Cardiometabolic Screening Program
Sponsor: Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins • ClinicalTrials.gov ID: NCT05386719
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This research study is being done to implement a screening program for prediabetes, diabetes, dyslipidemia and/or hyperlipidemia, and higher risk of cardiovascular disease in breast cancer survivors. This program will also help to direct individuals with risk factors to community and institutional resources for management.
Interventions
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Prescreening
(Other)
Eligible patients (history of early stage breast cancer and at least 3 months from completion of local and systemic therapy at Johns Hopkins, reads and speaks English) complete survey for demographics, smoking status \& questions about cardiovascular disease.
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Screening and Enrollment
(Other)
Consent
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Baseline
(Behavioral)
Behavioral Battery and Patient Reported Outcome Quality of Life questionnaires (EORTC QLQ-C30 and QLQ-BR23) Labs (Hba1c + lipid panel if not done within 12 months or if abnormal within 1 year) Abstract vitals from chart review
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Interpret BMI
(Behavioral)
Refer to Healthful Eating, Activity and Weight Program (HEAWP) if BMI ≥25 and not already on lifestyle intervention
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Interpret HbA1c
(Other)
HbA1c results categorized as follows: HbA1c \<5.7%; HbA1c 5.7-6.4%; HbA1c 6.5%+; or Known diabetic on medication
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Interpret lipid panel and assess other risk factors
(Other)
Based on above categories: HbA1c \<5.7%: Any of these cardiovascular disease risk factors: current/former tobacco use, total cholesterol \>200, family history of Coronary Artery Disease/Heart Attack in first degree family \<55 year old male or \<65 year old female, systolic blood pressure \>130 HbA1c 5.7-6.4%: Refer to Primary Care Provider and consider Healthful Eating, Activity and Weight Program (HEAWP) HbA1c 6.5%+: Refer to Endocrinology if HbA1c ≥8% Known diabetic on medication: Refer to Endocrinology if HbA1c ≥7%
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Assess 10 year risk of cardiovascular event
(Behavioral)
If risk factors are present - refer to Cardiovascular Disease Prevention Program
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Recommendations
(Behavioral)
Provide individual patient handout based on all above interventions
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Follow-Up
(Behavioral)
6 and 12 month labs (if prior abnormal) and Patient Reported Outcome questionnaires
Eligibility criteria
Conditions
Locations
- Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins — Baltimore, Maryland, United States
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Data sourced from ClinicalTrials.gov, a service of the U.S. National Institutes of Health.
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