NCT05089903

Breast Cancer Outreach Among Primary Care Patients

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 24,680 (actual)
• Sponsor: Abramson Cancer Center at Penn Medicine · Academic / Other
• Sex: Female
• Age: 40 Years – 74 Years
• Healthy volunteers: Not accepted

Summary

This project aims to evaluate different approaches to increase breast cancer screening among primary care patients at Penn Medicine through a centralized screening outreach program. In a pragmatic trial, the investigators will evaluate different approaches to increase completion of screening among eligible patients, including ordering mammograms in bulk prior to outreach, sending personalized text reminders, and endorsing of the communication by the primary care provider.

Detailed description

While mammograms are recommended by guidelines for early detection of breast cancer, mammogram rates are significantly lower now than they were prior to the initial COVID-19 pandemic surge in early 2020. In this project, the investigators will evaluate different ways of reaching out to eligible patients to encourage them to participate in breast cancer screening. Through letters, texting, and the electronic health record portal (MyPennMedicine (MPM)), the investigators will compare mammogram bulk orders, text messaging, and primary care provider endorsement to traditional outreach messaging with the goal of increasing breast cancer screening uptake.

Conditions

• Breast Cancer

Interventions

Type	Name	Description
BEHAVIORAL	Bulk Order	A mammogram order will be placed using bulk order technology in the EHR in advance of outreach for all patients.
BEHAVIORAL	Texting	In addition to outreach, patients will receive text messaging with information regarding the importance of screening, how to schedule a mammogram, and locations available for mammography.
BEHAVIORAL	Clinician Endorsement	Outreach informing patients that they are overdue for a mammogram will be signed by the patient's primary care provider.
BEHAVIORAL	No Bulk Order	The outreach will ask patients to contact their PCP's office in order to have a mammogram order placed on their behalf.
BEHAVIORAL	Standard Endorsement	Patient's will receive outreach from the practice informing them that they are overdue for a mammogram.

Timeline

• Start date: 2021-10-25
• Primary completion: 2022-01-25
• Completion: 2022-04-25
• First posted: 2021-10-22
• Last updated: 2022-06-27

Locations

1 site across 1 country: United States