NCI Listens and Learns In January of this year, NCI and the Director's Consumer Liaison Group (DCLG) launched the NCI Listens and Learns Web site to enhance communication and collaboration between NCI and the cancer advocacy community. Each month, NCI poses a question and invites the advocacy community and the public to post their comments over the course of the month. Starting this month, the NCI Cancer Bulletin will print the NCI Listens and Learns question each month. Those wishing to respond should go to http://ncilistens.cancer.gov/ to register and post their comments. Background: Discoveries in cancer research are limited by the failure to apply new findings that research has found to be effective (evidence-based findings) in a timely manner. This has prompted NCI to focus on ways to disseminate new knowledge to health care providers, policy makers, and the public and to facilitate their adoption of this new knowledge into their practice behaviors. NCI would like to know: 1. How can advocates best work to get health care providers, health insurers, and third-party payers to adopt evidence-based practices? 2. What information, education, or training would advocates need or want in order to encourage health care providers and payers to use evidence-based screening, treatment, and follow-up cancer care?

His conclusion is based on studies that have assessed environmental exposures such as folate intake, smoking, and physical activity, as well as the use of aspirin and other nonsteroidal anti-inflammatory drugs. With aspirin, for example, several studies and randomized clinical trials have shown that it can reduce the risk of precancerous polyps. However, according to work by Dr. Potter and colleagues at Fred Hutchinson, this reduction is modulated by polymorphisms in metabolizing enzymes.

Dr. Potter also discussed HNPCC, a hereditary form of colon cancer that has undergone a significant change in phenotype since its discovery in the early 1900s. Early in the century, colorectal tumors were rare in such patients, but that has slowly changed over the years. Now, the majority of HNPCC patients have colorectal tumors - a change that Dr. Potter argued is directly influenced by changes in environmental exposures, including tobacco exposure, reduced physical activity, and dietary changes.

Tribute to a Tobacco Control Crusader
The world lost a distinguished epidemiologist, professor, and public health pioneer last week when Sir Richard Doll, a leader in establishing smoking as the major cause of lung cancer, passed away at the age of 92.

More than half a century has passed since Dr. Doll undertook the first in-depth epidemiological study of smoking and lung cancer with Austin Bradford Hill. The study, first published in 1950, not only propelled his career toward five decades of tobacco-related cancer research, but also prompted him to quit smoking.

In addition to linking smoking and lung cancer, Dr. Doll also conducted research on the relationship between smoking and heart disease, and the effects of low-level ionizing radiation.

"NCI acknowledges the legacy left by Dr. Doll. The results of his groundbreaking research have saved millions of lives," said Dr. Cathy Backinger of NCI's Tobacco Control Research Branch.