Rapid First Contact Using Virtual Visits to Improve Time-To-Treatment for Uterine Cancer

Not Applicable

Withdrawn

• Conditions: Uterine Cancer
• Interventions: Behavioral: Virtual visit; Behavioral: Office visit

• Registration Number: NCT03583736
• Lead Sponsor: Case Comprehensive Cancer Center

Brief Summary

This project aims to evaluate whether rapid first contact with the oncologist the same day or the next day after pathologic diagnosis contributes to a decreased time to treatment, decreased patient anxiety and increased patient satisfaction.

Detailed Description

Time to treatment (time from disease diagnosis to initiation of treatment) impacts outcomes in uterine cancer. When controlled for stage, patients with longer time to treatment tend to have less favorable outcomes. Similarly, longer time to treatment has a negative impact on patients' quality of life and markers for anxiety. Our experience at this institution suggests that the time to referral (time from uterine cancer diagnosis and the patients' first encounter with the oncologist) is variable and presents the greatest opportunity for decreasing time to treatment. Among the factors that contribute to the time to referral are the time taken by the referring provider to relay the diagnosis to the patient, time taken to schedule an appointment with the specialist, and the patient's availability to keep an appointment.

Virtual visits provide an opportunity to expedite consultation with the treating oncologist by removing some of the barriers that delay face-to-face visits. Among these barriers are patients' availability for a short notice face-to-face visit based on their work or family obligations, access to transportation, and mental preparedness.

Study Timeline

• Study Start: 2018-06-27
• Study First Submitted: 2018-06-27
• Study First Submitted QC: 2018-06-27
• Study First Posted: 2018-07-11
• Status Verified: 2020-06
• Primary Completion: 2020-06-01
• Study Completion: 2020-06-01
• Last Update Submitted: 2020-06-29
• Last Update Posted: 2020-06-30

Recruitment & Eligibility

• Status: WITHDRAWN
• Sex: Female
• Target Recruitment: Not specified

Inclusion Criteria

• Uterine cancer diagnosis on biopsy read by Cleveland Clinic Pathology Department
• Patients must be willing to participate in a virtual visit as the initial meeting with an oncologist at the Cleveland Clinic.
• Receive care at Fairview Hospital, Hillcrest Hospital or Cleveland Clinic Main Campus
• Internet connected smartphone or internet connected computer with webcam
• Participants must have email access
• English speaking
• Competent to make clinic decisions

Exclusion Criteria

• No diagnosis of uterine cancer

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Rapid first contact virtual visit	Virtual visit	Subjects will accept the offer of a virtual visit after being contacted by the nurse to offer a virtual visit with the oncologist prior to the in person office visit once a diagnosis has been confirmed. Subjects will be randomized after accepting offer of a virtual visit.
First contact in person office visit	Office visit	Subjects will accept the offer of a virtual visit after being contacted by the nurse to offer a virtual visit with the oncologist prior to the in person office visit once a diagnosis has been confirmed. Subjects will be randomized after accepting offer of a virtual visit.

Primary Outcome Measures

Name	Time	Method
Time to treatment following diagnosis to treatment initiation	30 days	How long between diagnosis to treatment

Secondary Outcome Measures

Name	Time	Method
Number of patients with improved satisfaction scores	30 days	Determine whether the addition of a rapid virtual visit improves patients satisfaction
Number of patients willing to pay for a virtual visit	30 days	Assess patients valuation of virtual visits by measuring their willingness to pay
Amount of anxiety demonstrated when virtual visits are added	30 days	Level of anxiety using GAD-7