Cancer Screening Utilization Rates and Cancer Screening Perspectives of Hospitalized Women
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 700
- 主要终点
- Proportion of women non-adherent to breast cancer screening in this group
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 50 Years 至 75 Years（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •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
排除标准
- •history of breast cancer or mastectomy
- •history of other cancers (except skin) or serious comorbidities making life expectancy <10 years
- •pregnancy
- •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
研究组 & 干预措施
Cancer screening cohort
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.
干预措施: Cancer screening education for breast, colon and oral cancers (Behavioral)
结局指标
主要结局
Proportion of women non-adherent to breast cancer screening in this group
时间窗: 3 years
Proportion of women non-adherent to breast cancer screening will be assessed in these hospitalized women.
Prevalence of breast cancer screening post intervention in this group
时间窗: 3 years
Prevalence of breast cancer screening post intervention will be assessed in these hospitalized women.
Proportion of hospitalized women non-adherent to colon cancer screening
时间窗: 3 years
Proportion of hospitalized women non-adherent to colon cancer screening will be assessed in these hospitalized women.
Perspective of hospitalized women about colon cancer screening as assessed by multiple choice questions
时间窗: 3 years
survey of hospitalized women using multiple choice 21 questions
Perspective of hospitalized women about colon cancer screening as assessed by likert scale 21 questions
时间窗: 3 years
survey of hospitalized women using likert scale 21 questions
Proportion of women non-adherent to oral cancer screening
时间窗: 3 years
Proportion of women non-adherent to oral cancer screening will be assessed in these hospitalized women.
Number of women agreeable to inpatient oral cancer screening exam
时间窗: 3 years
oral cavity screening exam consisting of mouth and neck examination by hospital providers
Perspective of hospitalized women in general about their preference for cancers screening as assessed by multiple choice questions
时间窗: 3 years
a survey consisting of 55 multiple choice questions
Perspective of hospitalized women in general about their preference for cancers screening as assessed by likert scale
时间窗: 3 years
a survey with a likert scale
次要结局
未报告次要终点