Evidence map›Paper›PMID 36652284›Full record

Trial reportJournal of medical Internet research2023

Web-Based Asynchronous Tool to Facilitate Communication Between Primary Care Providers and Cancer Specialists: Pragmatic Randomized Controlled Trial.

Bojana Petrovic, Jim A Julian, Clare Liddy, Amir Afkham, Sharon F McGee, Scott C Morgan, Roanne Segal, Jonathan Sussman, Gregory R Pond, Mary Ann O'Brien and 2 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled TrialPragmatic Clinical Trial
In one paragraph

Trial report in Journal of medical Internet research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03333785 (Improving Cancer Care Together Through eOncoNote), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
3.9field-weighted citation impact, top 7% 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.

NCT03333785 nacompletednot on this map

Improving Cancer Care Together Through eOncoNote

TypeinterventionalSponsorUniversity of TorontoRan2018 to 2021Enrolled181ConditionsCommunication Research, Breast Cancer, Prostate Cancer, Colorectal CancerArmseOncoNote
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
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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

12 authors at 5 institutions in 1 country.

Bojana PetrovicDepartment of Family and Community Medicine, University of Toronto, Toronto, ON, Canada.ORCID 0000-0001-8172-1966
Jim A JulianDepartment of Oncology, McMaster University, Hamilton, ON, Canada.ORCID 0000-0003-0476-5396
Clare LiddyBruyère Research Institute, Ottawa, ON, Canada.ORCID 0000-0003-0699-5494
Amir AfkhamOntario Health East, Ottawa, ON, Canada.ORCID 0000-0001-7563-636X
Sharon F McGeeThe Ottawa Hospital Cancer Centre, Ottawa, ON, Canada.ORCID 0000-0002-0323-6372
Scott C MorganThe Ottawa Hospital Cancer Centre, Ottawa, ON, Canada.ORCID 0000-0002-6568-3346
Roanne SegalThe Ottawa Hospital Cancer Centre, Ottawa, ON, Canada.ORCID 0000-0002-2055-2596
Jonathan SussmanDepartment of Oncology, McMaster University, Hamilton, ON, Canada.ORCID 0000-0002-7702-8816
Gregory R PondDepartment of Oncology, McMaster University, Hamilton, ON, Canada.ORCID 0000-0003-1033-0882
Mary Ann O'BrienDepartment of Family and Community Medicine, University of Toronto, Toronto, ON, Canada.ORCID 0000-0001-6093-1040
Jacqueline L BenderDalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.ORCID 0000-0003-1501-335X
Eva GrunfeldDepartment of Family and Community Medicine, University of Toronto, Toronto, ON, Canada.ORCID 0000-0001-9695-2118
McMaster University · CAUniversity of Toronto · CAOttawa Hospital · CAUniversity of Ottawa · CAOntario Institute for Cancer Research · CA

Funding

CIHR TT7-128272
6 · The paper itself

Abstract

backgroundCancer poses a significant global health burden. With advances in screening and treatment, there are now a growing number of cancer survivors with complex needs, requiring the involvement of multiple health care providers. Previous studies have identified problems related to communication and care coordination between primary care providers (PCPs) and cancer specialists.

objectiveThis study aimed to examine whether a web- and text-based asynchronous system (eOncoNote) could facilitate communication between PCPs and cancer specialists (oncologists and oncology nurses) to improve patient-reported continuity of care among patients receiving treatment or posttreatment survivorship care.

methodsIn this pragmatic randomized controlled trial, a total of 173 patients were randomly assigned to either the intervention group (eOncoNote plus usual methods of communication between PCPs and cancer specialists) or a control group (usual communication only), including 104 (60.1%) patients in the survivorship phase (breast and colorectal cancer) and 69 (39.9%) patients in the treatment phase (breast and prostate cancer). The primary outcome was patient-reported team and cross-boundary continuity (Nijmegen Continuity Questionnaire). Secondary outcome measures included the Generalized Anxiety Disorder Screener (GAD-7), Patient Health Questionnaire on Major Depression, and Picker Patient Experience Questionnaire. Patients completed the questionnaires at baseline and at 2 points following randomization. Patients in the treatment phase completed follow-up questionnaires at 1 month and at either 4 months (patients with prostate cancer) or 6 months following randomization (patients with breast cancer). Patients in the survivorship phase completed follow-up questionnaires at 6 months and at 12 months following randomization.

resultsThe results did not show an intervention effect on the primary outcome of team and cross-boundary continuity of care or on the secondary outcomes of depression and patient experience with their health care. However, there was an intervention effect on anxiety. In the treatment phase, there was a statistically significant difference in the change score from baseline to the 1-month follow-up for GAD-7 (mean difference -2.3; P=.03). In the survivorship phase, there was a statistically significant difference in the change score for GAD-7 between baseline and the 6-month follow-up (mean difference -1.7; P=.03) and between baseline and the 12-month follow-up (mean difference -2.4; P=.004).

conclusionsPCPs' and cancer specialists' access to eOncoNote is not significantly associated with patient-reported continuity of care. However, PCPs' and cancer specialists' access to the eOncoNote intervention may be a factor in reducing patient anxiety.

trial registrationClinicalTrials.gov NCT03333785; https://clinicaltrials.gov/ct2/show/NCT03333785.

Indexed as

Breast NeoplasmsProstatic NeoplasmsCommunicationContinuity of Patient CareHumansInternetMalecancercoordination of careelectronic communicationprimary care

Identifiers

PMID36652284
PMCPMC9892983
OpenAlexW4317214822

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.