A Mammography FastTrack Program in Increasing the Number of Women Undergoing Breast Cancer Screening
NCT ID: NCT00462891
Last Updated: 2013-05-21
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
6730 participants
INTERVENTIONAL
2007-03-31
Brief Summary
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PURPOSE: This randomized clinical trial is studying the use of a Mammography FastTrack program to increase the number of women who undergo mammography.
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Detailed Description
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* Classify all patients within the Massachusetts General Primary Care-Practice Based Research Network (MGPC-PBRN) according to patient-primary care provider (PCP) linkage status.
* Develop a breast cancer screening intervention program called Mammography FastTrack that facilitates the ordering of mammograms to be used either by PCPs (for PCP-linked patients) or by practice managers (for practice-linked patients).
* Compare the impact of the Mammography FastTrack program on mammography screening rates in PCP-linked vs practice-linked patients overdue for breast cancer screening.
OUTLINE: This is a randomized, multicenter study.
Mammography-eligible women are linked to either a provider or a practice within the Massachusetts General Primary Care Practice-Based Research Network (MGPC-PBRN). Practices within the MGPC-PBRN are stratified according to baseline mammography screening rates (high vs low) and practice type (community health center vs hospital-based vs community-based) and are randomized to 1 of 2 arms.
* Arm I: Physicians and practice managers receive e-mail alerts at months 1 and 3 informing them of the availability of mammography screening data for their panel of primary-care patients. A hyperlink refers the provider to a web-portal for the Mammography FastTrack program that lists all eligible patients who have not undergone mammography. The provider may then click a button to schedule, defer (providing reason for deferral), or provide the date of a recent mammogram.
* Arm II: Practices continue standard care. At the end of 12 months, electronic report and billing data and a review of electronic health records are used to determine the completion of mammograms.
PROJECTED ACCRUAL: A total of 6,730 patients will be accrued for this study.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
HEALTH_SERVICES_RESEARCH
NONE
Study Groups
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IT System
IT system to send reminder letters to patients overdue for breast cancer screening.
IT System
Usual Care
No interventions assigned to this group
Interventions
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IT System
Eligibility Criteria
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Inclusion Criteria
* Any outpatient at a participating Massachusetts General Primary Care Practice-Based Research Network (MGPC-PBRN) practice within the past 3 years
* No patient who the Massachusetts General Hospital system lists as having a primary care provider who is not in one of the MGPC-PBRN networks (linking patients with a provider or practice)
* No patient who is not linked to specific provider or practice (randomized portion of study)
* Billing, scheduling, and clinical electronic data sources required
* No mammogram within the past 2 years (randomized portion of study)
* Hormone receptor status not specified
PATIENT CHARACTERISTICS:
* Age 42 to 69 years (randomized portion of study)
* Female
* Menopausal status not specified
PRIOR CONCURRENT THERAPY:
* No prior bilateral mastectomy (randomized portion of study)
18 Years
FEMALE
Yes
Sponsors
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National Cancer Institute (NCI)
NIH
Massachusetts General Hospital
OTHER
Responsible Party
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Michael J. Barry, MD
Project Investigator
Principal Investigators
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Michael J. Barry, MD
Role: STUDY_CHAIR
Massachusetts General Hospital
Locations
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Massachusetts General Hospital
Boston, Massachusetts, United States
Countries
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References
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Atlas SJ, Grant RW, Lester WT, Ashburner JM, Chang Y, Barry MJ, Chueh HC. A cluster-randomized trial of a primary care informatics-based system for breast cancer screening. J Gen Intern Med. 2011 Feb;26(2):154-61. doi: 10.1007/s11606-010-1500-0. Epub 2010 Sep 15.
Atlas SJ, Ashburner JM, Chang Y, Lester WT, Barry MJ, Grant RW. Population-based breast cancer screening in a primary care network. Am J Manag Care. 2012 Dec;18(12):821-9.
Other Identifiers
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MGH-2005-P-002474/1
Identifier Type: -
Identifier Source: secondary_id
02-114
Identifier Type: -
Identifier Source: org_study_id
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