group-Mattoon/Charleston | Mattoon | Illinois | United States | 61938 |
| 114 | Illinois CancerCare-Ottawa Clinic | Ottawa | Illinois | United States | 61350 |
| 115 | Illinois CancerCare-Pekin | Pekin | Illinois | United States | 61554 |
| 116 | OSF Saint Francis Radiation Oncology at Pekin Cancer Treatment Center | Pekin | Illinois | United States | 61554 |
| 117 | Illinois CancerCare-Peoria | Peoria | Illinois | United States | 61615 |
| 118 | OSF Saint Francis Radiation Oncology at Peoria Cancer Center | Peoria | Illinois | United States | 61615 |
| 119 | Methodist Medical Center of Illinois | Peoria | Illinois | United States | 61636 |
| 120 | OSF Saint Francis Medical Center | Peoria | Illinois | United States | 61637 |
| 121 | Illinois CancerCare-Peru | Peru | Illinois | United States | 61354 |
| 122 | Valley Radiation Oncology | Peru | Illinois | United States | 61354 |
| 123 | Illinois CancerCare-Princeton | Princeton | Illinois | United States | 61356 |
| 124 | Central Illinois Hematology Oncology Center | Springfield | Illinois | United States | 62702 |
| 125 | Southern Illinois University School of Medicine | Springfield | Illinois | United States | 62702 |
| 126 | Springfield Clinic | Springfield | Illinois | United States | 62702 |
| 127 | Memorial Medical Center | Springfield | Illinois | United States | 62781 |
| 128 | Cancer Care Specialists of Illinois-Swansea | Swansea | Illinois | United States | 62226 |
| 129 | Southwest Illinois Health Services LLP | Swansea | Illinois | United States | 62226 |
| 130 | Carle Cancer Center | Urbana | Illinois | United States | 61801 |
| 131 | The Carle Foundation Hospital | Urbana | Illinois | United States | 61801 |
| 132 | Reid Health | Richmond | Indiana | United States | 47374 |
| 133 | Medical Oncology and Hematology Associates-West Des Moines | Clive | Iowa | United States | 50325 |
| 134 | Mercy Cancer Center-West Lakes | Clive | Iowa | United States | 50325 |
| 135 | Alegent Health Mercy Hospital | Council Bluffs | Iowa | United States | 51503 |
| 136 | Greater Regional Medical Center | Creston | Iowa | United States | 50801 |
| 137 | Iowa Methodist Medical Center | Des Moines | Iowa | United States | 50309 |
| 138 | Medical Oncology and Hematology Associates-Des Moines | Des Moines | Iowa | United States | 50309 |
| 139 | Medical Oncology and Hematology Associates-Laurel | Des Moines | Iowa | United States | 50314 |
| 140 | Mercy Medical Center - Des Moines | Des Moines | Iowa | United States | 50314 |
| 141 | Iowa Lutheran Hospital | Des Moines | Iowa | United States | 50316 |
| 142 | Trinity Regional Medical Center | Fort Dodge | Iowa | United States | 50501 |
| 143 | Methodist West Hospital | West Des Moines | Iowa | United States | 50266-7700 |
| 144 | Mercy Medical Center-West Lakes | West Des Moines | Iowa | United States | 50266 |
| 145 | Cancer Center of Kansas - Chanute | Chanute | Kansas | United States | 66720 |
| 146 | Cancer Center of Kansas - Dodge City | Dodge City | Kansas | United States | 67801 |
| 147 | Cancer Center of Kansas - El Dorado | El Dorado | Kansas | United States | 67042 |
| 148 | Cancer Center of Kansas - Fort Scott | Fort Scott | Kansas | United States | 66701 |
| 149 | Central Care Cancer Center - Garden City | Garden City | Kansas | United States | 67846 |
| 150 | Central Care Cancer Center - Great Bend | Great Bend | Kansas | United States | 67530 |
| 151 | Cancer Center of Kansas-Independence | Independence | Kansas | United States | 67301 |
| 152 | Cancer Center of Kansas-Kingman | Kingman | Kansas | United States | 67068 |
| 153 | Lawrence Memorial Hospital | Lawrence | Kansas | United States | 66044 |
| 154 | Kansas Institute of Medicine Cancer and Blood Center | Lenexa | Kansas | United States | 66219 |
| 155 | Minimally Invasive Surgery Hospital | Lenexa | Kansas | United States | 66219 |
| 156 | Cancer Center of Kansas-Liberal | Liberal | Kansas | United States | 67905 |
| 157 | Cancer Center of Kansas-Manhattan | Manhattan | Kansas | United States | 66502 |
| 158 | Cancer Center of Kansas - McPherson | McPherson | Kansas | United States | 67460 |
| 159 | Cancer Center of Kansas - Newton | Newton | Kansas | United States | 67114 |
| 160 | Menorah Medical Center | Overland Park | Kansas | United States | 66209 |
| 161 | Saint Luke's South Hospital | Overland Park | Kansas | United States | 66213 |
| 162 | Cancer Center of Kansas - Parsons | Parsons | Kansas | United States | 67357 |
| 163 | Cancer Center of Kansas - Pratt | Pratt | Kansas | United States | 67124 |
| 164 | Cancer Center of Kansas - Salina | Salina | Kansas | United States | 67401 |
| 165 | Cancer Center of Kansas - Wellington | Wellington | Kansas | United States | 67152 |
| 166 | Associates In Womens Health | Wichita | Kansas | United States | 67208 |
| 167 | Cancer Center of Kansas-Wichita Medical Arts Tower | Wichita | Kansas | United States | 67208 |
| 168 | Cancer Center of Kansas - Wichita | Wichita | Kansas | United States | 67214 |
| 169 | Via Christi Regional Medical Center | Wichita | Kansas | United States | 67214 |
| 170 | Cancer Center of Kansas - Winfield | Winfield | Kansas | United States | 67156 |
| 171 | Flaget Memorial Hospital | Bardstown | Kentucky | United States | 40004 |
| 172 | Commonwealth Cancer Center-Corbin | Corbin | Kentucky | United States | 40701 |
| 173 | Saint Joseph Radiation Oncology Resource Center | Lexington | Kentucky | United States | 40504 |
| 174 | Saint Joseph Hospital East | Lexington | Kentucky | United States | 40509 |
| 175 | Saint Joseph London | London | Kentucky | United States | 40741 |
| 176 | Jewish Hospital | Louisville | Kentucky | United States | 40202 |
| 177 | Saints Mary and Elizabeth Hospital | Louisville | Kentucky | United States | 40215 |
| 178 | Jewish Hospital Medical Center Northeast | Louisville | Kentucky | United States | 40245 |
| 179 | Jewish Hospital Medical Center South | Shepherdsville | Kentucky | United States | 40165 |
| 180 | LSU Health Baton Rouge-North Clinic | Baton Rouge | Louisiana | United States | 70805 |
| 181 | Louisiana Hematology Oncology Associates LLC | Baton Rouge | Louisiana | United States | 70809 |
| 182 | Ochsner Health Center-Summa | Baton Rouge | Louisiana | United States | 70809 |
| 183 | Our Lady of the Lake Physicians Group - Medical Oncology | Baton Rouge | Louisiana | United States | 70809 |
| 184 | Medical Center of Baton Rouge | Baton Rouge | Louisiana | United States | 70816 |
| 185 | Mary Bird Cancer Center/Saint Tammany Parish | Covington | Louisiana | United States | 70433 |
| 186 | Ochsner Hematology Oncology North Shore - Covington (West Region) | Covington | Louisiana | United States | 70433 |
| 187 | Ochsner Medical Center West Bank | Gretna | Louisiana | United States | 70056 |
| 188 | Mary Bird Perkins Cancer Center/Terrebonne General Medical Center | Houma | Louisiana | United States | 70360 |
| 189 | Ochsner Medical Center Kenner | Kenner | Louisiana | United States | 70065 |
| 190 | Louisiana State University Health Science Center | New Orleans | Louisiana | United States | 70112 |
| 191 | University Medical Center New Orleans | New Orleans | Louisiana | United States | 70112 |
| 192 | Ochsner Medical Center Jefferson | New Orleans | Louisiana | United States | 70121 |
| 193 | Ochsner Hematology Oncology North Shore - Slidell (East Region) | Slidell | Louisiana | United States | 70458 |
| 194 | Saint Joseph Mercy Hospital | Ann Arbor | Michigan | United States | 48106 |
| 195 | Bronson Battle Creek | Battle Creek | Michigan | United States | 49017 |
| 196 | IHA Hematology Oncology Consultants-Brighton | Brighton | Michigan | United States | 48114 |
| 197 | Saint Joseph Mercy Brighton | Brighton | Michigan | United States | 48114 |
| 198 | IHA Hematology Oncology Consultants-Canton | Canton | Michigan | United States | 48188 |
| 199 | Saint Joseph Mercy Canton | Canton | Michigan | United States | 48188 |
| 200 | Caro Cancer Center | Caro | Michigan | United States | 48723 |
| 201 | IHA Hematology Oncology Consultants-Chelsea | Chelsea | Michigan | United States | 48118 |
| 202 | Saint Joseph Mercy Chelsea | Chelsea | Michigan | United States | 48118 |
| 203 | Hematology Oncology Consultants-Clarkston | Clarkston | Michigan | United States | 48346 |
| 204 | Newland Medical Associates-Clarkston | Clarkston | Michigan | United States | 48346 |
| 205 | Beaumont Hospital-Dearborn | Dearborn | Michigan | United States | 48124 |
| 206 | Saint John Hospital and Medical Center | Detroit | Michigan | United States | 48236 |
| 207 | Great Lakes Cancer Management Specialists-Doctors Park | East China Township | Michigan | United States | 48054 |
| 208 | Genesee Cancer and Blood Disease Treatment Center | Flint | Michigan | United States | 48503 |
| 209 | Genesee Hematology Oncology PC | Flint | Michigan | United States | 48503 |
| 210 | Genesys Hurley Cancer Institute | Flint | Michigan | United States | 48503 |
| 211 | Hurley Medical Center | Flint | Michigan | United States | 48503 |
| 212 | Mercy Health Saint Mary's | Grand Rapids | Michigan | United States | 49503 |
| 213 | Spectrum Health at Butterworth Campus | Grand Rapids | Michigan | United States | 49503 |
| 214 | Great Lakes Cancer Management Specialists-Van Elslander Cancer Center | Grosse Pointe Woods | Michigan | United States | 48236 |
| 215 | Lymphoma Clinic of Michigan | Grosse Pointe Woods | Michigan | United States | 48236 |
| 216 | Michigan Breast Specialists-Grosse Pointe Woods | Grosse Pointe Woods | Michigan | United States | 48236 |
| 217 | Allegiance Health | Jackson | Michigan | United States | 49201 |
| 218 | Bronson Methodist Hospital | Kalamazoo | Michigan | United States | 49007 |
| 219 | West Michigan Cancer Center | Kalamazoo | Michigan | United States | 49007 |
| 220 | Borgess Medical Center | Kalamazoo | Michigan | United States | 49048 |
| 221 | Sparrow Hospital | Lansing | Michigan | United States | 48912 |
| 222 | Hope Cancer Clinic | Livonia | Michigan | United States | 48154 |
| 223 | Saint Mary Mercy Hospital | Livonia | Michigan | United States | 48154 |
| 224 | Great Lakes Cancer Management Specialists-Macomb Medical Campus | Macomb | Michigan | United States | 48044 |
| 225 | Michigan Breast Specialists-Macomb Township | Macomb | Michigan | United States | 48044 |
| 226 | Saint Mary's Oncology/Hematology Associates of Marlette | Marlette | Michigan | United States | 48453 |
| 227 | Mercy Health Mercy Campus | Muskegon | Michigan | United States | 49444 |
| 228 | Lakeland Hospital Niles | Niles | Michigan | United States | 49120 |
| 229 | 21st Century Oncology-Pontiac | Pontiac | Michigan | United States | 48341 |
| 230 | Hope Cancer Center | Pontiac | Michigan | United States | 48341 |
| 231 | Newland Medical Associates-Pontiac | Pontiac | Michigan | United States | 48341 |
| 232 | Saint Joseph Mercy Oakland | Pontiac | Michigan | United States | 48341 |
| 233 | Spectrum Health Reed City Hospital | Reed City | Michigan | United States | 49677 |
| 234 | Great Lakes Cancer Management Specialists-Rochester Hills | Rochester Hills | Michigan | United States | 48309 |
| 235 | Saint Mary's of Michigan | Saginaw | Michigan | United States | 48601 |
| 236 | Oncology Hematology Associates of Saginaw Valley PC | Saginaw | Michigan | United States | 48604 |
| 237 | Lakeland Medical Center Saint Joseph | Saint Joseph | Michigan | United States | 49085 |
| 238 | Marie Yeager Cancer Center | Saint Joseph | Michigan | United States | 49085 |
| 239 | Bhadresh Nayak MD PC-Sterling Heights | Sterling Heights | Michigan | United States | 48312 |
| 240 | Saint Joseph Health System-Tawas City | Tawas City | Michigan | United States | 48764 |
| 241 | Munson Medical Center | Traverse City | Michigan | United States | 49684 |
| 242 | Advanced Breast Care Center PLLC | Warren | Michigan | United States | 48088 |
| 243 | Bhadresh Nayak MD PC-Warren | Warren | Michigan | United States | 48093 |
| 244 | Great Lakes Cancer Management Specialists-Macomb Professional Building | Warren | Michigan | United States | 48093 |
| 245 | Macomb Hematology Oncology PC | Warren | Michigan | United States | 48093 |
| 246 | Michigan Breast Specialists-Warren | Warren | Michigan | United States | 48093 |
| 247 | Saint John Macomb-Oakland Hospital | Warren | Michigan | United States | 48093 |
| 248 | Saint Mary's Oncology/Hematology Associates of West Branch | West Branch | Michigan | United States | 48661 |
| 249 | Metro Health Hospital | Wyoming | Michigan | United States | 49519 |
| 250 | Huron Gastroenterology PC | Ypsilanti | Michigan | United States | 48106 |
| 251 | IHA Hematology Oncology Consultants-Ann Arbor | Ypsilanti | Michigan | United States | 48197 |
| 252 | Fairview Ridges Hospital | Burnsville | Minnesota | United States | 55337 |
| 253 | Mercy Hospital | Coon Rapids | Minnesota | United States | 55433 |
| 254 | Fairview-Southdale Hospital | Edina | Minnesota | United States | 55435 |
| 255 | Unity Hospital | Fridley | Minnesota | United States | 55432 |
| 256 | Fairview Maple Grove Medical Center | Maple Grove | Minnesota | United States | 55369 |
| 257 | Minnesota Oncology Hematology PA-Maplewood | Maplewood | Minnesota | United States | 55109 |
| 258 | Saint John's Hospital - Healtheast | Maplewood | Minnesota | United States | 55109 |
| 259 | Abbott-Northwestern Hospital | Minneapolis | Minnesota | United States | 55407 |
| 260 | Hennepin County Medical Center | Minneapolis | Minnesota | United States | 55415 |
| 261 | Health Partners Inc | Minneapolis | Minnesota | United States | 55454 |
| 262 | New Ulm Medical Center | New Ulm | Minnesota | United States | 56073 |
| 263 | North Memorial Medical Health Center | Robbinsdale | Minnesota | United States | 55422 |
| 264 | Park Nicollet Clinic - Saint Louis Park | Saint Louis Park | Minnesota | United States | 55416 |
| 265 | Regions Hospital | Saint Paul | Minnesota | United States | 55101 |
| 266 | United Hospital | Saint Paul | Minnesota | United States | 55102 |
| 267 | Saint Francis Regional Medical Center | Shakopee | Minnesota | United States | 55379 |
| 268 | Lakeview Hospital | Stillwater | Minnesota | United States | 55082 |
| 269 | Ridgeview Medical Center | Waconia | Minnesota | United States | 55387 |
| 270 | Rice Memorial Hospital | Willmar | Minnesota | United States | 56201 |
| 271 | Minnesota Oncology Hematology PA-Woodbury | Woodbury | Minnesota | United States | 55125 |
| 272 | Fairview Lakes Medical Center | Wyoming | Minnesota | United States | 55092 |
| 273 | Baptist Memorial Hospital and Cancer Center-Golden Triangle | Columbus | Mississippi | United States | 39705 |
| 274 | Baptist Cancer Center-Grenada | Grenada | Mississippi | United States | 38901 |
| 275 | Baptist Memorial Hospital and Cancer Center-Union County | New Albany | Mississippi | United States | 38652 |
| 276 | Baptist Memorial Hospital and Cancer Center-Oxford | Oxford | Mississippi | United States | 38655 |
| 277 | Baptist Memorial Hospital-Oxford | Oxford | Mississippi | United States | 38655 |
| 278 | Baptist Memorial Hospital and Cancer Center-Desoto | Southhaven | Mississippi | United States | 38671 |
| 279 | Central Care Cancer Center - Bolivar | Bolivar | Missouri | United States | 65613 |
| 280 | Parkland Health Center-Bonne Terre | Bonne Terre | Missouri | United States | 63628 |
| 281 | Saint Francis Medical Center | Cape Girardeau | Missouri | United States | 63703 |
| 282 | Southeast Cancer Center | Cape Girardeau | Missouri | United States | 63703 |
| 283 | Centerpoint Medical Center LLC | Independence | Missouri | United States | 64057 |
| 284 | Capital Region Southwest Campus | Jefferson City | Missouri | United States | 65109 |
| 285 | Mercy Hospital Joplin | Joplin | Missouri | United States | 64804 |
| 286 | Saint Luke's Hospital of Kansas City | Kansas City | Missouri | United States | 64111 |
| 287 | Heartland Hematology and Oncology Associates Incorporated | Kansas City | Missouri | United States | 64118 |
| 288 | Research Medical Center | Kansas City | Missouri | United States | 64132 |
| 289 | Saint Luke's East - Lee's Summit | Lee's Summit | Missouri | United States | 64086 |
| 290 | Liberty Radiation Oncology Center | Liberty | Missouri | United States | 64068 |
| 291 | Delbert Day Cancer Institute at PCRMC | Rolla | Missouri | United States | 65401 |
| 292 | Heartland Regional Medical Center | Saint Joseph | Missouri | United States | 64507 |
| 293 | Missouri Baptist Medical Center | Saint Louis | Missouri | United States | 63131 |
| 294 | Sainte Genevieve County Memorial Hospital | Sainte Genevieve | Missouri | United States | 63670 |
| 295 | Mercy Hospital Springfield | Springfield | Missouri | United States | 65804 |
| 296 | CoxHealth South Hospital | Springfield | Missouri | United States | 65807 |
| 297 | Missouri Baptist Sullivan Hospital | Sullivan | Missouri | United States | 63080 |
| 298 | Missouri Baptist Outpatient Center-Sunset Hills | Sunset Hills | Missouri | United States | 63127 |
| 299 | Community Hospital of Anaconda | Anaconda | Montana | United States | 59711 |
| 300 | Billings Clinic Cancer Center | Billings | Montana | United States | 59101 |
| 301 | Bozeman Deaconess Hospital | Bozeman | Montana | United States | 59715 |
| 302 | Benefis Healthcare- Sletten Cancer Institute | Great Falls | Montana | United States | 59405 |
| 303 | Great Falls Clinic | Great Falls | Montana | United States | 59405 |
| 304 | Saint Peter's Community Hospital | Helena | Montana | United States | 59601 |
| 305 | Kalispell Regional Medical Center | Kalispell | Montana | United States | 59901 |
| 306 | Saint Patrick Hospital - Community Hospital | Missoula | Montana | United States | 59802 |
| 307 | Community Medical Hospital | Missoula | Montana | United States | 59804 |
| 308 | CHI Health Saint Francis | Grand Island | Nebraska | United States | 68803 |
| 309 | Heartland Hematology and Oncology | Kearney | Nebraska | United States | 68845 |
| 310 | CHI Health Good Samaritan | Kearney | Nebraska | United States | 68847 |
| 311 | Saint Elizabeth Regional Medical Center | Lincoln | Nebraska | United States | 68510 |
| 312 | Alegent Health Immanuel Medical Center | Omaha | Nebraska | United States | 68122 |
| 313 | Hematology and Oncology Consultants PC | Omaha | Nebraska | United States | 68122 |
| 314 | Alegent Health Bergan Mercy Medical Center | Omaha | Nebraska | United States | 68124 |
| 315 | Alegent Health Lakeside Hospital | Omaha | Nebraska | United States | 68130 |
| 316 | Creighton University Medical Center | Omaha | Nebraska | United States | 68131 |
| 317 | Midlands Community Hospital | Papillion | Nebraska | United States | 68046 |
| 318 | Cancer and Blood Specialists-Henderson | Henderson | Nevada | United States | 89052 |
| 319 | Comprehensive Cancer Centers of Nevada - Henderson | Henderson | Nevada | United States | 89052 |
| 320 | Las Vegas Cancer Center-Henderson | Henderson | Nevada | United States | 89052 |
| 321 | 21st Century Oncology-Henderson | Henderson | Nevada | United States | 89074 |
| 322 | Comprehensive Cancer Centers of Nevada-Southeast Henderson | Henderson | Nevada | United States | 89074 |
| 323 | University Medical Center of Southern Nevada | Las Vegas | Nevada | United States | 89102 |
| 324 | Cancer and Blood Specialists-Shadow | Las Vegas | Nevada | United States | 89106 |
| 325 | Radiation Oncology Centers of Nevada Central | Las Vegas | Nevada | United States | 89106 |
| 326 | 21st Century Oncology | Las Vegas | Nevada | United States | 89109 |
| 327 | HealthCare Partners Medical Group Oncology/Hematology-Maryland Parkway | Las Vegas | Nevada | United States | 89109 |
| 328 | HealthCare Partners Medical Group Oncology/Hematology-San Martin | Las Vegas | Nevada | United States | 89113 |
| 329 | Radiation Oncology Centers of Nevada Southeast | Las Vegas | Nevada | United States | 89119 |
| 330 | Cancer Therapy and Integrative Medicine | Las Vegas | Nevada | United States | 89121 |
| 331 | 21st Century Oncology-Vegas Tenaya | Las Vegas | Nevada | United States | 89128 |
| 332 | Cancer and Blood Specialists-Tenaya | Las Vegas | Nevada | United States | 89128 |
| 333 | Comprehensive Cancer Centers of Nevada - Northwest | Las Vegas | Nevada | United States | 89128 |
| 334 | HealthCare Partners Medical Group Oncology/Hematology-Tenaya | Las Vegas | Nevada | United States | 89128 |
| 335 | Nevada Cancer Specialists-Tenaya | Las Vegas | Nevada | United States | 89128 |
| 336 | Comprehensive Cancer Centers of Nevada-Summerlin | Las Vegas | Nevada | United States | 89144 |
| 337 | Las Vegas Cancer Center-Medical Center | Las Vegas | Nevada | United States | 89148-2405 |
| 338 | 21st Century Oncology-Fort Apache | Las Vegas | Nevada | United States | 89148 |
| 339 | Comprehensive Cancer Centers of Nevada | Las Vegas | Nevada | United States | 89148 |
| 340 | Nevada Cancer Specialists-Fort Apache | Las Vegas | Nevada | United States | 89148 |
| 341 | HealthCare Partners Medical Group Oncology/Hematology-Centennial Hills | Las Vegas | Nevada | United States | 89149 |
| 342 | Comprehensive Cancer Centers of Nevada - Central Valley | Las Vegas | Nevada | United States | 89169 |
| 343 | Renown Regional Medical Center | Reno | Nevada | United States | 89502 |
| 344 | Saint Mary's Regional Medical Center | Reno | Nevada | United States | 89503 |
| 345 | University of New Mexico Cancer Center | Albuquerque | New Mexico | United States | 87102 |
| 346 | Presbyterian Kaseman Hospital | Albuquerque | New Mexico | United States | 87110 |
| 347 | Northwell Health Imbert Cancer Center | Bay Shore | New York | United States | 11706 |
| 348 | Montefiore Medical Center-Einstein Campus | Bronx | New York | United States | 10461 |
| 349 | Montefiore Medical Center - Moses Campus | Bronx | New York | United States | 10467 |
| 350 | Northwell Health/Center for Advanced Medicine | Lake Success | New York | United States | 11042 |
| 351 | Columbia University/Herbert Irving Cancer Center | New York | New York | United States | 10032 |
| 352 | Margaret R Pardee Memorial Hospital | Hendersonville | North Carolina | United States | 28791 |
| 353 | Novant Health Oncology Specialists-Kernersville | Kernersville | North Carolina | United States | 27284 |
| 354 | Novant Health Oncology Specialists-Mount Airy | Mount Airy | North Carolina | United States | 27030 |
| 355 | Novant Health Oncology Specialists-Davidson County | Thomasville | North Carolina | United States | 27360 |
| 356 | Novant Health Oncology Specialists-Wilkesboro | Wilkesboro | North Carolina | United States | 28659 |
| 357 | Novant Health Forsyth Medical Center | Winston-Salem | North Carolina | United States | 27103 |
| 358 | Novant Health Oncology Specialists | Winston-Salem | North Carolina | United States | 27103 |
| 359 | Winston-Salem Health Care | Winston-Salem | North Carolina | United States | 27103 |
| 360 | Indu and Raj Soin Medical Center | Beavercreek | Ohio | United States | 45431 |
| 361 | Strecker Cancer Center-Belpre | Belpre | Ohio | United States | 45714 |
| 362 | Dayton Physicians LLC-Miami Valley South | Centerville | Ohio | United States | 45459 |
| 363 | Miami Valley Hospital South | Centerville | Ohio | United States | 45459 |
| 364 | Adena Regional Medical Center | Chillicothe | Ohio | United States | 45601 |
| 365 | Good Samaritan Hospital - Cincinnati | Cincinnati | Ohio | United States | 45220 |
| 366 | Oncology Hematology Care Inc-Kenwood | Cincinnati | Ohio | United States | 45236 |
| 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 | Mount Carmel East Hospital | Columbus | Ohio | United States | 43213 |
| 371 | Columbus Oncology and Hematology Associates Inc | Columbus | Ohio | United States | 43214 |
| 372 | Riverside Methodist Hospital | Columbus | Ohio | United States | 43214 |
| 373 | Grant Medical Center | Columbus | Ohio | United States | 43215 |
| 374 | The Mark H Zangmeister Center | Columbus | Ohio | United States | 43219 |
| 375 | Mount Carmel Health Center West | Columbus | Ohio | United States | 43222 |
| 376 | Doctors Hospital | Columbus | Ohio | United States | 43228 |
| 377 | Good Samaritan Hospital - Dayton | Dayton | Ohio | United States | 45406 |
| 378 | Miami Valley Hospital | Dayton | Ohio | United States | 45409 |
| 379 | Dayton Physicians LLC-Samaritan North | Dayton | Ohio | United States | 45415 |
| 380 | Samaritan North Health Center | Dayton | Ohio | United States | 45415 |
| 381 | Delaware Health Center-Grady Cancer Center | Delaware | Ohio | United States | 43015 |
| 382 | Delaware Radiation Oncology | Delaware | Ohio | United States | 43015 |
| 383 | Grady Memorial Hospital | Delaware | Ohio | United States | 43015 |
| 384 | Armes Family Cancer Center | Findlay | Ohio | United States | 45840 |
| 385 | Blanchard Valley Hospital | Findlay | Ohio | United States | 45840 |
| 386 | Orion Cancer Care | Findlay | Ohio | United States | 45840 |
| 387 | Atrium Medical Center-Middletown Regional Hospital | Franklin | Ohio | United States | 45005-1066 |
| 388 | Dayton Physicians LLC-Atrium | Franklin | Ohio | United States | 45005 |
| 389 | Dayton Physicians LLC-Wayne | Greenville | Ohio | United States | 45331 |
| 390 | Wayne Hospital | Greenville | Ohio | United States | 45331 |
| 391 | Greater Dayton Cancer Center | Kettering | Ohio | United States | 45409 |
| 392 | First Dayton Cancer Care | Kettering | Ohio | United States | 45420 |
| 393 | Kettering Medical Center | Kettering | Ohio | United States | 45429 |
| 394 | Fairfield Medical Center | Lancaster | Ohio | United States | 43130 |
| 395 | OhioHealth Mansfield Hospital | Mansfield | Ohio | United States | 44903 |
| 396 | Marietta Memorial Hospital | Marietta | Ohio | United States | 45750 |
| 397 | OhioHealth Marion General Hospital | Marion | Ohio | United States | 43302 |
| 398 | Dayton Physicians LLC-Signal Point | Middletown | Ohio | United States | 45042 |
| 399 | Knox Community Hospital | Mount Vernon | Ohio | United States | 43050 |
| 400 | Licking Memorial Hospital | Newark | Ohio | United States | 43055 |
| 401 | Newark Radiation Oncology | Newark | Ohio | United States | 43055 |
| 402 | Southern Ohio Medical Center | Portsmouth | Ohio | United States | 45662 |
| 403 | Dayton Physicians LLC-Wilson | Sidney | Ohio | United States | 45365 |
| 404 | Springfield Regional Cancer Center | Springfield | Ohio | United States | 45504 |
| 405 | Springfield Regional Medical Center | Springfield | Ohio | United States | 45505 |
| 406 | Dayton Physicians LLC-Upper Valley | Troy | Ohio | United States | 45373 |
| 407 | Upper Valley Medical Center | Troy | Ohio | United States | 45373 |
| 408 | Saint Ann's Hospital | Westerville | Ohio | United States | 43081 |
| 409 | Genesis Healthcare System Cancer Care Center | Zanesville | Ohio | United States | 43701 |
| 410 | Mercy Hospital Oklahoma City | Oklahoma City | Oklahoma | United States | 73120 |
| 411 | Saint Alphonsus Medical Center-Baker City | Baker City | Oregon | United States | 97814 |
| 412 | Saint Charles Health System | Bend | Oregon | United States | 97701 |
| 413 | Clackamas Radiation Oncology Center | Clackamas | Oregon | United States | 97015 |
| 414 | Providence Oncology and Hematology Care Southeast | Clackamas | Oregon | United States | 97015 |
| 415 | Bay Area Hospital | Coos Bay | Oregon | United States | 97420 |
| 416 | Providence Newberg Medical Center | Newberg | Oregon | United States | 97132 |
| 417 | Saint Alphonsus Medical Center-Ontario | Ontario | Oregon | United States | 97914 |
| 418 | Providence Willamette Falls Medical Center | Oregon City | Oregon | United States | 97045 |
| 419 | Providence Portland Medical Center | Portland | Oregon | United States | 97213 |
| 420 | Providence Saint Vincent Medical Center | Portland | Oregon | United States | 97225 |
| 421 | Kaiser Permanente Northwest | Portland | Oregon | United States | 97227 |
| 422 | Lehigh Valley Hospital-Cedar Crest | Allentown | Pennsylvania | United States | 18103 |
| 423 | Lehigh Valley Hospital - Muhlenberg | Bethlehem | Pennsylvania | United States | 18017 |
| 424 | Bryn Mawr Hospital | Bryn Mawr | Pennsylvania | United States | 19010 |
| 425 | Geisinger Medical Center | Danville | Pennsylvania | United States | 17822 |
| 426 | Pocono Medical Center | East Stroudsburg | Pennsylvania | United States | 18301 |
| 427 | Geisinger Medical Center-Cancer Center Hazleton | Hazleton | Pennsylvania | United States | 18201 |
| 428 | Lehigh Valley Hospital-Hazleton | Hazleton | Pennsylvania | United States | 18201 |
| 429 | Geisinger Medical Oncology-Lewisburg | Lewisburg | Pennsylvania | United States | 17837 |
| 430 | Lewistown Hospital | Lewistown | Pennsylvania | United States | 17044 |
| 431 | Riddle Memorial Hospital | Media | Pennsylvania | United States | 19063 |
| 432 | Paoli Memorial Hospital | Paoli | Pennsylvania | United States | 19301 |
| 433 | Geisinger Cancer Services-Pottsville | Pottsville | Pennsylvania | United States | 17901 |
| 434 | Community Medical Center | Scranton | Pennsylvania | United States | 18510 |
| 435 | Geisinger Medical Oncology-Selinsgrove | Selinsgrove | Pennsylvania | United States | 17870 |
| 436 | Geisinger Medical Group | State College | Pennsylvania | United States | 16801 |
| 437 | Geisinger Wyoming Valley/Henry Cancer Center | Wilkes-Barre | Pennsylvania | United States | 18711 |
| 438 | Lankenau Medical Center | Wynnewood | Pennsylvania | United States | 19096 |
| 439 | Beaufort Memorial Hospital | Beaufort | South Carolina | United States | 29902 |
| 440 | Medical University of South Carolina | Charleston | South Carolina | United States | 29425 |
| 441 | Greenville Health System Cancer Institute-Easley | Easley | South Carolina | United States | 29640 |
| 442 | Gibbs Cancer Center-Gaffney | Gaffney | South Carolina | United States | 29341 |
| 443 | Greenville Health System Cancer Institute-Butternut | Greenville | South Carolina | United States | 29605 |
| 444 | Greenville Health System Cancer Institute-Faris | Greenville | South Carolina | United States | 29605 |
| 445 | Greenville Memorial Hospital | Greenville | South Carolina | United States | 29605 |
| 446 | Greenville Health System Cancer Institute-Eastside | Greenville | South Carolina | United States | 29615 |
| 447 | Greenville Health System Cancer Institute-Greer | Greer | South Carolina | United States | 29650 |
| 448 | Gibbs Cancer Center-Pelham | Greer | South Carolina | United States | 29651 |
| 449 | Greenville Health System Cancer Institute-Seneca | Seneca | South Carolina | United States | 29672 |
| 450 | Spartanburg Medical Center | Spartanburg | South Carolina | United States | 29303 |
| 451 | Greenville Health System Cancer Institute-Spartanburg | Spartanburg | South Carolina | United States | 29307 |
| 452 | MGC Hematology Oncology-Union | Union | South Carolina | United States | 29379 |
| 453 | Boston Baskin Cancer Center-Bartlett | Bartlett | Tennessee | United States | 38133 |
| 454 | Memorial Hospital | Chattanooga | Tennessee | United States | 37404 |
| 455 | Baptist Memorial Hospital and Cancer Center-Collierville | Collierville | Tennessee | United States | 38017 |
| 456 | Integrity Oncology PLLC-Collierville | Collierville | Tennessee | United States | 38017 |
| 457 | Pulmonary Medicine Center of Chattanooga-Hixson | Hixson | Tennessee | United States | 37343 |
| 458 | Baptist Memorial Hospital and Cancer Center-Memphis | Memphis | Tennessee | United States | 38120 |
| 459 | Baptist Memorial Hospital for Women | Memphis | Tennessee | United States | 38120 |
| 460 | Family Cancer Center-Memphis | Memphis | Tennessee | United States | 38120 |
| 461 | Memorial GYN Plus | Ooltewah | Tennessee | United States | 37363 |
| 462 | Saint Joseph Regional Cancer Center | Bryan | Texas | United States | 77802 |
| 463 | American Fork Hospital / Huntsman Intermountain Cancer Center | American Fork | Utah | United States | 84003 |
| 464 | Sandra L Maxwell Cancer Center | Cedar City | Utah | United States | 84720 |
| 465 | Intermountain Medical Center | Murray | Utah | United States | 84107 |
| 466 | McKay-Dee Hospital Center | Ogden | Utah | United States | 84403 |
| 467 | Utah Valley Regional Medical Center | Provo | Utah | United States | 84604 |
| 468 | Dixie Medical Center Regional Cancer Center | Saint George | Utah | United States | 84770 |
| 469 | Sovah Health Martinsville | Martinsville | Virginia | United States | 24115 |
| 470 | Providence Regional Cancer System-Aberdeen | Aberdeen | Washington | United States | 98520 |
| 471 | MultiCare Auburn Medical Center | Auburn | Washington | United States | 98001 |
| 472 | PeaceHealth Saint Joseph Medical Center | Bellingham | Washington | United States | 98225 |
| 473 | Harrison HealthPartners Hematology and Oncology-Bremerton | Bremerton | Washington | United States | 98310 |
| 474 | Harrison Medical Center | Bremerton | Washington | United States | 98310 |
| 475 | Highline Medical Center-Main Campus | Burien | Washington | United States | 98166 |
| 476 | Providence Regional Cancer System-Centralia | Centralia | Washington | United States | 98531 |
| 477 | Swedish Medical Center-Edmonds | Edmonds | Washington | United States | 98026 |
| 478 | Saint Elizabeth Hospital | Enumclaw | Washington | United States | 98022 |
| 479 | Providence Regional Cancer Partnership | Everett | Washington | United States | 98201 |
| 480 | Saint Francis Hospital | Federal Way | Washington | United States | 98003 |
| 481 | MultiCare Gig Harbor Medical Park | Gig Harbor | Washington | United States | 98335 |
| 482 | Swedish Cancer Institute-Issaquah | Issaquah | Washington | United States | 98029 |
| 483 | Kadlec Clinic Hematology and Oncology | Kennewick | Washington | United States | 99336 |
| 484 | Providence Regional Cancer System-Lacey | Lacey | Washington | United States | 98503 |
| 485 | Saint Clare Hospital | Lakewood | Washington | United States | 98499 |
| 486 | PeaceHealth Saint John Medical Center | Longview | Washington | United States | 98632 |
| 487 | Harrison HealthPartners Hematology and Oncology-Poulsbo | Poulsbo | Washington | United States | 98370 |
| 488 | MultiCare Good Samaritan Hospital | Puyallup | Washington | United States | 98372 |
| 489 | Pacific Gynecology Specialists | Seattle | Washington | United States | 98104 |
| 490 | Swedish Medical Center-Ballard Campus | Seattle | Washington | United States | 98107 |
| 491 | Kaiser Permanente Washington | Seattle | Washington | United States | 98112 |
| 492 | Swedish Medical Center-First Hill | Seattle | Washington | United States | 98122-4307 |
| 493 | Swedish Medical Center-Cherry Hill | Seattle | Washington | United States | 98122-5711 |
| 494 | Providence Regional Cancer System-Shelton | Shelton | Washington | United States | 98584 |
| 495 | Rockwood Clinic Cancer Treatment Center-Valley | Spokane Valley | Washington | United States | 99216 |
| 496 | Rockwood Cancer Treatment Center-DHEC-Downtown | Spokane | Washington | United States | 99204 |
| 497 | Rockwood North Cancer Treatment Center | Spokane | Washington | United States | 99218 |
| 498 | Franciscan Research Center-Northwest Medical Plaza | Tacoma | Washington | United States | 98405 |
| 499 | MultiCare Tacoma General Hospital | Tacoma | Washington | United States | 98405 |
| 500 | Northwest Medical Specialties PLLC | Tacoma | Washington | United States | 98405 |
| 501 | PeaceHealth Southwest Medical Center | Vancouver | Washington | United States | 98664 |
| 502 | Providence Saint Mary Regional Cancer Center | Walla Walla | Washington | United States | 99362 |
| 503 | Providence Regional Cancer System-Yelm | Yelm | Washington | United States | 98597 |
| 504 | Aurora Cancer Care-Southern Lakes VLCC | Burlington | Wisconsin | United States | 53105 |
| 505 | Marshfield Clinic-Chippewa Center | Chippewa Falls | Wisconsin | United States | 54729 |
| 506 | Marshfield Clinic Cancer Center - Eau Claire | Eau Claire | Wisconsin | United States | 54701 |
| 507 | Marshfield Clinic Cancer Center at Sacred Heart | Eau Claire | Wisconsin | United States | 54701 |
| 508 | Aurora Health Center-Fond du Lac | Fond Du Lac | Wisconsin | United States | 54937 |
| 509 | Aurora Health Care Germantown Health Center | Germantown | Wisconsin | United States | 53022 |
| 510 | Aurora Cancer Care-Grafton | Grafton | Wisconsin | United States | 53024 |
| 511 | Aurora BayCare Medical Center | Green Bay | Wisconsin | United States | 54311 |
| 512 | Aurora Cancer Care-Kenosha South | Kenosha | Wisconsin | United States | 53142 |
| 513 | Gundersen Lutheran Medical Center | La Crosse | Wisconsin | United States | 54601 |
| 514 | Marshfield Clinic - Ladysmith Center | Ladysmith | Wisconsin | United States | 54848 |
| 515 | Aurora Bay Area Medical Group-Marinette | Marinette | Wisconsin | United States | 54143 |
| 516 | Vince Lombardi Cancer Clinic-Marinette | Marinette | Wisconsin | United States | 54143 |
| 517 | Marshfield Clinic | Marshfield | Wisconsin | United States | 54449 |
| 518 | Aurora Cancer Care-Milwaukee | Milwaukee | Wisconsin | United States | 53209 |
| 519 | Aurora Saint Luke's Medical Center | Milwaukee | Wisconsin | United States | 53215 |
| 520 | Aurora Sinai Medical Center | Milwaukee | Wisconsin | United States | 53233 |
| 521 | Marshfield Clinic-Minocqua Center | Minocqua | Wisconsin | United States | 54548 |
| 522 | Cancer Center of Western Wisconsin | New Richmond | Wisconsin | United States | 54017 |
| 523 | Vince Lombardi Cancer Clinic - Oshkosh | Oshkosh | Wisconsin | United States | 54904 |
| 524 | Aurora Cancer Care-Racine | Racine | Wisconsin | United States | 53406 |
| 525 | Marshfield Clinic-Rice Lake Center | Rice Lake | Wisconsin | United States | 54868 |
| 526 | Vince Lombardi Cancer Clinic-Sheboygan | Sheboygan | Wisconsin | United States | 53081 |
| 527 | Marshfield Clinic Stevens Point Center | Stevens Point | Wisconsin | United States | 54482 |
| 528 | Aurora Medical Center in Summit | Summit | Wisconsin | United States | 53066 |
| 529 | Vince Lombardi Cancer Clinic-Two Rivers | Two Rivers | Wisconsin | United States | 54241 |
| 530 | Marshfield Clinic-Wausau Center | Wausau | Wisconsin | United States | 54401 |
| 531 | Aurora Cancer Care-Milwaukee West | Wauwatosa | Wisconsin | United States | 53226 |
| 532 | Aurora West Allis Medical Center | West Allis | Wisconsin | United States | 53227 |
| 533 | Marshfield Clinic - Weston Center | Weston | Wisconsin | United States | 54476 |
| 534 | Marshfield Clinic - Wisconsin Rapids Center | Wisconsin Rapids | Wisconsin | United States | 54494 |
| 535 | Cheyenne Regional Medical Center-West | Cheyenne | Wyoming | United States | 82001 |
| 536 | Billings Clinic-Cody | Cody | Wyoming | United States | 82414 |
| 537 | Welch Cancer Center | Sheridan | Wyoming | United States | 82801 |
Sponsors and Collaborators
- Southwest Oncology Group
- National Cancer Institute (NCI)
Investigators
- Principal Investigator: Veena Shankaran, Southwest Oncology Group
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.Responsible Party:
Southwest Oncology Group
ClinicalTrials.gov Identifier:
NCT02728804
Other Study ID Numbers:
- S1417CD
- NCI-2015-01885
- S1417
- S1417CD
- SWOG-S1417CD
- S1417CD
- UG1CA189974
- NCT02755571
First Posted:
Apr 5, 2016
Last Update Posted:
May 9, 2022
Last Verified:
May 1, 2022