Tan Sim Yee, Turner Jane, Kerin-Ayres Kim, Hewitt Lynnette, Butler Sue, Deguchi Cole, Khatri Sonia, Wildbore Carolyn, Cunningham Ilona, Dhillon Haryana M, Malalasekera Ashanya, Vardy Janette L
Sydney Medical School, Faculty of Medicine and Health, University of Sydney, Sydney, Australia.
Concord Cancer Centre, Concord Repatriation General Hospital, Concord, NSW, Australia.
Asia Pac J Clin Oncol. 2025 Jun;21(3):275-280. doi: 10.1111/ajco.14146. Epub 2024 Dec 15.
Integrating Patient-Reported Outcome Measures (PROMs) into clinical practice is increasing, with research showing benefits in patient outcomes. However, evidence regarding patient's acceptance of PROMs is limited. Sydney Cancer Survivorship Centre (SCSC) clinic is a multidisciplinary clinic where clinicians use PROMs to guide patient consultation. This study explored SCSC patient acceptability of PROMs in clinical care by evaluating PROMs' completion rates.
This retrospective audit of PROMs completion rates evaluates two periods: 1) September 2013-November 2019 (pre-coronavirus disease 2019) and 2) October 2020-September 2023, following the implementation of electronic PROMs. Overall, 866 new patients attended SCSC during the two audit periods, with 822 (95%) giving consent for data to be included. Descriptive statistical methods were used to analyse completion rates.
Between September 2013 and November 2019 (audit period 1), 656 new survivors attended the SCSC clinic; 622 (95%) consented to data use. The highest completion rate for paper-based PROMs was the food questionnaire (92%); with 91% for distress thermometer, symptoms, and exercise-related PROMs; 85% for quality of life; 77% for self-rated performance status, and 55.5% for a 3-day food diary. From October 2020 to September 2023 (period 2), the response rate for PROMs was 99% (n = 198/200) for initial clinic attendees; and 92% for electronic PROMs (n = 169/184).
Using comprehensive PROMs in clinical care is feasible. The completion rate was high; similar between paper-based and electronic PROMs. Comprehensive PROMs can guide clinical consultations. PROMs may improve communication between survivors and clinicians and enhance the quality of care.
将患者报告结局量表（PROMs）纳入临床实践的情况日益增多，研究表明这对患者预后有益。然而，关于患者对PROMs接受度的证据有限。悉尼癌症幸存者中心（SCSC）诊所是一家多学科诊所，临床医生使用PROMs来指导患者咨询。本研究通过评估PROMs的完成率，探讨了SCSC患者在临床护理中对PROMs的接受度。
这项对PROMs完成率的回顾性审计评估了两个时期：1）2013年9月至2019年11月（2019冠状病毒病之前）和2）2020年10月至2023年9月，即电子PROMs实施之后。在这两个审计期间，共有866名新患者前往SCSC就诊，其中822名（95%）同意将其数据纳入研究。采用描述性统计方法分析完成率。
在2013年9月至2019年11月（审计期1）期间，656名新的幸存者前往SCSC诊所就诊；622名（95%）同意使用其数据。纸质PROMs的最高完成率是食物问卷（92%）；苦恼温度计、症状及运动相关PROMs的完成率为91%；生活质量的完成率为85%；自我评估表现状态的完成率为77%；3天食物日记的完成率为55.5%。从2020年10月至2023年9月（时期2），初次就诊患者对PROMs的回复率为99%（n = 198/200）；电子PROMs的回复率为92%（n = 169/184）。
在临床护理中使用综合PROMs是可行的。完成率很高；纸质和电子PROMs的完成率相似。综合PROMs可以指导临床咨询。PROMs可能会改善幸存者与临床医生之间的沟通，并提高护理质量。
