Format

Send to

Choose Destination
Palliat Support Care. 2014 Feb;12(1):69-73. doi: 10.1017/S1478951513000345. Epub 2013 Oct 16.

Use of an electronic patient-reported outcome measurement system to improve distress management in oncology.

Author information

1
Center for Learning Health Care, Duke Clinical Research Institute, Duke University Medical Center, Durham, North Carolina.
2
Department of Medicine, Division of Cellular Therapy, Duke University, Durham, North Carolina.

Abstract

OBJECTIVE:

Management of patient distress is a critical task in cancer nursing and cancer practice. Here we describe two examples of how an electronic patient-reported outcome (ePRO) measurement system implemented into routine oncology care can practically aid clinical and research tasks related to distress management.

METHODS:

Tablet personal computers were used to routinely complete a standardized ePRO review of systems surveys at point of care during every encounter in the Duke Oncology outpatient clinics. Two cases of use implementation are explored: (1) triaging distressed patients for optimal care, and (2) psychosocial program evaluation research.

RESULTS:

Between 2009 and 2011, the ePRO system was used to collect information during 17,338 Duke Oncology patient encounters. The system was used to monitor patients for psychosocial distress employing an electronic clinical decision support algorithm, with 1,952 (11.3%) referrals generated for supportive services. The system was utilized to examine the efficacy of a psychosocial care intervention documenting statistically significant improvements in distress, despair, fatigue, and quality of life (QOL) in 50 breast cancer patients.

SIGNIFICANCE OF RESULTS:

ePRO solutions can guide best practice management of cancer patient distress. Nurses play a key role in implementation and utilization.

PMID:
24128592
PMCID:
PMC4066540
DOI:
10.1017/S1478951513000345
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for Cambridge University Press Icon for PubMed Central
Loading ...
Support Center