Evidence map›Paper›PMID 36581054›Full record

SynthesisApplied clinical informatics2023

Electronic Medical Record-Based Electronic Messaging Among Patients with Breast Cancer: A Systematic Review.

Meghan Conroy, Miracle Powell, Elizabeth Suelzer, Saagar Pamulapati, Heun Min, Tamiah Wright, Sailaja Kamaraju

Abstract readSystematic Review
In one paragraph

Synthesis in Applied clinical informatics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. 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

7 authors.

Meghan ConroyMedical College of Wisconsin, Milwaukee, Wisconsin, United States.
Miracle PowellMedical College of Wisconsin, Milwaukee, Wisconsin, United States.
Elizabeth SuelzerMedical College of Wisconsin, Milwaukee, Wisconsin, United States.
Saagar PamulapatiMercyhealth, Loves Park, Illinois, United States.
Heun MinMedical College of Wisconsin, Milwaukee, Wisconsin, United States.
Tamiah WrightFroedtert Hospital, Milwaukee, Wisconsin, United States.
Sailaja KamarajuMedical College of Wisconsin, Milwaukee, Wisconsin, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundElectronic medical record (EMR) systems and electronic messages are an increasingly common conduit between physicians and patients. Clear benefits of this type of communication have been established, especially among cancer patients. Studies suggest that patient portals and electronic messaging platforms can help with care coordination between oncology providers and facilitate asynchronous patient-provider communication. Despite the many benefits, there is little research regarding EMR and secure messaging use, particularly among patients with breast cancer.

objectivesThe objective of this systematic review was to examine the evidence supporting the use of EMR-based messaging systems in patients with breast cancer.

methodsA systematic literature search of Ovid MEDLINE, PubMed, Scopus, Web of Science CINAHL, and Cochrane Library was conducted. Studies were required to be published between 2005 and 2022 and report data on demographic information and electronic messaging between patients and providers. Studies were excluded if they reported insufficient data, did not include breast cancer patients, or were not published in English.

resultsThis study identified 10 articles that met inclusion criteria. The resulting studies investigated topics such as: patterns of messaging and medication adherence, cancer screening, messaging as a predictor of behavior or outcomes, and symptom management. The literature indicates that electronic messaging with providers was associated with clinical benefits for breast cancer patients and improved screening behaviors.

conclusionThis review uncovered multiple areas to focus future research on, including ideal volume of electronic messages sent and their relation to prescription adherence, studies focusing solely on the breast cancer population, racial disparities in electronic messaging, and provider perceptions of electronic messaging. It is vital that more work be done to understand barriers and gaps in EMR usage to ensure that all individuals can access this increasingly essential medical service while minimizing physician workload and burnout.

Indexed as

Breast NeoplasmsPhysiciansText MessagingCommunicationElectronic Health RecordsFemaleHumansPatients

Identifiers

PMID36581054
PMCPMC9931493

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.