Evidence map›Paper›PMID 36670551›Full record

ArticleCancer medicine2023

Real time patient-reported outcome measures in patients with cancer: Early experience within an integrated health system.

Samantha Tam, Theresa Zatirka, Christine Neslund-Dudas, Wan-Ting Su, Cara E Cannella, Jeewanjot S Grewal, Ahmad H Mattour, Amy Tang, Benjamin Movsas, Steven S Chang

Abstract read
In one paragraph

Article in Cancer medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

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

  1. Pooled it
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  5. Exploratory analysis of electronic patient-reported outcomes collection: comparing online and in-clinic modalities in cancer care.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Article
  6. Moving beyond barriers: a mixed-method study to develop evidence-based strategies to improve implementation of PROMs in clinical oncology care.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Article
  7. Predictors of persistence of post-chemotherapy symptoms among survivors of solid tumor cancers.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024
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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.

Samantha TamDepartment of Otolaryngology - Head and Neck Surgery, Henry Ford Hospital, Detroit, Michigan, USA.ORCID 0000-0003-1145-5185
Theresa ZatirkaDivision of Clinical and Quality Transformation, Transformation Consulting, Henry Ford Health, Detroit, Michigan, USA.
Christine Neslund-DudasDepartment of Public Health Sciences, Henry Ford Health, Detroit, Michigan, USA.
Wan-Ting SuDepartment of Public Health Sciences, Henry Ford Health, Detroit, Michigan, USA.
Cara E CannellaDepartment of Public Health Sciences, Henry Ford Health, Detroit, Michigan, USA.
Jeewanjot S GrewalDepartment of Otolaryngology - Head and Neck Surgery, Henry Ford Hospital, Detroit, Michigan, USA.
Ahmad H MattourDepartment of Hematology-Oncology, Henry Ford Health, Detroit, Michigan, USA.
Amy TangDepartment of Public Health Sciences, Henry Ford Health, Detroit, Michigan, USA.
Benjamin MovsasDepartment of Radiation Oncology, Henry Ford Hospital, Detroit, Michigan, USA.
Steven S ChangDepartment of Otolaryngology - Head and Neck Surgery, Henry Ford Hospital, Detroit, Michigan, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhile patient-reported outcome measures (PROMs) have benefit in cancer clinical trials, real-world applications are lacking. This study describes the method of implementation of a cancer enterprise-wide PROMs platform.

methodsAfter establishing a multispecialty stakeholder group within a large integrated health system, domain-specific instruments were selected from the National Institutes of Health's Patient-Reported Outcomes Measurement Information System (PROMIS) instruments (pain interference, fatigue, physical function, and depression) and were administered at varying frequencies throughout each patient's cancer journey. All cancer patients with an oncologic visit were eligible to complete the PROMs prior to the visit using a patient portal, or at the time of the visit using a tablet. PROMs were integrated into clinical workflow. Clinical partnerships were essential for successful implementation. Descriptive preliminary data were compared using multivariable logistic regression to determine the factors associated with method of PROMs completion.

resultsFrom September 16, 2020 to July 23, 2021, 23 of 38 clinical units (60.5%) implemented PROMs over 2392 encounters and 1666 patients. Approximately one third of patients (n = 629, 37.8%) used the patient portal. Black patients (aOR 0.70; 95% CI: 0.51-0.97) and patients residing in zip codes with higher percentage of unemployment (aOR: 0.07, 95% CI: 0.01-0.41) were among the least likely to complete PROMs using the patient portal.

conclusionsSuccessful system-wide implementation of PROMs among cancer patients requires engagement from multispecialty stakeholders and investment from clinical partners. Attention to the method of PROMs collection is required in order to reduce the potential for disparities, such as Black populations and those residing in areas with high levels of unemployment.

Indexed as

Delivery of Health Care, IntegratedNeoplasmsHumansPainPatient Reported Outcome Measurescancer painhealthcare disparitiesoncology servicepatient reported outcome measures

Identifiers

PMID36670551
PMCPMC10134279

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Registered trials

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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.