PAtient Similarity for Decision-Making in Prevention of Cardiovascular Toxicity (PACT): A Feasibility Study
Medical College of Wisconsin
Summary
This is a single-center, double-arm, open-label, randomized feasibility study that will determine whether a novel clinical decision aid accessed via the electronic health record will be acceptable to both cancer survivors and their cardiologists, will favorably impact appropriate medication use and cardiac imaging surveillance, and will improve clinician and patient decision-making, perception, and behavior towards cardioprotective medication usage and cardiovascular disease imaging utilization.
Description
For this feasibility study, the researchers will create the clinical decision aid and test the central hypothesis that this novel clinical decision aid accessed via the electronic health record will be acceptable to both cancer survivors and their cardiologists and will favorably impact appropriate medication use and cardiac imaging surveillance. The hypothesis is supported by preliminary data suggesting that an initial and rudimentary version of the clinical aid increases appropriate medication use and imaging follow-up in cardio-oncology patients. Success will be determined by ≥85% of clinic…
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- Not specified
Inclusion Criteria: 1. Patients ≥18 years with a history of cancer. 2. Have not previously visited a cardiologist to assess cardiovascular risk after cancer diagnosis. 3. Clinically at intermediate, high, or very high risk for cardiovascular diseases determined based on imprecise clinical risk models, such as those used for cardiac dysfunction. 4. Ability to understand a written informed consent form, and willing to sign it prior to study registration. Exclusion Criteria: 1. Patient \<18 years. 2. Without a personal history of cancer. 3. Existing cardiomyopathy diagnosed after cancer diagno…
Interventions
- OtherClinical Decision Aid
The clinical decision aid tool will be used at the subject's first visit (Week 0), Week 12 and Week 24.
- OtherStandard Care
Cardiology clinic visits will take place at the subjects first visit (Week 0), Week 12 and Week 24.
Location
- Froedtert & the Medical College of WisconsinMilwaukee, Wisconsin