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


N/A
18 Years
N/A
Not Enrolling
Female
Breast Cancer

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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.

Inclusion Criteria


DISEASE CHARACTERISTICS:

- 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)

Type of Study:

Interventional

Study Design:

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Health Services Research

Outcome Measure:

Proportion of overdue patients completing mammography screening in intervention and control groups

Outcome Description:

Proportion of overdue patients completing mammography screening in intervention and control groups over the 1-year study.

Outcome Time Frame:

1 year

Safety Issue:

No

Principal Investigator

Michael J. Barry, MD

Investigator Role:

Study Chair

Investigator Affiliation:

Massachusetts General Hospital

Authority:

United States: Federal Government

Study ID:

02-114

NCT ID:

NCT00462891

Start Date:

March 2007

Completion Date:

Related Keywords:

  • Breast Cancer
  • breast cancer
  • Breast Neoplasms

Name

Location

Massachusetts General HospitalBoston, Massachusetts  02114-2617