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Comparison of Methods to Improve Abdominal Aortic Aneurysm (AAA) Screening Rates in the Primary Care Setting.

NCT ID: NCT01301534

Last Updated: 2013-11-25

Study Results

Results pending

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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Recruitment Status

COMPLETED

Total Enrollment

1700 participants

Study Classification

OBSERVATIONAL

Study Start Date

2010-12-31

Study Completion Date

2012-06-30

Brief Summary

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Standard of care dictates that eligible patients should receive an abdominal aortic aneurysm (AAA) screening ultrasound. At present, different military primary care physicians utilize different methods at their discretion to ensure their patients get screened-telephone contact; mail-out reminders; referring patients for ultrasound directly from an office visit; as well as other methods-which we will refer to as "usual care". The purpose of this study is to improve screening rates for AAA and determine what notification methods are best at improving screening rates.

Detailed Description

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Approximately 1700 male patients (DoD beneficiaries) between the ages of 65-75 will be selected from their medical records. The information on the attached abstracted data sheet will be collected. As part of standard patient care operations, the Family Medicine and Internal Medicine Departments will inform patients on the need to receive a AAA screening ultrasound, based on their primary care manager's (PCM) preference for clinical notification:

1. Nurse initiated Telephone Consult (T-Con) (see attached)
2. Mail-0ut Letter to the patient (see attached)
3. Provider, Nurse and Technician Education with point-of-care patient referrals , Exam Room Flyer
4. Control group (i.e. usual care)

The Provider, Nurse and Technician Education will consist of a presentation given by the Principal Investigator (see attached PowerPoint) to the Family Medicine and Internal Medicine clinic staff and the posting of Exam Room Flyers in each Family Medicine and Internal Medicine exam room to prompt and encourage patient referrals for a AAA screening ultrasound.

Information requested on the attached abstracted data sheet will be used for initial identification of patients that should have a AAA screening ultrasound and again 3-4 months later to see if these same individuals received the procedure. All informational data sets will be totally de-identified by the Research Coordinator, Nellis Air Force Base, prior to releasing to the Principle Investigator.

The data will then be analyzed by Dr. Anneke Bush (WHMC statistician) and the results will be provided to the Principal Investigator for analysis.

Conditions

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Abdominal Aortic Aneurysm

Keywords

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abdominal aortic aneurysm

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Study Groups

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T-Con

1\. Nurse initiated Telephone Consult (T-Con)

No interventions assigned to this group

Mail-Out

2\. Mail-0ut Letter to the patient

No interventions assigned to this group

Education

3\. Provider, Nurse and Technician Education with point-of-care patient referrals , Exam Room Flyer

No interventions assigned to this group

Control group

4\. Control group (i.e. usual care)

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Tricare Insurance Beneficiary (military insurance) receiving care at Nellis AFB
* Male patients (DoD beneficiaries) between the ages of 65-75 years old.

Exclusion:

* Female patients.
* Non-English speaking.
* Patients who have already had abdominal CT scan, abdominal MRI, aortography or aortic ultrasound.
* Patients already diagnosed with AAA
Minimum Eligible Age

65 Years

Maximum Eligible Age

75 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Mike O'Callaghan Military Hospital

FED

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ethan Zimmerman, M.D.

Role: PRINCIPAL_INVESTIGATOR

Michael O'Callaghan Federal Hospital/Nellis Air Force Base

Locations

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Michael O'Callaghan Federal Hospital/Nellis Air Force Base

Nellis Air Force Base, Nevada, United States

Site Status

Countries

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United States

Other Identifiers

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FWH20110041H

Identifier Type: -

Identifier Source: org_study_id