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BMC Medical Informatics and Decision Making
Published in: BMC Medical Informatics and Decision Making 1/2015

Open Access 01-12-2015 | Research article

Evaluation of electronic patient-reported outcome assessment with cancer patients in the hospital and at home

Authors: L. M. Wintner, J. M. Giesinger, A. Zabernigg, G. Rumpold, M. Sztankay, A. S. Oberguggenberger, E. M. Gamper, B. Holzner

Published in: BMC Medical Informatics and Decision Making | Issue 1/2015

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Abstract

Background

Patient-reported outcomes (PRO) provide a more comprehensive picture of patients’ quality of life than do mere physicians’ ratings. Electronic data collection of PRO offers several advantages and allows assessments at patients’ homes as well. This study reports on patients’ personal internet use, their attitudes towards electronic and web-based PRO assessment (clinic-ePRO and home-ePRO) and the feasibility of these two assessment modes.

Methods

At the Medical University of Innsbruck and Kufstein County Hospital, cancer patients who participated in clinic-ePRO/home-ePRO were asked to complete a comprehensive evaluation form on their personal internet usage, attitudes towards and the feasibility of routine clinic-ePRO/home-ePRO with the Computer-based Health Evaluation System (CHES) software.

Results

In total, 113 patients completed the evaluation form for clinic-ePRO (Ø 45 years, SD 14) and 45 patients for home-ePRO (Ø 58 years, SD 10; 33.1 per cent inclusion rate for this sample). Most patients expressed willingness to complete routine clinic-ePRO assessments in the future (94.7 per cent of clinic-ePRO patients and 84.4 per cent of home-ePRO patients) and to discuss their data with attending physicians (82.2 per cent, home-ePRO patients only). Overall, patients preferred the software over paper-pencil questionnaires (67.2 per cent of clinic-ePRO patients and 60 per cent of home-ePRO patients) and experienced it as easy to use. Only a few minor suggestions for improvement were made (e.g. adjustable font sizes).

Conclusions

The use of clinic-ePRO/home-ePRO was in general shown to be feasible and well accepted. However, to be more inclusive in the implementation of clinic-ePRO/home-ePRO, educational programs concerning their particular benefit in oncology practice potentially could enhance patients’ attitudes towards, and consequently their acceptance of and compliance with electronic PRO assessments.
Literature
1.
Pakhomov SV, Jacobsen SJ, Chute CG, Roger VL. Agreement between patient-reported symptoms and their documentation in the medical record. Am J Manag Care. 2008;14:530–9.PubMedPubMedCentral
2.
Fromme EK, Eilers KM, Mori M, Hsieh YC, Beer TM. How accurate is clinician reporting of chemotherapy adverse effects? A comparison with patient-reported symptoms from the Quality-of-Life Questionnaire C30. J Clin Oncol. 2004;22:3485–90.CrossRefPubMed
3.
Weingart SN, Gandhi TK, Seger AC, Seger DL, Borus J, Burdick E, et al. Patient-reported medication symptoms in primary care. Arch Intern Med. 2005;165:234–40.CrossRefPubMed
4.
Basch E, Jia X, Heller G, Barz A, Sit L, Fruscione M, et al. Adverse symptom event reporting by patients vs clinicians: relationships with clinical outcomes. J Natl Cancer Inst. 2009;101:1624–32.CrossRefPubMedPubMedCentral
5.
Gravis G, Marino P, Joly F, Oudard S, Priou F, Esterni B, et al. Patients’ self-assessment versus investigators’ evaluation in a phase III trial in non-castrate metastatic prostate cancer (GETUG-AFU 15). Eur J Cancer. 2014;50(5):953–62.CrossRefPubMed
6.
Hilarius DL, Kloeg PH, Gundy CM, Aaronson NK. Use of health-related quality-of-life assessments in daily clinical oncology nursing practice: a community hospital-based intervention study. Cancer. 2008;113:628–37.CrossRefPubMed
7.
Detmar SB, Muller MJ, Schornagel JH, Wever LD, Aaronson NK. Health-related quality-of-life assessments and patient-physician communication: a randomized controlled trial. JAMA. 2002;288:3027–34.CrossRefPubMed
8.
Velikova G, Booth L, Smith AB, Brown PM, Lynch P, Brown JM, et al. Measuring quality of life in routine oncology practice improves communication and patient well-being: a randomized controlled trial. J Clin Oncol. 2004;22:714–24.CrossRefPubMed
9.
Takeuchi EE, Keding A, Awad N, Hofmann U, Campbell LJ, Selby PJ, et al. Impact of patient-reported outcomes in oncology: a longitudinal analysis of patient-physician communication. J Clin Oncol. 2011;29:2910–7.CrossRefPubMed
10.
Atherton PJ, Sloan JA. Rising importance of patient-reported outcomes. Lancet Oncol. 2006;7:883–4.CrossRefPubMed
11.
Wintner LM, Giesinger JM, Kemmler G, Sztankay M, Oberguggenberger A, Gamper EM, et al. [The benefits of using patient-reported outcomes in cancer treatment: an overview]. Wien Klin Wochenschr. 2012;124:293–303.CrossRefPubMed
12.
Gencer D, Tauchert F, Keilhauer N, Al-Batran SE, Stahl M, Oskay-Ozcelik G, et al. Cancer patients and the Internet: a survey of the ‘Quality of Life’ Working Groups of the Arbeitsgemeinschaft fur Internistische Onkologie and the Nord-Ostdeutsche Gesellschaft fur Gynakologische Onkologie. Onkologie. 2011;34:435–40.CrossRefPubMed
13.
Jensen RE, Snyder CF, Abernethy AP, Basch E, Potosky AL, Roberts AC, Loeffler DR, Reeve BB: Review of Electronic Patient-Reported Outcomes Systems Used in Cancer Clinical Care. J Oncol Pract. 2014:e215-e222; published online on December 3, 2013.
14.
Bennett AV, Jensen RE, Basch E. Electronic patient-reported outcome systems in oncology clinical practice. CA Cancer J Clin. 2012;62:337–47.CrossRefPubMed
15.
McCleary NJ, Wigler D, Berry D, Sato K, Abrams T, Chan J, et al. Feasibility of computer-based self-administered cancer-specific geriatric assessment in older patients with gastrointestinal malignancy. Oncologist. 2013;18:64–72.CrossRefPubMedPubMedCentral
16.
Stukenborg GJ, Blackhall L, Harrison J, Barclay JS, Dillon P, Davis MA, et al. Cancer patient-reported outcomes assessment using wireless touch screen tablet computers. Qual Life Res. 2014;23:1603–7.CrossRefPubMed
17.
18.
Holzner B, Giesinger JM, Pinggera J, Zugal S, Schopf F, Oberguggenberger AS, et al. The Computer-based Health Evaluation Software (CHES): a software for electronic patient-reported outcome monitoring. BMC Med Inform Decis Mak. 2012;12:126.CrossRefPubMedPubMedCentral
19.
Erharter A, Giesinger J, Kemmler G, Schauer-Maurer G, Stockhammer G, Muigg A, et al. Implementation of computer-based quality-of-life monitoring in brain tumor outpatients in routine clinical practice. J Pain Symptom Manage. 2010;39:219–29.CrossRefPubMed
20.
Giesinger J, Kemmler G, Meraner V, Gamper EM, Oberguggenberger A, Sperner-Unterweger B, et al. Towards the implementation of quality of life monitoring in daily clinical routine: methodological issues and clinical implication. Breast Care (Basel). 2009;4:148–54.CrossRef
21.
Wang JY, Bennett K, Probst J. Subdividing the digital divide: differences in internet access and use among rural residents with medical limitations. J Med Internet Res. 2011;13:e25.CrossRefPubMedPubMedCentral
22.
Rose M, Bezjak A. Logistics of collecting patient-reported outcomes (PROs) in clinical practice: an overview and practical examples. Qual Life Res. 2009;18:125–36.CrossRefPubMed
23.
Robben SH, Perry M, Huisjes M, van Nieuwenhuijzen L, Schers HJ, van Weel C, et al. Implementation of an innovative web-based conference table for community-dwelling frail older people, their informal caregivers and professionals: a process evaluation. BMC Health Serv Res. 2012;12:251.CrossRefPubMedPubMedCentral
24.
Broering JM, Paciorek A, Carroll PR, Wilson LS, Litwin MS, Miaskowski C: Measurement equivalence using a mixed-mode approach to administer health-related quality of life instruments. Qual Life Res. 2013;23:495–508.
Metadata
Title
Evaluation of electronic patient-reported outcome assessment with cancer patients in the hospital and at home
Authors
L. M. Wintner
J. M. Giesinger
A. Zabernigg
G. Rumpold
M. Sztankay
A. S. Oberguggenberger
E. M. Gamper
B. Holzner
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Medical Informatics and Decision Making / Issue 1/2015
Electronic ISSN: 1472-6947
DOI
https://doi.org/10.1186/s12911-015-0230-y

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