Cancer Research Network


The Cancer Research Network (CRN) is an NCI-funded initiative to support and facilitate cancer research based in non-profit integrated health care delivery settings. The CRN welcomes collaborations that result in research projects that improve knowledge about cancer etiology, prevention, early detection, treatment and prognosis, and that decrease the burden of cancer across the cancer care spectrum. The integrated health care settings provide unique advantages for conducting population sciences research. Through the links below, find out more about the CRN, its activities, and how to develop collaborations with the CRN’s many investigators with expertise in conducting public-domain cancer research in these settings.

Supported by the National Cancer Institute since 1999, the CRN has catalyzed over 200 research projects across the spectrum of cancer care, from primary prevention and early detection to treatment and end-of-life care. Among its signature infrastructure accomplishments, the CRN developed and implemented the Virtual Data Warehouse (VDW), in which data from each health care system’s electronic health records and administrative databases are extracted and conformed to a common data model. With common formats across the participating institutions of the CRN, collaborative research projects are greatly facilitated.    

CRN studies include those that rely solely on data from our health systems, and those that include enrollment of study participants with primary data and biospecimen collection. Most CRN institutions participate in oncology clinical trials, and many have participated in NIH research initiatives in cancer prevention, screening, and treatment. The CRN remains committed to fostering cancer research collaborations in our healthcare settings.

Quick Facts

  • PI: Lawrence H. Kushi, ScD of Kaiser Permanente Northern California
  • Funding agency: National Cancer Institute
  • Year funded: 1999
  • Number of related studies funded, since inception:  More than 75

Primary Investigator

Lawrence Kushi, SCD


Key Partners & Collaborators

The Cancer Research Network (CRN) facilitates cancer research in a consortium of non-profit health care systems. Supported by the National Cancer Institute since 1999, the CRN has catalyzed over 200 research projects across the spectrum of cancer care, from primary prevention and early detection to treatment and end-of-life care.

The Cancer Research Network remains successful only because of the continued commitment of our research investigators to collaborate. Thanks to everyone who has brought this network to where it is today, and to the future researchers who will keep the research collaborations going.

  • Fallon Community Health Plan | Meyers Primary Care Institute
    Site PI: Kathleen Mazor
  • Group Health Cooperative | Group Health Research Institute
    Site PI: Jessica Chubak
  • Health Alliance Plan | Henry Ford Hospital & Health System
    Site PI: Christine Cole Johnson
  • Kaiser Permanente Colorado | Institute for Health Research
    Site PI: Debra P. Ritzwoller
  • Kaiser Permanente Hawaii | Center for Health Research
    Site PI: Stacey Honda
  • Kaiser Permanente Northern California | Division of Research
    Site PI: Lawrence H. Kushi
  • Kaiser Permanente Northwest | Center for Health Research
    Site PI: Mark C. Hornbrook
  • Kaiser Permanente Southern California | Department of Research & Evaluation
    Site PI: Virginia P. Quinn
  • Security Health Plan | Marshfield Clinic Research Foundation
    Site PI: Robert T. Greenlee


Advantages of Conducting Research in our Settings

Network of Researchers
Our network is comprised of over 100 research scientists focused on diverse aspects of cancer, a history of collaboration within and beyond the CRN, and extensive multisite research experience. CRN investigators are familiar with their health systems and their structures, operations, leadership, and clinical activities.
Integrated Healthcare Delivery Systems
These learning health care systems are committed to quality improvement and translational research, providing opportunities for applying research findings directly to the care process. This real-world setting makes the results of CRN research broadly generalizable and applicable to health care improvement.
Intervention Potential
The CRN setting provides the potential for intervention studies at the patient, provider and system level, including multilevel interventions, cluster-randomized trials, and pragmatic clinical trials.  For standard clinical trials, member loyalty and trust and automated rapid case identification facilitates patient recruitment, follow-up and retention.
Large, Diverse, Defined Member Populations
Member populations are representative of CRN site communities. Racial, ethnic, socioeconomic and age diversity enables studies of health inequities, including identifying disparities that persist within insured populations. With long-term retention of health plan members, the CRN is an ideal setting for longitudinal studies that benefit from information from clinical databases, including investigations of care over time, disease trajectories, and long-term outcomes.
Large, Diverse Provider Populations
Providers include specialists and subspecialists in primary care, oncology, surgery, radiology, and other areas. CRN researchers work with these providers to identify research questions and translate findings into practice. The large provider network also enables investigators to study providers’ knowledge, beliefs, and practices, and relationships among these domains and patient outcomes.
Informatics Platforms
Our data includes comprehensive diagnosis, procedure, pathology, cancer registry, utilization and pharmacy data. EMRs enable identification of patients soon after diagnosis or other key events.  Pathology and tumor databases enable identification of cancerous and precancerous tumors for linkage to patient outcomes. CRN investigators have harmonized informatics resources, including the VDW common data model and implementation of the PopMedNet™ distributed query tool to facilitate collaborations.

Research Tools

Chemotherapy, hormone therapy, and immunotherapy

These “look-up” tables were created by extracting codes from published research, NCI Web sites (e.g., Procedure Codes for SEER-Medicare Analyses), health plan formularies, and expert clinician opinion (e.g., medical oncologists, oncology clinical pharmacists). These tables contain over 8,000 NDC and 500 procedure cancer treatment-related codes. The tables are updated when new products or codes are identified. The codes are stratified by class of product (e.g., chemotherapy, hormone therapy, immunotherapy) and code type (e.g., ICD-9, HCPCS). Please see the data dictionary below for definitions of classes. The lookup tables below were last updated on March 2018. Any newly assigned procedure codes, diagnosis codes, and NDC codes since that date are not included.

Document Name File
Chemotherapy Drugs Table Rx.xls
Chemotherapy Procedures Table Px.xls
Chemotherapy Lookup Documentation Docum.doc
Chemotherapy Data Dictionary DD.xls

Caveats: Probably not every code in existence is present. Some of the drugs listed might be used in non-cancer settings. The class product may not be correct for all codes. There are codes for infusion additives that are pharmaceuticals but not drugs per se (e.g., D5W).

Radiation Therapy

The radiation therapy lookup tables contain lists of procedure and diagnosis codes that may be used to identify receipt of radiation therapy. We have included information about the general purpose of the code and the type of radiation therapy that applies to the code. Please see the data dictionary for information about each variable in the lookup tables.The last update of the lookup tables was mid-2015 for procedures and April 2017 for diagnoses.

Document Name File
Radiation Therapy Codes – Procedures RTCodesProcedures.xlsx
Radiation Therapy Codes – Diagnosis RTCodesDiagnosis.xlsx
Radiation Therapy Lookup Documentation RT Documen.doc
Radiation Therapy Diagnosis Data Dictionary RT DD.xls

Please reference the Cancer Research Network (U24 CA171524) if you will be using or producing any reports or publications from these look-up tables.

Process for Requesting Data

** Now that the CRN is an unfunded consortium, site participation in data requests is voluntary and dependent upon programmer and investigator availability. **

Background

The Prep-to-Research (PTR) Form should be reviewed, completed, and submitted by any investigator who wishes to obtain summary counts to help with a grant application. Please note that these data are provided only for preparatory to research purposes and should not be used without explicit permission from sites. They may contain proprietary information, therefore permission is needed from each contributing site to use that site’s numbers for any purpose including in a grant proposal, poster, or publication.

Reference Materials

If this is your first time submitting a Prep-to-Research Form with the CRN, please review the Investigator Guide (PDF, 272 KB) before proceeding. The purpose of the Investigator Guide is to serve as an introduction for scientific investigators who wish to obtain and analyze CRN data.  

PTR Form

Once you have reviewed the guide, you may download (use Adobe to view this file) and complete the Preparatory-to-Research Form (PDF, 155KB).

Summary of the Process:
  • Requestor attaches the completed PTR Form in an email to: [email protected].
  • The CRN will review the request with respect to feasibility, priority, effort, and consistency with CRN objectives.
  • Depending on the nature of the request submitted, the CRN may require that investigators not affiliated with the CRN identify a CRN investigator who is interested in collaborating on the project before completing the data request.
  • CRN programmer works with the requestor to clarify request, if necessary, and share results when complete.

While data are collected and maintained independently by each CRN Site, a system of data standards and automated processes known as the Virtual Data Warehouse (VDW) has been established to facilitate consistent data analysis across the network.

The CRN uses a secure implementation of the open-source PopMedNetTM application to facilitate the distribution of SAS programs; the CRN implementation is referred to as CRNnet. CRNnet is the query tool that provides network infrastructure to conduct rapid QA, prep-to-research (PTR) analyses across multiple research institutions within the CRN. PopMedNet is used by several distributed networks include the FDA Sentinel, PCORnet, the Massachusetts Department of Public health surveillance network (MDPHnet), and the NIH Health Care Systems Research Collaboratory.

The CRN Cancer Counter is a data utility which generates frequencies and cross-tabulations of the number of primary tumors by selected individual and tumor characteristics extracted from the Tumor Registry files maintained by CRN health plans.  Variables included in the Cancer Counter are as follows:  a) SEER site recode of tumor site (computed from ICD-O primary site and histology data fields); b) Tumor Behavior; c) General Summary Stage; d) AJCC Stage; e) Age at Cancer Diagnosis; f) Year Cancer Diagnosed; g) Patient Race; h) Patient Gender; i) Patient Hispanic Ethnicity; j) Patient’s Vital Status (as of date of most recent update of the Tumor Registry); and, k) Health Plan (identities of individual health plans are masked).  Patient aged 90 years and above are grouped together.

Users must have a valid business reason for viewing any Cancer Counter tabulations and must provide that reason when entering the Cancer Counter.  To use the resultant counts in a research proposal, presentation, or paper, users must have the permission of the CRN Site Principal Investigator at each site included.  The data on cancer counts are proprietary, and access to these data are limited to members of the CRN following the policies approved by the CRN Steering Committee and the HCSRN Governing Board.  All CRN Cancer Counter data views are tracked by an electronic audit trail. If you need access to the CRN cancer counter or have forgotten your username and/or password for this secure website, and for questions about the cancer counter content or use, please contact Joanna Bulkley, ([email protected]), Kaiser Permanente Center for Health Research.

As of Aug, 2017, the counter contains information on 1,632,787 tumors, spanning 1960-2015!

Research Center Tumor Data through:
Henry Ford Hospital & Health System (HFHS) 2015
Kaiser Permanente Colorado (KPCO), Institute for Health Research 2015
Kaiser Permanente Hawaii (KPHI), Center for Health Research 2015
Kaiser Permanente Northern California (KPNC), Division of Research 2015
Kaiser Permanente Northwest (KPNW), Center for Health Research 2015
Kaiser Permanente Washington (KPWA), Health Research Institute 2015
Marshfield Clinic Research Foundation (MCRF) 2014
Meyers Primary Care Institute / Fallon Community Health Plan (MPCI) 2014
HealthPartners Institute (HPIER) 2015
Kaiser Permanente Georgia (KPG), Center for Clinical and Outcomes Research 2015
Geisinger Health System (GHS), Center for Health Research  2014
Harvard Pilgrim Health Care Institute (HPHC), Dept of Population Medicine, Harvard Med School 2014
Essentia Institute of Rural Health (EIRH) 2013
Kaiser Permanente Southern California (KPSC), Dept of Research and Evaluation 2013

Collaboration

The CRN welcomes opportunities to collaborate with colleagues across the CRN, the Health Care Systems Research Network, and other research institutions to address high priority areas of cancer research. Please use the links below to identify a potential collaborator, review our bibliography, or learn more about our institutions.

 PLEASE NOTE:
  • The CRN does not fund research grants. It promotes discussions and collaborations that may result in applications for funding.
  • The CRN focuses on population sciences research that is conducted in our integrated health care settings. The CRN does not conduct bench science.

Contact Information

To contact CRN’s Former Coordinating Center: [email protected]

Interested in exploring a research partnership with the Cancer Research Network? Please reach out directly to a collaborating investigator or email [email protected]