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The Evolution of Cancer Control Research

An International Perspective from Canada and the United States

Centre for Clinical Epidemiology and Evaluation, Vancouver General Hospital, and Department of Health Care and Epidemiology, University of British Columbia, Vancouver, British Columbia, Canada V5Z 1L8 [A. B.]; Division of Cancer Control and Population Sciences, National Cancer Institute, Department of Health and Human Services, Bethesda, Maryland 20892 [R. A. H., B. K. R.]; Centre for Behavioural Research and Program Evaluation, National Cancer Institute of Canada, and the Department of Health Studies and Gerontology, University of Waterloo, Waterloo, Ontario, Canada N2L 3G1 [R. C.]; and Centers for Behavioral and Preventive Medicine, Brown Medical School/The Miriam Hospital, Providence, Rhode Island 02903 [D. B. A.]

Four phases in the evolution of cancer control frameworks are reviewed, highlighting how national Canadian and United States planning and implementation activities have built on each other’s work to define and guide cancer control research. Hallmarks have come to be: (a) coordination of the cycle that applies research to practice and policy decisions; (b) synthesis of knowledge at each phase of cancer control framework; (c) a focus on populations and public health with feedback loops between fundamental and applied research; and (d) interdisciplinary integration of the biological, behavioral, social, and other population sciences. Current research priorities and initiatives based on the research framework now common to both Canada and the United States are described. We conclude by calling for an international forum for the systematic advancement of cancer control research, and closer ties between the cancer control communities in North America.

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