Neoplasms

Skin and Connective Tissue Diseases

All Conditions

Breast Neoplasms

Breast Diseases

Skin Diseases

A mammogram order will be placed using bulk order technology in the EHR in advance of outreach for all patients.

Bulk Order

In addition to outreach, patients will receive text messaging with information regarding the importance of screening, how to schedule a mammogram, and locations available for mammography.

Texting

Outreach informing patients that they are overdue for a mammogram will be signed by the patient's primary care provider.

Clinician Endorsement

The outreach will ask patients to contact their PCP's office in order to have a mammogram order placed on their behalf.

No Bulk Order

Patient's will receive outreach from the practice informing them that they are overdue for a mammogram.

Standard Endorsement

Shivan Mehta, MD

This project aims to evaluate different approaches to increase breast cancer screening among primary care patients at Penn Medicine through a centralized screening outreach program. In a pragmatic trial, the investigators will evaluate different approaches to increase completion of screening among eligible patients, including ordering mammograms in bulk prior to outreach, sending personalized text reminders, and endorsing of the communication by the primary care provider.

While mammograms are recommended by guidelines for early detection of breast cancer, mammogram rates are significantly lower now than they were prior to the initial COVID-19 pandemic surge in early 2020. In this project, the investigators will evaluate different ways of reaching out to eligible patients to encourage them to participate in breast cancer screening. Through letters, texting, and the electronic health record portal (MyPennMedicine (MPM)), the investigators will compare mammogram bulk orders, text messaging, and primary care provider endorsement to traditional outreach messaging with the goal of increasing breast cancer screening uptake.

Breast Cancer Outreach Among Primary Care Patients

Percent of mammograms that have positive results

Percent of patients that complete a mammogram by age groups

Percent of patients that complete a mammogram by race/ethnicity

Percent of patients that complete a mammogram by insurance type

Percent of patients that complete a mammogram by Median Household Income by zip code

Percent of patients with a positive mammogram that receive subsequent care

Percent of patients that complete a mammogram by electronic patient portal status

Percent of patients that complete a mammogram

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization	Link
Breast Cancer Outreach Among Primary Care Patients	NCT05089903	Breast Cancer	Bulk Order Texting Clinician Endor... No Bulk Order Standard Endors...	40 Years - 74 Years	Abramson Cancer Center at Penn Medicine
Breast Cancer Outreach Among Primary Care Patients	NCT05089903	Breast Cancer	Bulk Order Texting Clinician Endor... No Bulk Order Standard Endors...	40 Years - 74 Years	Abramson Cancer Center at Penn Medicine

Spots Global Cancer Trial Database for standard endorsement