Evidence map›Paper›PMID 30175316›Full record

ArticleJournal of patient-reported outcomes2017

Patient reported outcomes - experiences with implementation in a University Health Care setting.

Joshua Biber, Dominik Ose, Jenny Reese, Anna Gardiner, Julio Facelli, Joshua Spuhl, Darrel Brodke, Vivian S Lee, Rachel Hess, Howard Weeks

Abstract read
In one paragraph

Article in Journal of patient-reported outcomes, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 2 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

56 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Remote symptom monitoring integrated into electronic health records: A systematic review.Journal of the American Medical Informatics Association : JAMIA · 2020
    Pooled it
  3. From framework to practice: applying the proteus-practice framework to learn lessons for integrating PROs in clinical care.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
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  6. Observational
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  10. Factors that impact the implementation of patient reported outcomes in routine clinical care for peripheral artery disease from the patient perspective.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Article
  11. Associations of Pretransplant Patient-Reported Outcomes Measurement Information System Physical Function Score With Kidney Transplant Outcomes.Transplant international : official journal of the European Society for Organ Transplantation · 2025
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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

10 authors.

Joshua Biber1University of Utah Medical Group, Salt Lake City, UT USA.
Dominik Ose2Department of Population Health Sciences, Division of Cancer Population Science, University of Utah, Salt Lake City, UT USA.
Jenny Reese1University of Utah Medical Group, Salt Lake City, UT USA.
Anna Gardiner1University of Utah Medical Group, Salt Lake City, UT USA.
Julio Facelli3Department of Biomedical Informatics, University of Utah, Salt Lake City, UT USA.
Joshua Spuhl5Enterprise Data Warehouse|, University of Utah, Salt Lake City, USA.
Darrel Brodke6Department of Orthopaedics, University of Utah, Salt Lake City, UT USA.
Vivian S Lee7Department of Radiology, University of Utah, Salt Lake City, UT USA.
Rachel Hess4Center for Clinical and Translational Science, University of Utah, Salt Lake City, UT USA.
Howard Weeks1University of Utah Medical Group, Salt Lake City, UT USA.

Funding

Improving Patient Reported Outcome Data for Research through Seamless Integration of the PROMIS Toolkit into EHR WorkflowsU01TR001806 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI STARREN, JUSTIN B. · 2016 to 2019
$6.3M
Short-Term Training: Students in Health Professional SchoolsT35HL007744 · NHLBI · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI RONDINA, MATTHEW THOMAS, TRISTANI-FIROUZI, MARTIN · 1993 to 2025
$3.1M
NCATS NIH HHS U01 TR001806NHLBI NIH HHS T35 HL007744
6 · The paper itself

Abstract

aimPatient-reported outcomes (PROs) have traditionally been implemented through a manual process of paper and pencil with little standardization throughout a Healthcare System. Each practice has asked patients specific questions to understand the patient's health as it pertains to their specialty. These data were rarely shared and there has not been a comparison of patient's health across different specialty domains. We sought to leverage interoperable electronic systems to provide a standardization of PRO assessments across sites of care.

methodsUniversity of Utah Health is comprised of four hospitals, 12 community clinics, over 400,000 unique annual patients, and more than 5000 providers. The enterprise wide implementation of PROs started in November of 2015. Patients can complete an assessment at home via email, or within the clinic on a tablet. Each specialty has the opportunity to add additional specialty-specific instruments. We customized the interval with which the patient answers the assessments based on specialty preference in order to minimize patient burden, while maximizing relevant data for clinicians.

resultsBarriers and facilitators were identified in three phases: Pre-implementation, Implementation, and Post-implementation. Each phase was further broken down into technical challenges, content inclusion and exclusion, and organizational strategy. These phases are unique and require collaboration between several groups throughout the organization with support from executive leadership. DISCUSSION: We are deploying system-wide standard and customized PRO collection with the goals of providing better patient care, improving physician-patient communication, and ultimately improving the value of the care given. Standardized assessment provides any clinician with information to quickly evaluate the overall, physical and mental health of a patient. This information is available real time to aid in patient communication for the clinician.

Indexed as

Hospital administrationInformation systemsPatient-centered carePatient reported outcome measures

Identifiers

PMID30175316
PMCPMC6097980

What OpenQuestion holds

Textmetadata
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.