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NCT02728596 · OUTCOME

Incidence of Febrile Neutropenia Among Low Risk Participants

S1415CD, Trial Assessing CSF Prescribing Effectiveness and Risk (TrACER) · Source last updated 2022-10-20

Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.

Measure
NUMBER
Unit
percentage of participants
Interval / dispersion
Not reported
Time frame
Within 6 months of registration

What was measured

To compare the rate of FN among low-risk participants registered at intervention components versus usual care components. Febrile neutropenia is defined by the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events version 4.0 (CTCAE v4.0) as an absolute neutrophil count (ANC) \< 1000/µL and a single temperature of \> 38.3°C (101°F) or a sustained temperature of ≥ 38°C (101°F) for more than one hour.

Analysis population: The analysis population includes only participants deemed 'low-risk' within each of the clinic groups.

Groups in this outcome

Active Comparator: Clinic Group 1 (Clinics With Existing Automated System for CSF Prescribing)

CSF prescribing for patients taking anti-cancer drugs is based on existing automated system recommendations: CSF is recommended for drugs with high risk of FN; CSF is not recommended for drugs with low risk of FN. Preventive Intervention: Automated ordering system recommends prescribing or not prescribing CSF based on drug's risk level for FN Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies

Active Comparator: Clinic Group 2 (Clinics With no Automated System for CSF Prescribing)

CSF prescribing for patients taking anti-cancer drugs is based on existing clinical practice guidelines. Preventive Intervention: Automated ordering system recommends prescribing or not prescribing CSF based on drug's risk level for FN Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies

Experimental: Clinic Group 3 (Clinics With Automated System for CSF Prescribing)

CSF prescribing for patients taking anti-cancer drugs is based on automated system recommendations: CSF is recommended for drugs with intermediate or high risk of FN; CSF is not recommended for drugs with low risk of FN. Preventive Intervention: Automated ordering system recommends prescribing or not prescribing CSF based on drug's risk level for FN Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies

Experimental: Clinic Group 4 (Clinics With Automated System for CSF Prescribing)

CSF prescribing for patients taking anti-cancer drugs is based on automated system recommendations: CSF is recommended for drug with high risk of FN; CSF is not recommended for drugs with intermediate or low risk of FN. Preventive Intervention: Automated ordering system recommends prescribing or not prescribing CSF based on drug's risk level for FN Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies

Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.

Analysis denominator · Participants

GroupSource count
Active Comparator: Clinic Group 1 (Clinics With Existing Automated System for CSF Prescribing)111
Active Comparator: Clinic Group 2 (Clinics With no Automated System for CSF Prescribing)120
Experimental: Clinic Group 3 (Clinics With Automated System for CSF Prescribing)229
Experimental: Clinic Group 4 (Clinics With Automated System for CSF Prescribing)196

Reported measurements

Source class 1
Values in percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Active Comparator: Clinic Group 1 (Clinics With Existing Automated System for CSF Prescribing)1.8Not reportedNot reportedNot reportedNot reported
Active Comparator: Clinic Group 2 (Clinics With no Automated System for CSF Prescribing)0.8Not reportedNot reportedNot reportedNot reported
Experimental: Clinic Group 3 (Clinics With Automated System for CSF Prescribing)1.8Not reportedNot reportedNot reportedNot reported
Experimental: Clinic Group 4 (Clinics With Automated System for CSF Prescribing)1.5Not reportedNot reportedNot reportedNot reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        value
        1.8
      2. group Id
        OG001
        value
        0.8
      3. group Id
        OG002
        value
        1.8
      4. group Id
        OG003
        value
        1.5
denoms
  1. counts
    1. group Id
      OG000
      value
      111
    2. group Id
      OG001
      value
      120
    3. group Id
      OG002
      value
      229
    4. group Id
      OG003
      value
      196
    units
    Participants
description
To compare the rate of FN among low-risk participants registered at intervention components versus usual care components. Febrile neutropenia is defined by the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events version 4.0 (CTCAE v4.0) as an absolute neutrophil count (ANC) \< 1000/µL and a single temperature of \> 38.3°C (101°F) or a sustained temperature of ≥ 38°C (101°F) for more than one hour.
groups
  1. description
    CSF prescribing for patients taking anti-cancer drugs is based on existing automated system recommendations: CSF is recommended for drugs with high risk of FN; CSF is not recommended for drugs with low risk of FN. Preventive Intervention: Automated ordering system recommends prescribing or not prescribing CSF based on drug's risk level for FN Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
    id
    OG000
    title
    Active Comparator: Clinic Group 1 (Clinics With Existing Automated System for CSF Prescribing)
  2. description
    CSF prescribing for patients taking anti-cancer drugs is based on existing clinical practice guidelines. Preventive Intervention: Automated ordering system recommends prescribing or not prescribing CSF based on drug's risk level for FN Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
    id
    OG001
    title
    Active Comparator: Clinic Group 2 (Clinics With no Automated System for CSF Prescribing)
  3. description
    CSF prescribing for patients taking anti-cancer drugs is based on automated system recommendations: CSF is recommended for drugs with intermediate or high risk of FN; CSF is not recommended for drugs with low risk of FN. Preventive Intervention: Automated ordering system recommends prescribing or not prescribing CSF based on drug's risk level for FN Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
    id
    OG002
    title
    Experimental: Clinic Group 3 (Clinics With Automated System for CSF Prescribing)
  4. description
    CSF prescribing for patients taking anti-cancer drugs is based on automated system recommendations: CSF is recommended for drug with high risk of FN; CSF is not recommended for drugs with intermediate or low risk of FN. Preventive Intervention: Automated ordering system recommends prescribing or not prescribing CSF based on drug's risk level for FN Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
    id
    OG003
    title
    Experimental: Clinic Group 4 (Clinics With Automated System for CSF Prescribing)
param Type
NUMBER
population Description
The analysis population includes only participants deemed 'low-risk' within each of the clinic groups.
reporting Status
POSTED
time Frame
Within 6 months of registration
title
Incidence of Febrile Neutropenia Among Low Risk Participants
type
SECONDARY
unit Of Measure
percentage of participants

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Preserved source evidence · Not medical advice