Evidence map›Paper›PMID 36129747›Full record

ArticleJMIR research protocols2022

Patient-Reported Outcome Dashboards Within the Electronic Health Record to Support Shared Decision-making: Protocol for Co-design and Clinical Evaluation With Patients With Advanced Cancer and Chronic Kidney Disease.

Laura M Perry, Victoria Morken, John D Peipert, Betina Yanez, Sofia F Garcia, Cynthia Barnard, Lisa R Hirschhorn, Jeffrey A Linder, Neil Jordan, Ronald T Ackermann and 13 more

Abstract read
In one paragraph

Article in JMIR research protocols, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

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

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. 'So Let's Go On Like This?'-Shared Decision-Making and the Use of Outcome Information in Routine Care Management for People With Multiple Sclerosis.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
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

23 authors.

Laura M PerryDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.ORCID https://orcid.org/0000-0001-6144-6266
Victoria MorkenDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.ORCID https://orcid.org/0000-0003-3063-8665
John D PeipertDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.ORCID https://orcid.org/0000-0001-5762-7881
Betina YanezDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.ORCID https://orcid.org/0000-0003-1503-0600
Sofia F GarciaDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.ORCID https://orcid.org/0000-0003-3300-385X
Cynthia BarnardNorthwestern Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.ORCID https://orcid.org/0000-0002-5522-2407
Lisa R HirschhornDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.ORCID https://orcid.org/0000-0002-4355-7437
Jeffrey A LinderDivision of General Internal Medicine, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.ORCID https://orcid.org/0000-0003-2217-184X
Neil JordanDepartment of Psychiatry & Behavioral Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.ORCID https://orcid.org/0000-0001-8467-822X
Ronald T AckermannDivision of General Internal Medicine, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.ORCID https://orcid.org/0000-0002-4006-0070
Alexandra HarrisInstitute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.ORCID https://orcid.org/0000-0001-6693-3856
Sheetal KircherRobert H Lurie Comprehensive Cancer Center, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.ORCID https://orcid.org/0000-0002-3429-6378
Nisha MohindraRobert H Lurie Comprehensive Cancer Center, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.ORCID https://orcid.org/0000-0001-5913-1716
Vikram AggarwalNorthwestern Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.ORCID https://orcid.org/0000-0002-9119-655X
Rebecca FrazierNorthwestern Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.ORCID https://orcid.org/0000-0002-7781-5123
Ava CoughlinDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.ORCID https://orcid.org/0000-0002-4048-4295
Katy BedjetiDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.ORCID https://orcid.org/0000-0001-5910-112X
Melissa WeitzelNorthwestern Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.ORCID https://orcid.org/0000-0001-7003-2532
Eugene C NelsonThe Dartmouth Institute for Health Policy & Clinical Practice, Geisel School of Medicine, Dartmouth College, Hanover, NH, United States.ORCID https://orcid.org/0000-0002-7991-7836
Glyn ElwynThe Dartmouth Institute for Health Policy & Clinical Practice, Geisel School of Medicine, Dartmouth College, Hanover, NH, United States.ORCID https://orcid.org/0000-0002-0917-6286
Aricca D Van CittersThe Dartmouth Institute for Health Policy & Clinical Practice, Geisel School of Medicine, Dartmouth College, Hanover, NH, United States.ORCID https://orcid.org/0000-0002-2961-5661
Mary O'ConnorDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.ORCID https://orcid.org/0000-0002-1096-3340
David CellaDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.ORCID https://orcid.org/0000-0002-9881-4541

Funding

Northwestern University Clinical and Translational Science Institute (NUCATS)UL1TR001422 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI D'AQUILA, RICHARD · 2015 to 2023
$56.8M
Research Design, Data, and Analytics CoreP30DK092949 · NIDDK · UNIVERSITY OF CHICAGO · PI Ronald T. Ackermann, MARSHALL H CHIN · 2011 to 2026
$10.0M
Cancer Prevention, Control, and Survivorship Research Training ProgramT32CA193193 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Brian L Hitsman, BETINA YANEZ · 2015 to 2026
$3.8M
NCATS NIH HHS UL1 TR001422NCI NIH HHS T32 CA193193NIDDK NIH HHS P30 DK092949
6 · The paper itself

Abstract

backgroundPatient-reported outcomes-symptoms, treatment side effects, and health-related quality of life-are important to consider in chronic illness care. The increasing availability of health IT to collect patient-reported outcomes and integrate results within the electronic health record provides an unprecedented opportunity to support patients' symptom monitoring, shared decision-making, and effective use of the health care system.

objectiveThe objectives of this study are to co-design a dashboard that displays patient-reported outcomes along with other clinical data (eg, laboratory tests, medications, and appointments) within an electronic health record and conduct a longitudinal demonstration trial to evaluate whether the dashboard is associated with improved shared decision-making and disease management outcomes.

methodsCo-design teams comprising study investigators, patients with advanced cancer or chronic kidney disease, their care partners, and their clinicians will collaborate to develop the dashboard. Investigators will work with clinic staff to implement the co-designed dashboard for clinical testing during a demonstration trial. The primary outcome of the demonstration trial is whether the quality of shared decision-making increases from baseline to the 3-month follow-up. Secondary outcomes include longitudinal changes in satisfaction with care, self-efficacy in managing treatments and symptoms, health-related quality of life, and use of costly and potentially avoidable health care services. Implementation outcomes (ie, fidelity, appropriateness, acceptability, feasibility, reach, adoption, and sustainability) during the co-design process and demonstration trial will also be collected and summarized.

resultsThe dashboard co-design process was completed in May 2020, and data collection for the demonstration trial is anticipated to be completed by the end of July 2022. The results will be disseminated in at least one manuscript per study objective.

conclusionsThis protocol combines stakeholder engagement, health care coproduction frameworks, and health IT to develop a clinically feasible model of person-centered care delivery. The results will inform our current understanding of how best to integrate patient-reported outcome measures into clinical workflows to improve outcomes and reduce the burden of chronic disease on patients and health care systems. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/38461.

Indexed as

cancerchronic kidney diseasecoproductionlearning health systemmedical informaticspatient-reported outcome measuresshared decision-making

Identifiers

PMID36129747
PMCPMC9536520

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.