Breast Neoplasms Clinical Trial
Official title:
Adjuvant Endocrine Therapy in Breast Therapy in Breast Cancer: A Novel E-Health Approach in Optimizing Treatment for Seniors (OPTIMUM Study)
Background: In women with hormone receptor positive (HR+) breast cancer, adjuvant endocrine therapy (AET) is associated with a significant survival advantage. Nonadherence is a particular challenge in older women, even though they stand to benefit the most from AET. Therefore, a novel e-health tool (OPTIMUM) that integrates real-time analysis of health administrative claims data was developed to provide point-of-care decision support for clinicians.
Objectives: 1) To determine the effectiveness of a patient-specific, real-time e-health
alerts delivered at point-of-care in reducing rates of AET discontinuation and to understand
patient-level factors related to AET discontinuation. 2) To assess integration of e-health
alerts regarding deviations from best practices in administration of AET by cancer care
teams.
Methods: A prospective, two group controlled comparison pilot study will be conducted at two
urban, McGill University-affiliated hospitals, the Royal Victoria Hospital and St. Mary's
Hospital. A minimum of 43 patients per study arm will be enrolled through site-level
allocation. Follow-up is 1.5 years. Healthcare professionals at the intervention site will
have access to the e-health tool which will report to them in real-time: medical events with
known associations to AET discontinuation, AET adherence monitor, and a discontinuation
alert.
;
Allocation: Non-Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Subject), Primary Purpose: Supportive Care
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