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The Effect of an Electronic Medical Record (EMR) Alert on Hepatitis B Screening

The Effect of an Electronic Medical Record (EMR) Alert on Hepatitis B Screening: A Randomized Controlled Trial

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04240678
Enrollment
8299
Registered
2020-01-27
Start date
2016-01-01
Completion date
2021-07-01
Last updated
2021-08-11

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Hepatitis B

Keywords

Mass Screening

Brief summary

Asian and Pacific Islander Americans at risk, but never tested for chronic hepatitis B have been randomized to receive an electronic alert in their electronic medical chart to remind primary care physicians to screen them for chronic hepatitis B.

Interventions

OTHERElectronic HBV Alert

Electronic HBV Alert deployed in electronic medical charts of at risk patients

Sponsors

University of California, Davis
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SCREENING
Masking
TRIPLE (Subject, Caregiver, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No

Inclusion criteria

Asian and Pacific Islanders (API) who have not yet received HBsAg testing. API will be identified using a novel algorithm which identifies them using their surname, language preference, country of origin. \-

Exclusion criteria

Previous HBsAg completion. \-

Design outcomes

Primary

MeasureTime frameDescription
Serum Hepatitis B Surface Antigen Completionup to 12 monthsNumber of patients who have completed the HBsAg test

Secondary

MeasureTime frameDescription
Serum Hepatitis B Surface Antigen Positivityup to 12 monthsNumber of patients with testing positive for HBsAg

Participant flow

Participants by arm

ArmCount
HBV Alert Group
Electronic HBV Alert: Electronic HBV Alert deployed in electronic medical charts of at risk patients
4
Control Group
No Alert
4
Total8

Baseline characteristics

CharacteristicHBV Alert GroupControl GroupTotal
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
0 Participants0 Participants0 Participants
Age, Categorical
Between 18 and 65 years
4141 Participants4158 Participants8299 Participants
Age, Continuous51.64 years
STANDARD_DEVIATION 20.88
51.32 years
STANDARD_DEVIATION 20.66
51.45 years
STANDARD_DEVIATION 20.77
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
4,141 Participants4,158 Participants8299 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
4,141 Participants4,158 Participants8299 Participants
Race (NIH/OMB)
Black or African American
0 Participants0 Participants0 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
0 Participants0 Participants0 Participants
Region of Enrollment
United States
4,141 participants4,158 participants8299 participants
Sex: Female, Male
Female
2,172 Participants2,256 Participants4428 Participants
Sex: Female, Male
Male
1,969 Participants1,902 Participants3871 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 4,1410 / 4,158
other
Total, other adverse events
0 / 4,1410 / 4,158
serious
Total, serious adverse events
0 / 4,1410 / 4,158

Outcome results

Primary

Serum Hepatitis B Surface Antigen Completion

Number of patients who have completed the HBsAg test

Time frame: up to 12 months

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
HBV Alert GroupSerum Hepatitis B Surface Antigen Completion389 Participants
Control GroupSerum Hepatitis B Surface Antigen Completion177 Participants
Secondary

Serum Hepatitis B Surface Antigen Positivity

Number of patients with testing positive for HBsAg

Time frame: up to 12 months

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
HBV Alert GroupSerum Hepatitis B Surface Antigen Positivity15 Participants
Control GroupSerum Hepatitis B Surface Antigen Positivity13 Participants

Source: ClinicalTrials.gov · Data processed: Feb 25, 2026