Potlako: A Programmatic Intervention to Improve Access to Timely Oncology Care

P

President and Fellows of Harvard College

Status

Completed

Conditions

Neoplasms
HIV
Healthcare Disparity

Treatments

Other: Potlako intervention

Study type

Interventional

Funder types

Other

Identifiers

NCT02752061
BHP078

Details and patient eligibility

About

Diagnostic and treatment delays contribute substantially to disparities in cancer morbidity and mortality between low- and middle- income countries (LMICs) and high-income countries. Individuals present with advanced stage disease resulting in minimal chance for cure or long-term survival. The Potlako project will implement and evaluate a multifaceted intervention to test the hypothesis that a package of enhanced coordination of care including an electronic messaging, transportation support, and training targeted at generalist clinicians at primary and secondary level facilities, can reduce time to diagnosis and stage at diagnosis for HIV-infected individuals with cancer.

Enrollment

979 patients

Sex

All

Ages

18+ years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

  • Citizen of Botswana
  • Suspected or diagnosed cancer

Exclusion criteria

Involuntary incarceration

Trial design

Primary purpose

Health Services Research

Allocation

Non-Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

979 participants in 2 patient groups

Kweneng East District
Experimental group
Description:
Patient presenting with possible cancer symptoms/sign to a clinic or hospital in Kweneng East District during study period.
Treatment:
Other: Potlako intervention
All other districts
No Intervention group
Description:
Patient presenting with possible cancer symptoms/sign to a clinic or hospital in all other districts of Botswana (or Kweneng East prior to implementation of intervention).

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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