N/A N=90 Health Services Research

Discussing Stopping Cancer Screening and Prognosis With Older Adults

Cancer Screening

Bottom Line

View on ClinicalTrials.gov: NCT03480282 ↗

Enrolled (actual)

Serious AEs

0.0%

Results posted

Jan 2024

Primary outcome: Primary: Change in Intentions to be Screened for Colorectal Cancer. — 2.5 score on a scale — p=<0.001

Study Design & Population

Study type: Interventional
Phase: N/A
Interventions: Prognosis information and Provider Scripts (Other)
Age: Older Adult · 76+ yrs
Sex: All
Sponsor: Beth Israel Deaconess Medical Center
Primary completion: Oct 2019

Outcome Measures

Outcome	Result	p-value
PRIMARY Change in Intentions to be Screened for Colorectal Cancer.	2.5	<0.001 sig

Summary

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.

Eligibility Criteria

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

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03480282). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.