NCT07078409

Clinician Nudge to Referral of Adnexal Masses to Gynecologic Oncology

• Status: Enrolling By Invitation
• Phase: N/A
• Study type: Interventional
• Enrollment: 240 (estimated)
• Sponsor: Abramson Cancer Center at Penn Medicine · Academic / Other
• Sex: Female
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

The goal of this study is to test the effectiveness of clinician nudges on referrals to gynecologic oncology in patients with suspected ovarian cancer. The primary outcome will be whether or not patients were referred to gynecologic oncology within 14 days of their abnormal imaging results. Secondary and exploratory outcomes are whether the gynecologic visit occurred within 60 days of abnormal imaging and the time from abnormal imaging results to gynecologic oncology visit.

Conditions

• Ovarian Cancer

Interventions

Type	Name	Description
BEHAVIORAL	Nudge	When the clinician who ordered the imaging that led to randomization receives the test results, a pre-checked referral order to gynecologic oncology for surgical evaluation will appear in the EHR alongside a brief educational explanation. This will constitute the opt-out default referral order (Figure 3). Clinicians will have the option to unclick the referral to opt out and will be asked to indicate the reason from a pre-populated list of choices; if they do not opt out, the referral to gynecologic oncology will proceed. Imaging findings and referral will be communicated to the patient in keeping with the clinician's usual practice. In keeping with routine practice, referred patients will be contacted by gynecologic oncology's new patient coordinators within 72 hours and offered an appointment within 2 weeks at their preferred location.

Timeline

• Start date: 2025-07-14
• Primary completion: 2026-07-07
• Completion: 2027-07-07
• First posted: 2025-07-22
• Last updated: 2025-07-22

Locations

1 site across 1 country: United States