Evidence map›Paper›PMID 37080480›Full record

ArticleJournal of pain and symptom management2023

Implementation of Patient Reported Outcomes in Outpatient Palliative Care: From Paper to Computer.

David Hui, Gustavo Scannapieco Mastroleo, Aline Rozman De Morales, Angela Peek, Akhila Reddy, Donna S Zhukovsky, Manju Joy, Sara Ali, Eduardo Bruera

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of pain and symptom management, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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

  1. Pooled it
  2. Social determinants of health and health outcomes in older cancer survivors.Current opinion in supportive and palliative care · 2025
    Review
  3. Article
  4. 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

9 authors.

David HuiDepartment of Palliative (D.H., A.R.D-M., A.R., D.S.Z., M.J., E.B.), Rehabilitation and Integrative Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA. Electronic address: dhui@mdanderson.org.
Gustavo Scannapieco MastroleoDepartment of Internal Medicine (G.S.M.), Baylor College of Medicine, Houston, Texas, USA.
Aline Rozman De MoralesDepartment of Palliative (D.H., A.R.D-M., A.R., D.S.Z., M.J., E.B.), Rehabilitation and Integrative Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Angela PeekClinical & Access Applications (A.P.), The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Akhila ReddyDepartment of Palliative (D.H., A.R.D-M., A.R., D.S.Z., M.J., E.B.), Rehabilitation and Integrative Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Donna S ZhukovskyDepartment of Palliative (D.H., A.R.D-M., A.R., D.S.Z., M.J., E.B.), Rehabilitation and Integrative Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Manju JoyDepartment of Palliative (D.H., A.R.D-M., A.R., D.S.Z., M.J., E.B.), Rehabilitation and Integrative Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Sara AliEnterprise Data Engineering & Analytics (S.A.), The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Eduardo BrueraDepartment of Palliative (D.H., A.R.D-M., A.R., D.S.Z., M.J., E.B.), Rehabilitation and Integrative Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.

Funding

Efficacy and Safety of Rapid-Onset Opioids for Exertional Dyspnea in Cancer PatientsR01CA231471 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI HUI, DAVID · 2020 to 2024
$1.9M
Strategies for Persistent Agitated Delirium in Palliative CareR01CA225701 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI HUI, DAVID · 2019 to 2022
$1.9M
A Randomized Controlled Trial of Dexamethasone for Dyspnea in Cancer PatientsR01CA214960 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI HUI, DAVID · 2017 to 2020
$1.6M
NCI NIH HHS R01 CA214960NCI NIH HHS R01 CA225701NCI NIH HHS R01 CA231471
6 · The paper itself

Abstract

backgroundThis quality improvement project aimed to transition completion of Edmonton Symptom Assessment System (ESAS) at our supportive care clinic from paper to electronic format. MEASURES: Proportion of patients who completed electronic ESAS (eESAS).

interventionStarting July 2018, patients could complete eESAS 24h before check-in (eESAS-before), eESAS after check-in (eESAS-after) or on paper (pESAS). OUTCOMES: A total of 6631 cancer patients had 25,767 clinic visits between July 13, 2018 and November 5, 2021. The ESAS completion rate was 100%. eESAS uptake gradually increased over time, first reaching ≥75% eESAS completion in 5/2019 (eESAS-after 61.9%; eESAS-before 14.0%; pESAS 24.1%). We observed a sharp uptake in eESAS-before since adoption of telehealth during the pandemic (May 2020) and the ≥75% eESAS target was consistently achieved from November 2020 onwards (eESAS-after 0.6%; eESAS-before 76.7%; pESAS 22.7%). In an anonymous survey, we identified several modifiable barriers to implementing eESAS.

conclusionsTransition to eESAS was a gradual process and was catalyzed by the pandemic.

Indexed as

NeoplasmsPalliative CareAmbulatory CareComputersHumansOutpatientsPatient Reported Outcome MeasuresSymptom AssessmentElectronic medical recordsimplementation scienceneoplasmspalliative carepatient reported outcome measuressymptom assessment

Identifiers

PMID37080480
PMCPMC11875839

What OpenQuestion holds

Textmetadata
LicenceTDM
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.