Clinical trial NCT04162925: Cancer Screening Utilization Rates and Cancer Screening Perspectives of Hospitalized Women
Official title: Cancer Screening Utilization Rates and Cancer Screening Perspectives of Hospitalized Women
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Cancer Screening
Lead sponsor: Johns Hopkins University
Sponsor class: OTHER
Collaborators: name: State of Maryland
First posted: 2019-11-14
Enrollment: 700
Sex: FEMALE
Minimum age (years): 50
Maximum age (years): 75
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Intervention model description: Cancer screening utilization rates and cancer screening perspective of hospitalized women on internal medicine service
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: Breast and colon cancers are commonly diagnosed cancers among women after skin cancer in Maryland. Patients' preferences for cancer screening are known to significantly influence utilization, and thus impact health outcomes. In a recent study the investigators conducted at Johns Hopkins Bayview Medical Center, the investigators observed that among women age 50-75 years admitted to general medicine services over 4-month period, 40% were non-adherent to breast cancer screening (overdue) despite being insured.

Therefore, the investigators propose to establish a cohort of hospitalized women to help the investigators develop successful interventions for enhancing breast cancer screening utilization in this group. In following a cohort prospectively, the investigators intend to both reaffirm the results from the investigators' previous study and determine whether the patterns of mammographic screening improve over time as a result of the investigators' interventions. Among non-adherent (overdue) women, the investigators will educate and encourage these women to undergo outpatient screening mammography.

To more comprehensively assess the preventive health in this cohort, the investigators will assess the cohort's adherence to colon cancer screening recommendation and barriers to colon cancer screening.

In addition the investigators will also like to encourage the hospitalists and house staff taking care of these patients to perform oral cancer screen among women who smoke (non-adherent to breast cancer screening) Finally the investigators will also like to ask the perspective of cancer screening among these women.


Eligibility criteria: Inclusion Criteria:

* Women between the ages of 50 to 75 years admitted to medicine service at Johns Hopkins Bayview Medical Center
* cancer free at baseline (excluding skin cancers)
* willing to participate voluntarily

Exclusion Criteria:

* history of breast cancer or mastectomy
* history of other cancers (except skin) or serious comorbidities making life expectancy \<10 years
* pregnancy
* dementia
* chronic disability (unable to stand or nursing home resident)
* current admission because of acute coronary event (heart attack) or stroke or pulmonary embolism
* chronic kidney disease on hemodialysis
* history of BRCA1 or BRCA2 gene mutation
* current admission for cellulitis or abscess of breast

Primary outcomes:
measure: Proportion of women non-adherent to breast cancer screening in this group
timeFrame: 3 years
measure: Prevalence of breast cancer screening post intervention in this group
timeFrame: 3 years
measure: Proportion of hospitalized women non-adherent to colon cancer screening
timeFrame: 3 years
measure: Perspective of hospitalized women about colon cancer screening as assessed by multiple choice questions
timeFrame: 3 years
measure: Perspective of hospitalized women about colon cancer screening as assessed by likert scale 21 questions
timeFrame: 3 years
measure: Proportion of women non-adherent to oral cancer screening
timeFrame: 3 years
measure: Number of women agreeable to inpatient oral cancer screening exam
timeFrame: 3 years
measure: Perspective of hospitalized women in general about their preference for cancers screening as assessed by multiple choice questions
timeFrame: 3 years
measure: Perspective of hospitalized women in general about their preference for cancers screening as assessed by likert scale
timeFrame: 3 years
Secondary outcomes:
Other outcomes:
Locations:
Study officials:
affiliation: Johns Hopkins University
name: Waseem Khaliq, MD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Olayinka O, Gnanaraj J, Khaliq W. Hospitalized Women's Willingness to Pay for Inpatient Screening Colonoscopy. Womens Health Rep (New Rochelle). 2022 Sep 13;3(1):768-773. doi: 10.1089/whr.2022.0014. eCollection 2022.