Table 18aSummary of the impact of health IT applications on clinical outcomes for patients with cancer

Study, YearHealth IT ApplicationIntervention ComparedOutcomes MeasurePositive Impact*
Maslin, 1998215Interactive lifestyle counselingInteractive video disk system vs. usual careMental health score on Short-Form 36 questionnaire0
Anxiety score on the Hospital Anxiety and Depression Scale+
McDonald, 200548Communication via emailPatient-specific, one-time email reminder with pain-specific recommendations vs. usual carePain at its worst (range: 0–10)+
Pain on average (range: 0–10)+
Pain interference scale (range: 0–10)+
Best QOL
Severe pain
Severe insomnia+
Severe constipation
Patient-specific, one-time email reminder with pain-specific recommendations vs. email reminder, provider prompts, patient education and clinical nurse specialist outreach vs. usual carePain at its worst (range: 0–10)+
Pain on average (range: 0–10)+
Pain interference scale (range: 0–10)+
Best QOL
Severe pain
Severe insomnia+
Severe constipation
Ruland, 200347mHealth, shared decisionmaking toolsComputerized system for shared decisionmaking for care of cancer symptoms vs. usual careNumber of reported symptoms (0–10)+
Number of reported symptoms (0–15)+
Number of reported symptoms (0–20)+
Number of reported symptoms (0–25)+
Number of reported symptoms (0–30)+
Number of reported symptoms (0–40)0
Number of reported symptoms (0–50)+
Taenzer, 2000216IT-guided self-managementLung cancer patients whose physicians and nurses received quality of life training and patients completed the computerized EORTC QLQ-C30 vs. patients completed a paper-and pencil version of the EORTC QLQ-C30 onlyPhysical functioning
Role functioning
Emotional functioning
Cognitive functioning
Social functioning
Global functioning
Number of functional scales indicating compromised function
Fatigue
Nausea and vomiting+
Pain
Dyspnea
Sleep disturbance
Appetite+
Constipation
Diarrhea+
Financial difficulties+
Number of symptom scales indicating compromised functioning
Number of functional and symptom scales indicating compromised function
Total number of items endorsed+

E-mail: Electronic Mail, EORTC-QLQ: European Organization for Research and Treatment of Cancer QOL Questionnaire, IT: Information Technology, mHealth: Mobile Health, QOL: Quality of Life

*

“+” indicates that the intervention had a positive effect on the outcome in comparison with the control

“−” indicates that the intervention had a negative effect on the outcome in comparison with the control

“0” indicates that the intervention had no effect on the outcome in comparison with the control

EORTC-QLQ: European Organization for Research and Treatment of Cancer QOL Questionnaire

From: Results

Cover of Enabling Patient-Centered Care Through Health Information Technology
Enabling Patient-Centered Care Through Health Information Technology.
Evidence Reports/Technology Assessments, No. 206.
Finkelstein J, Knight A, Marinopoulos S, et al.

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