Evidence map›Paper›PMID 35357445›Full record

ArticleRheumatology (Oxford, England)2022

Clinical integration of patient-reported outcome measures to enhance the care of patients with SLE: a multi-centre prospective cohort study.

Shanthini Kasturi, Lori Lyn Price, Amy LeClair, Neena Patel, Shreya Shetty, Dina Sheira, Serena Weber, David Curtis, W Benjamin Nowell, Jane Salmon and 3 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Rheumatology (Oxford, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.8field-weighted citation impact, top 27% 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

6 citing papers in PubMed, 5 citations in OpenAlex.

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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

13 authors at 4 institutions in 1 country.

Shanthini KasturiDivision of Rheumatology/Department of Medicine, Tufts Medical Center.ORCID 0000-0001-8496-5595
Lori Lyn PriceTufts Clinical and Translational Science Institute, Tufts University.
Amy LeClairDepartment of Medicine, Tufts Medical Center, Boston, MA.
Neena PatelDivision of Rheumatology/Department of Medicine, Tufts Medical Center.
Shreya ShettyDivision of Rheumatology/Department of Medicine, Tufts Medical Center.
Dina SheiraDivision of Rheumatology/Department of Medicine, Hospital for Special Surgery, New York.
Serena WeberDivision of Rheumatology/Department of Medicine, Tufts Medical Center.
David CurtisGlobal Healthy Living Foundation, Upper Nyack.
W Benjamin NowellGlobal Healthy Living Foundation, Upper Nyack.ORCID 0000-0002-4951-6476
Jane SalmonDivision of Rheumatology/Department of Medicine, Hospital for Special Surgery, New York.
Norma TerrinTufts Clinical and Translational Science Institute, Tufts University.
Timothy E McAlindonDivision of Rheumatology/Department of Medicine, Tufts Medical Center.
Lisa A MandlDivision of Rheumatology/Department of Medicine, Hospital for Special Surgery, New York.ORCID 0000-0001-6085-8664
Tufts Medical Center · USHospital for Special Surgery · USGlobal Healthy Living Foundation · USTufts University · US

Funding

Tufts Clinical and Translational Science Institute (Pilot Supplement)UL1TR002544 · NCATS · TUFTS UNIVERSITY BOSTON · PI SELKER, HARRY P. · 2018 to 2022
$50.2M
CTSA Institutional Mentored Career Development Program (KL2)KL2TR002545 · NCATS · TUFTS UNIVERSITY BOSTON · PI FREUND, KAREN · 2018 to 2022
$5.0M
Targeted Peer Coaching to Reduce Fatigue in Lupus: A Patient-Centered Behavioral InterventionK23AR078177 · NIAMS · TUFTS MEDICAL CENTER · PI KASTURI, SHANTHINI · 2021 to 2024
$620k
NCATS NIH HHS KL2 TR002545NCATS NIH HHS UL1 TR002544NIAMS NIH HHS K23 AR078177
6 · The paper itself

Abstract

objectiveTo assess the feasibility and impact of integrating electronic patient-reported outcome measures (PROMs) into the routine outpatient care of patients with SLE.

methodsWe conducted a prospective cohort study, utilizing a mixed-methods sequential explanatory design, of SLE outpatients receiving rheumatology care at two academic medical centres. Participants completed electronic PROMs at enrolment and then prior to their next two routine rheumatology visits. PROM score reports were shared with patients and rheumatologists before visits. Patients and rheumatologists completed post-visit surveys evaluating the utility of PROMs in the clinical encounters. Focus groups of patients and interviews with treating rheumatologists were conducted to further explore their experience utilizing PROMs.

resultsA total of 105 SLE patients and 17 rheumatologists participated in the study. Patients completed PROMs in 159 of 184 encounters (86%), with 93% of surveys completed remotely. Patients reported that PROMs were 'quite a bit' or 'very' useful (55% of encounters) and beneficial to communication (55% of encounters). In contrast, physicians found PROMs useful (20%) and beneficial to communication (17%) less frequently. There was no significant change in visit length, health-related quality of life or disease activity after implementation of PROMs; however, patient satisfaction improved slightly. Qualitative analyses revealed that patients felt PROMs provided utility primarily by facilitating communication, particularly when physicians discussed the surveys.

conclusionThe remote capture and integration of electronic PROMs into clinical care was feasible in a diverse cohort of SLE outpatients. PROMs were useful to patients and enhanced their clinical experience primarily by facilitating communication.

Indexed as

Lupus Erythematosus, SystemicQuality of LifeCohort StudiesHumansPatient Reported Outcome MeasuresProspective StudiesSurveys and Questionnairesclinical practicemixed methodspatient-reported outcomesPROMISSLE

Identifiers

PMID35357445
PMCPMC9707322
OpenAlexW4220846293

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.