The evidence-based practice of active surveillance to monitor men with favorable-risk prostate cancer in lieu of initial definitive treatment is becoming more common. However, there are barriers to effective implementation, particularly in low-resource settings. Our goal is to assess the efficacy and feasibility of a health information technology registry for men on active surveillance at a safety-net hospital to ensure patients receive guideline-recommended care. We developed an electronic registry for urology clinic staff to monitor men on active surveillance. The health information technology tool was developed using the Systems Engineering Initiative for Patient Safety model and iteratively tailored to the needs of the clinic by engaging providers in a co-design process. We will enroll all men at Zuckerberg San Francisco General Hospital and Trauma Center who choose active surveillance as a treatment strategy. The primary outcomes to be assessed during this non-randomized, pragmatic evaluation are number of days delayed beyond recommended date of follow-up testing, the proportion of men who are lost to follow-up, the cancer stage at active treatment, and the feasibility and acceptability of the clinic-wide intervention with clinic staff. Secondary outcomes include appointment adherence within 30 days of the scheduled date. Use of a customized electronic approach for monitoring men on active surveillance could improve patient outcomes. It may help reduce the number of men lost to follow-up and improve adherence to timely follow-up testing. Evaluating the adoption and efficacy of a customized registry in a safety-net setting may also demonstrate feasibility for implementation in diverse clinical contexts. ClinicalTrials.gov identifier NCT03553732 , An Electronic Registry to Improve Adherence to Active Surveillance Monitoring at a Safety-net Hospital. Registered 11 June 2018.

中文翻译：

---

在安全网医院提高前列腺癌患者对主动监测监测依从性的电子登记：试点研究方案

以证据为基础的主动监测实践以监测患有有利风险前列腺癌的男性代替最初的确定性治疗变得越来越普遍。然而，有效实施存在障碍，特别是在资源匮乏的环境中。我们的目标是评估男性健康信息技术登记在安全网医院进行主动监测的有效性和可行性，以确保患者接受指南推荐的护理。我们为泌尿科诊所工作人员开发了一个电子登记系统，以监测男性的主动监测。健康信息技术工具是使用患者安全系统工程倡议模型开发的，并通过让提供者参与共同设计过程来迭代地定制诊所的需求。我们将在扎克伯格旧金山综合医院和创伤中心招募所有选择主动监测作为治疗策略的男性。在这种非随机、务实的评估中要评估的主要结果是超出建议的随访测试日期的天数、失访的男性比例、积极治疗的癌症分期以及可行性以及对诊所工作人员进行全诊所干预的可接受性。次要结果包括预定日期后 30 天内的预约依从性。使用定制的电子方法来监测男性的主动监测可以改善患者的预后。它可能有助于减少失访的男性人数，并提高对及时随访测试的依从性。在安全网环境中评估定制注册表的采用和有效性也可以证明在不同临床环境中实施的可行性。ClinicalTrials.gov 标识符 NCT03553732，用于提高安全网医院主动监测依从性的电子注册表。2018 年 6 月 11 日注册。