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NCT06559059NARecruiting

Evaluating the Implementation of a Comprehensive Multilevel Virtual Oncology Program Among Veterans Diagnosed With Lung, Colorectal, Prostate, and Breast Cancers in the US Department of Veterans Affairs

NYU Langone Health

Start Date

6/18/2024

Completion Date

7/31/2027

Summary

The objective of the pragmatic trial to test the effectiveness of an existing, ongoing clinical service, the VA National TeleOncology program (NTO), a multilevel telehealth population health management program. The primary aims are to study the intervention and determine its effectiveness on telehealth engagement, clinical quality, and healthcare cost outcomes across personal characteristics.

Detailed Description

Study staff will use the Veterans Health Information Systems and Technology Architecture (VistA), the VA health information technology system, to identify eligible patients at VA sites based on listed inclusion and exclusion criteria. Patient records will be observed of Veterans with a new cancer diagnosis of the lung, prostate, breast, or colon and a telehealth visit utilizing the VA National TeleOncology Service (NTO).

Eligibility Criteria

Age Range: 18 years to No maximum

Patients Inclusion Criteria: 1. A Veteran 2. Aged 18 years or older 3. Newly diagnosed with lung, prostate, breast, or colon cancer within 3 months of telemedicine visit 4. Engaged in an oncology visit during the 36-month analysis period at a Veterans Affairs Medical Center (VAMC) location. VAMC Providers and Staff Inclusion Criteria: 1. Provider or staff member at one of the VAMC locations including physicians, nurse practitioners, physicians' assistants, and nurses caring for Veterans 2. Providers or staff members having helped provide care for at least 5 Veterans with cancer in the previous 6 months at a VAMC location Patients Exclusion Criteria: 1. Veterans who have not seen any providers in the VA within the past year 2. Patients previously diagnosed with lung, prostate, breast, or colon cancer 3. Pregnant patients VAMC Providers and Staff Exclusion Criteria: 1\. Providers or staff members who do not help treat Veterans with specified cancers in oncology at the VA

Interventions

BEHAVIORAL

National TeleOncology

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Conditions

Lung Cancer DiagnosisColorectal Cancer (Diagnosis)Prostate Cancer DiagnosisBreast Cancer Diagnosis

Locations

VA New York Harbor Healthcare System - Brooklyn

Brooklyn, New York 11209

United States

VA New York Harbor Healthcare System - St. Albans Community Living Center

Jamaica, New York 11425

United States

VA New York Harbor Health Care System - Manhattan

New York, New York 10010

United States

VA New York Harbor Healthcare System - Harlem Community Center

New York, New York 10027

United States

VA New York Harbor Healthcare System - Staten Island Community Clinic

Staten Island, New York 10314

United States