Skip to main content
OpenTrials
Completed

NCT Number: NCT05089903

Breast Cancer Outreach Among Primary Care Patients

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.

Completed

Looking for future studies?

Notify Me

Key information

Conditions

Breast Cancer Breast Diseases Breast Neoplasms Neoplasms Neoplasms by Site Skin Diseases Skin and Connective Tissue Diseases

Age range

40 year–74 year

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Penn Medicine

Philadelphia, Pennsylvania, 19104, United States

About this study

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.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Women ages 40-74
  • Followed by Primary Care with a Penn Medicine PCP listed and at least one visit in the last 2 years
  • Health Maintenance due (default biannual screening starting at age 50 or edit modifier based on input by clinician)

Exclusion criteria

  • Currently scheduled for a mammogram
  • History of bilateral mastectomy

Treatment and study plan

Bulk Order

Behavioral

A mammogram order will be placed using bulk order technology in the EHR in advance of outreach for all patients.

Texting

Behavioral

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.

Clinician Endorsement

Behavioral

Outreach informing patients that they are overdue for a mammogram will be signed by the patient's primary care provider.

No Bulk Order

Behavioral

The outreach will ask patients to contact their PCP's office in order to have a mammogram order placed on their behalf.

Standard Endorsement

Behavioral

Patient's will receive outreach from the practice informing them that they are overdue for a mammogram.

Primary outcomes

  1. Mammogram Completion in 3 months

    Time frame: 3 months

    Percent of patients that complete a mammogram

Secondary outcomes

  1. Mammogram Completion in 6 months

    Time frame: 6 months

    Percent of patients that complete a mammogram

Other outcomes

  1. Mammogram Positivity Rate

    Time frame: 3 months

    Percent of mammograms that have positive results

  2. Mammogram Completion by Age Groups

    Time frame: 3 months

    Percent of patients that complete a mammogram by age groups

  3. Mammogram Completion by Race/Ethnicity

    Time frame: 3 months

    Percent of patients that complete a mammogram by race/ethnicity

  4. Mammogram Completion by Insurance Type

    Time frame: 3 months

    Percent of patients that complete a mammogram by insurance type

  5. Mammogram Completion by Median Household Income by Zip Code

    Time frame: 3 months

    Percent of patients that complete a mammogram by Median Household Income by zip code

  6. Positive Mammograms Resulting in Subsequent Care

    Time frame: 3 months

    Percent of patients with a positive mammogram that receive subsequent care

  7. Mammogram Completion by Electronic Patient Portal Status

    Time frame: 3 months

    Percent of patients that complete a mammogram by electronic patient portal status

Sponsors and collaborators

Lead sponsor

Abramson Cancer Center at Penn Medicine

Other

Registry information

Important dates

Study start
2021
Primary completion
2022
Study completion
2022
First posted
Oct 22, 2021
Registry last updated
Jun 27, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Related clinical trials

Published trials that share one or more normalized conditions with this study.