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Evaluation of the Cancer Tracking System (CATSystem)
Sponsor: University of Kansas Medical Center
Summary
Cervical cancer contributes to significant preventable mortality in Kenya where less than 20% of women are screened. The Cancer Tracking System (CATSystem) is a web-based, algorithm generated tool to promote guideline adherent cervical cancer screening and retention through treatment. The goal of this project is to rigorously evaluate the efficacy, implementation, and cost-effectiveness of the CATSystem to improve rates of screening, treatment, referral, and follow-up care in a matched, cluster randomized controlled trial in 10 Kenyan government hospitals (5 intervention, 5 standard of care).
Official title: Implementing and Evaluating the Cancer Tracking System (CATSystem): A Systems Level Intervention to Improve Cervical Cancer Screening, Treatment Referral and Follow up in Kenya
Key Details
Gender
FEMALE
Age Range
16 Years - Any
Study Type
INTERVENTIONAL
Enrollment
6600
Start Date
2024-02-05
Completion Date
2028-08-31
Last Updated
2026-03-16
Healthy Volunteers
Yes
Conditions
Interventions
Cancer Tracking System (CATSystem)
The CATSystem provider dashboard highlights patients with overdue services or those in need of outreach and sends automated, customized texts to support screening and treatment follow-up per national guidelines. Points of intervention and alerts include: cervical cancer screening and treatment counseling, initial and follow up cervical cancer screening per national guidelines, treatment for precancer and cancer, referral tracking and follow up. In addition, the CATSystem can securely store images of the cervix taken with colposcopes to allow for remote expert consultation if needed to correctly diagnose a patient or can be reviewed at clinical team meetings for input. Primary goals of the CATSystem are to increase rates of guideline-adherent cervical cancer screening/ rescreening and improve guideline-adherent treatment, referral, and follow-up rates of women with positive screens.
Locations (10)
Akala Health Center
Akala, Kenya
Bondo Referral Hospital
Bondo, Kenya
Alupe Sub-County Hospital
Busia, Kenya
Busia County Referral Hospital
Busia, Kenya
Khunyangu Sub-County Hospital
Busia, Kenya
Matayos Health Center
Busia, Kenya
Port Victoria Sub-County Hospital
Busia, Kenya
Nambale Sub-County Hospital
Siaya, Kenya
Yala Sub-County Hospital
Siaya, Kenya
Ukwala Sub-County Hospital
Ukwala, Kenya