How to implement routine electronic patient‐reported outcome monitoring in oncology rehabilitation

BackgroundConsultations before and after bariatric surgery should include structured assessments of patients’ health-related quality of life (HRQOL) and mental health. One way to conduct this assessment is to implement patient-reported outcome monitoring with a clinical feedback system (PRO/CFS).AimWe will explore patients’ and healthcare professionals’ experiences when a PRO/CFS is an integrated part of bariatric surgery care.Methods and analysesThis is a design paper in which a PRO/CFS will be implemented in two bariatric outpatient clinics. All patients who have an appointment with a healthcare professional prior to, and 3 and 12 months after surgery, will be asked to complete six digital questionnaires measuring HRQOL, mental health, bowel symptoms and eating self-efficacy prior to each consultation. A digital summary report generated from the patient’s responses will form the basis for the clinical consultation. A team of patient representatives, healthcare professionals and researchers will be involved in all phases of designing the PRO/CFS to ensure its relevance for clinical consultations. The patients’ experiences will be explored with a generic 12-item questionnaire, developed for use in outpatient clinics, prior to and 12 months after bariatric surgery. We will conduct focus-group interviews with patients and healthcare professionals to explore their experiences when PRO/CFS is integrated into the consultations.Ethics and disseminationWritten informed consent will be obtained for all participants in the study. The project is approved by the Norwegian Centre for Research Data, Department of Data Protection Services (ref. no. 282738). The project has also undergone Data Protection Impact Assessments, both at Førde Hospital Trust and at St. Olav Hospital (registration no. 2016/3912). Data from the qualitative and quantitative studies will be kept in de-identified form in a secured research database, and the findings will be published in international peer-reviewed journals and presented at scientific conferences.

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Do CAMHS collect less PROM data from certain sociodemographic groups?

10.13056/acamh.13841 ◽

2020 ◽

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

Outcome Measures ◽

Treatment Efficacy ◽

Patient Reported Outcome Measures ◽

Patient Reported Outcome ◽

Outcome Monitoring ◽

Patient Reported ◽

Low Rate

Patient-reported outcome measures (PROMs) are routinely used to inform clinicians and policymakers on clinical need and treatment efficacy. Yet despite their great value and utility, it seems that there is a low rate of outcome monitoring in Child and Adolescent Mental Health Services (CAMHS).

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The Computer-based Health Evaluation Software (CHES): a software for electronic patient-reported outcome monitoring

BMC Medical Informatics and Decision Making ◽

10.1186/1472-6947-12-126 ◽

2012 ◽

Vol 12 (1) ◽

Cited By ~ 71

Author(s):

Bernhard Holzner ◽

Johannes M Giesinger ◽

Jakob Pinggera ◽

Stefan Zugal ◽

Felix Schöpf ◽

...

Keyword(s):

Patient Reported Outcome ◽

Health Evaluation ◽

Outcome Monitoring ◽

Patient Reported ◽

Computer Based

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Electronic Patient-reported Outcome Monitoring in Aplastic Anemia and Paroxysmal Nocturnal Hemoglobinuria

Case Medical Research ◽

10.31525/ct1-nct04128943 ◽

2019 ◽

Author(s):

Keyword(s):

Aplastic Anemia ◽

Paroxysmal Nocturnal Hemoglobinuria ◽

Patient Reported Outcome ◽

Outcome Monitoring ◽

Patient Reported

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Patient reported outcome – Welche Faktoren beeinflussen die Qualität der Angaben sowie die Adhärenz der Patienten?

Gesundheitsökonomie & Qualitätsmanagement ◽

10.1055/s-0043-122721 ◽

2017 ◽

Vol 22 (06) ◽

pp. 274-275

Author(s):

Helena Thiem

Keyword(s):

Patient Reported Outcomes ◽

Monitoring Program ◽

Real Life ◽

Patient Reported Outcome ◽

Clinical Routine ◽

Oder Eine ◽

Outcome Monitoring ◽

Patient Reported

Gamper EM et al. Evaluation of Noncompletion Bias and Long-Term Adherence in a 10-Year Patient-Reported Outcome Monitoring Program in Clinical routine. Value in Health 2017; 20: 610-617 Die Datenqualität aus der klinischen Forschung ist nicht zuletzt für die Entscheidungsträger im Gesundheitswesen von großer Bedeutung. So sollen Risiken, Nutzen und Kosten medizinischer Interventionen sowohl unter patientenrelevanten als auch gesundheitspolitischen Aspekten beleuchtet werden. Derzeit existieren nur wenige Kenntnisse darüber, wie nachhaltig und repräsentativ die realitätsbezogenen „real-life“-Daten aus patient reported outcomes (PROs) sind. In einer Auswertung von PRO-Daten sollten mögliche Einflussfaktoren für unvollständige Angaben oder eine geringe Adhärenz ausgemacht werden.

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PCN143 Electronic Patient-Reported Outcome Monitoring in Testicular Cancer Patients

Value in Health ◽

10.1016/j.jval.2011.08.1244 ◽

2011 ◽

Vol 14 (7) ◽

pp. A460

Author(s):

J.M. Giesinger ◽

A. Oberguggenberger ◽

G. Kemmler ◽

E. Gamper ◽

H. Steiner ◽

...

Keyword(s):

Testicular Cancer ◽

Cancer Patients ◽

Patient Reported Outcome ◽

Outcome Monitoring ◽

Patient Reported

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Enhancing quality of prosthetic services with process and outcome information

Prosthetics and Orthotics International ◽

10.1177/0309364616637957 ◽

2016 ◽

Vol 41 (2) ◽

pp. 164-170 ◽

Cited By ~ 2

Author(s):

Allen W Heinemann ◽

Linda Ehrlich-Jones ◽

Lauri Connelly ◽

Patrick Semik ◽

Stefania Fatone

Keyword(s):

Quality Improvement ◽

Performance Management ◽

The United States ◽

Routine Care ◽

Patient Reported Outcome ◽

Outcome Data ◽

Outcome Monitoring ◽

Patient Reported ◽

Functional Scores

Background: Prosthetic clinics in the United States must attain accreditation in order to receive reimbursement from Medicare. The accreditation process requires clinics to establish and implement performance management plans and quality improvement activities. This report describes the experience of seven prosthetic clinics in collecting patient-reported outcome data and using it to improve quality of services. Objectives: To describe the experience of prosthetic clinics implementing outcome monitoring and quality improvement activities as part of routine patient care. Study design: Qualitative, ethnographic design. Methods: Clinics incorporated the Orthotics Prosthetics Users’ Survey into routine care for patients aged 18 years and older who received a new lower limb prosthesis or socket. Orthotics Prosthetics Users’ Survey measures lower extremity functional status, quality of life, and satisfaction with device and services. Clinics selected Orthotics Prosthetics Users’ Survey-derived indicators on which to implement quality improvement action plans. Results: Seven clinics participated, but only three were able to sustain data collection. Two clinics initiated quality improvement activities focused on improving declining satisfaction or functional scores. Conclusions: Quality improvement activities based on patient-reported outcomes require a high degree of organizational commitment and support. External facilitation can support clinics’ quality improvement activities. Clinical relevance This project illustrates the challenges of sustaining quality improvement activities using patient-reported outcome data in prosthetic clinics.

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Evaluation of Noncompletion Bias and Long-Term Adherence in a 10-Year Patient-Reported Outcome Monitoring Program in Clinical Routine

Value in Health ◽

10.1016/j.jval.2017.01.009 ◽

2017 ◽

Vol 20 (4) ◽

pp. 610-617 ◽

Cited By ~ 3

Author(s):

Eva Maria Gamper ◽

Virginie Nerich ◽

Monika Sztankay ◽

Caroline Martini ◽

Johannes M. Giesinger ◽

...

Keyword(s):

Monitoring Program ◽

Patient Reported Outcome ◽

Clinical Routine ◽

Outcome Monitoring ◽

Patient Reported

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Consilium Smartphone App for Real-World Electronically Captured Patient-Reported Outcome Monitoring in Cancer Patients Undergoing anti-PD-L1-Directed Treatment

Case Reports in Oncology ◽

10.1159/000507345 ◽

2020 ◽

Vol 13 (2) ◽

pp. 491-496 ◽

Cited By ~ 1

Author(s):

Andreas Trojan ◽

Urs Huber ◽

Mathis Brauchbar ◽

Ulf Petrausch

Keyword(s):

Patient Reported Outcomes ◽

Patient Reported Outcome ◽

Smartphone App ◽

Safety Issues ◽

Electronic Reporting ◽

Outcome Monitoring ◽

Patient Reported ◽

Severity Grading ◽

Insight Into

Digital patient monitoring gains importance for quality of clinical cancer care. Our case report provides insight into usability and acceptance of a smartphone app for monitoring of electronically captured patient-reported outcomes in patients undergoing immunotherapy. During 3 months, 6 patients with advanced or metastatic PD-L1-positive cancer of the lung, prostate, and bladder who underwent checkpoint immunotherapy were using the Consilium app for standardized and structured electronic reporting of symptoms and therapy side effects. We evaluated the number and quality of symptom entries as well as usability and safety of shared reporting between the patient and the treating physician. Duration of anti-PD-L1-directed immunotherapy in the 6 patients ranged from 4 to 10 months and comprised a total of 21 anti-PD-L1-directed immunotherapy cycles. Patients reported between 4 and 16 different symptoms, of which the most frequent (57%) were dry cough, fatigue, shortness of breath, fever, and appetite loss. Overall, 1,279 symptom entries were counted, corresponding to 2.4 symptom entries per patient per day. Symptom severity grading ranged from 0.1 (very slight symptoms) to 7.8 (severe symptoms), which triggered prespecified alerts in 4 of the 6 patients. No unplanned visits were noted, and no safety issues occurred. Satisfaction with the app usability was high, as was the beneficial effect on consultation. Usability and reviewed data entries indicate high shared reporting efforts of patients and treating physicians and overall satisfaction with electronically reported patient outcomes.

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