Surgical Thromboprophylaxis Practices in Oncology Patients Within the NCORP Network (STOP-VTE)
Summary
This study evaluates the use of extended venous thromboembolism prophylaxis (ePPx) following abdominopelvic cancer surgery within the NCI Community Oncology Research Program (NCORP) network, targeting surgeons and surgical advanced practice providers (APPs).
Detailed description
PRIMARY OBJECTIVE: I. To evaluate self-reported utilization of guideline concordant extended venous thromboembolism (VTE) prophylaxis (ePPx) following abdominopelvic cancer surgery within a sample of surgeons practicing within NCORP based on the Part 1 surgeon survey. SECONDARY OBJECTIVES: I. Evaluate site factors (e.g., proportion of publicly insured patients, proportion of Black patients, presence of a medical school, NCI designation) and surgeon factors (e.g., fellowship training, years in practice) associated with surgeon self-reported guideline concordant ePPx utilization (Part 1). II. Conduct semi-structured interviews among a subset of surgeons and surgical APPs to assess: 1) Barriers/facilitators toward ePPx after cancer surgery and 2) Acceptability of clinical decision support tools to support VTE prophylaxis prescribing (Part 2). III. Extract EHR data from select practices to assess the feasibility of query-based electronic health record (EHR) data extraction for identification of (i) patients undergoing cancer surgery, and (ii) prescription of guideline concordant ePPx among eligible patients (Part 3). OUTLINE: This is an observational study. PART 1: Surgeons and APPs complete a survey on study. After completion of surgeon or APP survey, site contact person or Cancer Care Delivery Research (CCDR) lead complete site surveys on study. PART 2: A subset of surgeons and APPs from part 1 complete a semi-structured interview on study. PART 3: Site contact person or CCDR lead complete a survey to identify a EHR Report Specialist on study. EHR Report Specialist performs an EHR Data Extraction and provides feedback on the process in a survey.
Arms & interventions
- OtherNon-Interventional Study
Non-interventional study
- OtherNon-Interventional Study
Non-interventional study
- OtherNon-Interventional Study
Non-interventional study
Outcome measures
Primary
Self-reported utilization of guideline concordant ePPx for surgeons (Part 1)
Will apply only to surgeons completing the Part 1 survey. Will be defined as answering "Yes, all cases or almost all cases" on the survey question asking about prescription of ePPx after discharge. The proportion of surgeons self-reporting utilization of guideline concordant ePPx will be estimated and reported along with an exact 95% confidence interval.
Time frame: After 1 year from start of Part 1
Secondary
Self-reported utilization of guideline concordant ePPx for surgeons within strata defined by site and surgeon factors (Part 1)
Time frame: After 1 year from start of Part 1
Barriers and facilitators toward ePPx after cancer surgery, and acceptability of clinical decision support tools to support VTE prophylaxis prescribing (Part 2)
Time frame: After 6 months from start of Part 2
Feasibility (i.e., proportion of practices able to provide data) of EHR queries from selected practices to inform future trial (Part 3)
Time frame: After 6 months from start of Part 3
Eligibility criteria
Study locations (58)
Mercy Hospital Fort Smith
Fort Smith, Arkansas, 72903
Helen F Graham Cancer Center
Newark, Delaware, 19713
Medical Oncology Hematology Consultants PA
Newark, Delaware, 19713
Christiana Care Health System-Christiana Hospital
Newark, Delaware, 19718
Northside Hospital
Atlanta, Georgia, 30342
Augusta University Medical Center
Augusta, Georgia, 30912
Northside Hospital - Gwinnett
Lawrenceville, Georgia, 30046
Carle Cancer Center
Urbana, Illinois, 61801
Mercy Hospital
Cedar Rapids, Iowa, 52403
Oncology Associates at Mercy Medical Center
Cedar Rapids, Iowa, 52403
Blank Children's Hospital
Des Moines, Iowa, 50309
Iowa Methodist Medical Center
Des Moines, Iowa, 50309
Mercy Medical Center - Des Moines
Des Moines, Iowa, 50314
Iowa Lutheran Hospital
Des Moines, Iowa, 50316
MaineHealth Maine Medical Center - Portland
Portland, Maine, 04102
MaineHealth Maine Medical Center- Scarborough
Scarborough, Maine, 04074
Christiana Care - Union Hospital
Elkton, Maryland, 02192
Trinity Health Saint Joseph Mercy Hospital Ann Arbor
Ann Arbor, Michigan, 48106
Chelsea Hospital
Chelsea, Michigan, 48118
Trinity Health Saint Mary Mercy Livonia Hospital
Livonia, Michigan, 48154
Trinity Health Saint Joseph Mercy Oakland Hospital
Pontiac, Michigan, 48341
Sanford Joe Lueken Cancer Center
Bemidji, Minnesota, 56601
Essentia Health Saint Joseph's Medical Center
Brainerd, Minnesota, 56401
Minnesota Oncology - Burnsville
Burnsville, Minnesota, 55337
Mercy Hospital
Coon Rapids, Minnesota, 55433
Essentia Health Saint Mary's Medical Center
Duluth, Minnesota, 55805
Fairview Southdale Hospital
Edina, Minnesota, 55435
Fairview Clinics and Surgery Center Maple Grove
Maple Grove, Minnesota, 55369
Minnesota Oncology Hematology PA-Maplewood
Maplewood, Minnesota, 55109
Abbott-Northwestern Hospital
Minneapolis, Minnesota, 55407
Hennepin County Medical Center
Minneapolis, Minnesota, 55415
Health Partners Inc
Minneapolis, Minnesota, 55454
New Ulm Medical Center
New Ulm, Minnesota, 56073
Park Nicollet Clinic - Saint Louis Park
Saint Louis Park, Minnesota, 55416
Regions Hospital
Saint Paul, Minnesota, 55101
United Hospital
Saint Paul, Minnesota, 55102
Lakeview Hospital
Stillwater, Minnesota, 55082
Minnesota Oncology Hematology PA-Woodbury
Woodbury, Minnesota, 55125
Cox Cancer Center Branson
Branson, Missouri, 65616
Mercy Hospital Joplin
Joplin, Missouri, 64804
University of Kansas Cancer Center - Briarcliff
Kansas City, Missouri, 64116
Liberty Hospital
Liberty, Missouri, 64068
Lake Regional Hospital
Osage Beach, Missouri, 65065
Mercy Hospital Springfield
Springfield, Missouri, 65804
CoxHealth South Hospital
Springfield, Missouri, 65807
Mercy Hospital South
St Louis, Missouri, 63128
Mercy Hospital Saint Louis
St Louis, Missouri, 63141
FirstHealth of the Carolinas-Moore Regional Hospital
Pinehurst, North Carolina, 28374
Wake Forest NCORP Research Base
Winston-Salem, North Carolina, 27157
Good Samaritan Hospital - Cincinnati
Cincinnati, Ohio, 45220
Dayton Veterans Affairs Medical Center
Dayton, Ohio, 45428
Mercy Hospital Oklahoma City
Oklahoma City, Oklahoma, 73120
Charleston Oncology North Charleston
Charleston, South Carolina, 29406
Prisma Health Greenville Memorial Hospital
Greenville, South Carolina, 29605
Marshfield Clinic-Chippewa Center
Chippewa Falls, Wisconsin, 54729
Saint Vincent Hospital Cancer Center Green Bay
Green Bay, Wisconsin, 54301
Saint Vincent Hospital Cancer Center at Saint Mary's
Green Bay, Wisconsin, 54303
Aspirus Regional Cancer Center
Wausau, Wisconsin, 54401