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CompletedNCT02212834SIMBAUpdated Aug 22, 2024Results posted

Surveillance Imaging Modalities for Breast Cancer Assessment

An observational study in Breast Cancer, sponsored by Kaiser Permanente. Completed. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-08-22.

Sponsored by Kaiser Permanente · Observational

Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
36,444
Ages
18 Years and older
Sex
Female
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Study summary

The purpose of this study is to determine the effectiveness of surveillance breast MRI compared to mammography alone in women with a personal history of breast cancer

Read the detailed description

Our overall aim is to find out how well MRI works compared with mammography for surveillance in women who have previously had breast cancer. Specifically, our goals are to:

  1. Understand doctors' and patients' experiences with surveillance mammography and MRI
  2. Provide evidence on which outcomes are more or less likely to occur
  3. Develop patient decision aids to help women and their doctors choose the surveillance method that is right for them

How we will conduct the study: We will work with patients, doctors, policy makers, advocacy groups, and researchers to improve surveillance for women who have a personal history of breast cancer. Through focus groups with patients and interviews with doctors, we will gain insights into women's experience with surveillance mammography and MRI. We will also compare mammography to MRI using data from the Breast Cancer Surveillance Consortium-the largest collection of breast cancer surveillance data in the nation. We will use data from more than 13,000 women diagnosed with breast cancer between 2005 and 2012 to determine how well each test works. We will measure the tests' effectiveness at finding second cancers, and estimate the likelihood of different outcomes. We will also determine whether one test appears to work better than the other to detect second breast cancers among different groups of women. We will then develop patient decision aids to help women and their doctors make more-informed choices about surveillance.

What we hope to achieve: We hope this study will improve medical decision making and care for the 3 million women in the United States who have a history of breast cancer. Specifically, our results will help women and their doctors make clearer, better choices about the surveillance method that is right for them.

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Conditions studied

  • Breast Cancer

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Keywords

  • Breast
  • Cancer
  • Surveillance
  • Imaging
  • Comparative
  • Effectiveness
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In context

Breast Neoplasms

12,544 studies on the registry are indexed under Breast Neoplasms; 2,892 are open to participants now.

This study's enrollment of 36,444 is above the median of 184 across 2,642 observational studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Kaiser Permanente is the lead sponsor of 385 studies on the registry; 41 are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 3 (50%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Surveillance imaging exams in women included in the Breast Cancer Surveillance Consortium who are 18+ years of age at the the of a Stage 0-III incident breast cancer diagnosis between January 1, 2005 and December 31, 2012.

Eligibility criteria

Inclusion Criteria: Surveillance imaging exams in women included in the Breast Cancer Surveillance Consortium who are 18+ years of age at the the of a Stage 0-III incident breast cancer diagnosis between January 1, 2005 and December 31, 2012.

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Exclusion Criteria:

  • Women with a diagnosis of lobular carcinoma in situ
  • Women with missing cancer staging data from Surveillance, Epidemiology and End Results (SEER) Program records
  • Women with Stage 4 breast cancer at time of diagnosis
  • Women with a diagnosis of a second breast cancer event within six months of the primary diagnosis
  • Women who die within six months of primary diagnosis
  • Women who have had a double mastectomy
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Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
36,444 participants (actual)
Patient registry
No

Groups and cohorts

  • Mammograms

    Surveillance mammograms in women with a personal history of breast cancer

  • Breast MRI

    Surveillance breast Magnetic Resonance Imaging (MRI) in women with a personal history of breast cancer

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What researchers measure

Primary outcomes

  1. Number of Breast Cancers Detected

    Number of second breast cancers detected in the 12 months after surveillance mammogram or breast MRI

    Time frame: 12 months post surveillance exam

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Results

Posted Feb 7, 2017
Limitations and caveats
This study was not a clinical trial. It was a cohort analysis of existing data.

Participant flow

Cohort analysis of women with one or more observed breast cancer surveillance exams and primary cancer diagnosis between 2003 and 2012

Participant flow — Overall Study
MilestoneMammogramsBreast MRI
Started339382506
Completed339382506
Not completed00

Outcome measures

PrimaryNumber of Breast Cancers Detected

Number of second breast cancers detected in the 12 months after surveillance mammogram or breast MRI

Time frame:
12 months post surveillance exam
Reported as:
Number · cancers detected
Number of Breast Cancers Detected
cancers detectedMammogramsBreast MRI
Number of Breast Cancers Detected27927

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Mammograms———
Breast MRI———

Baseline characteristics

Characteristics at time of surveillance exam

Age, Customized
Age, Customized(surveillance exams)MammogramsBreast MRITotal
Age at exam — 18 - 39 years388153541
Age at exam — 40 - 49 years3,6355744209
Age at exam — 50 - 59 years8,6261,0059631
Age at exam — 60 - 69 years9,85263210484
Age at exam — 70 - 79 years7,1671337300
Age at exam — > or = 80 years4,27094279
Sex: Female, Male
Sex: Female, Male(surveillance exams)MammogramsBreast MRITotal
Female33,9382,50636444
Male000
Race/Ethnicity, Customized
Race/Ethnicity, Customized(surveillance exams)MammogramsBreast MRITotal
Race/ethnicity at time of exam — White, non-hispanic26,7172,06928786
Race/ethnicity at time of exam — Black, non-hispanic2,862622924
Race/ethnicity at time of exam — Hispanic1,042671109
Race/ethnicity at time of exam — Asian or Pacific Islander2,5832192802
Race/ethnicity at time of exam — Mixed or Other65788745
Race/ethnicity at time of exam — Missing77178
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Study locations

No study locations are listed for this record.

09

References and documents

Publications

  • Johnson DS, Bush MT, Brandzel S, Wernli KJ. The patient voice in research-evolution of a role. Res Involv Engagem. 2016 Feb 22;2:6. doi: 10.1186/s40900-016-0020-4. eCollection 2016. PubMed 29062507 ↗
  • Henderson LM, Ichikawa L, Buist DSM, Lee JM, Bush M, Johnson D, Onega T, Nekhlyudov L, Kerlikowske K, Miglioretti DL, Sprague BL, Wernli KJ. Patterns of Breast Imaging Use Among Women with a Personal History of Breast Cancer. J Gen Intern Med. 2019 Oct;34(10):2098-2106. doi: 10.1007/s11606-019-05181-6. Epub 2019 Aug 13. PubMed 31410813 ↗
  • Wernli KJ, Ichikawa L, Kerlikowske K, Buist DSM, Brandzel SD, Bush M, Johnson D, Henderson LM, Nekhlyudov L, Onega T, Sprague BL, Lee JM, Lehman CD, Miglioretti DL. Surveillance Breast MRI and Mammography: Comparison in Women with a Personal History of Breast Cancer. Radiology. 2019 Aug;292(2):311-318. doi: 10.1148/radiol.2019182475. Epub 2019 Jun 4. PubMed 31161975 ↗

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 22, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02212834
Lead sponsor
Kaiser Permanente
Collaborators
Dartmouth College, Harvard Pilgrim Health Care, University of North Carolina, Chapel Hill, University of California, San Francisco, University of Wisconsin, Madison, Patient-Centered Outcomes Research Institute
Responsible party
Sponsor
First posted
Aug 8, 2014
Start date
Oct 2013
Primary completion
Nov 2016
Completion
Nov 2016
Results posted
Feb 7, 2017
Last update
Aug 22, 2024

Study contacts

Karen J. Wernli, PhD
principal investigator · Group Health Research Institute

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2024. You cannot join it, but the record below documents what was studied.

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