Default Options to Reduce Unnecessary Daily Imaging During Palliative Radiation

Not Applicable

Completed

• Conditions: Cancer
• Interventions: Behavioral: Default initiation

• Registration Number: NCT03110692
• Lead Sponsor: University of Pennsylvania

Brief Summary

The goal of this study is to reduce preference sensitive, unnecessary daily imaging during radiation treatment in which a pre-planned quality improvement default option for radiation treatment prescriptions will be introduced throughout the network of Penn Radiation Oncology.

Detailed Description

The goal of this study is to reduce preference sensitive, unnecessary daily imaging during radiation treatment in which a pre-planned quality improvement default option for radiation treatment prescriptions will be introduced throughout the network of Penn Radiation Oncology. This study is a prospectively designed, observational trial with two comparison groups: (1) a usual practice group (control group) and (2) a default radiation treatment prescription group (intervention group), in which the usual practice group will subsequently rollover from control to intervention so that all sites and physicians in the practice network of Penn Radiation Oncology are exposed to intervention. The purpose of this study is to reduce preference sensitive, unnecessary daily imaging during radiation treatment with the implementation of a quality improvement initiative within 5 sites of Penn Radiation Oncology. We aim to leverage the introduction of a default prescription option to reduce the use of daily imaging in palliative intent cases where it has limited clinical benefit and adds to cost burden. Our objective is to encourage more patient-centric clinical practice.

Study Timeline

• Study Start: 2016-02-10
• Study First Submitted: 2017-03-29
• Study First Submitted QC: 2017-04-05
• Study First Posted: 2017-04-12
• Primary Completion: 2017-10-09
• Study Completion: 2018-02-09
• Results First Submitted: 2019-07-29
• Status Verified: 2019-11
• Results First Submitted QC: 2019-11-20
• Last Update Submitted: 2019-11-20
• Results First Posted: 2019-12-09
• Last Update Posted: 2019-12-09

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 1188

Inclusion Criteria

• Radiation treatment courses with palliative intent
• Palliative treatment of bone, soft tissue, and intracranial metastases
• Photon radiation with 3D conformal therapy (3DCRT) only

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Exclusion Criteria

• Use of intensity modulated radiation (IMRT) or stereotactic body radiation (SBRT) as radiation treatment modality
• Retreatment to same site
• Proton radiation

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Arm && Interventions

Group	Intervention	Description
Intervention	Default initiation	Default initiation: Introduce a default prescription template in the palliative setting in order to reduce unnecessary daily image guided radiation.

Primary Outcome Measures

Name	Time	Method
Percent of Patients Receiving Daily Imaging	3 months post arm crossover	Radiology tests including x-rays and CT scans

Trial Locations

Locations (1)

University of Pennsylvania Health System; 🇺🇸 Philadelphia, Pennsylvania, United States