Neoplasms

Symptoms and General Pathology

All Conditions

Skin and Connective Tissue Diseases

Neoplasm Metastasis

Keratosis, Actinic

Keratosis

Skin Diseases

Precancerous Conditions

Low risk actinic keratosis patients referred by the general practitioner and diagnosed as actinic keratosis by the dermatologist in 2018 and 2019.

High risk actinic keratosis patients referred by the general practitioner and diagnosed as actinic keratosis by the dermatologist in 2018 and 2019.

Klara Mosterd, prof.dr.

Maud Jansen, dr.

This study evaluates the implementation of the General Practitioners guidelines 'Suspicious Skin Lesions' and investigated whether their publication and implementation has led to a reduction in the proportion of referrals of low-risk patients with actinic keratosis to secondary care, after publication of the General Practitioners guidelines and implementation activities.

In the Dutch healthcare system, patients are first examined by the general practitioner who decides whether a referral to a dermatologist is indicated. Both general practitioners and dermatologists can diagnose and treat patients with actinic keratosis. Therefore, it is necessary to distinguish which patients the general practitioner should refer to a dermatologist and which patients are suitable to be treated by the general practitioner.

This retrospective data study evaluates the proportion of low risk actinic keratosis patients in 2019 en 2018.

High- and Low-risk Actinic Keratosis Referrals to Secondary Care

High- and Low-risk Actinic Keratosis Referrals to Secondary Care. Implementation of the General Practitioners Guidelines for Actinic Keratosis Patients.

The change in proportion of low-risk actinic keratosis patients among all actinic keratosis patients referred by the general practitioner to the dermatologist. The definition of low-risk actinic keratosis patients was based on the General Practitioners guidelines 'Suspicious skin lesions' (published in 2017). Patients were defined as low-risk when they were not immunocompromised, did not have a cutaneous malignancy in their medical history, did not have previous treatment or if they did not have extensive lesions.

Tergooi Hospital

Maastricht University Medical Center

ActivityLink will be a clinic implementation program delivered to clinic staff.

ActivityLink is an implementation program using:

1. Didactic and experiential training sessions for clinic staff to conduct referrals
2. Secure electronic referral webform to refer patients using their email address and phone number
3. Messaging sent to the patient and provider that they have been referred to a program
4. Clinic visual cues (flyers and paper prescription pad) to reinforce referrals
5. Motivational messaging and booster sessions from study staff to encourage referrals and troubleshoot

ActivityLink

Jamie M Faro, PhD

Background: Cancer survivors have a greater risk of cardiovascular disease (CVD) and have low physical activity levels. Physical inactivity is one modifiable risk factor for CVD, and increased physical activity has shown a cardioprotective effect on lowering CVD risk. The objective of ActivityLink is to use an electronic referral (e-referral) implementation program for clinic staff to refer survivors to an in-person and a virtual physical activity program.

Methods: Participants in this study will include clinic staff and patients. Investigators will first conduct interviews with clinic staff and patients, followed by usability testing of a referral system with staff. The study team will then beta-test two rounds of testing using Plan, Do, Study, Act (PDSA) Cycles for clinic staff to refer patients in the clinic. Quantitative data and qualitative interviews will be collected following each PDSA cycle, with refinements made based on feedback.

Outcomes: The proposed study addresses a critical need to implement physical activity referrals into routine cancer survivorship visits.

Study of Clinic-delivered Physical Activity Referrals to Cancer Survivors

ActivityLink: Clinic-to-Community Physical Activity Referrals for Cardiovascular Disease Risk Reduction in Cancer Survivors.

The number of patients referred using the secure webform

Proportion of eligible clinic staff who enroll

Qualitative feedback from enrolled clinic staff and referred survivors, using PRISM framework to assess barriers to implementation and program referrals

Proportion of referred patients who enroll in programs

National Institutes of Health (NIH)

National Heart, Lung, and Blood Institute (NHLBI)

University of Massachusetts, Worcester

Assistant Professor

ActivityLink will be a clinic implementation program delivered to clinic staff.

ActivityLink: ActivityLink is an implementation program using:

1. Didactic and experiential training sessions for clinic staff to conduct referrals
2. Secure electronic referral webform to refer patients using their email address and phone number
3. Messaging sent to the patient and provider that they have been referred to a program
4. Clinic visual cues (flyers and paper prescription pad) to reinforce referrals
5. Motivational messaging and booster sessions from study staff to encourage referrals and troubleshoot

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization
High- and Low-risk Actinic Keratosis Referrals to Secondary Care	NCT05976061	Actinic Keratos...		18 Years -	Maastricht University Medical Center
Study of Clinic-delivered Physical Activity Referrals to Cancer Survivors	NCT05216380	Cancer Physical Inacti...	ActivityLink	18 Years - 100 Years	University of Massachusetts, Worcester
High- and Low-risk Actinic Keratosis Referrals to Secondary Care	NCT05976061	Actinic Keratos...		18 Years -	Maastricht University Medical Center

Spots Global Cancer Trial Database for referrals

Every month we try and update this database with for referrals cancer trials from around the world to help patients and their families find trials that might be right for them.
We offer this 100% free of charge and do not endorse any of the trials listed here, we hope it helps you or a loved one.

Spots Global Cancer Trial Database for referrals

Every month we try and update this database with for referrals cancer trials from around the world to help patients and their families find trials that might be right for them. We offer this 100% free of charge and do not endorse any of the trials listed here, we hope it helps you or a loved one.

Every month we try and update this database with for referrals cancer trials from around the world to help patients and their families find trials that might be right for them.
We offer this 100% free of charge and do not endorse any of the trials listed here, we hope it helps you or a loved one.