Evidence map›Paper›PMID 30139331›Full record

ArticleBMC cancer2018

Study protocol for a controlled trial of an eHealth system utilising patient reported outcome measures for personalised treatment and care: PROMPT-Care 2.0.

Afaf Girgis, Ivana Durcinoska, Martha Gerges, Nasreen Kaadan, Anthony Arnold, Joseph Descallar, Geoff P Delaney, PROMPT-Care Program Group

Open access · goldAbstract read
In one paragraph

Article in BMC cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 16% of its field
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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Improvement Opportunities for PAINReportItResearch in gerontological nursing · 2023
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  9. Strategies to improve patient-reported outcome completion rates in longitudinal studies.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2020
    Article
  10. Review
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

8 authors at 4 institutions in 1 country.

Afaf GirgisCentre for Oncology Education and Research Translation (CONCERT) Ingham Institute for Applied Medical Research, Sydney, NSW, Australia. afaf.girgis@unsw.edu.au.ORCID http://orcid.org/0000-0003-4101-4006
Ivana DurcinoskaCentre for Oncology Education and Research Translation (CONCERT) Ingham Institute for Applied Medical Research, Sydney, NSW, Australia.
Martha GergesCentre for Oncology Education and Research Translation (CONCERT) Ingham Institute for Applied Medical Research, Sydney, NSW, Australia.
Nasreen KaadanCentre for Oncology Education and Research Translation (CONCERT) Ingham Institute for Applied Medical Research, Sydney, NSW, Australia.
Anthony ArnoldCentre for Oncology Education and Research Translation (CONCERT) Ingham Institute for Applied Medical Research, Sydney, NSW, Australia.
Joseph DescallarCentre for Oncology Education and Research Translation (CONCERT) Ingham Institute for Applied Medical Research, Sydney, NSW, Australia.
Geoff P DelaneyCentre for Oncology Education and Research Translation (CONCERT) Ingham Institute for Applied Medical Research, Sydney, NSW, Australia.
PROMPT-Care Program Group
UNSW Sydney · AULiverpool Hospital · AUIngham Institute · AUWollongong Hospital · AU

Funding

Bupa Health Foundation NACancer Institute NSW NA
6 · The paper itself

Abstract

backgroundRoutine assessment and clinical utilisation of patient-reported outcome (PRO) measures can lead to improved patient outcomes. The PROMPT-Care eHealth system facilitates PRO data capture from cancer patients, data linkage and retrieval to support clinical decisions, patient self-management, and shared care. Pilot testing demonstrated acceptability and feasibility of PROMPT-Care Version 1.0. This study aims to implement PROMPT-Care Version 2.0 and determine its efficacy in reducing emergency department (ED) presentations, and improving chemotherapy delivery and health service referrals, compared to usual care.

methodsGroups eligible to participate in the intervention arm of this controlled trial are patients receiving cancer care (including follow-up). PROMPT-Care patients will complete monthly assessments (distress, symptoms, unmet needs) until voluntary withdrawal or death. In Version 1.0, the care team accessed patients' clinical feedback reports in 'real time' to guide their care, and patients received links to support their self-management, tailored to their PRO responses. Version 2.0 was extended to include: i) an additional alert system notifying the care team of ongoing unresolved clinical issues, ii) patient self-management resources, and iii) an auto-populated Treatment Summary and Survivorship Care Plan (SCP). The control population will be patients extracted from hospital databases of the general cancer patient population who were seen at the participating cancer therapy centres during the study period, with a ratio of 1:4 of intervention to control patients. A minimum sample size of 1760 (352 intervention and 1408 control) patients will detect a 14% reduction in the number of ED presentations (primary outcome) in the PROMPT-Care group compared with the control group. Intervention patients will provide feedback on system usability and value of the self-management materials; oncology staff will provide feedback on usefulness of PROMPT-Care reports, response to clinical alerts, impact on routine care, and usefulness of the SCPs; and GPs will provide feedback on the usefulness of the SCPs and attitudes towards shared-care models of survivorship care planning. DISCUSSION: This study will inform the PROMPT-Care system's impact on healthcare utilisation and utility as an alternative model for ongoing supportive care.

trial registrationAustralian New Zealand Clinical Trials Registry ( ACTRN12616000615482 ) on 12th May 2016 ( www.anzctr.org.au ).

Indexed as

Patient Reported Outcome MeasuresPrecision MedicineAdultAgedAustraliaCancer SurvivorsFemaleHumansInternetMaleMiddle AgedNeoplasmsPatient Acceptance of Health CarePatient SatisfactionQuality of LifeTelemedicineeHealthElectronic health recordNon-randomized control trialPatient-centred carePatient-reported outcomes (PROs)Risk-stratified careScreeningSelf-managementSupportive careSurvivorship care

Identifiers

PMID30139331
PMCPMC6107942
OpenAlexW2888640271

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.