Clinical trial · Interventional
A Statewide Intervention to Reduce Use of Unproven or Ineffective Breast Cancer Care
NCT02831439CI-TRIAL-00042924completedN/AClinicalTrials.gov clinicaltrialsProvenance
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
The goal of this project is to examine the effectiveness and potential cost savings of two organizational interventions aimed at reducing the use of ineffective or unproven care among women with incident breast cancer.
Conditions
Conditions (1)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Breast Cancer | Malignant Breast Neoplasm | CURATED_EXACT | 0.92 |
Interventions
Interventions (3)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| Basic public reporting | Behavioral | — | UNRESOLVED |
| Control group - observational | Behavioral | — | UNRESOLVED |
| Enhanced intervention | Behavioral | — | UNRESOLVED |
Design
Arms and outcomes
Arms (2)
- type
- EXPERIMENTAL
- label
- Intervention
- description
- Participating health systems in Wisconsin. Interventions include: Basic public reporting and the enhanced intervention (app)
- interventionNames
- Behavioral: Basic public reporting
- Behavioral: Enhanced intervention
- type
- OTHER
- label
- Control
- description
- Health systems in comparison states. Control includes: Cost savings comparison
- interventionNames
- Behavioral: Control group - observational
Primary outcomes (8)
- measure
- Percentage of Women who received Intensity Modulated Radiation Therapy (IMRT) after Breast Conserving Surgery (defined as CPT 77418, 77385, 77386).
Eligibility
Eligibility (as posted)
- Sex
- Female
- Minimum age
- 18 Years
Show eligibility criteria text
Inclusion Criteria: I. Health care providers: Health care providers (regardless of age, gender or race/ethnicity) in participating WCHQ practices who will provide breast cancer care to about 9,000 women who had an incident breast cancer surgery between 2014-2017. II. Patients: Medicare and Marketscan women who had an incident breast cancer surgery between 2014-2017. No exclusions will be made by age or race/ethnicity. The focus on women is dictated by the very low prevalence of breast cancer among men. Identification of incident breast cancer surgery in these datasets will be done using a validated algorithm developed by Nattinger et al. Exclusion Criteria: * Male patients are excluded from this analysis due to the low prevalence of breast cancer among males.
References
Publications (32)
- BACKGROUNDYen TW, Laud PW, Sparapani RA, Nattinger AB. Surgeon specialization and use of sentinel lymph node biopsy for breast cancer. JAMA Surg. 2014 Feb;149(2):185-92. doi: 10.1001/jamasurg.2013.4350. PMID 24369337
- BACKGROUNDGrimshaw JM, Thomson MA. What have new efforts to change professional practice achieved? Cochrane Effective Practice and Organization of Care Group. J R Soc Med. 1998;91 Suppl 35(Suppl 35):20-5. doi: 10.1177/014107689809135S06. No abstract available. PMID 9797746
- BACKGROUNDDavis DA, Taylor-Vaisey A. Translating guidelines into practice. A systematic review of theoretic concepts, practical experience and research evidence in the adoption of clinical practice guidelines. CMAJ. 1997 Aug 15;157(4):408-16. PMID 9275952
- BACKGROUNDBero LA, Grilli R, Grimshaw JM, Harvey E, Oxman AD, Thomson MA. Closing the gap between research and practice: an overview of systematic reviews of interventions to promote the implementation of research findings. The Cochrane Effective Practice and Organization of Care Review Group. BMJ. 1998 Aug 15;317(7156):465-8. doi: 10.1136/bmj.317.7156.465. No abstract available. PMID 9703533
- BACKGROUNDGrimshaw JM, Shirran L, Thomas R, Mowatt G, Fraser C, Bero L, Grilli R, Harvey E, Oxman A, O'Brien MA. Changing provider behavior: an overview of systematic reviews of interventions. Med Care. 2001 Aug;39(8 Suppl 2):II2-45. PMID 11583120
- BACKGROUNDBalas EA, Austin SM, Mitchell JA, Ewigman BG, Bopp KD, Brown GD. The clinical value of computerized information services. A review of 98 randomized clinical trials. Arch Fam Med. 1996 May;5(5):271-8. doi: 10.1001/archfami.5.5.271. PMID 8620266
- BACKGROUNDChueh H, Barnett GO. "Just-in-time" clinical information. Acad Med. 1997 Jun;72(6):512-7. doi: 10.1097/00001888-199706000-00016.