Comparison of Methods to Improve Abdominal Aortic Aneurysm (AAA) Screening Rates in the Primary Care Setting.

NCT01301534 | Completed

• 1 other identifier: FWH20110041H
• Study Type: observational
• Target: 1,700
• Locations: 1 country
• Sites: 1

Brief Summary

Standard of care dictates that eligible patients should receive an abdominal aortic aneurysm (AAA) screening ultrasound. At present, different military primary care physicians utilize different methods at their discretion to ensure their patients get screened-telephone contact; mail-out reminders; referring patients for ultrasound directly from an office visit; as well as other methods-which we will refer to as "usual care". The purpose of this study is to improve screening rates for AAA and determine what notification methods are best at improving screening rates.

Conditions

Abdominal Aortic Aneurysm

Keywords

abdominal aortic aneurysm

Outcome Measures

Primary Outcomes (1)

• improving screening rates for AAA

  Will the concerted use of (1) a nurse-initiated telephone consult (T-Con), (2) mail out reminder or (3) provider, nurse and technician education with point-of-care reminders be more successful than usual care at improving screening rates for AAA?

  1 year

Study Arms (4)

T-Con

1\. Nurse initiated Telephone Consult (T-Con)

Mail-Out

2\. Mail-0ut Letter to the patient

Education

3\. Provider, Nurse and Technician Education with point-of-care patient referrals , Exam Room Flyer

Control group

4\. Control group (i.e. usual care)

Eligibility Criteria

• Age: 65 Years - 75 Years
• Sex: male
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

We will recruit approximately 1700 males (DoD beneficiaries) between the ages of 65-75 from their existing medical diagnostic records. There will be no special populations included. Some respondents may be patients of the PI however; the data sets received by the PI will be anonymous and will not be linked directly to the subjects.

You may qualify if:

• Tricare Insurance Beneficiary (military insurance) receiving care at Nellis AFB
• Male patients (DoD beneficiaries) between the ages of 65-75 years old.

You may not qualify if:

• Female patients.
• Non-English speaking.
• Patients who have already had abdominal CT scan, abdominal MRI, aortography or aortic ultrasound.
• Patients already diagnosed with AAA

Sponsors & Collaborators

• Mike O'Callaghan Military Hospital: lead

Study Sites (1)

Michael O'Callaghan Federal Hospital/Nellis Air Force Base

Nellis Air Force Base, Nevada, 89191, United States

Location

MeSH Terms

Conditions

Aortic Aneurysm, Abdominal

Condition Hierarchy (Ancestors)

Aortic Aneurysm; Aneurysm; Vascular Diseases; Cardiovascular Diseases; Aortic Diseases

Study Officials

• Ethan Zimmerman, M.D.

  Michael O'Callaghan Federal Hospital/Nellis Air Force Base

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: PROSPECTIVE
• Sponsor Type: FED
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 18, 2011
• First Posted: February 23, 2011
• Study Start: December 1, 2010
• Primary Completion: June 1, 2012
• Study Completion: June 1, 2012
• Last Updated: November 25, 2013

Record last verified: 2013-11

Locations

US (1)