Cancer Clinical Trial
— ACCESSOfficial title:
Assessing Community Cancer Care After Insurance ExpanSionS
NCT number | NCT02936609 |
Other study ID # | 1R01CA204267 |
Secondary ID | |
Status | Completed |
Phase | |
First received | |
Last updated | |
Start date | April 2016 |
Est. completion date | March 2021 |
Verified date | April 2022 |
Source | OHSU Knight Cancer Institute |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational [Patient Registry] |
This innovative and timely study will measure the impact of Affordable Care Act (ACA) Medicaid expansions on cancer screenings and preventive services. To assess this natural policy experiment, the investigators will use electronic health record data from the Accelerating Data Value Across a National Community Health Center Network (ADVANCE) clinical data research network (CDRN) of the National Patient-Centered Clinical Research Network (PCORnet).
Status | Completed |
Enrollment | 1939783 |
Est. completion date | March 2021 |
Est. primary completion date | March 2021 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 19 Years to 64 Years |
Eligibility | Inclusion Criteria: - Patients in intervention and control states aged 19-64 Exclusion Criteria: - Patients at intervention and control clinics outside of the age range 19-64 |
Country | Name | City | State |
---|---|---|---|
n/a |
Lead Sponsor | Collaborator |
---|---|
OHSU Knight Cancer Institute | Fenway Community Health, Health Choice Network, National Cancer Institute (NCI), National Institutes of Health (NIH), OCHIN, Inc. |
Angier HE, Marino M, Springer RJ, Schmidt TD, Huguet N, DeVoe JE. The Affordable Care Act improved health insurance coverage and cardiovascular-related screening rates for cancer survivors seen in community health centers. Cancer. 2020 Jul 15;126(14):3303 — View Citation
Bailey SR, Marino M, Ezekiel-Herrera D, Schmidt T, Angier H, Hoopes MJ, DeVoe JE, Heintzman J, Huguet N. Tobacco Cessation in Affordable Care Act Medicaid Expansion States Versus Non-expansion States. Nicotine Tob Res. 2020 May 26;22(6):1016-1022. doi: 10 — View Citation
Hoopes M, Schmidt T, Huguet N, Winters-Stone K, Angier H, Marino M, Shannon J, DeVoe J. Identifying and characterizing cancer survivors in the US primary care safety net. Cancer. 2019 Oct 1;125(19):3448-3456. doi: 10.1002/cncr.32295. Epub 2019 Jun 7. — View Citation
Hoopes M, Voss R, Angier H, Marino M, Schmidt T, DeVoe JE, Soule J, Huguet N. Assessing Cancer History Accuracy in Primary Care Electronic Health Records Through Cancer Registry Linkage. J Natl Cancer Inst. 2021 Jul 1;113(7):924-932. doi: 10.1093/jnci/dja — View Citation
Huguet N, Angier H, Rdesinski R, Hoopes M, Marino M, Holderness H, DeVoe JE. Cervical and colorectal cancer screening prevalence before and after Affordable Care Act Medicaid expansion. Prev Med. 2019 Jul;124:91-97. doi: 10.1016/j.ypmed.2019.05.003. Epub — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change in number of preventive services received | Preventive services and screenings for cervical, colorectal, and breast cancers, HPV vaccinations, smoking screening ad interventions, and obesity screening and interventions. | Less than or equal to 24 months prior to Medicaid expansion vs greater than or equal to 24 months post | |
Secondary | Change in type of preventive services received | Preventive services and screenings for cervical, colorectal, and breast cancers, HPV vaccinations, smoking screening ad interventions, and obesity screening and interventions | Less than or equal to 24 months prior to Medicaid expansion vs greater than or equal to 24 months post | |
Secondary | Change of health insurance status | Health insurance status derived from EHR data and is primarily based on information collected at each visit | Less than or equal to 24 months prior to Medicaid expansion vs greater than or equal to 24 months post | |
Secondary | Change in number of primary care visits | Number of primary care visits. | Less than or equal to 24 months prior to Medicaid expansion vs greater than or equal to 24 months post | |
Secondary | Change in type of primary care visits | Types of primary care visits. | Less than or equal to 24 months prior to Medicaid expansion vs greater than or equal to 24 months post |
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