Survey Study on Barrett's Esophagus Screening (SCREEN-BE)

University of Colorado Denver (CU Denver)

Status: Completed

Conditions: Esophagus Adenocarcinoma; Gastroesophageal Reflux Disease; Barrett's Esophagus

Treatments: Behavioral: Primary Care Provider Survey; Behavioral: Patient Survey; Behavioral: Gastroenterologist Survey

Study type: Observational

Funder types: Other

Identifiers

NCT04408105

NCI-2020-13912 (Other Identifier)

19-3052.cc

Details and patient eligibility

About

The goal of this study is to optimize Barrett's Esophagus (BE) screening to reduce the incidence, morbidity, and mortality of Esophageal Adenocarcinoma (EAC).

Full description

The initial step to achieve this goal is to study shortcomings of the current BE screening referral processes in the United States. These shortcomings will be identified through completion of two synergistic aims that assess:, (1) provider knowledge, attitudes, and barriers to BE screening referral and (2) patient knowledge, attitudes, and barriers to completion of BE screening. The central hypothesis is that there are patient- and provider-level factors that can be modified to improve BE screening adherence. This hypothesis was formulated based on strong preliminary data demonstrating significant single-mindedness among gastroenterologists regarding BE screening criteria.

Enrollment: 725 patients

Sex: All

Ages: 18 to 99 years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

1. Patient Eligibility Criteria

   Inclusion Criteria:

   • Patients identified by ICD-10 codes for GERD (K21.0 and K21.9) AND
   • Have had at least one outpatient clinic visit at a participating site

   Exclusion Criteria:

   • Prior diagnosis of BE/EAC
   • Non-English speaking

2. Provider Eligibility Criteria

Inclusion Criteria:

• Provider must be a PCP and/or gastroenterologist AND
• Must be at a participating site

Trial design

725 participants in 3 patient groups

Primary Care Providers

Description:

400 eligible primary care providers (PCPs) will be recruited across the 7 participating sites to complete an anonymous survey. The survey will be distributed to eligible PCPs by the study site research coordinator via anonymous REDCap internet survey with 2 additional automated electronic reminders. There will also be opportunities for providers to complete a paper survey at PCP clinic meetings which will be collected by only the site research coordinator to maintain response anonymity.

Treatment:

Behavioral: Primary Care Provider Survey

Gastroenterologists

Description:

100 eligible gastroenterologists (GIs) will be recruited across the 7 participating sites to complete an anonymous survey. The survey will be distributed to eligible GIs by the study site research coordinator via anonymous REDCap internet survey with 2 additional automated electronic reminders. There will also be opportunities for GIs to complete a paper survey at provider clinic meetings which will be collected by only the site research coordinator to maintain response anonymity.

Treatment:

Behavioral: Gastroenterologist Survey

Patients

Description:

500 eligible patients will be recruited across the 7 participating sites to complete a survey. The survey will be distributed to eligible patients at the time of a clinic appointment, via telephone, or via a REDCap internet survey that will allow for 2 additional electronic phone call reminders and 1 email reminder.

Treatment:

Behavioral: Patient Survey