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补充临床癌症登记数据与患者报告的结果:奥地利骨髓瘤登记处常规电子患者报告结果评估的可行性研究。

Complementing clinical cancer registry data with patient reported outcomes: A feasibility study on routine electronic patient-reported outcome assessment for the Austrian Myelome Registry.

机构信息

Medical University of Innsbruck, Innsbruck, Tirol, Austria.

Psychiatry II, Innsbruck University Hospital, Innsbruck, Tirol, Austria.

出版信息

Eur J Cancer Care (Engl). 2019 Nov;28(6):e13154. doi: 10.1111/ecc.13154. Epub 2019 Aug 29.

Abstract

OBJECTIVES

Routinely assessed patient-reported outcomes (PROs), such as quality of life (QOL), are important to supplement clinical cancer data but requires rigorous implementation. This study aims at depicting the implementation procedure and evaluating the feasibility of routine electronic PRO monitoring (ePRO) for collecting data supplementing the Austrian Myeloma Registry (AMR).

METHODS

Integration of ePRO monitoring into clinical routine was planned according to the Replicating Effective Programs framework. QOL data were assessed regularly during treatment and aftercare at the hematooncological outpatient unit at the Medical University of Innsbruck with the EORTC QLQ-C30/ +MY20 and the EQ-5D-5L. Feasibility and usability testing were performed via a multimethod approach.

RESULTS

Within the first year, 94.4% of the MM patients (N = 142, mean age 65.4, SD 11.8, 60% male) provided 748 PRO assessment time points overall. Patients and clinicians were satisfied with ePRO monitoring and indicated no to little disruption in clinical routine. Patient preference on assessment time points and completion frequency became evident.

CONCLUSIONS

Complementing the AMR with ePRO data proved to be feasible. Our findings provide useful insights for healthcare providers considering introducing ePRO monitoring to their units for informing clinical registries as well as individualised feedback to patients alike.

摘要

目的

定期评估患者报告的结果(PROs),如生活质量(QOL),对于补充临床癌症数据非常重要,但需要严格实施。本研究旨在描述实施程序,并评估常规电子 PRO 监测(ePRO)用于收集补充奥地利骨髓瘤登记处(AMR)数据的可行性。

方法

根据复制有效计划框架,计划将 ePRO 监测纳入临床常规。在因斯布鲁克医科大学血液肿瘤科门诊单元治疗和康复期间,使用 EORTC QLQ-C30/ + MY20 和 EQ-5D-5L 定期评估 QOL 数据。通过多方法途径进行可行性和可用性测试。

结果

在第一年,142 名 MM 患者(平均年龄 65.4,标准差 11.8,60%为男性)中的 94.4%总共提供了 748 个 PRO 评估时间点。患者和临床医生对 ePRO 监测感到满意,并表示对临床常规没有或几乎没有干扰。患者对评估时间点和完成频率的偏好变得明显。

结论

用 ePRO 数据补充 AMR 是可行的。我们的研究结果为考虑将 ePRO 监测引入其单位的医疗保健提供者提供了有用的见解,以便为临床登记处以及为患者提供个性化反馈。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4b9/6900154/de73b891a89d/ECC-28-na-g001.jpg

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