Clinical trial · Interventional
Discussing Stopping Cancer Screening and Prognosis With Older Adults
NCT03480282CI-TRIAL-00073393completedN/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)
Guidelines recommend not screening adults with \<10-year life expectancy for cancer; however, primary care physicians feel uncomfortable talking to older adults about prognosis. The investigators aim to determine whether providing PCPs with scripts on patient prognosis and older adults with information on their prognosis would be useful when recommending stopping cancer screening.
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 Screening | — | UNRESOLVED | — |
Interventions
Interventions (1)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| Prognosis information and Provider Scripts | Other | — | UNRESOLVED |
Design
Arms and outcomes
Arms (1)
- type
- EXPERIMENTAL
- label
- Prognosis Information and Provider Scripts
- description
- Investigators will send the PCP via secure email the patient's prognosis calculated by the Lee-Schonberg index three days before the patient visit. Investigators will also send PCPs information on patient life expectancy from Cho et al.'s US life tables and scripts developed to sensitively include information on patient prognosis when recommending patients stop being screened for cancer. After five of their patients have participated or recruitment goals are met, investigators will ask PCPs to complete a 10 minute web-based questionnaire about their experience.
- interventionNames
- Other: Prognosis information and Provider Scripts
Primary outcomes (1)
- measure
- Change in Intentions to be Screened for Colorectal Cancer.
- timeFrame
- 2 weeks
- description
- Intentions to be screened was measured in a pretest-survey and again within 2 weeks of a PCP visit using the choice/predisposition scale which is measured from 1-15 on a 15 point scale. A score of 1 means that a person does not intend to be screened. A score of 15 means that the person does intend to be screened. A score of 8 means they are unsure. Scores between 2-7 means the person is leaning towards not being screened. A score of 9-14 means that person is leaning towards being screened. We examined the change in intentions to be screened from pretest to the posttest survey. The mean delta was determined at the time of the post-test survey which was completed within two weeks of the PCP visit.
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 76 Years
- Maximum age
- 89 Years
Show eligibility criteria text
Inclusion Criteria: * English-speaking * Aged 76 to 89 years * Scheduled for a routine visit or physical with their PCP in the next 3-12 weeks * Patient aged 76-79 must have a least one Charlson Comorbidity * Patient must have undergone CRC screening within the last 10 years * Women only: patient must have undergone mammography screening within the last 3 years Exclusion Criteria: * older adults with dementia * older adults with a history of colon cancer * older adults whose last colonoscopy was read as abnormal * older women who have a history of breast cancer * older adults whose PCP has already had 5 patients participate in the study * older women whose last mammogram was read as abnormal
References
Publications (1)
- DERIVEDSchonberg MA, Karamourtopoulos M, Jacobson AR, Aliberti GM, Pinheiro A, Smith AK, Davis RB, Schuttner LC, Hamel MB. A Strategy to Prepare Primary Care Clinicians for Discussing Stopping Cancer Screening With Adults Older Than 75 Years. Innov Aging. 2020 Jul 7;4(4):igaa027. doi: 10.1093/geroni/igaa027. eCollection 2020. PMID 32793815