McKelvey Brittany A, Berk Alexandra, Chin Lynda, Hudgens Stacie, Kudel Ian, O'Hagan Ronan C, Patel Amila, Scott Julie, Stires Hillary, Wang Sam, Wujcik Debra, Stewart Mark, Allen Jeff
Friends of Cancer Research, Washington, DC.
Invitae, San Francisco, CA.
JCO Clin Cancer Inform. 2023 Feb;7:e2200161. doi: 10.1200/CCI.22.00161.
Using patient-reported outcomes (PROs) provides important insights from the patient's perspective and can be valuable to monitor and manage treatment-related adverse events during cancer treatment. Additionally, the digital administration of PROs (electronic PROs [ePROs]) provides real-time updates to clinical care teams on treatment-related symptoms in-between clinic visits. However, given the variability in the methodology and timing of the data collection, using and harmonizing these data across different systems remains challenging. Identifying data elements to capture and operating procedures for harmonization across ePRO tools will expedite efforts to generate relevant and robust data on use of ePRO data in clinical care.
Friends of Cancer Research assembled a consortium of project partners from key health care sectors to align on a framework for ePRO data capture across ePRO tools and assessment of the impact of ePRO data capture on patient outcomes.
We identified challenges and opportunities to align ePRO data capture across ePRO tools and aligned on key data elements for assessing the impact of ePRO data capture on patient care and outcomes. Ultimately, we proposed a study protocol to leverage ePRO data for symptom and adverse event management to measure real-world effectiveness of ePRO tool implementation on patient care and outcomes.
This work provides considerations for harmonizing ePRO data sets and a common framework to align across multiple ePRO tools to assess the value of ePROs for improving patient outcomes. Future efforts to interpret evidence and evaluate the impact of ePRO tools on patient outcomes will be aided by improved alignment across studies.
使用患者报告结局(PROs)能从患者角度提供重要见解,对于监测和管理癌症治疗期间与治疗相关的不良事件很有价值。此外,PROs的数字化管理(电子PROs [ePROs])能在门诊就诊间隔期间向临床护理团队实时更新与治疗相关的症状。然而,鉴于数据收集方法和时间的变异性,在不同系统中使用和整合这些数据仍然具有挑战性。确定要捕获的数据元素以及跨ePRO工具进行整合的操作程序,将加快在临床护理中生成有关ePRO数据使用的相关且可靠数据的工作。
癌症研究之友组织了一个由关键医疗保健部门的项目合作伙伴组成的联盟,以就跨ePRO工具的ePRO数据捕获框架以及评估ePRO数据捕获对患者结局的影响达成一致。
我们确定了跨ePRO工具整合ePRO数据捕获的挑战和机遇,并就评估ePRO数据捕获对患者护理和结局影响的关键数据元素达成了一致。最终,我们提出了一项研究方案,以利用ePRO数据进行症状和不良事件管理,来衡量ePRO工具实施对患者护理和结局的实际效果。
这项工作为整合ePRO数据集提供了考虑因素,并提供了一个通用框架,以跨多个ePRO工具达成一致,以评估ePROs对改善患者结局的价值。未来在解释证据和评估ePRO工具对患者结局影响方面的努力,将因研究间更好的一致性而得到帮助。