Breast Cancer Outreach Among Primary Care Patients

Breast Cancer Clinical Trial

Official title:

Breast Cancer Outreach Among Primary Care Patients

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05089903
• Other study ID #: UPCC 15121
• Secondary ID: 849863
• Status: Completed
• Phase: N/A
• Start date: October 25, 2021
• Est. completion date: April 25, 2022

Study information

• Verified date: June 2022
• Source: Abramson Cancer Center of the University of Pennsylvania
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This project aims to evaluate different approaches to increase breast cancer screening among primary care patients at Penn Medicine through a centralized screening outreach program. In a pragmatic trial, the investigators will evaluate different approaches to increase completion of screening among eligible patients, including ordering mammograms in bulk prior to outreach, sending personalized text reminders, and endorsing of the communication by the primary care provider.

Description:

While mammograms are recommended by guidelines for early detection of breast cancer, mammogram rates are significantly lower now than they were prior to the initial COVID-19 pandemic surge in early 2020. In this project, the investigators will evaluate different ways of reaching out to eligible patients to encourage them to participate in breast cancer screening. Through letters, texting, and the electronic health record portal (MyPennMedicine (MPM)), the investigators will compare mammogram bulk orders, text messaging, and primary care provider endorsement to traditional outreach messaging with the goal of increasing breast cancer screening uptake.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 24680
• Est. completion date: April 25, 2022
• Est. primary completion date: January 25, 2022
• Accepts healthy volunteers: No
• Gender: Female
• Age group: 40 Years to 74 Years

Eligibility

Inclusion Criteria:

1. Women ages 40-74

2. Followed by Primary Care with a Penn Medicine PCP listed and at least one visit in the last 2 years

3. Health Maintenance due (default biannual screening starting at age 50 or edit modifier based on input by clinician)

Exclusion Criteria:

1. Currently scheduled for a mammogram

2. History of bilateral mastectomy

Related Conditions & MeSH terms

• Breast Cancer
• Breast Neoplasms

Intervention

Behavioral:
• Bulk Order
A mammogram order will be placed using bulk order technology in the EHR in advance of outreach for all patients.
• Texting
In addition to outreach, patients will receive text messaging with information regarding the importance of screening, how to schedule a mammogram, and locations available for mammography.
• Clinician Endorsement
Outreach informing patients that they are overdue for a mammogram will be signed by the patient's primary care provider.
• No Bulk Order
The outreach will ask patients to contact their PCP's office in order to have a mammogram order placed on their behalf.
• Standard Endorsement
Patient's will receive outreach from the practice informing them that they are overdue for a mammogram.

Locations

Country	Name	City	State
United States	Penn Medicine	Philadelphia	Pennsylvania

Sponsors (1)

Lead Sponsor	Collaborator
Abramson Cancer Center of the University of Pennsylvania

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Mammogram Positivity Rate	Percent of mammograms that have positive results	3 months
Other	Mammogram Completion by Age Groups	Percent of patients that complete a mammogram by age groups	3 months
Other	Mammogram Completion by Race/Ethnicity	Percent of patients that complete a mammogram by race/ethnicity	3 months
Other	Mammogram Completion by Insurance Type	Percent of patients that complete a mammogram by insurance type	3 months
Other	Mammogram Completion by Median Household Income by Zip Code	Percent of patients that complete a mammogram by Median Household Income by zip code	3 months
Other	Positive Mammograms Resulting in Subsequent Care	Percent of patients with a positive mammogram that receive subsequent care	3 months
Other	Mammogram Completion by Electronic Patient Portal Status	Percent of patients that complete a mammogram by electronic patient portal status	3 months
Primary	Mammogram Completion in 3 months	Percent of patients that complete a mammogram	3 months
Secondary	Mammogram Completion in 6 months	Percent of patients that complete a mammogram	6 months