Evidence map›Paper›PMID 37816198›Full record

Trial reportJCO oncology practice2023

Remote Patient-Reported Outcomes and Activity Monitoring to Improve Patient-Clinician Communication Regarding Symptoms and Functional Status: A Randomized Controlled Trial.

Ravi B Parikh, Emily Schriver, William J Ferrell, Jonathan Wakim, Joelle Williamson, Neda Khan, Michael Kopinsky, Mohan Balachandran, Peter E Gabriel, Lynn M Schuchter and 3 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in JCO oncology practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 8% 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.

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

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

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Observational
  7. Step count and symptom severity during cancer treatment using the Symptom Care at Home digital platform.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  8. 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

13 authors at 6 institutions in 1 country.

Ravi B ParikhAbramson Cancer Center, University of Pennsylvania, Philadelphia, PA.ORCID 0000-0003-2692-6306
Emily SchriverInstitute for Biomedical Informatics, University of Pennsylvania, Philadelphia, PA.ORCID 0000-0003-4522-1029
William J FerrellLeonard Davis Institute for Health Economics, University of Pennsylvania, Philadelphia, PA.ORCID 0000-0001-9966-1973
Jonathan WakimPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Joelle WilliamsonPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Neda KhanLeonard Davis Institute for Health Economics, University of Pennsylvania, Philadelphia, PA.
Michael KopinskyCenter for Health Care Innovation, Penn Medicine, Philadelphia, PA.ORCID 0000-0003-2736-3824
Mohan BalachandranCenter for Health Care Innovation, Penn Medicine, Philadelphia, PA.
Peter E GabrielAbramson Cancer Center, University of Pennsylvania, Philadelphia, PA.ORCID 0000-0002-3772-9669
Lynn M SchuchterAbramson Cancer Center, University of Pennsylvania, Philadelphia, PA.
Mitesh S PatelAscension, St Louis, MO.
Lawrence N ShulmanAbramson Cancer Center, University of Pennsylvania, Philadelphia, PA.ORCID 0000-0001-8661-473X
Christopher R ManzDivision of Population Sciences, Dana-Farber Cancer Institute, Boston, MA.ORCID 0000-0003-0928-3492
University of Pennsylvania · USPenn Center for AIDS Research · USAscension · USHarvard University · USPhiladelphia VA Medical Center · USUniversity of Pennsylvania Health System · US

Funding

Training in Oncology Population Sciences (TOPS)T32CA092203 · NCI · DANA-FARBER CANCER INST · PI Nancy L Keating, JENNIFER W MACK · 2018 to 2026
$3.7M
Human-Machine Collaborations to Improve Prognosis and Clinical Decision-Making in Advanced CancerK08CA263541 · NCI · UNIVERSITY OF PENNSYLVANIA · PI PARIKH, RAVI BHARAT · 2021 to 2025
$1.2M
NCI NIH HHS K08 CA263541NCI NIH HHS T32 CA092203
6 · The paper itself

Abstract

purposeRoutine collection of patient-generated health data (PGHD) may promote earlier recognition of symptomatic and functional decline. This trial assessed the impact of an intervention integrating remote PGHD collection with patient nudges on symptom and functional status understanding between patients with advanced cancer and their oncology team.

methodsThis three-arm randomized controlled trial was conducted from November 19, 2020, to December 17, 2021, at a large tertiary oncology practice. We enrolled patients with stage IV GI and lung cancers undergoing chemotherapy. Over 6 months, patients in two intervention arms received PROStep-weekly text message-based symptom surveys and passive activity monitoring using a wearable accelerometer. PGHD were summarized in dashboards given to patients' oncology team before appointments. One intervention arm received an additional text-based active choice prompt to discuss worsening symptoms or functional status with their clinician. Control patients did not receive PROStep. The coprimary outcomes patient perceptions of oncology team symptom and functional understanding at 6 months were measured on a 1-5 Likert scale (5 = high understanding).

resultsOne hundred eight patients enrolled: 55% male, 81% White, and 77% had GI cancers. Patient-reported clinician understanding did not differ between control and intervention arms for symptoms (4.5

conclusionPatients receiving PROStep reported high understanding of symptoms and functional status from their oncology team, although this did not differ from controls.

Indexed as

Functional StatusLung NeoplasmsCommunicationFemaleHumansMalePatient Reported Outcome MeasuresSurveys and Questionnaires

Identifiers

PMID37816198
PMCPMC10732505
OpenAlexW4387489718

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.