Clinical trial · Interventional
Default Options to Reduce Unnecessary Daily Imaging During Palliative Radiation
Health System Initiative to Reduce Unnecessary Daily X-Ray Image Guidance During Palliative Radiation Treatment
NCT03110692CI-TRIAL-00042111completedN/AResults postedClinicalTrials.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 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.
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 |
|---|---|---|---|
| Cancer | Malignant Neoplasm | ALIAS | 0.90 |
Interventions
Interventions (1)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| Default initiation | Behavioral | — | UNRESOLVED |
Design
Arms and outcomes
Arms (2)
- type
- NO_INTERVENTION
- label
- Usual practice (control)
- description
- The usual practice group will rollover to the intervention arm after 3 months.
- type
- EXPERIMENTAL
- label
- Intervention
- description
- Default initiation: Introduce a default prescription template in the palliative setting in order to reduce unnecessary daily image guided radiation.
- interventionNames
- Behavioral: Default initiation
Primary outcomes (1)
- measure
- Percent of Patients Receiving Daily Imaging
- timeFrame
- 3 months post arm crossover
- description
- Radiology tests including x-rays and CT scans
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
Show eligibility criteria text
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 Exclusion Criteria: * Use of intensity modulated radiation (IMRT) or stereotactic body radiation (SBRT) as radiation treatment modality * Retreatment to same site * Proton radiation
References
Publications (1)
- BACKGROUNDSharma S, Guttmann D, Small DS, Rareshide CAL, Jones J, Patel MS, Bekelman JE. Effect of Introducing a Default Order in the Electronic Medical Record on Unnecessary Daily Imaging During Palliative Radiotherapy for Adults With Cancer: A Stepped-Wedge Cluster Randomized Clinical Trial. JAMA Oncol. 2019 Aug 1;5(8):1220-1222. doi: 10.1001/jamaoncol.2019.1432. PMID 31246224