Evidence map›Paper›PMID 34189339›Full record

ArticleContemporary clinical trials communications2021

Addressing cancer survivors' cardiovascular health using the automated heart health assessment (AH-HA) EHR tool: Initial protocol and modifications to address COVID-19 challenges.

Randi E Foraker, Eleanor C Davidson, Emily V Dressler, Brian J Wells, Simon Craddock Lee, Heidi D Klepin, Karen M Winkfield, W Gregory Hundley, Philip R O Payne, Albert M Lai and 2 more

Open access · goldAbstract read
In one paragraph

Article in Contemporary clinical trials communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.7field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 14 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. Review
  5. Observational
  6. Article
  7. Article
  8. Article
  9. Use of Cancer Survivorship Care Guidelines by Primary Care Providers in the United States.Journal of the American Board of Family Medicine : JABFM · 2023
    Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 1 country.

Randi E ForakerWashington University School of Medicine, Institute for Informatics, 600 S. Taylor Avenue, St. Louis, MO, 63110, USA.
Eleanor C DavidsonWake Forest School of Medicine, Department of Social Sciences and Health Policy, 1 Medical Center Boulevard, Winston-Salem, NC, 27157, USA.
Emily V DresslerWake Forest School of Medicine, Department of Biostatistics and Data Science, 1 Medical Center Boulevard, Winston-Salem, NC, 27157, USA.
Brian J WellsWake Forest School of Medicine, Department of Biostatistics and Data Science & Department of Family Medicine, 1 Medical Center Boulevard, Winston-Salem, NC, 27157, USA.
Simon Craddock LeeUniversity of Texas Southwestern Medical Center, Department of Population & Data Sciences, 5323 Harry Hines Boulevard, Dallas, TX, 75390, USA.
Heidi D KlepinWake Forest School of Medicine, Department of Internal Medicine, Section on Hematology-Oncology, 1 Medical Center Boulevard, Winston-Salem, NC, 27157, USA.
Karen M WinkfieldWake Forest School of Medicine, Department of Radiation Oncology, 1 Medical Center Boulevard, Winston-Salem, NC, 27157, USA.
W Gregory HundleyWake Forest School of Medicine, Department of Internal Medicine, Section on Cardiology, 1 Medical Center Boulevard, Winston-Salem, NC, 27157, USA.
Philip R O PayneWashington University in St. Louis, Computer Science and Engineering, Institute for Informatics, 4444 Forest Park Avenue, St. Louis, MO, 63110, USA.
Albert M LaiWashington University in St. Louis, General Medical Sciences, Institute for Informatics, 4444 Forest Park Avenue, St. Louis, MO, 63110, USA.
Glenn J LesserWake Forest School of Medicine, Department of Internal Medicine, Section on Hematology-Oncology, 1 Medical Center Boulevard, Winston-Salem, NC, 27157, USA.
Kathryn E WeaverWake Forest School of Medicine, Department of Social Sciences and Health Policy & Department of Implementation Science, 1 Medical Center Boulevard, Winston-Salem, NC, 27157, USA.
Wake Forest University · USWashington University in St. Louis · USThe University of Texas Southwestern Medical Center · US

Funding

Wake Forest NCORP Research BaseUG1CA189824 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Emily Van Meter Dressler, GLENN J LESSER · 2014 to 2026
$57.9M
Wake Forest Clinical and Translational Science AwardUL1TR001420 · NCATS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI ARD, JAMY D, FOLEY, KRISTIE L · 2015 to 2023
$32.3M
Extending Automated Heart Health Assessment (AH-HA) for Cancer Survivors to Expand Provider and Patient Reach and Promote SustainabilityR01CA226078 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI RANDI E FORAKER, Kathryn Elizabeth Weaver · 2018 to 2026
$3.3M
NCATS NIH HHS UL1 TR001420NCI NIH HHS R01 CA226078NCI NIH HHS UG1 CA189824
6 · The paper itself

Abstract

backgroundThe purpose of this paper is to describe the Automated Heart-Health Assessment (AH-HA) study protocol, which demonstrates an agile approach to cancer care delivery research. This study aims to assess the effect of a clinical decision support tool for cancer survivors on cardiovascular health (CVH) discussions, referrals, completed visits with primary care providers and cardiologists, and control of modifiable CVH factors and behaviors. The COVID-19 pandemic has caused widespread disruption to clinical trial accrual and operations. Studies conducted with potentially vulnerable populations, including cancer survivors, must shift towards virtual consent, data collection, and study visits to reduce risk for participants and study staff. Studies examining cancer care delivery innovations may also need to accommodate the increased use of virtual visits. METHODS/

designThis group-randomized, mixed methods study will recruit 600 cancer survivors from 12 National Cancer Institute Community Oncology Research Program (NCORP) practices. Survivors at intervention sites will use the AH-HA tool with their oncology provider; survivors at usual care sites will complete routine survivorship visits. Outcomes will be measured immediately after the study visit, with follow-up at 6 and 12 months. The study was amended during the COVID-19 pandemic to allow for virtual consent, data collection, and intervention options, with the goal of minimizing participant-staff in-person contact and accommodating virtual survivorship visits.

conclusionsChanges to the study protocol and procedures allow important cancer care delivery research to continue safely during the COVID-19 pandemic and give sites and survivors flexibility to conduct study activities in-person or remotely.

Indexed as

Breast cancerCancer survivorsCardiovascular diseasesClinical decision supportElectronic health recordsUsability testing

Identifiers

PMID34189339
PMCPMC8220316
OpenAlexW3174039521

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.