Trial Information

Breast Cancer Screening and Follow-Up in a PBRN: The Mammography FastTrack Trial

OBJECTIVES:

- 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.