Cancer mortality rates have declined during the last 28 years, but that process is not equitably shared. Disparities in cancer outcomes by race, ethnicity, socioeconomic status, sexual orientation and gender identity, and geographic location persist across the cancer care continuum. Consequently, community outreach and engagement (COE) efforts within National Cancer Institute-Designated Cancer Center (NCI-DCC) catchment areas have intensified during the last 10 years as has the emphasis on COE and catchment areas in NCI's Cancer Center Support Grant applications. This review article attempts to provide a historic perspective of COE within NCI-DCCs. Improving COE has long been an important initiative for the NCI, but it was not until 2012 and 2016 that NCI-DCCs were required to define their catchment areas rigorously and to provide specific descriptions of COE interventions, respectively. NCI-DCCs had previously lacked adequate focus on the inclusion of historically marginalized patients in cancer innovation efforts. Integrating COE efforts throughout the research and operational aspects of the cancer centers, at both the patient and community levels, will expand the footprint of COE efforts within NCI-DCCs. Achieving this change requires sustained commitment by the centers to adjust their activities and improve access and outcomes for historically marginalized communities.

中文翻译：

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国家癌症研究所指定癌症中心社区外展和参与的演变，一个不断发展的旅程

过去 28 年里，癌症死亡率有所下降，但这一过程并未公平地分享。在整个癌症治疗过程中，因种族、民族、社会经济地位、性取向和性别认同以及地理位置而导致的癌症结果存在差异。因此，在过去 10 年中，国家癌症研究所指定癌症中心 (NCI-DCC) 服务范围内的社区外展和参与 (COE) 工作得到加强，NCI 癌症中心支持拨款申请中对 COE 和服务范围的重视也得到了加强。这篇综述文章试图提供 NCI-DCC 内 COE 的历史视角。长期以来，改善 COE 一直是 NCI 的一项重要举措，但直到 2012 年和 2016 年，NCI-DCC 才分别被要求严格界定其服务范围，并分别提供 COE 干预措施的具体描述。 NCI-DCC 此前对将历史上边缘化的患者纳入癌症创新工作缺乏足够的关注。将 COE 工作整合到癌症中心的患者和社区层面的研究和运营方面，将扩大 NCI-DCC 内 COE 工作的覆盖范围。实现这一变化需要各中心持续致力于调整其活动并改善历史上边缘化社区的准入和成果。