RECRUITING

De-Implementation of Low-value Testing in Patients Undergoing Low-Risk Surgery

Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

This trial aims to evaluate the effectiveness of a multi-level, multi-component de-implementation strategy to reduce unnecessary preoperative testing. Sixteen Michigan Value Collaborative (MVC)/Michigan Surgical Quality Collaborative (MSQC) sites in Michigan will implement several tools that have been proven to reduce unnecessary testing at a single site, including clinician education, a decision aid, audit and feedback on performance, and a pay-for-performance incentive. The researchers believe that, through the use of these strategies, there will be a significant reduction in unnecessary preoperative testing during the intervention.

Official Title

De-Implementation of Low-value Testing in Patients Undergoing Low-Risk Surgery

Quick Facts

Study Start:2025-04
Study Completion:2026-12
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:RECRUITING

Study ID

NCT06934564

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:18 Years
Sexes Eligible for Study:ALL
Accepts Healthy Volunteers:No
Standard Ages:ADULT, OLDER_ADULT
Inclusion CriteriaExclusion Criteria
  1. * Over 30% of testing rates on at least one of the three index procedures (breast lumpectomy, laparoscopic cholecystectomy, and inguinal hernia repair)
  1. * none

Contacts and Locations

Study Contact

Dana Greene Jr., MPH
CONTACT
(313)-670-0408
greenejr@med.umich.edu
Valerie Gavrila
CONTACT
734-232-9961
gavrilva@umich.edu

Principal Investigator

Lesly Dossett, MD, MPH
PRINCIPAL_INVESTIGATOR
University of Michigan
Hari Nathan, PhD
PRINCIPAL_INVESTIGATOR
University of Michigan

Study Locations (Sites)

University of Michigan and other Michigan Surgical Quality Collaborative sites
Ann Arbor, Michigan, 48109
United States

Collaborators and Investigators

Sponsor: University of Michigan

  • Lesly Dossett, MD, MPH, PRINCIPAL_INVESTIGATOR, University of Michigan
  • Hari Nathan, PhD, PRINCIPAL_INVESTIGATOR, University of Michigan

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2025-04
Study Completion Date2026-12

Study Record Updates

Study Start Date2025-04
Study Completion Date2026-12

Terms related to this study

Keywords Provided by Researchers

  • Preoperative testing

Additional Relevant MeSH Terms

  • Breast Lumpectomy
  • Laparoscopic Cholecystectomy
  • Inguinal Hernia Repair