Evidence map›Paper›PMID 37890120›Full record

ArticleJCO clinical cancer informatics2023

Patient Portals to Elicit Essential Patient-Reported Elements of Communication Supporting Person-Centered Oncologic Care: A Pilot Study of the PERSON Approach.

Andrew S Epstein, Andrea Knezevic, Danielle R Romano, Afshana Hoque, Nitya Raj, Diane Reidy, William E Rosa, Elizabeth Cruz, Claudia Calderon, Sarah O'Shaughnessy and 3 more

Abstract read
In one paragraph

Article in JCO clinical cancer informatics, 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
  2. Article
  3. Determining patient-oncologist cancer treatment intent concordance using systematic screening in a supportive care center.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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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.

Andrew S EpsteinMemorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0003-1808-3070
Andrea KnezevicMemorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0002-0741-2150
Danielle R RomanoMemorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0002-6464-5583
Afshana HoqueMemorial Sloan Kettering Cancer Center, New York, NY.ORCID 0009-0004-9614-120X
Nitya RajMemorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0002-1385-9995
Diane ReidyMemorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0003-2688-4556
William E RosaMemorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0002-0680-8911
Elizabeth CruzMemorial Sloan Kettering Cancer Center, New York, NY.
Claudia CalderonMemorial Sloan Kettering Cancer Center, New York, NY.
Sarah O'ShaughnessyMemorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0001-8166-9256
Angela SansoneMemorial Sloan Kettering Cancer Center, New York, NY.
Molly OkpakoMemorial Sloan Kettering Cancer Center, New York, NY.
Judith E NelsonMemorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0003-3624-3111

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

purposePatient portal technology offers important new opportunities to support person-centered clinician-patient communication.

methodsQuestionnaires relating to understanding of illness and treatment intent were sent quarterly via portal to all patients scheduled for follow-up in GI medical oncology clinics. For patients in selected clinics, items eliciting health-related values were added. Patient responses were available to all oncology team members in the electronic health record. Workflow and content of clinician-patient discussions about illness, treatment, and care goals stayed within clinicians' discretion. Feasibility (patient response rate), patient understanding, acceptability (three-item patient questionnaire), and efficacy (quality of clinician communication) were evaluated.

resultsFrom May 2021 through December 2022, a total of 12,233 questionnaires about illness/treatment understanding were sent to 6,325 patients (one to six per patient), with 97% response, including 9,358 with both open- and closed-ended responses. Fewer than 0.1% of patients indicated distress related to the questionnaire/process. Open-ended responses complemented closed-ended answers by revealing prognostic awareness and illness concerns. Of 48 patients approached to complete the full questionnaire including values items via portal, 15 first received and completed them in clinic (5 on iPad, 10 on paper), while 33 received and 27 (82%) completed the portal questionnaire. Patients found the portal process acceptable, and ratings of clinician communication were higher after clinic visits informed by patients' questionnaire responses (average prescore 6.8

conclusionAlmost all patients in this large GI cancer cohort responded via the portal about their understanding of illness and treatment goals. Eliciting their personal values by portal was also feasible, accepted by patients, and improved patient ratings of clinicians' communication. Portals represent a promising tool for scaling assessment of essential patient-reported elements of person-centered communication.

Indexed as

Patient PortalsCommunicationElectronic Health RecordsHumansPatient Reported Outcome MeasuresPilot Projects

Identifiers

PMID37890120
PMCPMC10642868

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.