- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00400699
Radiation Therapy Outreach Program for Minority or Low-Income Patients With Newly Diagnosed Cancer
UPMC McKeesport/ROCOG Radiation Oncology Minorities Outreach Program
RATIONALE: An outreach program may help minority or low-income cancer patients overcome problems that keep them from receiving quality care.
PURPOSE: This clinical trial is studying how well a radiation therapy outreach program works in minority or low-income patients with newly diagnosed cancer.
Study Overview
Status
Conditions
Detailed Description
OBJECTIVES:
- Develop, over five years, and implement a shared infrastructure that will permit participating community cancer centers to participate in radiation oncology clinical research and dramatically increase their rate of trial accrual above historical patterns.
- Increase access to radiation oncology services and clinical trials for underserved minority and/or low-income patients in the target areas, through community and professional education and outreach activities.
- Assess and ensure the quality of radiation oncology services at participating facilities through the use of a new integrated radiation oncology outcomes database and a quality assurance program, benchmarking daily practice patterns to clinical practice protocol.
- Compare treatment approaches and outcomes for cervical, colorectal, lung, prostate, breast, and head and neck cancers across racial and socioeconomic status groups.
- Conduct community intervention pilot programs that advance the understanding of factors that lead to health disparities.
- Develop and implement clinical treatment studies that attempt to reduce or eliminate health disparities through novel treatment approaches.
- Develop and refine a model program that can be sustained by the community treatment facilities long after study completion, and that the National Cancer Institute or other similarly motivated funders can replicate within other regions.
OUTLINE: This is a multicenter study.
Patients are enrolled in the Patient Navigator program, an initiative to promote equal access and quality of cancer care. Patients undergo an interview with the Patient Navigator, who is an oncology health professional, over approximately 1 hour to identify specific needs, in terms of receiving cancer care. The interview serves as a basis for developing a plan to assist patients through treatment and follow up. The Patient Navigator meets the patient, in person or over the phone, at various times during treatment to help the patient overcome barriers to completion of cancer therapy. The Patient Navigator then provides yearly follow up to facilitate continued medical follow up. Patients complete surveys before and after program participation.
Patients are followed periodically to determine their current status in cancer therapy.
TELESYNERGY®, a portable live-time interactive telemedicine system, is utilized in developing the necessary infrastructure and professional education in the community. It is used for sharing information and approaches for case presentation, treatment planning conferences, and other specialized presentations by invited speakers and expert panels. Activities using the TELESYNERGY® system are videotaped to create a library of topic-centered presentations that can be shared with the larger community. Components and summaries are placed on an Internet site to encourage communication with the larger oncology community.
PROJECTED ACCRUAL: A total of 3,150 patients will be accrued for this study.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Pennsylvania
-
McKeesport, Pennsylvania, United States, 15132
- UPMC Cancer Center at UPMC McKeesport
-
New Castle, Pennsylvania, United States, 16105
- UPMC Cancer Center - New Castle
-
Pittsburgh, Pennsylvania, United States, 15219
- Mercy Cancer Institute at Mercy Hospital
-
Somerset, Pennsylvania, United States, 15501
- Somerset Oncology Center
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
DISEASE CHARACTERISTICS:
- Newly diagnosed cancer
- Receiving radiation therapy and/or chemotherapy
- Minority and/or economically disadvantaged population
PATIENT CHARACTERISTICS:
Within any of the following service areas of 5 different hospitals in western Pennsylvania:
- New Castle
- Pittsburgh Metro
- Somerset
- Mckeesport
- Johnstown
Any race, ethnicity, gender, or HIV status allowed
- HIV serostatus is not evaluated specifically for study participation
PRIOR CONCURRENT THERAPY:
- See Disease Characteristics
Study Plan
How is the study designed?
Design Details
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Other: REview
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Clinical stage at time of presentation (indicator of early access to system)
Time Frame: Observation
|
Observation
|
Date and nature of post-diagnosis surgery or biopsy
Time Frame: Observation
|
Observation
|
Proportion of patients compliant with treatment plan
Time Frame: Observation
|
Observation
|
Total radiation dosage per patient (curative and palliative endpoints)
Time Frame: Observation
|
Observation
|
Supportive services provided to patients
Time Frame: Observation
|
Observation
|
Rate of treatment completion
Time Frame: Observation
|
Observation
|
Accrual for clinical research protocols
Time Frame: Observation
|
Observation
|
Retention in clinical research protocols
Time Frame: Observation
|
Observation
|
Barriers to treatment (perceived and real)
Time Frame: Observation
|
Observation
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Dwight E. Heron, MD, University of Pittsburgh
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Other Study ID Numbers
- PCI-0408108
- CDR0000513067 (Registry Identifier: PDQ (Physician Data Query))
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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