Evidence map›Paper›PMID 39190468›Full record

Trial reportJournal of medical Internet research2024

Implementation of Patient-Reported Outcomes in a Medical Oncology Setting (the iPROMOS Study): Type II Hybrid Implementation Study.

Natasha Anne Roberts, Anita Pelecanos, Kimberly Alexander, David Wyld, Monika Janda

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of medical Internet research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. 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

5 authors.

Natasha Anne RobertsThe University of Queensland Centre for Clinical Research, Herston, Australia.ORCID 0000-0003-0534-8084
Anita PelecanosQIMR Berghofer Medical Research Institute, Herston, Australia.ORCID 0000-0003-0197-4504
Kimberly AlexanderSchool of Nursing, Queensland University of Technology, Kelvin Grove, Australia.ORCID 0000-0003-3906-2412
David WyldCancer Care Services, Royal Brisbane and Women's Hospital, Herston, Australia.ORCID 0000-0001-9523-4333
Monika JandaThe University of Queensland Centre for Clinical Research, Herston, Australia.ORCID 0000-0002-1728-8085

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClinical trials have demonstrated that patient-reported outcome measures (PROMs) can improve mortality and morbidity outcomes when used in clinical practice.

objectiveThis study aimed to prospectively investigate the implementation of PROMs in routine oncology. Outcomes measured included improved symptom detection, clinical response to symptom information, and health service outcomes.

methodsTwo of 12 eligible clinics were randomized to implement symptom PROMs in a medical oncology outpatient department in Australia. Randomization was carried out at the clinic level. Patients in control clinics continued with usual care; those in intervention clinics completed a symptom PROM at presentation. This was a pilot study investigating symptom detection, using binary logistic models, and clinical response to PROMs investigated using multiple regression models.

resultsA total of 461 patient encounters were included, consisting of 242 encounters in the control and 222 in the intervention condition. Patients in these clinics most commonly had head and neck, lung, prostate, breast, or colorectal cancer and were seen in the clinic for surveillance and oral or systemic treatments for curative, metastatic, or palliative cancer care pathways. Compared with control encounters, the proportion of symptoms detected increased in intervention encounters (odds ratio 1.05, 95% CI 0.99-1.11; P=.08). The odds of receiving supportive care, demonstrated by nonroutine allied health review, increased in the intervention compared with control encounters (odds ratio 3.54, 95% CI 1.26-9.90; P=.02).

conclusionsImplementation of PROMs in routine care did not significantly improve symptom detection but increased the likelihood of nonroutine allied health reviews for supportive care. Larger studies are needed to investigate health service outcomes.

trial registrationAustralian New Zealand Clinical Trials Registry ACTRN12618000398202; https://tinyurl.com/3cxbemy4.

Indexed as

Medical OncologyPatient Reported Outcome MeasuresAdultAgedAustraliaFemaleHumansMaleMiddle AgedNeoplasmsPilot ProjectsProspective StudiesAustraliabinary logistic modelsclinicclinical practiceclinicsdetectionfacilitationfacilitatorimplementationimplementation scienceinterventioninvestigateiPARIHSoncologypatientpatient-reported outcomes, patient-reported outcome measurespatientsregression modelregression modelsserviceservicessupportive caresymptomsymptoms

Identifiers

PMID39190468
PMCPMC11387919

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.