Primary Care Connect for Cancer Survivors

(ACCESS-PC Trial)

DM
SA
Overseen BySarah Abbas
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Rutgers, The State University of New Jersey
Must be taking: Hypertension, Hyperlipidemia, Diabetes
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores whether a new approach called Primary Care Connect (PC2) helps cancer survivors with other health issues, such as diabetes or high blood pressure, manage their heart health better than usual care. The trial examines whether staying connected with primary care during cancer treatment improves the management of these chronic conditions. It also gathers feedback from patients and healthcare teams about this new way of coordinating care. Suitable participants include those recently diagnosed with certain cancers, like breast or prostate cancer, who have ongoing health issues such as hypertension or diabetes requiring medication. Participants will complete surveys and attend clinic visits to track their progress. As an unphased trial, this study offers a unique opportunity to contribute to innovative care strategies that could enhance overall health management for cancer survivors.

Will I have to stop taking my current medications?

The trial does not specify if you need to stop taking your current medications. However, since it involves managing chronic conditions like hypertension, diabetes, and hyperlipidemia, it's likely you will continue your current medication regimen.

What prior data suggests that the Primary Care Connect intervention is safe for cancer survivors?

Research shows that specific safety data for the Primary Care Connect (PC2) treatment is not available. However, this approach enhances communication between cancer care and primary care teams. As a system-based method rather than a medication or physical treatment, it is generally well-tolerated.

Since PC2 is neither a drug nor a surgical procedure, it is unlikely to cause physical side effects. The primary goal is to coordinate care and manage existing conditions. This approach is generally considered safe, as it seeks to improve communication and care without introducing new medical risks.12345

Why are researchers excited about this trial?

Researchers are excited about the Primary Care Connect (PC2) approach because it bridges the gap between cancer care and primary care, offering a more integrated way to manage chronic diseases for cancer survivors. Unlike standard care, which often leaves primary care providers with limited information about a patient's cancer treatment history, PC2 provides comprehensive educational materials and direct communication between oncology and primary care teams. This method ensures that primary care providers are well-informed about the impacts of cancer treatment on chronic conditions, potentially leading to better overall health management for survivors.

What evidence suggests that the Primary Care Connect intervention is effective for managing cardiovascular risk in complex cancer survivors?

Research shows that good communication and teamwork between regular doctors and cancer specialists can lead to better treatment results for cancer survivors. Past studies revealed that about two-thirds of cancer survivors continued seeing their regular doctors, underscoring the importance of this relationship. Patients who maintained visits with their regular doctors often had better control of ongoing health issues like high blood pressure and diabetes. Additionally, studies found that cancer survivors who stayed in touch with their regular doctors were generally healthier. This suggests that maintaining this connection can improve overall care. In this trial, the Primary Care Connect program aims to enhance this teamwork to help manage heart health in cancer survivors with complex health needs. Participants in the Primary Care Connect arm will receive educational materials and improved communication between their cancer care and primary care teams.26789

Who Is on the Research Team?

DO

Dena O'Malley, PhD, MSW

Principal Investigator

Rutgers, The State University of New Jersey

Are You a Good Fit for This Trial?

This trial is for 'complex' cancer survivors who also have chronic conditions like high blood pressure, diabetes, or high cholesterol. Participants should be on medication for these conditions and are now facing cardiovascular disease risks.

Inclusion Criteria

I visited the cancer center for the first time in the last 3 months.
I am currently seeing a doctor or willing to see one if I join the study.
I can speak English or Spanish.
See 4 more

Exclusion Criteria

My heart's pumping ability is very weak.
I can stay in the trial if my cancer spreads, unless I choose to leave.
I have not had a heart attack or stroke in the last year.
See 1 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Enrollment and Education

Participants receive educational materials about the study and the importance of shared care for chronic disease management

1 week
1 visit (in-person or virtual)

Active Treatment and Monitoring

Participants receive care guided by the Primary Care Connect (PC2) intervention or usual care, with regular check-ups and tests related to the study

18 months
4 visits (in-person)

Follow-up

Participants are monitored for safety and effectiveness after treatment, focusing on chronic disease management and patient-reported outcomes

6 months

What Are the Treatments Tested in This Trial?

Interventions

  • Primary Care Connect
Trial Overview The study tests a health system intervention called Primary Care Connect (PC2) to see if it helps manage cardiovascular risk better than usual care. It involves staying connected with primary care during cancer treatment and managing chronic diseases.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: Primary Care Connect (PC2)Experimental Treatment1 Intervention
Group II: Usual CareActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Rutgers, The State University of New Jersey

Lead Sponsor

Trials
471
Recruited
81,700+

Published Research Related to This Trial

A study involving 13 primary care clinicians highlighted the need for improved survivorship care plans (SCPs) that are more user-friendly and relevant for primary care settings, emphasizing follow-up care over treatment summaries.
Clinicians found the redesigned SCPs valuable but noted that significant effort is required to integrate the information into their health records, indicating a need for better formats that facilitate easier data entry.
Re-engineering Survivorship Care Plans to Support Primary Care Needs and Workflow: Results From an Engineering, Primary Care and Oncology Collaborative for Survivorship Health (EPOCH).Tevaarwerk, AJ., Zhang, X., Haine, J., et al.[2023]
Rural primary care providers (PCPs) face significant barriers in delivering cancer survivorship care, including organizational challenges, unclear roles with specialists, and a lack of knowledge about survivorship guidelines, as identified in focus groups with seven PCP teams.
An interdisciplinary training program called iSurvive was developed and tested, leading to changes in practice among PCPs to better identify and provide evidence-based care for cancer survivors, highlighting the need for improved collaboration between oncology and primary care.
Informing the delivery of cancer survivorship care in rural primary care practice.Klemp, JR., Knight, CJ., Lowry, B., et al.[2022]

Citations

Advancing Care Coordination Between Cancer and ...The purpose of this randomized clinical trial is to learn if 'complex' cancer patients who receive care guided by a health system intervention, Primary Care ...
Primary Care Connect for Cancer Survivors · Info ...The research highlights that effective communication and coordination between primary care and cancer specialists can improve treatment outcomes for cancer ...
Primary Care Provider Visits Among Cancer Survivors 5-7 ...In 5-7 years postdiagnosis, PCPs were engaged in care for 43% of survivors. Survivors with sustained PCP-engagement were on average 4.6 years ...
Enhancing capacity for primary care research in cancer ...Research has shown that approximately two-thirds of survivors receive care from primary care physicians.4 Thus, it is critical to ensure that primary care teams ...
Outcomes of cancer survivorship education and training for ...Three studies reported positive outcomes at the patient level (i.e., satisfaction with care) and organizational level (i.e., increased screening ...
Identifying and Characterizing Cancer Survivors in the US ...This large observational study using primary care electronic health record data reveals several important findings about adult cancer survivors.
Identifying and characterizing cancer survivors in the US ...A total of 40,266 cancer survivors were identified (prevalence of 3.0% of adult CHC patients). Compared with matched cancer-free patients, a ...
Primary Care Provider Visits Among Cancer Survivors 5-7 ...We found most survivors were lost to PCP follow-up 5-7 years postdiagnosis. Our study is among the first to contribute empirical evidence of survivors being ...
Cancer Survivors: Coordinating Oncology & Primary CareMultiple studies have shown that, compared to the general population, cancer survivors may have a higher risk of subsequent cancers, a range of ...
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