ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2013
How do doctors refer to patient-reported outcome measures (PROMS) in oncology consultations?
Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 4 of them syntheses that pooled it.
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Who cites it
40 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Pooled it
- Patient-reported outcome use in oncology: a systematic review of the impact on patient-clinician communication.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018Pooled it
- The use and impact of quality of life assessment tools in clinical care settings for cancer patients, with a particular emphasis on brain cancer: insights from a systematic review and stakeholder consultations.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2016Pooled it
- Feedback from Outcome Measures and Treatment Effectiveness, Treatment Efficiency, and Collaborative Practice: A Systematic Review.Administration and policy in mental health · 2016Pooled it
- A Realist Evaluation of the Implementation and Use of Patient-Reported Outcomes in Four Value-Based Healthcare Programmes.Journal of advanced nursing · 2026Article
- Patient-reported outcome measures for paediatric gender-affirming care: A systematic review.Paediatrics & child health · 2024Article
- BREAST-Q REACT: Qualitative Assessment of the Design, Functionality, and Clinical Utility of a New Score Interpretation Tool.Annals of surgical oncology · 2024Article
- Patient-driven research priorities for patient-centered measurement.BMC health services research · 2024Article
- Exploring patients' experience using PROMs within routine post-discharge follow-up assessment after stroke: a mixed methods approach.Journal of patient-reported outcomes · 2024Article
- Remote Symptom Monitoring Using Patient-Reported Outcomes in Patients With Chronic Kidney Disease: Process Evaluation of a Randomized Controlled Trial.JMIR formative research · 2024Article
- Assessing Quality Metrics in Ophthalmic Surgery: A Standardized Approach.Ophthalmology science · 2023Article
- Feasibility of PROMIS using computerized adaptive testing during inpatient rehabilitation.Journal of patient-reported outcomes · 2023Article
- Facing the challenges of PROM implementation in Dutch dialysis care: Patients' and professionals' perspectives.PloS one · 2023Article
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- Experiences of Norwegian child and school health nurses with the "Starting Right™" child health assessment innovation: a qualitative interview study.BMC health services research · 2022Review
- A framework to make PROMs relevant to patients: qualitative study of communication preferences of PROMs.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022Article
- Development and Content Validity of the Bilateral Vestibulopathy Questionnaire.Frontiers in neurology · 2022Article
- Cancer follow-up supported by patient-reported outcomes in patients undergoing intended curative complex surgery for advanced cancer.Journal of patient-reported outcomes · 2021Article
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Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
purposeWe conducted a secondary qualitative analysis of consultations between oncologists and their patients to explore how patient-reported outcome measures (PROMs) data were referred to in the process of (1) eliciting and exploring patients' concerns; (2) making decisions about supportive treatment and (3) making decisions about chemotherapy and other systemic treatments.
methodsWe purposively sampled audio recordings of 18 consultations from the intervention arm and 4 from the attention control arm of a previous UK randomised controlled trial of the feedback of PROMs data to doctors (Velikova et al. in J Clin Oncol 22(4):714-724 [1]). We used a combination of content and conversation analysis to examine how opportunities for discussion of health-related quality of life issues are opened up or closed down within the consultation and explore why this may or may not lead to changes in patient management.
findingsExplicit reference to the PROMs data provided an opportunity for the patient to clarify and further elaborate on the side effects of chemotherapy. High scores on the PROMs data were not explored further if the patient indicated they were not a problem or were not related to the cancer or chemotherapy. Symptomatic treatment was more often offered for problems like nausea, constipation, pain and depression but much less so for fatigue. Doctors discussed fatigue by providing a cause for the fatigue (e.g. the chemotherapy), presenting this as 'something to be expected', minimising its impact or moving on to another topic. Chemotherapy regimens were not changed on the basis of the PROMs data alone, but PROMs data were sometimes used to legitimise changes.
conclusionsExplicit mention of PROMs data in the consultation may strengthen opportunities for patients to elaborate on their problems, but doctors may not always know how to do this. Our findings have informed the development of a training package to enable doctors to optimise their use of PROMs data within the consultation.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.