Selected New, Ongoing, and Prospective Epidemiologic Studies Utilizing Texas Cancer Registry Data National Cancer Institute Cancer Risk in Solid Organ Transplant Recipients and End-Stage Renal Disease: The Transplant Cancer Match Study DSHS IRB Application in Progress This study will link a cohort of organ transplant recipients to cancer registry data to investigate any increased risk of cancer. Organ transplant recipients must take medication to counter organ rejection, thus compromising the immune system. Dr. Eric Engels, the primary investigator, led the NCI study that linked individuals with HIV/AIDS to cancer registry data. World Trade Center Health Registry Cancer Incidence and Cancer Mortality in the World Trade Center Health Registry DSHS IRB Application Approved and Linkage in Progress Many who where involved in the response and aftermath of the World Trade Center disaster now suffer from a variety of adverse health conditions. The World Trade Center Health Registry (WTCHR) currently contains over 71,000 individuals. Due to potential carcinogenic exposures that may have occurred during the disaster, cancer is a concern among this population. This study will investigate if there is an excess of cancer among WTCHR registrants and possible exposure risk factors. University of Texas Health Science Center San Antonio Creation of a Geo-Referenced Database for the Identification of Priority Areas in Need of Childhood Leukemia Interventions throughout South Texas DSHS IRB Application in Progress Study will examine the incidence, mortality, and impact of childhood leukemia in south Texas. University of California, San Francisco/NCRA/CDC NCRA Workload & Time Management (WTM) Project: Current Practices for the Hospital Cancer Registry & Central Cancer Registry DSHS IRB Approved and Data Submitted The overall objective of this project is to document the staffing requirements necessary to perform the primary activities of cancer registrars, and to analyze how workload varies as a function of registry and/or institutional characteristics. Slone Epidemiology Center/Boston University Black Women’s Health Study DSHS IRB Approved and Data Submitted African American women bear a disproportionate burden or morbidity and mortality in comparison with white women in the United States. The principle purpose of the study is to evaluate the influence of important risk factors on the occurrence of breast cancer and other cancers in African American women. Rev. 2/5/2016 1 of 3 RTI International/American Cancer Society The Impact of State Medicaid Copayment Policies on Access to Quality Cancer Treatment DSHS IRB Approved and Linkage in Progress The Medicaid program plays a critical role in providing insurance coverage for many low income beneficiaries who are diagnosed with cancer. This study addresses the impact of state Medicaid copayment requirements on access to cancer treatment, the impacts of these policies on patient outcomes, and how these policies affect overall program costs. University of South Florida Linking Health Hazards and Environmental Justice: A Case Study in Houston Texas DSHS IRB Approved – In Progress This study seeks to investigate health disparities and health outcomes due to exposure to pollutants released from industrial facilities. The study will utilize recent and more accurate methodologies to measure pollutants in the air in the Houston-Galveston-Brazoria area. RTI Health Solutions Forteo Post-Approval Osteosarcoma Surveillance Study: Case Series DSHS IRB Approved – First Data Set Submitted Forteo, a biosynthetic human parathyroid hormone, has been used to treat osteoporosis. Animal studies have shown an increased risk of osteosarcoma with long-term use of Forteo. This study will investigate exposure to Forteo in osteosarcoma patients, and document other characteristics and medical factors in adults with this rare cancer. University of Texas M.D. Anderson Cancer Center Menigioma: Risk factors and Quality of Life DSHS IRB Approved – Ongoing Few studies have examined the risk factors associated with meningioma, the most frequently reported of primary intra-cranial neoplasms. This study examines the environmental, genetic, pathologic, and clinical variables associated with meningioma risk. University of Texas M.D. Anderson Cancer Center Molecular and Genetic Epidemiology of Gliomas DSHS IRB Approved – Ongoing Brain tumors are rare, but have high morbidity and mortality. Malignant gliomas alone are responsible for approximately 12,000 deaths annually in the United States. This study investigates and expands what is known regarding genetic predisposition to gliomas, as well as other etiology. National Cancer Institute NIH-AARP Diet & Health Study DSHS IRB Approved – Ongoing This study, which is being conducted by Westat under contract to the National Cancer Institute (NCI), is designed to prospectively examine the relationship between diet and major cancers (especially those of the breast, large bowel and prostate) in a sample of early to late middle-aged men and women in the United States. Rev. 2/5/2016 2 of 3 Texas Veterinary Medical Center Texas A&M University Spatial Modeling of Adverse Health outcomes Attributable to Fetal Environmental DSHS IRB Approved – Ongoing A number of adverse health outcomes have been attributed to fetal toxic exposures. These adverse health outcomes include conditions present at birth and conditions occurring later in life such as childhood cancer. The risks for these adverse outcomes will be mapped in order to investigate possible environmental toxic exposures that pregnant women encountered due to their living location. University of Pittsburgh/Pratt and Whitney Epidemiology and Biostatistical Component of the Pratt & Whitney Cohort Mortality and Cancer Incidence Study DSHS IRB Approved – Ongoing In May 2000, the Connecticut Department of Public Health (CDH) began an investigation of a suspected cluster of brain cancer at the Pratt & Whitney (P&W) engine manufacturing plant in North Haven, CT. By August 2001, the CDH investigation had identified 14 cases of primary, malignant brain cancer, all of which were confirmed by the CT Tumor Registry Program. All cases occurred among white male workers, and 12 of the 14 cases were of a common type (glioblastoma). This study seeks to use other state cancer registries to identify former employees of the P&W workforce who have been diagnosed with brain tumors, and determine whether the total number of observed cases and/or deaths is greater than the number expected based on standardized comparisons. St. Luke’s Episcopal Health Charities, Houston Breast Health Collaborative: Breast Health Information Web Portal DSHS IRB Approved – Ongoing The purpose of the project is to develop a geographically-based website that allows those who serve the underserved to refer clients needing breast health services to health providers. University of Texas School of Public Health at Houston/NCI Hazardous Air Pollutants and Lymphohematopoietic Cancer Incidence in Houston, 19952005 DSHS IRB Approved – Ongoing The purpose of this study is to investigate the association between air pollution and lymphohematopoietic cancer incidence in Harris and seven surrounding counties, with particular emphasis on the roles of benzene, 1,3-butadiene and styrene. Rev. 2/5/2016 3 of 3