Benefits and Disadvantages of Electronic Patient-reported Outcome Measures: Systematic Review

Meirte, Jill; Hellemans, Nick; Anthonissen, Mieke; Denteneer, Lenie; Maertens, Koen; Moortgat, Peter; Daele, Ulrike Van

doi:10.2196/15588

Cited by 186 publications

(165 citation statements)

References 80 publications

(149 reference statements)

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“…The reference lists of all included studies were manually reviewed by KG and EP to identify articles missed in the database searches. In addition, the names of electronic symptom reporting systems discussed in previous reviews by Jensen et al (32), Warrington et al (33), and Meirte et al (25) were also searched in PubMed and Google Scholar to identify related studies meeting inclusion criteria that were not otherwise identified. For conference abstracts that met the inclusion criteria, the authors specifically looked for associated publications.…”

Section: Search Strategymentioning

confidence: 99%

“…Self-report of systems through patient-reported outcome (PRO) instruments is now considered the gold standard for symptom assessment (21)(22)(23)(24). Indeed, a growing body of literature demonstrates that the use of PROs can enhance patient and clinician communication, inform health decision-making, and improve symptom management (25)(26)(27)(28)(29)(30)(31). For pragmatic and regulatory reasons, electronic systems provide the best method for collecting PROs (25).…”

Section: Introductionmentioning

confidence: 99%

“…Indeed, a growing body of literature demonstrates that the use of PROs can enhance patient and clinician communication, inform health decision-making, and improve symptom management (25)(26)(27)(28)(29)(30)(31). For pragmatic and regulatory reasons, electronic systems provide the best method for collecting PROs (25). Fortunately, numerous electronic systems have been developed that enable patients to self-report their own symptoms (25,32,33).…”

Section: Introductionmentioning

confidence: 99%

“…Research has already demonstrated that electronic symptom reporting systems may mitigate undertreatment of symptoms and improve patient outcomes (25,28,33,(38)(39)(40)(41). For patients with cancer, these electronic systems provide valuable insights into the variable nature of symptom trajectories throughout cycles of treatment as well as during cancer remission and progression.…”

Section: Introductionmentioning

confidence: 99%

“…For patients with cancer, these electronic systems provide valuable insights into the variable nature of symptom trajectories throughout cycles of treatment as well as during cancer remission and progression. Despite this evidence, these systems have not been widely integrated into clinical practice and many challenges to their adoption remain, including the financial investment at startup, patients' unwillingness a n d / o r i n a b i l i t y t o c o m p l e t e m e a s u r e s , u n c l e a r interpretation and use of patient reports of symptoms, and additional burdens to clinicians' workload and time (25,27,28,32,(34)(35)(36)(37)42,43). Research efforts are underway to assess the feasibility and efficacy of integrating various electronic symptom reporting systems into clinical practice.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Challenges in the implementation of electronic systems for patient report of symptoms in oncology: a scoping review

Crane¹,

Gibbs²,

Nosich³

et al. 2021

J Hosp Manag Health Policy

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Background: Under-recognition and under-treatment of symptoms are prevalent throughout the health care system in the United States. While the reasons for this are complex, it is widely recognized that electronic symptom reports can improve clinicians' ability to manage symptoms. However, electronic symptom reporting has yet to be widely implemented. Electronic systems are most effective when tailored to the specific patient population or clinical setting. For example, numerous oncology-focused electronic symptom reporting systems have been developed for patients with cancer undergoing treatment in the United States. The objective of this scoping review was to identify challenges that arose in the implementation of electronic systems for patient-reported symptoms in oncology clinical practice, and approaches that were taken or recommended to overcome those challenges.Methods: This scoping review involved comprehensive searches of Medline, CINAHL, and the Cochrane Central Register of Controlled Trials, which yielded 3,133 articles. Following screening, 20 research studies met the inclusion criteria and were included in this review. Data were systematically extracted from the articles using a qualitative content analysis.Results: Challenges identified were thematically categorized as technical issues, system usability issues, patient lack of comfort/knowledge of technology, incomplete/missing data, lack of patient use of the system, other patient issues, difficulties timing completion with clinical processes, lack of clinic staff involvement/ engagement, and lack of clinician comfort/knowledge regarding the use of patient-reported outcome data.Discussion: The findings of this review highlight challenges that need to be addressed when implementing an electronic symptom reporting system for patients with cancer, and potential strategies for overcoming these challenges. This review may help hospital administrators and clinicians prepare for and improve the implementation of electronic symptom reporting systems into clinical practice, thereby providing evidence to enable their broader use.

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Section: Search Strategymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Challenges in the implementation of electronic systems for patient report of symptoms in oncology: a scoping review

Crane¹,

Gibbs²,

Nosich³

et al. 2021

J Hosp Manag Health Policy

View full text Add to dashboard Cite

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Patients' experiences of engaging with electronic Patient Reported Outcome Measures (PROMs) after the completion of radiation therapy for breast cancer: a pilot service evaluation

Hughes

Flood

2023

J of Medical Radiation Sci

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IntroductionOver 60 % of people who develop breast cancer will receive radiation therapy (RT) as part of their treatment. Side effects of RT may include inflammation, erythema, desquamation and fatigue. Electronic Patient Reported Outcomes Measures (ePROMs) enable patients to report side effects prior to their scheduled post‐RT appointment. This pilot service evaluation aims to explore patients' perceptions regarding the value of the ePROM system, ease of its use and barriers to using the system, after breast irradiation.MethodsFrom July–November 2021, evaluation surveys were posted to 100 people who had received RT to their breast to explore their experience of using the ePROM. Ethical approval was obtained through Ulster University and the Western Health and Social Care Trust (WHSCT), Northern Ireland.ResultsFifty‐two people responded to the survey, of which 27 respondents indicated that they had accessed the ePROM. Despite few participants experiencing significant side effects, the majority of participants recommended the ePROM indicating that it was an important source of support. Those who experienced significant side effects found the system to be prompt and effective. Barriers to accessing the ePROM included technical issues with the link, concerns about confidentiality and forgetting to access the link. Access to the ePROM increased with higher education levels.ConclusionsThis pilot service evaluation demonstrated that ePROMs are valued by patients and can provide rapid real‐time access to support, offering individual care and reassurance. For patients with longer RT schedules (>10 fractions), the introduction of ePROMs during RT was viewed favourably by participants. All patients may benefit from the option of receiving ePROMs post‐RT.

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Ten‐year results from the UK National Ligament Registry: Patient characteristics and factors predicting nonresponders for completion of outcome scores

Gabr,

Fontalis,

Robinson

et al. 2024

Knee surg. sports traumatol. arthrosc.

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PurposeThe aim of this study was to report the demographic and mechanism of injury data in the UK National Ligament Registry (NLR) at 10 years and determine factors leading to poor compliance with completion of Patient‐Reported Outcome Scores (PROMs).MethodsA retrospective review was performed for prospectively collected data on the NLR between January 2013 and December 2022. All patients who underwent primary anterior cruciate ligament reconstruction (ACLR) were included. Patient demographics, mechanism of injury and patient compliance with completing PROMs were analysed. Patient characteristics were further analysed in relation to compliance with completing the different PROMs at the predefined time points. Patients were identified as nonresponders if they had not completed either 1‐ or 2‐year postoperative Knee injury and Osteoarthritis Outcome Score (KOOS).ResultsA total of 17,492 patients were included in this study. The average age for patients undergoing ACLR between 2013 and 2022 was 29.4 (SD, 10.3). Seventy percent were men and 30% women. Football was the most common activity associated with an ACL injury. Patient compliance with recording PROMs was 55% preoperatively and 37%, 32% and 24% at 1‐, 2‐ and 5‐year postoperative follow‐up, respectively. Nonresponders represented 54% of eligible patients. Multivariate analyses showed that sex, age, smoking, time interval between injury and surgery and low socioeconomic status were associated with low compliance with postoperative PROM completion (p < 0.001).ConclusionThis study reports the demographic characteristics for patients on the NLR since 2013. Male sex, young age, increased waiting time between injury and surgery, smoking and lower socioeconomic class were predictors of low compliance with completion of postoperative PROMs on the UK NLR. Understanding the factors that affect patient compliance with PROMs improves our ability to provide targeted interventions and information to specific patient populations with the aim of enhancing inclusiveness and representation of population in the registry.Level of EvidenceLevel III.

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Benefits and Disadvantages of Electronic Patient-reported Outcome Measures: Systematic Review

Cited by 186 publications

References 80 publications

Challenges in the implementation of electronic systems for patient report of symptoms in oncology: a scoping review

Challenges in the implementation of electronic systems for patient report of symptoms in oncology: a scoping review

Patients' experiences of engaging with electronic Patient Reported Outcome Measures (PROMs) after the completion of radiation therapy for breast cancer: a pilot service evaluation

Ten‐year results from the UK National Ligament Registry: Patient characteristics and factors predicting nonresponders for completion of outcome scores

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