Evidence map›Paper›PMID 27815405›Full record

ArticleNeurology2016

Feasibility of the collection of patient-reported outcomes in an ambulatory neurology clinic.

Lidia M V R Moura, Eli Schwamm, Valdery Moura Junior, Michael P Seitz, John Hsu, Andrew J Cole, Lee H Schwamm

Abstract read
In one paragraph

Article in Neurology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Lidia M V R MouraFrom the Department of Neurology (L.M.V.R.M., E.S., V.M.J., M.P.S., A.J.C., L.H.S.) and Mongan Institute for Health Policy (J.H.), Massachusetts General Hospital, Boston. lidia.moura@mgh.harvard.edu.
Eli SchwammFrom the Department of Neurology (L.M.V.R.M., E.S., V.M.J., M.P.S., A.J.C., L.H.S.) and Mongan Institute for Health Policy (J.H.), Massachusetts General Hospital, Boston.
Valdery Moura JuniorFrom the Department of Neurology (L.M.V.R.M., E.S., V.M.J., M.P.S., A.J.C., L.H.S.) and Mongan Institute for Health Policy (J.H.), Massachusetts General Hospital, Boston.
Michael P SeitzFrom the Department of Neurology (L.M.V.R.M., E.S., V.M.J., M.P.S., A.J.C., L.H.S.) and Mongan Institute for Health Policy (J.H.), Massachusetts General Hospital, Boston.
John HsuFrom the Department of Neurology (L.M.V.R.M., E.S., V.M.J., M.P.S., A.J.C., L.H.S.) and Mongan Institute for Health Policy (J.H.), Massachusetts General Hospital, Boston.
Andrew J ColeFrom the Department of Neurology (L.M.V.R.M., E.S., V.M.J., M.P.S., A.J.C., L.H.S.) and Mongan Institute for Health Policy (J.H.), Massachusetts General Hospital, Boston.
Lee H SchwammFrom the Department of Neurology (L.M.V.R.M., E.S., V.M.J., M.P.S., A.J.C., L.H.S.) and Mongan Institute for Health Policy (J.H.), Massachusetts General Hospital, Boston.

Funding

Tradeoffs in the Design of Public Long-Term Care BenefitsP01AG032952 · NIA · HARVARD MEDICAL SCHOOL · PI John Michael McWilliams · 2009 to 2026
$39.0M
Natural Experiment of Value-Based Incentives for Preventive ServicesR01HD075121 · NICHD · MASSACHUSETTS GENERAL HOSPITAL · PI HSU, JOHN · 2012 to 2016
$3.3M
Fixed Dose Intervention Trial of New England Enhancing Survival in SMI PatientsR01MH104560 · NIMH · MCLEAN HOSPITAL · PI HSU, JOHN, ONGUR, DOST · 2014 to 2017
$3.0M
Screening for Free: A Value-Based Insurance Design Natural ExperimentR01CA164023 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI HSU, JOHN · 2012 to 2015
$2.4M
NCI NIH HHS R01 CA164023NIA NIH HHS P01 AG032952NICHD NIH HHS R01 HD075121NIMH NIH HHS R01 MH104560
6 · The paper itself

Abstract

objectiveTo determine whether patients could self-report physical and mental health assessments in the waiting room and whether these assessments would be associated with modified Rankin Scale (mRS) and Quality of Life in Epilepsy (QOLIE-10) scores.

methodsWe offered iPad-based surveys to consecutive adult neurology patients at check-in to collect patient-reported outcome measures (PROMs). We collected demographic and clinical data on 6,075 patients through survey or administrative claims and PROMs from participating patients. We compared demographic characteristics of participants and nonparticipants and tested associations between physical and mental health scores and mRS and QOLIE-10.

resultsOf 6,075 patients seen by neurologists during the study period, 2,992 (49.3%) participated in the survey. Compared to nonparticipating patients, participating patients more often were privately insured (53.5% vs 42.7%, p < 0.01), married (51.5% vs 47.9%, p < 0.01), and seen in general neurology (nonsubspecialty) clinics (53.1% vs 46.6%, p < 0.01) and more likely to report English as their preferred language (50.1% vs 38.4%, p < 0.01). Participating patients had a mean physical health T score of 28.7 (SD 15) and mental health T score of 33 (SD 15), which were 3 and 2 SD worse than the average for the US general population, respectively. Mean T scores in every category of the mRS were different from every other category (n = 232, p < 0.01). Patient Reported Outcomes Measurement Information System-10 T scores were linearly associated with QOLIE-10 scores (n = 202, p < 0.01)

conclusionsSystematic digital collection of PROMs is feasible. Differences among survey participants and nonparticipants highlight the need to develop multilingual measurement tools that may improve collection from vulnerable populations.

Indexed as

Ambulatory Care FacilitiesPatient Reported Outcome MeasuresComputers, HandheldFeasibility StudiesFemaleHealth StatusHumansInsurance, HealthMaleMiddle AgedNervous System DiseasesNeurologyProxyQuality ImprovementQuality of LifeRetrospective Studies

Identifiers

PMID27815405
PMCPMC5177682

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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.