Cancer Screening Utilization Rates and Cancer Screening Perspectives of Hospitalized Women

Johns Hopkins University

Status: Completed

Conditions: Cancer Screening

Treatments: Behavioral: Cancer screening education for breast, colon and oral cancers

Study type: Interventional

Funder types: Other

Identifiers

NCT04162925

IO90059879 (Other Grant/Funding Number)

IRB00049608

Details and patient eligibility

About

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.

Enrollment: 700 patients

Sex: Female

Ages: 50 to 75 years old

Volunteers: Accepts Healthy Volunteers

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

Trial design

Primary purpose: Health Services Research

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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700 participants in 1 patient group

Cancer screening cohort

Experimental group

Description:

All women in this study to be evaluated for cancer screening utilization rates (breast, colon and oral cancers) and cancer screening perspectives of these hospitalized women. The intervention will be a cancer screening education.

Treatment:

Behavioral: Cancer screening education for breast, colon and oral cancers