Mobile Health for Adherence hos brystkreftpasienter
Forbedring av medisinoverholdelse ved metastatisk brystkreft ved å bruke en tilkoblet tilpasset behandlingsplattform (CONCURxP)
Studieoversikt
Status
Status
Forhold
Forhold
Intervensjon / Behandling
Intervensjon / Behandling
Detaljert beskrivelse
HOVEDMÅL:
I. For å sammenligne CDK4/6-hemmere (CDK4/6i) adherens 12 måneder etter fullføring av baseline-undersøkelsen fanget ved hjelp av elektronisk overvåking mellom EUC (arm A) og CONCURxP (arm B) armer.
SEKUNDÆRE MÅL:
I. For å sammenligne CDK4/6i-overholdelse ved 12 måneder etter fullføring av grunnlinjeundersøkelsen fanget gjennom selvrapportering mellom EUC (arm A) og CONCURxP (arm B) armer.
II. For å sammenligne CDK4/6i-utholdenhet ved 12 måneder etter fullføring av grunnlinjeundersøkelsen fanget ved hjelp av elektronisk overvåking mellom EUC (arm A) og CONCURxP (arm B) armer.
III. For å sammenligne symptombyrden ved 12 måneder mellom EUC (arm A) og CONCURxP (arm B) armer.
IV. For å sammenligne livskvalitet ved 12 måneder mellom EUC (arm A) og CONCURxP (arm B) armer.
V. For å sammenligne pasient-leverandør kommunikasjon etter 12 måneder mellom EUC (arm A) og CONCURxP (arm B) armer.
VI. For å sammenligne egeneffektivitet for å håndtere symptomer etter 12 måneder mellom EUC (arm A) og CONCURxP (arm B) armer.
VII. For å sammenligne økonomisk bekymring etter 12 måneder mellom EUC (arm A) og CONCURxP (arm B) armer.
UNDERSØKENDE MÅL:
I. Å vurdere longitudinelle endringer av pasientrapporterte utfall (selvrapportert overholdelse, symptombyrde, livskvalitet og økonomisk bekymring) fra EUC (arm A) og CONCURxP (arm B) armer.
II. For å sammenligne bruk av helsetjenester etter 12 måneder mellom EUC (arm A) og CONCURxP (arm B) armer.
III. For å sammenligne progresjonsfri overlevelse ved 12 måneder mellom EUC (arm A) og CONCURxP (arm B) armer.
IV. For å sammenligne total overlevelse etter 12 måneder mellom EUC (arm A) og CONCURxP (arm B) armer.
V. Å beskrive CONCURxP (arm B) pasienter og deres leverandørs erfaring med ulike implementeringsresultater.
OVERSIGT: Pasienter er randomisert i 1 av 2 armer. Ikke-pasientdeltakere blir tildelt arm C.
ARM A: Pasienter bruker Wisebag medikamentdispenser og får tilgang til undervisningsmateriell hver 4. uke over 12 måneder.
ARM B: Pasienter bruker Wisebag medikamentdispenser og mottar personlige tekstmeldingspåminnelser, medisinering og oppfølging av helsepersonell som en del av CONCURxP-plattformen over 12 måneder. Pasienter kan gjennomføre et intervju over 20-30 minutter innen 6 måneder etter at studien er fullført.
ARM C: Deltakerne gjennomfører et intervju over 20-30 minutter 15-39 måneder etter første pasientregistrering.
Etter fullført studieintervensjon kan pasienter følges opp til 6 måneder.
Studietype
Studietype
Registrering (Antatt)
Registrering
Fase
Fase
- Ikke aktuelt
Kontakter og plasseringer
Studiesteder
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Alaska
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Fairbanks, Alaska, Forente stater, 99701
- Fairbanks Memorial Hospital
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Arizona
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Kingman, Arizona, Forente stater, 86401
- Kingman Regional Medical Center
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Phoenix, Arizona, Forente stater, 85004
- Cancer Center at Saint Joseph's
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Arkansas
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Fort Smith, Arkansas, Forente stater, 72903
- Mercy Hospital Fort Smith
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Jonesboro, Arkansas, Forente stater, 72401
- NEA Baptist Memorial Hospital and Fowler Family Cancer Center - Jonesboro
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Little Rock, Arkansas, Forente stater, 72205
- CARTI Cancer Center
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California
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Anaheim, California, Forente stater, 92806
- Kaiser Permanente-Anaheim
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Arroyo Grande, California, Forente stater, 93420
- PCR Oncology
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Arroyo Grande, California, Forente stater, 93420
- Mission Hope Medical Oncology - Arroyo Grande
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Baldwin Park, California, Forente stater, 91706
- Kaiser Permanente-Baldwin Park
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Bellflower, California, Forente stater, 90706
- Kaiser Permanente-Bellflower
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Carmichael, California, Forente stater, 95608
- Mercy San Juan Medical Center
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Carmichael, California, Forente stater, 95608
- Mercy Cancer Center - Carmichael
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Elk Grove, California, Forente stater, 95758
- Mercy Cancer Center - Elk Grove
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Fontana, California, Forente stater, 92335
- Kaiser Permanente-Fontana
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Harbor City, California, Forente stater, 90710
- Kaiser Permanente South Bay
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Irvine, California, Forente stater, 92618
- Kaiser Permanente-Irvine
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Los Angeles, California, Forente stater, 90027
- Kaiser Permanente Los Angeles Medical Center
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Los Angeles, California, Forente stater, 90034
- Kaiser Permanente West Los Angeles
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Martinez, California, Forente stater, 94553-3156
- Contra Costa Regional Medical Center
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Merced, California, Forente stater, 95340
- Mercy Cancer Center
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Ontario, California, Forente stater, 91761
- Kaiser Permanente-Ontario
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Orange, California, Forente stater, 92868
- UC Irvine Health/Chao Family Comprehensive Cancer Center
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Panorama City, California, Forente stater, 91402
- Kaiser Permanente - Panorama City
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Riverside, California, Forente stater, 92505
- Kaiser Permanente-Riverside
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Rocklin, California, Forente stater, 95765
- Mercy Cancer Center - Rocklin
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Sacramento, California, Forente stater, 95816
- Mercy Cancer Center - Sacramento
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San Diego, California, Forente stater, 92120
- Kaiser Permanente-San Diego Zion
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San Diego, California, Forente stater, 92108
- Kaiser Permanente-San Diego Mission
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San Luis Obispo, California, Forente stater, 93401
- Pacific Central Coast Health Center-San Luis Obispo
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San Marcos, California, Forente stater, 92078
- Kaiser Permanente-San Marcos
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Santa Maria, California, Forente stater, 93444
- Mission Hope Medical Oncology - Santa Maria
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Stockton, California, Forente stater, 95204
- Saint Joseph's Medical Center
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Walnut Creek, California, Forente stater, 94598
- BASS Medical Group - Lennon
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Woodland, California, Forente stater, 95695
- Woodland Memorial Hospital
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Woodland Hills, California, Forente stater, 91367
- Kaiser Permanente-Woodland Hills
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Colorado
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Aurora, Colorado, Forente stater, 80012
- Rocky Mountain Cancer Centers-Aurora
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Boulder, Colorado, Forente stater, 80303
- Boulder Community Foothills Hospital
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Boulder, Colorado, Forente stater, 80304
- Rocky Mountain Cancer Centers-Boulder
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Centennial, Colorado, Forente stater, 80112
- Rocky Mountain Cancer Centers - Centennial
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Colorado Springs, Colorado, Forente stater, 80907
- Penrose-Saint Francis Healthcare
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Colorado Springs, Colorado, Forente stater, 80907
- Rocky Mountain Cancer Centers-Penrose
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Colorado Springs, Colorado, Forente stater, 80923
- Saint Francis Cancer Center
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Denver, Colorado, Forente stater, 80205
- Kaiser Permanente-Franklin
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Denver, Colorado, Forente stater, 80218
- Presbyterian - Saint Lukes Medical Center - Health One
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Denver, Colorado, Forente stater, 80218
- Rocky Mountain Cancer Centers-Midtown
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Denver, Colorado, Forente stater, 80220
- Rocky Mountain Cancer Centers-Rose
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Denver, Colorado, Forente stater, 80218
- Colorado Blood Cancer Institute
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Denver, Colorado, Forente stater, 80209
- The Women's Imaging Center
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Durango, Colorado, Forente stater, 81301
- Mercy Medical Center
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Durango, Colorado, Forente stater, 81301
- CommonSpirit Cancer Center Mercy
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Englewood, Colorado, Forente stater, 80113
- Mountain Blue Cancer Care Center - Swedish
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Englewood, Colorado, Forente stater, 80113
- Rocky Mountain Cancer Centers - Swedish
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Englewood, Colorado, Forente stater, 80113
- The Melanoma and Skin Cancer Institute
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Lafayette, Colorado, Forente stater, 80026
- Kaiser Permanente-Rock Creek
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Lakewood, Colorado, Forente stater, 80228
- Rocky Mountain Cancer Centers-Lakewood
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Lakewood, Colorado, Forente stater, 80228
- CommonSpirit Saint Anthony Hospital Cancer Center
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Littleton, Colorado, Forente stater, 80120
- Rocky Mountain Cancer Centers-Littleton
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Lone Tree, Colorado, Forente stater, 80124
- Kaiser Permanente-Lone Tree
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Lone Tree, Colorado, Forente stater, 80124
- Rocky Mountain Cancer Centers-Sky Ridge
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Longmont, Colorado, Forente stater, 80501
- Longmont United Hospital
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Longmont, Colorado, Forente stater, 80501
- Rocky Mountain Cancer Centers-Longmont
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Pueblo, Colorado, Forente stater, 81004
- Saint Mary Corwin Medical Center
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Thornton, Colorado, Forente stater, 80260
- Rocky Mountain Cancer Centers-Thornton
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Westminster, Colorado, Forente stater, 80023
- Saint Anthony North Hospital
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Delaware
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Lewes, Delaware, Forente stater, 19958
- Beebe Medical Center
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Millville, Delaware, Forente stater, 19967
- Beebe South Coastal Health Campus
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Newark, Delaware, Forente stater, 19713
- Helen F Graham Cancer Center
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Newark, Delaware, Forente stater, 19713
- Medical Oncology Hematology Consultants PA
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Newark, Delaware, Forente stater, 19718
- Christiana Care Health System-Christiana Hospital
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Rehoboth Beach, Delaware, Forente stater, 19971
- Beebe Health Campus
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Wilmington, Delaware, Forente stater, 19801
- Christiana Care Health System-Wilmington Hospital
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District of Columbia
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Washington D.C., District of Columbia, Forente stater, 20007
- MedStar Georgetown University Hospital
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Florida
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Fort Lauderdale, Florida, Forente stater, 33308
- Holy Cross Hospital
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Georgia
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Albany, Georgia, Forente stater, 31701
- Phoebe Putney Memorial Hospital
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Atlanta, Georgia, Forente stater, 30308
- Emory University Hospital Midtown
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Atlanta, Georgia, Forente stater, 30322
- Emory University Hospital/Winship Cancer Institute
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Atlanta, Georgia, Forente stater, 30342
- Emory Saint Joseph's Hospital
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Augusta, Georgia, Forente stater, 30912
- Augusta University Medical Center
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Decatur, Georgia, Forente stater, 30033
- Emory Decatur Hospital
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Hinesville, Georgia, Forente stater, 31313
- Liberty County Cancer Care
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Savannah, Georgia, Forente stater, 31405
- Lewis Cancer and Research Pavilion at Saint Joseph's/Candler
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Savannah, Georgia, Forente stater, 31404
- Memorial Health University Medical Center
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Savannah, Georgia, Forente stater, 31404
- Low Country Cancer Care
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Tifton, Georgia, Forente stater, 31794
- Tift Regional Medical Center
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Valdosta, Georgia, Forente stater, 31602
- South Georgia Medical Center/Pearlman Cancer Center
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Idaho
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Boise, Idaho, Forente stater, 83706
- Saint Alphonsus Cancer Care Center-Boise
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Caldwell, Idaho, Forente stater, 83605
- Saint Alphonsus Cancer Care Center-Caldwell
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Coeur d'Alene, Idaho, Forente stater, 83814
- Kootenai Health - Coeur d'Alene
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Emmett, Idaho, Forente stater, 83617
- Walter Knox Memorial Hospital
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Meridian, Idaho, Forente stater, 83642
- Idaho Urologic Institute-Meridian
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Nampa, Idaho, Forente stater, 83687
- Saint Alphonsus Cancer Care Center-Nampa
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Post Falls, Idaho, Forente stater, 83854
- Kootenai Clinic Cancer Services - Post Falls
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Sandpoint, Idaho, Forente stater, 83864
- Kootenai Clinic Cancer Services - Sandpoint
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Illinois
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Alton, Illinois, Forente stater, 62002
- OSF Saint Anthony's Health Center
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Aurora, Illinois, Forente stater, 60504
- Rush-Copley Medical Center
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Aurora, Illinois, Forente stater, 60506
- Advocate Outpatient Center - Aurora
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Barrington, Illinois, Forente stater, 60010
- Advocate Good Shepherd Hospital
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Centralia, Illinois, Forente stater, 62801
- Saint Mary's Hospital
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Chicago, Illinois, Forente stater, 60657
- Advocate Illinois Masonic Medical Center
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Crystal Lake, Illinois, Forente stater, 60014
- AMG Crystal Lake - Oncology
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Danville, Illinois, Forente stater, 61832
- Carle at The Riverfront
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Downers Grove, Illinois, Forente stater, 60515
- Advocate Good Samaritan Hospital
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Effingham, Illinois, Forente stater, 62401
- Carle Physician Group-Effingham
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Elgin, Illinois, Forente stater, 60123
- Advocate Sherman Hospital
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Hazel Crest, Illinois, Forente stater, 60429
- Advocate South Suburban Hospital
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Libertyville, Illinois, Forente stater, 60048
- Condell Memorial Hospital
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Libertyville, Illinois, Forente stater, 60048
- AMG Libertyville - Oncology
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Mattoon, Illinois, Forente stater, 61938
- Carle Physician Group-Mattoon/Charleston
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Mount Vernon, Illinois, Forente stater, 62864
- SSM Health Good Samaritan
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Normal, Illinois, Forente stater, 61761
- Carle Cancer Institute Normal
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Normal, Illinois, Forente stater, 61761
- Carle BroMenn Medical Center
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Oak Lawn, Illinois, Forente stater, 60453-2699
- Advocate Christ Medical Center
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Oak Lawn, Illinois, Forente stater, 60453
- Advocate Outpatient Center - Oak Lawn
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Park Ridge, Illinois, Forente stater, 60068
- Advocate Lutheran General Hospital
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Urbana, Illinois, Forente stater, 61801
- Carle Cancer Center
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Yorkville, Illinois, Forente stater, 60560
- Rush-Copley Healthcare Center
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Indiana
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Richmond, Indiana, Forente stater, 47374
- Reid Health
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Iowa
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Ames, Iowa, Forente stater, 50010
- Mary Greeley Medical Center
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Ames, Iowa, Forente stater, 50010
- McFarland Clinic - Ames
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Ankeny, Iowa, Forente stater, 50023
- UI Health Care Mission Cancer and Blood - Ankeny Clinic
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Boone, Iowa, Forente stater, 50036
- McFarland Clinic - Boone
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Cedar Rapids, Iowa, Forente stater, 52403
- Mercy Hospital
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Cedar Rapids, Iowa, Forente stater, 52403
- Oncology Associates at Mercy Medical Center
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Clive, Iowa, Forente stater, 50325
- UI Health Care Mission Cancer and Blood - West Des Moines Clinic
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Council Bluffs, Iowa, Forente stater, 51503
- Alegent Health Mercy Hospital
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Des Moines, Iowa, Forente stater, 50309
- UI Health Care Mission Cancer and Blood - Des Moines Clinic
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Des Moines, Iowa, Forente stater, 50314
- UI Health Care Mission Cancer and Blood - Laurel Clinic
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Fort Dodge, Iowa, Forente stater, 50501
- McFarland Clinic - Trinity Cancer Center
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Jefferson, Iowa, Forente stater, 50129
- McFarland Clinic - Jefferson
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Marshalltown, Iowa, Forente stater, 50158
- McFarland Clinic - Marshalltown
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Waukee, Iowa, Forente stater, 50263
- UI Health Care Mission Cancer and Blood - Waukee Clinic
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West Des Moines, Iowa, Forente stater, 50266
- The Iowa Clinic PC
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Kansas
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Garden City, Kansas, Forente stater, 67846
- Central Care Cancer Center - Garden City
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Great Bend, Kansas, Forente stater, 67530
- Central Care Cancer Center - Great Bend
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Pittsburg, Kansas, Forente stater, 66762
- Mercy Hospital Pittsburg
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Kentucky
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Bardstown, Kentucky, Forente stater, 40004
- CommonSpirit Saint Joseph Hospital - Bardstown
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Corbin, Kentucky, Forente stater, 40701
- Commonwealth Cancer Center-Corbin
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Lexington, Kentucky, Forente stater, 40504
- Saint Joseph Radiation Oncology Resource Center
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Lexington, Kentucky, Forente stater, 40509
- CommonSpirit Saint Joseph Medical Center - East Lexington
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Lexington, Kentucky, Forente stater, 40504
- CommonSpirit Saint Joseph Hospital - Lexington
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London, Kentucky, Forente stater, 40741
- CommonSpirit Saint Joseph Hospital London
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Mount Sterling, Kentucky, Forente stater, 40353
- CommonSpirit Saint Joseph Hospital Mount Sterling
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Paducah, Kentucky, Forente stater, 42003
- Mercy Health - Paducah Cancer Center
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Louisiana
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Baton Rouge, Louisiana, Forente stater, 70809
- Louisiana Hematology Oncology Associates LLC
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Baton Rouge, Louisiana, Forente stater, 70809
- Mary Bird Perkins Cancer Center
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Baton Rouge, Louisiana, Forente stater, 70817
- Louisiana Hematology Oncology Associates
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Houma, Louisiana, Forente stater, 70360
- Terrebonne General Medical Center
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Monroe, Louisiana, Forente stater, 71202
- Ochsner LSU Health Monroe Medical Center
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New Orleans, Louisiana, Forente stater, 70121
- Ochsner Medical Center Jefferson
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New Orleans, Louisiana, Forente stater, 70112
- University Medical Center New Orleans
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New Orleans, Louisiana, Forente stater, 70112
- Louisiana State University Health Science Center
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Shreveport, Louisiana, Forente stater, 71103
- LSU Health Sciences Center at Shreveport
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Shreveport, Louisiana, Forente stater, 71106
- Ochsner LSU Health - Cancer Treatment Center
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Maryland
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Elkton, Maryland, Forente stater, 21921
- Christiana Care - Union Hospital
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Michigan
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Alma, Michigan, Forente stater, 48801
- MyMichigan Medical Center Gratiot
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Alpena, Michigan, Forente stater, 49707
- MyMichigan Medical Center Alpena
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Ann Arbor, Michigan, Forente stater, 48106
- Trinity Health Saint Joseph Mercy Hospital Ann Arbor
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Ann Arbor, Michigan, Forente stater, 48103
- Trinity Health IHA - Obstetrics and Gynecology West Arbor
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Battle Creek, Michigan, Forente stater, 49017
- Bronson Battle Creek
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Brighton, Michigan, Forente stater, 48114
- Trinity Health IHA Medical Group Hematology Oncology - Brighton
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Brighton, Michigan, Forente stater, 48114
- Trinity Health Medical Center - Brighton
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Canton, Michigan, Forente stater, 48188
- Trinity Health IHA Medical Group Hematology Oncology - Canton
-
Canton, Michigan, Forente stater, 48188
- Trinity Health Medical Center - Canton
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Caro, Michigan, Forente stater, 48723
- Caro Cancer Center
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Chelsea, Michigan, Forente stater, 48118
- Trinity Health IHA Medical Group Hematology Oncology - Chelsea Hospital
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Chelsea, Michigan, Forente stater, 48118
- Chelsea Hospital
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Clarkston, Michigan, Forente stater, 48346
- Hematology Oncology Consultants-Clarkston
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Clarkston, Michigan, Forente stater, 48346
- Newland Medical Associates-Clarkston
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Detroit, Michigan, Forente stater, 48236
- Henry Ford Health Saint John Hospital
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East China, Michigan, Forente stater, 48054
- Henry Ford River District Hospital
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Escanaba, Michigan, Forente stater, 49829
- OSF Saint Francis Hospital and Medical Group
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Flint, Michigan, Forente stater, 48503
- Hurley Medical Center
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Flint, Michigan, Forente stater, 48503
- Genesee Hematology Oncology PC
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Flint, Michigan, Forente stater, 48503
- Genesys Hurley Cancer Institute
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Flint, Michigan, Forente stater, 48503
- Cancer Hematology Centers - Flint
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Gladwin, Michigan, Forente stater, 48624
- MyMichigan Medical Center Gladwin
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Grand Rapids, Michigan, Forente stater, 49503
- Trinity Health Grand Rapids Hospital
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Grand Rapids, Michigan, Forente stater, 49503
- Corewell Health Grand Rapids Hospitals - Butterworth Hospital
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Grand Rapids, Michigan, Forente stater, 49503
- Corewell Health Grand Rapids Hospitals - Helen DeVos Children's Hospital
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Grosse Pointe Woods, Michigan, Forente stater, 48236
- Henry Ford Saint John Hospital - Academic
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Grosse Pointe Woods, Michigan, Forente stater, 48236
- Henry Ford Saint John Hospital - Breast
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Grosse Pointe Woods, Michigan, Forente stater, 48236
- Henry Ford Saint John Hospital - Van Elslander
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Iron Mountain, Michigan, Forente stater, 49801
- Dickinson County Healthcare System
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Kalamazoo, Michigan, Forente stater, 49007
- West Michigan Cancer Center
-
Kalamazoo, Michigan, Forente stater, 49007
- Bronson Methodist Hospital
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Kalamazoo, Michigan, Forente stater, 49009
- Beacon Kalamazoo Cancer Center
-
Kalamazoo, Michigan, Forente stater, 49048
- Beacon Kalamazoo
-
Lansing, Michigan, Forente stater, 48912
- University of Michigan Health - Sparrow Lansing
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Livonia, Michigan, Forente stater, 48154
- Trinity Health Saint Mary Mercy Livonia Hospital
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Macomb, Michigan, Forente stater, 48044
- Henry Ford Warren Hospital - Breast Macomb
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Macomb, Michigan, Forente stater, 48044
- Henry Ford Saint John Hospital - Macomb Medical
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Manistique, Michigan, Forente stater, 49854
- Schoolcraft Memorial Hospital
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Marlette, Michigan, Forente stater, 48453
- Saint Mary's Oncology/Hematology Associates of Marlette
-
Midland, Michigan, Forente stater, 48670
- MyMichigan Medical Center Midland
-
Mount Pleasant, Michigan, Forente stater, 48858
- MyMichigan Medical Center Mount Pleasant
-
Muskegon, Michigan, Forente stater, 49444
- Trinity Health Muskegon Hospital
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Niles, Michigan, Forente stater, 49120
- Corewell Health Lakeland Hospitals - Niles Hospital
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Norton Shores, Michigan, Forente stater, 49444
- Cancer and Hematology Centers of Western Michigan - Norton Shores
-
Pontiac, Michigan, Forente stater, 48341
- Hope Cancer Center
-
Pontiac, Michigan, Forente stater, 48341
- Newland Medical Associates-Pontiac
-
Pontiac, Michigan, Forente stater, 48341
- Trinity Health Saint Joseph Mercy Oakland Hospital
-
Pontiac, Michigan, Forente stater, 48341
- Michigan Healthcare Professionals Pontiac
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Reed City, Michigan, Forente stater, 49677
- Corewell Health Reed City Hospital
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Saginaw, Michigan, Forente stater, 48604
- Oncology Hematology Associates of Saginaw Valley PC
-
Saginaw, Michigan, Forente stater, 48601
- MyMichigan Medical Center Saginaw
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Saint Joseph, Michigan, Forente stater, 49085
- Corewell Health Lakeland Hospitals - Marie Yeager Cancer Center
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Saint Joseph, Michigan, Forente stater, 49085
- Corewell Health Lakeland Hospitals - Saint Joseph Hospital
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Sterling Heights, Michigan, Forente stater, 48312
- Bhadresh Nayak MD PC-Sterling Heights
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Tawas City, Michigan, Forente stater, 48764
- MyMichigan Medical Center Tawas
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Traverse City, Michigan, Forente stater, 49684
- Munson Medical Center
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Warren, Michigan, Forente stater, 48088
- Advanced Breast Care Center PLLC
-
Warren, Michigan, Forente stater, 48093
- Macomb Hematology Oncology PC
-
Warren, Michigan, Forente stater, 48093
- Henry Ford Madison Heights Hospital - Breast
-
Warren, Michigan, Forente stater, 48093
- Henry Ford Health Warren Hospital
-
Warren, Michigan, Forente stater, 48093
- Henry Ford Warren Hospital - GLCMS
-
West Branch, Michigan, Forente stater, 48661
- Saint Mary's Oncology/Hematology Associates of West Branch
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Wyoming, Michigan, Forente stater, 49519
- University of Michigan Health - West
-
Ypsilanti, Michigan, Forente stater, 48197
- Trinity Health IHA Medical Group Hematology Oncology Ann Arbor Campus
-
Ypsilanti, Michigan, Forente stater, 48106
- Huron Gastroenterology PC
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Minnesota
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Aitkin, Minnesota, Forente stater, 56431
- Riverwood Healthcare Center
-
Baxter, Minnesota, Forente stater, 56425
- Essentia Health - Baxter Clinic
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Bemidji, Minnesota, Forente stater, 56601
- Sanford Joe Lueken Cancer Center
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Brainerd, Minnesota, Forente stater, 56401
- Essentia Health Saint Joseph's Medical Center
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Burnsville, Minnesota, Forente stater, 55337
- Minnesota Oncology - Burnsville
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Cambridge, Minnesota, Forente stater, 55008
- Cambridge Medical Center
-
Chaska, Minnesota, Forente stater, 55318
- Minnesota Oncology Hematology PA-Chaska
-
Coon Rapids, Minnesota, Forente stater, 55433
- Mercy Hospital
-
Coon Rapids, Minnesota, Forente stater, 55433
- Minnesota Oncology - Coon Rapids
-
Crosslake, Minnesota, Forente stater, 56442
- Essentia Health - Saint Joseph's Crosslake Clinic
-
Deer River, Minnesota, Forente stater, 56636
- Essentia Health - Deer River Clinic
-
Detroit Lakes, Minnesota, Forente stater, 56501
- Essentia Health Saint Mary's - Detroit Lakes Clinic
-
Duluth, Minnesota, Forente stater, 55805
- Essentia Health Cancer Center
-
Duluth, Minnesota, Forente stater, 55805
- Essentia Health Saint Mary's Medical Center
-
Duluth, Minnesota, Forente stater, 55805
- Miller-Dwan Hospital
-
Edina, Minnesota, Forente stater, 55435
- Fairview Southdale Hospital
-
Edina, Minnesota, Forente stater, 55435
- Minnesota Oncology - Edina
-
Ely, Minnesota, Forente stater, 55731
- Essentia Health - Ely Clinic
-
Fosston, Minnesota, Forente stater, 56542
- Essentia Health - Fosston
-
Hibbing, Minnesota, Forente stater, 55746
- Essentia Health Hibbing Clinic
-
International Falls, Minnesota, Forente stater, 56649
- Essentia Health - International Falls Clinic
-
Maple Grove, Minnesota, Forente stater, 55369
- Fairview Clinics and Surgery Center Maple Grove
-
Maple Grove, Minnesota, Forente stater, 55369
- Minnesota Oncology - Maple Grove
-
Maplewood, Minnesota, Forente stater, 55109
- Saint John's Hospital - Healtheast
-
Maplewood, Minnesota, Forente stater, 55109
- Minnesota Oncology Hematology PA-Maplewood
-
Minneapolis, Minnesota, Forente stater, 55415
- Hennepin County Medical Center
-
Minneapolis, Minnesota, Forente stater, 55407
- Abbott-Northwestern Hospital
-
Minneapolis, Minnesota, Forente stater, 55454
- Health Partners Inc
-
Monticello, Minnesota, Forente stater, 55362
- Monticello Cancer Center
-
Moose Lake, Minnesota, Forente stater, 55767
- Essentia Health - Moose Lake Clinic
-
New Ulm, Minnesota, Forente stater, 56073
- New Ulm Medical Center
-
Park Rapids, Minnesota, Forente stater, 56470
- Essentia Health - Park Rapids
-
Pequot Lakes, Minnesota, Forente stater, 56472
- Essentia Health - Saint Joseph's Pequot Lakes Clinic
-
Pine River, Minnesota, Forente stater, 56474
- Essentia Health - Saint Joseph's Pine River Clinic
-
Princeton, Minnesota, Forente stater, 55371
- Fairview Northland Medical Center
-
Robbinsdale, Minnesota, Forente stater, 55422
- North Memorial Medical Health Center
-
Saint Louis Park, Minnesota, Forente stater, 55416
- Park Nicollet Clinic - Saint Louis Park
-
Saint Paul, Minnesota, Forente stater, 55101
- Regions Hospital
-
Saint Paul, Minnesota, Forente stater, 55102
- United Hospital
-
Sandstone, Minnesota, Forente stater, 55072
- Essentia Health Sandstone
-
Shakopee, Minnesota, Forente stater, 55379
- Saint Francis Regional Medical Center
-
Staples, Minnesota, Forente stater, 56479
- Essentia Health - Saint Joseph's Staples Clinic
-
Stillwater, Minnesota, Forente stater, 55082
- Lakeview Hospital
-
Thief River Falls, Minnesota, Forente stater, 56701
- Sanford Thief River Falls Medical Center
-
Virginia, Minnesota, Forente stater, 55792
- Essentia Health Virginia Clinic
-
Waconia, Minnesota, Forente stater, 55387
- Ridgeview Medical Center
-
Willmar, Minnesota, Forente stater, 56201
- Rice Memorial Hospital
-
Woodbury, Minnesota, Forente stater, 55125
- Minnesota Oncology Hematology PA-Woodbury
-
Worthington, Minnesota, Forente stater, 56187
- Sanford Cancer Center Worthington
-
Wyoming, Minnesota, Forente stater, 55092
- Fairview Lakes Medical Center
-
-
Mississippi
-
Columbus, Mississippi, Forente stater, 39705
- Baptist Memorial Hospital and Cancer Center-Golden Triangle
-
Grenada, Mississippi, Forente stater, 38901
- Baptist Cancer Center-Grenada
-
Gulfport, Mississippi, Forente stater, 39502
- Gulfport Memorial Hospital
-
Jackson, Mississippi, Forente stater, 39202
- Mississippi Baptist Medical Center
-
New Albany, Mississippi, Forente stater, 38652
- Baptist Memorial Hospital and Cancer Center-Union County
-
Oxford, Mississippi, Forente stater, 38655
- Baptist Memorial Hospital and Cancer Center-Oxford
-
Southhaven, Mississippi, Forente stater, 38671
- Baptist Memorial Hospital and Cancer Center-Desoto
-
-
Missouri
-
Ballwin, Missouri, Forente stater, 63011
- Mercy Oncology and Hematology - Clayton-Clarkson
-
Bolivar, Missouri, Forente stater, 65613
- Central Care Cancer Center - Bolivar
-
Branson, Missouri, Forente stater, 65616
- Cox Cancer Center Branson
-
Cape Girardeau, Missouri, Forente stater, 63703
- Mercy Cancer Center - Cape Girardeau
-
Joplin, Missouri, Forente stater, 64804
- Freeman Health System
-
Joplin, Missouri, Forente stater, 64804
- Mercy Hospital Joplin
-
Osage Beach, Missouri, Forente stater, 65065
- Lake Regional Hospital
-
Rolla, Missouri, Forente stater, 65401
- Mercy Clinic-Rolla-Cancer and Hematology
-
Rolla, Missouri, Forente stater, 65401
- Phelps Health Delbert Day Cancer Institute
-
Saint Joseph, Missouri, Forente stater, 64506
- Heartland Regional Medical Center
-
Springfield, Missouri, Forente stater, 65807
- CoxHealth South Hospital
-
Springfield, Missouri, Forente stater, 65804
- Mercy Hospital Springfield
-
St Louis, Missouri, Forente stater, 63109
- Mercy Infusion Center - Chippewa
-
St Louis, Missouri, Forente stater, 63141
- Mercy Hospital Saint Louis
-
St Louis, Missouri, Forente stater, 63128
- Mercy Hospital South
-
Washington, Missouri, Forente stater, 63090
- Mercy Hospital Washington
-
-
Montana
-
Anaconda, Montana, Forente stater, 59711
- Community Hospital of Anaconda
-
Billings, Montana, Forente stater, 59101
- Billings Clinic Cancer Center
-
Bozeman, Montana, Forente stater, 59715
- Bozeman Health Deaconess Hospital
-
Great Falls, Montana, Forente stater, 59405
- Great Falls Clinic
-
Great Falls, Montana, Forente stater, 59405
- Benefis Sletten Cancer Institute
-
Havre, Montana, Forente stater, 59501
- Hi-Line Sletten Cancer Center
-
Helena, Montana, Forente stater, 59601
- Benefis Helena Specialty Center
-
Kalispell, Montana, Forente stater, 59901
- Logan Health Medical Center
-
Missoula, Montana, Forente stater, 59804
- Community Medical Center
-
-
Nebraska
-
Grand Island, Nebraska, Forente stater, 68803
- CHI Health Saint Francis
-
Kearney, Nebraska, Forente stater, 68847
- CHI Health Good Samaritan
-
Lincoln, Nebraska, Forente stater, 68510
- Saint Elizabeth Regional Medical Center
-
Omaha, Nebraska, Forente stater, 68124
- Alegent Health Bergan Mercy Medical Center
-
Omaha, Nebraska, Forente stater, 68122
- Alegent Health Immanuel Medical Center
-
Omaha, Nebraska, Forente stater, 68130
- Alegent Health Lakeside Hospital
-
Papillion, Nebraska, Forente stater, 68046
- Midlands Community Hospital
-
-
Nevada
-
Carson City, Nevada, Forente stater, 89703
- Carson Tahoe Regional Medical Center
-
Henderson, Nevada, Forente stater, 89052
- Comprehensive Cancer Centers of Nevada - Henderson
-
Henderson, Nevada, Forente stater, 89052
- Cancer and Blood Specialists-Henderson
-
Henderson, Nevada, Forente stater, 89074
- Comprehensive Cancer Centers of Nevada-Southeast Henderson
-
Henderson, Nevada, Forente stater, 89052
- Comprehensive Cancer Centers of Nevada-Horizon Ridge
-
Henderson, Nevada, Forente stater, 89074
- Las Vegas Urology - Green Valley
-
Henderson, Nevada, Forente stater, 89074
- Las Vegas Urology - Pebble
-
Henderson, Nevada, Forente stater, 89074
- Urology Specialists of Nevada - Green Valley
-
Henderson, Nevada, Forente stater, 89074
- Oncology Las Vegas - Henderson
-
Las Vegas, Nevada, Forente stater, 89144
- Summerlin Hospital Medical Center
-
Las Vegas, Nevada, Forente stater, 89109
- Sunrise Hospital and Medical Center
-
Las Vegas, Nevada, Forente stater, 89102
- OptumCare Cancer Care at Charleston
-
Las Vegas, Nevada, Forente stater, 89106
- Radiation Oncology Centers of Nevada Central
-
Las Vegas, Nevada, Forente stater, 89119
- Radiation Oncology Centers of Nevada Southeast
-
Las Vegas, Nevada, Forente stater, 89128
- Comprehensive Cancer Centers of Nevada - Northwest
-
Las Vegas, Nevada, Forente stater, 89128
- OptumCare Cancer Care at MountainView
-
Las Vegas, Nevada, Forente stater, 89135
- Alliance for Childhood Diseases/Cure 4 the Kids Foundation
-
Las Vegas, Nevada, Forente stater, 89144
- Comprehensive Cancer Centers of Nevada - Town Center
-
Las Vegas, Nevada, Forente stater, 89144
- Comprehensive Cancer Centers of Nevada-Summerlin
-
Las Vegas, Nevada, Forente stater, 89148
- Comprehensive Cancer Centers of Nevada
-
Las Vegas, Nevada, Forente stater, 89169
- Comprehensive Cancer Centers of Nevada - Central Valley
-
Las Vegas, Nevada, Forente stater, 89102
- University Medical Center of Southern Nevada
-
Las Vegas, Nevada, Forente stater, 89128
- Ann M Wierman MD LTD
-
Las Vegas, Nevada, Forente stater, 89074
- Las Vegas Urology - Pecos
-
Las Vegas, Nevada, Forente stater, 89103
- Hope Cancer Care of Nevada
-
Las Vegas, Nevada, Forente stater, 89106
- Urology Specialists of Nevada - Central
-
Las Vegas, Nevada, Forente stater, 89113
- Las Vegas Prostate Cancer Center
-
Las Vegas, Nevada, Forente stater, 89113
- Las Vegas Urology - Sunset
-
Las Vegas, Nevada, Forente stater, 89128
- Las Vegas Urology - Cathedral Rock
-
Las Vegas, Nevada, Forente stater, 89128
- Las Vegas Urology - Smoke Ranch
-
Las Vegas, Nevada, Forente stater, 89128
- Urology Specialists of Nevada - Northwest
-
Las Vegas, Nevada, Forente stater, 89169
- University Cancer Center
-
Las Vegas, Nevada, Forente stater, 89113
- Urology Specialists of Nevada - Southwest
-
Las Vegas, Nevada, Forente stater, 89128
- Oncology Las Vegas - Tenaya
-
Las Vegas, Nevada, Forente stater, 89183
- OptumCare Cancer Care at Fort Apache
-
Pahrump, Nevada, Forente stater, 89048
- Hope Cancer Care of Nevada-Pahrump
-
Reno, Nevada, Forente stater, 89502
- Renown Regional Medical Center
-
Reno, Nevada, Forente stater, 89503
- Saint Mary's Regional Medical Center
-
Reno, Nevada, Forente stater, 89509
- Radiation Oncology Associates
-
-
New Jersey
-
Hackettstown, New Jersey, Forente stater, 07840
- Hackettstown Medical Center
-
Morristown, New Jersey, Forente stater, 07960
- Morristown Medical Center
-
Newton, New Jersey, Forente stater, 07860
- Newton Medical Center
-
Pompton, New Jersey, Forente stater, 07444
- Chilton Medical Center
-
Summit, New Jersey, Forente stater, 07902
- Overlook Hospital
-
-
New Mexico
-
Albuquerque, New Mexico, Forente stater, 87106
- University of New Mexico Cancer Center
-
-
New York
-
Brooklyn, New York, Forente stater, 11219
- Maimonides Medical Center
-
East Hills, New York, Forente stater, 11548
- The Cancer Institute at Saint Francis Hospital
-
The Bronx, New York, Forente stater, 10461
- Montefiore Medical Center-Einstein Campus
-
The Bronx, New York, Forente stater, 10467
- Montefiore Medical Center - Moses Campus
-
The Bronx, New York, Forente stater, 10461
- Montefiore Medical Center-Weiler Hospital
-
West Islip, New York, Forente stater, 11795
- Good Samaritan University Hospital
-
-
North Carolina
-
Gastonia, North Carolina, Forente stater, 28054
- CaroMont Regional Medical Center
-
Hendersonville, North Carolina, Forente stater, 28791
- Margaret R Pardee Memorial Hospital
-
Lincolnton, North Carolina, Forente stater, 28092
- CaroMont Health - Lincoln Cancer Center
-
-
North Dakota
-
Bismarck, North Dakota, Forente stater, 58501
- Sanford Bismarck Medical Center
-
Fargo, North Dakota, Forente stater, 58122
- Sanford Roger Maris Cancer Center
-
Fargo, North Dakota, Forente stater, 58103
- Essentia Health Cancer Center-South University Clinic
-
Fargo, North Dakota, Forente stater, 58122
- Sanford Broadway Medical Center
-
Fargo, North Dakota, Forente stater, 58103
- Sanford South University Medical Center
-
Fargo, North Dakota, Forente stater, 58103
- Southpointe-Sanford Medical Center Fargo
-
Fargo, North Dakota, Forente stater, 58104
- Sanford Medical Center Fargo
-
Jamestown, North Dakota, Forente stater, 58401
- Essentia Health - Jamestown Clinic
-
-
Ohio
-
Beavercreek, Ohio, Forente stater, 45431
- Indu and Raj Soin Medical Center
-
Boardman, Ohio, Forente stater, 44512
- Saint Elizabeth Boardman Hospital
-
Centerville, Ohio, Forente stater, 45459
- Dayton Physicians LLC-Miami Valley South
-
Cincinnati, Ohio, Forente stater, 45220
- Good Samaritan Hospital - Cincinnati
-
Cincinnati, Ohio, Forente stater, 45242
- Bethesda North Hospital
-
Cincinnati, Ohio, Forente stater, 45236
- Oncology Hematology Care Inc-Kenwood
-
Cincinnati, Ohio, Forente stater, 45247
- TriHealth Cancer Institute-Westside
-
Cincinnati, Ohio, Forente stater, 45255
- TriHealth Cancer Institute-Anderson
-
Dayton, Ohio, Forente stater, 45415
- Dayton Physician LLC - Englewood
-
Findlay, Ohio, Forente stater, 45840
- Blanchard Valley Hospital
-
Findlay, Ohio, Forente stater, 45840
- Armes Family Cancer Center
-
Findlay, Ohio, Forente stater, 45840
- Orion Cancer Care
-
Franklin, Ohio, Forente stater, 45005
- Dayton Physicians LLC-Atrium
-
Greenville, Ohio, Forente stater, 45331
- Wayne Hospital
-
Greenville, Ohio, Forente stater, 45331
- Dayton Physicians LLC-Wayne
-
Kettering, Ohio, Forente stater, 45429
- Kettering Medical Center
-
Kettering, Ohio, Forente stater, 45409
- Greater Dayton Cancer Center
-
Troy, Ohio, Forente stater, 45373
- Dayton Physicians LLC - Troy
-
Warren, Ohio, Forente stater, 44484
- Saint Joseph Warren Hospital
-
Youngstown, Ohio, Forente stater, 44501
- Saint Elizabeth Youngstown Hospital
-
-
Oklahoma
-
Oklahoma City, Oklahoma, Forente stater, 73120
- Mercy Hospital Oklahoma City
-
-
Oregon
-
Baker City, Oregon, Forente stater, 97814
- Saint Alphonsus Cancer Care Center-Baker City
-
Ontario, Oregon, Forente stater, 97914
- Saint Alphonsus Cancer Care Center-Ontario
-
-
Pennsylvania
-
Allentown, Pennsylvania, Forente stater, 18103
- Lehigh Valley Hospital-Cedar Crest
-
Bethlehem, Pennsylvania, Forente stater, 18017
- Lehigh Valley Hospital - Muhlenberg
-
Chadds Ford, Pennsylvania, Forente stater, 19317
- Christiana Care Health System-Concord Health Center
-
Danville, Pennsylvania, Forente stater, 17822
- Geisinger Medical Center
-
Dickson City, Pennsylvania, Forente stater, 18519
- Geisinger Cancer Center Dickson City
-
East Stroudsburg, Pennsylvania, Forente stater, 18301
- Pocono Medical Center
-
Hazleton, Pennsylvania, Forente stater, 18201
- Geisinger Medical Center-Cancer Center Hazleton
-
Hazleton, Pennsylvania, Forente stater, 18201
- Lehigh Valley Hospital-Hazleton
-
Lewisburg, Pennsylvania, Forente stater, 17837
- Geisinger Medical Oncology-Lewisburg
-
Pottsville, Pennsylvania, Forente stater, 17901
- Geisinger Cancer Services-Pottsville
-
Scranton, Pennsylvania, Forente stater, 18510
- Community Medical Center
-
Wilkes-Barre, Pennsylvania, Forente stater, 18711
- Geisinger Wyoming Valley/Henry Cancer Center
-
-
South Carolina
-
Bluffton, South Carolina, Forente stater, 29910
- Saint Joseph's/Candler - Bluffton Campus
-
Greenville, South Carolina, Forente stater, 29607
- Saint Francis Cancer Center
-
Greenville, South Carolina, Forente stater, 29601
- Saint Francis Hospital
-
Hilton Head Island, South Carolina, Forente stater, 29926-3827
- South Carolina Cancer Specialists PC
-
-
South Dakota
-
Sioux Falls, South Dakota, Forente stater, 57117-5134
- Sanford USD Medical Center - Sioux Falls
-
Sioux Falls, South Dakota, Forente stater, 57104
- Sanford Cancer Center Oncology Clinic
-
-
Tennessee
-
Bristol, Tennessee, Forente stater, 37620
- Bristol Regional Medical Center
-
Collierville, Tennessee, Forente stater, 38017
- Baptist Memorial Hospital and Cancer Center-Collierville
-
Johnson City, Tennessee, Forente stater, 37604
- Regional Cancer Center at Johnson City Medical Center
-
Kingsport, Tennessee, Forente stater, 37660
- Ballad Health Cancer Care - Kingsport
-
Kingsport, Tennessee, Forente stater, 37660
- Wellmont Holston Valley Hospital and Medical Center
-
Memphis, Tennessee, Forente stater, 38120
- Baptist Memorial Hospital and Cancer Center-Memphis
-
Memphis, Tennessee, Forente stater, 38120
- Baptist Memorial Hospital for Women
-
-
Virginia
-
Bristol, Virginia, Forente stater, 24201
- Ballad Health Cancer Care - Bristol
-
Mechanicsville, Virginia, Forente stater, 23116
- Bon Secours Memorial Regional Medical Center
-
Midlothian, Virginia, Forente stater, 23114
- Bon Secours Saint Francis Medical Center
-
Midlothian, Virginia, Forente stater, 23113
- Bon Secours Westchester Emergency Center
-
Norton, Virginia, Forente stater, 24273
- Ballad Health Cancer Care - Norton
-
Richmond, Virginia, Forente stater, 23235
- VCU Massey Cancer Center at Stony Point
-
Richmond, Virginia, Forente stater, 23226
- Bon Secours Saint Mary's Hospital
-
Richmond, Virginia, Forente stater, 23230
- Bon Secours Cancer Institute at Reynolds Crossing
-
Richmond, Virginia, Forente stater, 23223
- Bon Secours Richmond Community Hospital
-
Richmond, Virginia, Forente stater, 23298
- VCU Massey Comprehensive Cancer Center
-
South Hill, Virginia, Forente stater, 23970
- VCU Community Memorial Health Center
-
Winchester, Virginia, Forente stater, 22601
- Shenandoah Oncology PC
-
-
Washington
-
Port Townsend, Washington, Forente stater, 98368
- Jefferson Healthcare
-
Renton, Washington, Forente stater, 98055
- Valley Medical Center
-
Silverdale, Washington, Forente stater, 98383
- Saint Joseph Medical Center Hematology and Oncology - Silverdale
-
Yakima, Washington, Forente stater, 98902
- North Star Lodge Cancer Center at Yakima Valley Memorial Hospital
-
-
Wisconsin
-
Appleton, Wisconsin, Forente stater, 54911
- ThedaCare Regional Cancer Center
-
Appleton, Wisconsin, Forente stater, 54915
- Ascension Northeast Wisconsin-Saint Elizabeth Cancer Center-Appleton
-
Ashland, Wisconsin, Forente stater, 54806
- Duluth Clinic Ashland
-
Ashland, Wisconsin, Forente stater, 54806
- Northwest Wisconsin Cancer Center
-
Berlin, Wisconsin, Forente stater, 54923
- ThedaCare Cancer Care - Berlin
-
Brookfield, Wisconsin, Forente stater, 53045
- Ascension Southeast Wisconsin Hospital-Elmbrook Campus-Brookfield
-
Burlington, Wisconsin, Forente stater, 53105
- Aurora Cancer Care-Southern Lakes VLCC
-
Chilton, Wisconsin, Forente stater, 53014
- Ascension Calumet Hospital-Chilton
-
Chippewa Falls, Wisconsin, Forente stater, 54729
- Marshfield Clinic-Chippewa Center
-
Cudahy, Wisconsin, Forente stater, 53110
- Aurora Saint Luke's South Shore
-
Eau Claire, Wisconsin, Forente stater, 54701
- Marshfield Medical Center-EC Cancer Center
-
Franklin, Wisconsin, Forente stater, 53132
- Ascension Southeast Wisconsin Hospital - Franklin
-
Franklin, Wisconsin, Forente stater, 53132
- Reiman Cancer Center-Ascension Wisconsin Health Center-Rawson
-
Germantown, Wisconsin, Forente stater, 53022
- Aurora Health Care Germantown Health Center
-
Grafton, Wisconsin, Forente stater, 53024
- Aurora Cancer Care-Grafton
-
Green Bay, Wisconsin, Forente stater, 54311
- Aurora BayCare Medical Center
-
Green Bay, Wisconsin, Forente stater, 54301
- Saint Vincent Hospital Cancer Center Green Bay
-
Green Bay, Wisconsin, Forente stater, 54303
- Saint Vincent Hospital Cancer Center at Saint Mary's
-
Hayward, Wisconsin, Forente stater, 54843
- Essentia Health-Hayward Clinic
-
Hayward, Wisconsin, Forente stater, 54843
- Tamarack Health Hayward Medical Center
-
Kenosha, Wisconsin, Forente stater, 53142
- Aurora Cancer Care-Kenosha South
-
Ladysmith, Wisconsin, Forente stater, 54848
- Marshfield Medical Center - Ladysmith
-
Marinette, Wisconsin, Forente stater, 54143
- Aurora Bay Area Medical Group-Marinette
-
Marshfield, Wisconsin, Forente stater, 54449
- Marshfield Medical Center-Marshfield
-
Mequon, Wisconsin, Forente stater, 53097
- Ascension Columbia Saint Mary's Hospital-Ozaukee Campus-Mequon
-
Milwaukee, Wisconsin, Forente stater, 53209
- Aurora Cancer Care-Milwaukee
-
Milwaukee, Wisconsin, Forente stater, 53215
- Aurora Saint Luke's Medical Center
-
Milwaukee, Wisconsin, Forente stater, 53233
- Aurora Sinai Medical Center
-
Milwaukee, Wisconsin, Forente stater, 53210
- Ascension Southeast Wisconsin Hospital-Saint Joseph-Milwaukee
-
Milwaukee, Wisconsin, Forente stater, 53211
- Ascension Columbia Saint Mary's Hospital-Milwaukee Campus
-
Milwaukee, Wisconsin, Forente stater, 53215
- Ascension Saint Francis Hospital-Milwaukee
-
Minocqua, Wisconsin, Forente stater, 54548
- Marshfield Medical Center - Minocqua
-
Neenah, Wisconsin, Forente stater, 54956
- ThedaCare Regional Medical Center - Neenah
-
Neillsville, Wisconsin, Forente stater, 54456
- Marshfield Medical Center - Neillsville
-
New London, Wisconsin, Forente stater, 54961
- ThedaCare Cancer Care - New London
-
New Richmond, Wisconsin, Forente stater, 54017
- Cancer Center of Western Wisconsin
-
Oconto Falls, Wisconsin, Forente stater, 54154
- Saint Vincent Hospital Cancer Center at Oconto Falls
-
Oshkosh, Wisconsin, Forente stater, 54904
- Vince Lombardi Cancer Clinic - Oshkosh
-
Oshkosh, Wisconsin, Forente stater, 54904
- ThedaCare Cancer Care - Oshkosh
-
Oshkosh, Wisconsin, Forente stater, 54904
- Ascension Northeast Wisconsin-Mercy Hospital-Oshkosh
-
Racine, Wisconsin, Forente stater, 53406
- Aurora Cancer Care-Racine
-
Racine, Wisconsin, Forente stater, 53405
- Ascension All Saints Hospital-Spring Street-Racine
-
Rice Lake, Wisconsin, Forente stater, 54868
- Marshfield Medical Center-Rice Lake
-
Shawano, Wisconsin, Forente stater, 54166
- ThedaCare Cancer Care - Shawano
-
Sheboygan, Wisconsin, Forente stater, 53081
- Vince Lombardi Cancer Clinic-Sheboygan
-
Sheboygan, Wisconsin, Forente stater, 53081
- Saint Vincent Hospital Cancer Center at Sheboygan
-
Sheboygan, Wisconsin, Forente stater, 53081
- Sheboygan Physicians Group
-
Spooner, Wisconsin, Forente stater, 54801
- Essentia Health-Spooner Clinic
-
Stevens Point, Wisconsin, Forente stater, 54482
- Marshfield Medical Center-River Region at Stevens Point
-
Sturgeon Bay, Wisconsin, Forente stater, 54235-1495
- Saint Vincent Hospital Cancer Center at Sturgeon Bay
-
Summit, Wisconsin, Forente stater, 53066
- Aurora Medical Center in Summit
-
Superior, Wisconsin, Forente stater, 54880
- Essentia Health Saint Mary's Hospital - Superior
-
Two Rivers, Wisconsin, Forente stater, 54241
- Vince Lombardi Cancer Clinic-Two Rivers
-
Waupaca, Wisconsin, Forente stater, 54981
- ThedaCare Cancer Care - Waupaca
-
Wausau, Wisconsin, Forente stater, 54401
- Marshfield Clinic-Wausau Center
-
Wauwatosa, Wisconsin, Forente stater, 53226
- Aurora Cancer Care-Milwaukee West
-
Wauwatosa, Wisconsin, Forente stater, 53226
- Ascension Southeast Wisconsin Hospital-Mayfair Road-Wauwatosa
-
West Allis, Wisconsin, Forente stater, 53227
- Aurora West Allis Medical Center
-
Weston, Wisconsin, Forente stater, 54476
- Marshfield Medical Center - Weston
-
Wisconsin Rapids, Wisconsin, Forente stater, 54494
- Marshfield Clinic - Wisconsin Rapids Center
-
-
Wyoming
-
Cheyenne, Wyoming, Forente stater, 82001
- Cheyenne Regional Medical Center-West
-
Cheyenne, Wyoming, Forente stater, 82001
- Memorial Hospital of Laramie County
-
Cody, Wyoming, Forente stater, 82414
- Billings Clinic-Cody
-
Sheridan, Wyoming, Forente stater, 82801
- Welch Cancer Center
-
-
-
-
-
Bayamón, Puerto Rico, 00959-5060
- Cancer Center-Metro Medical Center Bayamon
-
Bayamón, Puerto Rico, 00961
- Puerto Rico Hematology Oncology Group
-
Manati, Puerto Rico, 00674
- Doctors Cancer Center
-
San Juan, Puerto Rico, 00917
- San Juan Community Oncology Group
-
San Juan, Puerto Rico, 00927
- Centro Comprensivo de Cancer de UPR
-
San Juan, Puerto Rico, 00936
- San Juan City Hospital
-
San Juan, Puerto Rico, 00927
- PROncology
-
-
Deltakelseskriterier
Kvalifikasjonskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
- Voksen
- Eldre voksen
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Beskrivelse
Inklusjonskriterier:
- IKKE-PASIENT: Deltakerne må være en onkologisk helsepersonell (dvs. onkolog, avansert praksisleverandør eller onkologisk sykepleier)
- IKKE-PASIENT: Deltakerne må ha tatt hånd om minst én pasient randomisert til arm B (CONCURxP) som hadde mindre enn 85 % adherencerate ved 12 måneder målt med WiseBag
- IKKE-PASIENT: Deltaker må snakke engelsk
- IKKE-PASIENT: Deltakeren må være ansatt ved et nettsted for National Cancer Institute Community Oncology Research Program (NCORP) i minst 6 måneder
- IKKE-PASIENT: Deltakeren må kunne gi informert samtykke for å delta i denne studien
- PASIENT TRINN 0: Pasienten må være >= 18 år gammel
- PASIENT TRINN 0: Pasienten må være flytende i skriftlig og muntlig engelsk ELLER pasienten må være flytende i skriftlig og muntlig spansk
- PASIENT TRINN 0: Pasienten må ha ny eller etablert patologisk bevist hormonreseptor (HR)+ HER2-metastatisk brystkreft på tidspunktet for trinn 0
PASIENT TRINN 0: Pasienten må ha startet noen av CKD4/6-hemmerne (palbociclib eller Ibrance, ribociclib eller Kisqali, abemaciclib eller Verzenio) innen 30 dager før samtykke til trinn 0 eller ha mottatt en reseptordre med uttalt intensjon om å starte innen 30 dager etter samtykke fra trinn 0
- MERK: Pasienter som tidligere har blitt behandlet med andre kreftbehandlinger enn CDK4/6-hemmere er kvalifisert
- MERK: CDK4/6-hemmere må leveres/leveres som en enkelt blisterpakning. Hvis medisinen leveres som kapsler i en pilleflaske (f.eks. Ibrance-kapsler), er ikke pasienten kvalifisert
- MERK: Ribociclib (Kisgali) og abemaciclib (Verzenio) er kun tilgjengelig i blisterpakninger. Palbociclib (Ibrance) er den eneste CDK4/6-hemmeren som kan være tilgjengelig i en kapselformulering. Dette er imidlertid en utdatert formulering og er sjelden foreskrevet som en ny start. Formatet på bestilt palbociclib kan bestemmes basert på reseptbestillingen
- PASIENT TRINN 0: Pasienter må ikke tidligere ha blitt behandlet med noen av følgende CDK4/6-hemmere: Palbociclib eller Ibrance, ribociclib eller Kisqali, og abemaciclib eller Verzenio
- PASIENT TRINN 0: Pasienter må ikke allerede være registrert i en terapeutisk klinisk studie som overvåker CDK4/6-hemmere
- PASIENT TRINN 0: Pasienten må bekrefte at de har til hensikt å motta omsorg eller overvåking på et NCORP-sted
PASIENT TRINN 0: Pasienten må ha en personlig mobiltelefon der de kan og vil sende og motta tekstmeldinger
- MERK: Begrensningen til de med mobiltelefontilgang med tekstmeldinger er basert på hovedintensjonen til studien som involverer bruk av tekstmeldinger for å forbedre etterlevelsen
PASIENT TRINN 0: Pasienten må ha en e-postadresse
- MERK: Begrensningen til de med e-postadresse er basert på den primære intensjonen med studien som involverer pasienter som svarer på spørsmål angående deres årsaker til manglende overholdelse etter hver glemt dose for å forbedre overholdelse
PASIENT TRINN 0: Pasienten må ha evnen til å forstå og være villig til å signere et skriftlig informert samtykkedokument
- MERK: Pasienter med nedsatt beslutningsevne (IDMC) som har en juridisk autorisert representant (LAR) eller omsorgsperson og/eller familiemedlem tilgjengelig, er ikke kvalifisert
- PASIENT TRINN 0: Pasienten må ikke ha prestasjonsstatus for Eastern Cooperative Oncology Group (ECOG) >= 3 ELLER pasienten må ikke anses som medisinsk ute av stand til å delta i studien av studieetterforskerne eller en onkologisk kliniker (dvs. henvisning til hospice)
PASIENT TRINN 0: Pasienten må ikke registreres i andre studier som tilbyr økonomisk bistand
- MERK: Gavekort for fullføring av undersøkelsen, parkeringskort eller gratis medisiner gitt som en del av terapeutiske utprøvinger regnes ikke som økonomisk bistand
- PASIENT TRINN 1: Pasienten må oppfylle alle kvalifikasjonskriteriene for trinn 0
- PASIENT TRINN 1: Pasienten må ha signert et skriftlig informert samtykkeskjema
- PASIENT TRINN 1: Pasienten må ha fullført grunnlinjeundersøkelse innen 30 dager etter datoen for trinn 0-registrering
- PASIENT TRINN 1: Pasienter må ha startet sine CDK 4/6-hemmere innen 30 dager etter datoen for trinn 0-registrering
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Helsetjenesteforskning
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Ingen (Open Label)
Antall våpen
Våpen og intervensjoner
Deltakergruppe / ArmDeltakergruppe / Arm |
Intervensjon / BehandlingIntervensjon / Behandling |
|---|---|
|
Eksperimentell: ARM A (Forbedret vanlig pleie)
Pasienter bruker WiseBag medikamentdispenser og får tilgang til undervisningsmateriell hver 4. uke over 12 måneder.
|
Hjelpestudier
Hjelpestudier
Få tilgang til undervisningsmateriell
Bruk WiseBag-medisindispenseren
|
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Eksperimentell: ARM B (CONCURxP-program)
Pasienter bruker WiseBag medikamentdispenser og mottar personlige tekstmeldingspåminnelser, medisinering og oppfølging av helsepersonell som en del av CONCURxP-plattformen over 12 måneder.
Pasienter kan gjennomføre et intervju over 20-30 minutter innen 6 måneder etter at studien er fullført.
|
Hjelpestudier
Hjelpestudier
Motta oppfølging av helsepersonell som en del av CONCURxP-programmet
Andre navn:
Motta personlig tilpassede tekstmeldingspåminnelser knyttet til medisinsporingen deres som en del av CONCURxP-programmet
Andre navn:
Bruk WiseBag-medisindispenseren
|
Hva måler studien?
Primære resultatmål
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Adherence using electronic monitoring
Tidsramme: At 12 months after randomization
|
For each arm, mean and standard deviation (SD) adherence rates for all patients will be calculated.
A two-sample t-test will be used to compare CDK4/6 inhibitor (CDK4/6i) adherence between the two arms at 12 months.
|
At 12 months after randomization
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Adherence using self-report
Tidsramme: At 12 months after randomization
|
Using the12-item Patient Reported Outcomes Measurement Information System (PROMIS) Medication Adherence Scale compare mean score and changes in mean scores (from baseline) at each time point between the arms using two-sample t-tests.
|
At 12 months after randomization
|
|
CDK4/6i persistence
Tidsramme: At 12 months after randomization
|
Defined as duration from randomization to discontinuation of medication against medical advice, measured as the number of days from randomization until the first day of a gap that is 30 days or longer.
For each arm, mean days of persistence, and the proportion of patients who discontinue the medication earlier than 12-month will be calculated and compared between the two arms using the two-sample t-test and chi-squared test, respectively.
|
At 12 months after randomization
|
|
Symptom burden
Tidsramme: At 12 months after randomization
|
Using the 16-item National-Comprehensive Cancer Network Functional Assessment of Cancer Therapy Breast Cancer Symptom index compare mean score and changes in mean scores (from baseline) at each time point between the arms using two-sample t-tests.
|
At 12 months after randomization
|
|
Quality of life
Tidsramme: At 12 months after randomization
|
Using the PROMIS-10- version (v)1.2-Global
Health compare mean score and changes in mean scores (from baseline) at each time point between the arms using two-sample t-tests.
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At 12 months after randomization
|
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Patient-provider communication
Tidsramme: At 12 months after randomization
|
Using the Consumer Assessment of Healthcare Providers and Systems compare mean score and changes in mean scores (from baseline) at each time point between the arms using two-sample t-tests.
|
At 12 months after randomization
|
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Self-efficacy for managing symptoms
Tidsramme: At 12 months after randomization
|
Using PROMIS Item Bank v1.0 - Self-Efficacy for Managing Symptoms compare mean score and changes in mean scores (from baseline) at each time point between the arms using two-sample t-tests.
|
At 12 months after randomization
|
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Financial worry
Tidsramme: At 12 months after randomization
|
Using the Comprehensive Score for Financial Toxicity compare mean score and changes in mean scores (from baseline) at each time point between the arms using two-sample t-tests.
|
At 12 months after randomization
|
Andre resultatmål
Andre resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Longitudinal changes of patient-reported outcomes
Tidsramme: From randomization to 12 months
|
Generalized estimating equation will be used to assess the longitudinal change over time.
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From randomization to 12 months
|
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Healthcare utilization
Tidsramme: At 12 months after randomization
|
The difference of healthcare utilization between two arms will first be evaluated using the two sample t test for the continuous variables (e.g., length of stay or number of emergency department visits), and then be modeled through the regressions to allow for the control of other covariates if needed.
|
At 12 months after randomization
|
|
CONCURxP arm patients and their provider experience
Tidsramme: Up to 12 months
|
Will measure portal usability using patient-reported survey and will report mean and SD.
For qualitative interviews, will use conventional content analysis methods.
|
Up to 12 months
|
Samarbeidspartnere og etterforskere
Sponsor
Sponsor
Samarbeidspartnere
Samarbeidspartnere
Etterforskere
Etterforskere
- Hovedetterforsker: Gelareh Sadigh, ECOG-ACRIN Cancer Research Group
Publikasjoner og nyttige lenker
Studierekorddatoer
Studer hoveddatoer
Studiestart (Faktiske)
Studiestart
Primær fullføring (Antatt)
Primær fullføring
Studiet fullført (Antatt)
Studiet fullført
Datoer for studieregistrering
Først innsendt
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Faktiske)
Først lagt ut
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Sist oppdatering lagt ut
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Ytterligere relevante MeSH-vilkår
- Neoplasmer etter nettsted
- Neoplasmer
- Hudsykdommer
- Bryst sykdommer
- Hud- og bindevevssykdommer
- Brystneoplasmer
- Health Services Administration
- Helsetjenester
- Helsetjenester arbeidsstyrke og tjenester
- Forebyggende helsetjenester
- Sosioøkonomiske faktorer
- Befolkningskarakteristikker
- Pasientbehandling
- Helseopplæring
- Omfattende helsehjelp
- Pasientsentrert omsorg
- Primær helsehjelp
- Utdanningsstatus
- Helsefremmende promotering
- Pasientnavigasjon
Andre studie-ID-numre
Andre studie-ID-numre
- EAQ221CD (Annen identifikator: CTEP)
- UG1CA189828 (U.S. NIH-stipend/kontrakt)
- NCI-2023-02646 (Registeridentifikator: CTRP (Clinical Trial Reporting Program))
- ECOG-ACRIN-EAQ221CD (Annen identifikator: DCP)
- R01CA262312 (U.S. NIH-stipend/kontrakt)
Legemiddel- og utstyrsinformasjon, studiedokumenter
Studerer et amerikansk FDA-regulert medikamentprodukt
Studerer et amerikansk FDA-regulert enhetsprodukt
produkt produsert i og eksportert fra USA
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