Dejaco Daniel, Gottfried Timo, Santer Matthias, Thurner Anna, Lehmann Jens, Riedl David, Rumpold Gerhard, Holzner Bernhard, Schmutzhard Joachim, Hofauer Benedikt
Universitätsklinik für Hals‑, Nasen- und Ohrenheilkunde, Kopf- und Halschirurgie Innsbruck, Medizinische Universität Innsbruck, Anichstr. 35, 6020, Innsbruck, Österreich.
Department für Psychiatrie, Psychotherapie, Psychosomatik und Medizinische Psychologie Innsbruck, Universitätsklinik für Psychiatrie II Innsbruck, Medizinische Universität Innsbruck, Schöpfstr. 23a, 6020, Innsbruck, Österreich.
HNO. 2025 Feb;73(2):95-102. doi: 10.1007/s00106-024-01543-7. Epub 2025 Jan 16.
Electronically captured patient reports (electronic patient-reported outcomes, ePROs) are digital questionnaires filled out by cancer patients. Despite indications of improved clinical care, the integration of ePROs into clinical head and neck oncology is uncharted territory.
This work outlines the implementation process for ePROs at the University Hospital for Otorhinolaryngology at the Medical University of Innsbruck (ENT Innsbruck).
The implementation is carried out by a project team in a pre-implementation phase (needs assessment, implementation planning, identification of intra-hospital barriers, prototype development, testing and adaptation, and user training), an implementation phase (implementation and user training), and a post-implementation phase (quality control and project expansion).
The project team at ENT Innsbruck, consisting of 10 members, identified the need for digitalization in cancer follow-up. A hybrid implementation solution (Computer-Based Health Evaluation System, CHES; Evaluation Software Development, ESD, Innsbruck, Austria) was chosen. ePROs (European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - 30 items, EORTC-QLQ-C30; Head and Neck Functional Integrity Scale, HNC-FIT scale; and EORTC Head and Neck Cancer Module, EORTC H&N43) will be collected 12 times over 5.5 years. A total of 25 users rated the prototype as user friendly (patient perspective: 8.1 ± 1.6, 3-10; user perspective: 8.6 ± 1.1, 6-10). The main advantage was faster medical history taking (72%), and the main disadvantages were a lack of personnel, time, and motivation (52%).
The feedback on the ePRO prototype at ENT Innsbruck was positive. The implementation phase commenced in the first quarter of 2024. Goal achievement will be evaluated in the post-implementation phase in the fourth quarter of 2024.
电子采集的患者报告（电子患者报告结局，ePROs）是癌症患者填写的数字问卷。尽管有迹象表明临床护理有所改善，但将ePROs整合到临床头颈肿瘤学领域仍是未知领域。
本研究概述了因斯布鲁克医科大学耳鼻咽喉科大学医院（因斯布鲁克耳鼻喉科医院）实施ePROs的过程。
该实施过程由一个项目团队分三个阶段进行，即实施前阶段（需求评估、实施规划、识别院内障碍、原型开发、测试与调整以及用户培训）、实施阶段（实施和用户培训）和实施后阶段（质量控制和项目扩展）。
因斯布鲁克耳鼻喉科医院的项目团队由10名成员组成，确定了癌症随访数字化的需求。选择了一种混合实施解决方案（基于计算机的健康评估系统，CHES；评估软件开发公司，ESD，奥地利因斯布鲁克）。在5.5年内将收集12次ePROs（欧洲癌症研究与治疗组织生活质量问卷 - 30项，EORTC - QLQ - C30；头颈功能完整性量表，HNC - FIT量表；以及欧洲癌症研究与治疗组织头颈癌模块，EORTC H&N43）。共有25名用户将该原型评为用户友好型（患者视角：8.1±1.6，范围3 - 10；用户视角：8.6±1.1，范围6 - 10）。主要优点是病史采集更快（72%），主要缺点是人员、时间和积极性不足（52%）。
因斯布鲁克耳鼻喉科医院对ePRO原型的反馈是积极 的。实施阶段于2024年第一季度开始。目标达成情况将在2024年第四季度的实施后阶段进行评估。
