Evidence map›Paper›PMID 39234146›Full record

ArticleJAMIA open2024

Bridging clinical informatics and implementation science to improve cancer symptom management in ambulatory oncology practices: experiences from the IMPACT consortium.

Nadine Jackson McCleary, James L Merle, Joshua E Richardson, Michael Bass, Sofia F Garcia, Andrea L Cheville, Sandra A Mitchell, Roxanne Jensen, Sarah Minteer, Jessica D Austin and 10 more

Abstract read
In one paragraph

Article in JAMIA open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

20 authors.

Nadine Jackson McClearyDepartment of Medical Oncology and Division of Population Sciences, Dana-Farber Cancer Institute, Boston, MA 02115, United States.
James L MerleDivision of Health System Innovation and Research, Department of Population Health Sciences, Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, UT 84132, United States.
Joshua E RichardsonGalter Health Sciences Library and Learning Center, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, United States.ORCID https://orcid.org/0000-0003-3066-2673
Michael BassDepartment of Medical Social Science, Northwestern University, Chicago, IL 60611, United States.
Sofia F GarciaDepartment of Medical Social Science, Northwestern University, Chicago, IL 60611, United States.
Andrea L ChevilleDepartment of Physical Medicine & Rehabilitation, Mayo Clinic, MN 55905, United States.
Sandra A MitchellOutcomes Research Branch, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, MD 20850, United States.
Roxanne JensenOutcomes Research Branch, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, MD 20850, United States.
Sarah MinteerDepartment of Physical Medicine & Rehabilitation, Mayo Clinic, MN 55905, United States.
Jessica D AustinDivision of Epidemiology, Department of Quantitative Health Sciences, Mayo Clinic Arizona, Mayo Clinic Cancer Center, Population Sciences Program, Scottsdale, AZ 85054, United States.
Nathan TeschRobert D. and Patricia E. Kern Center for the Science of Healthcare Delivery, Mayo Clinic, MN 55905, United States.
Lisa DiMartinoUniversity of Texas Southwestern Medical Center, Dallas, TX 75390, United States.
Michael J HassettDepartment of Medical Oncology and Division of Population Sciences, Dana-Farber Cancer Institute, Boston, MA 02115, United States.
Raymond U OsarogiagbonBaptist Medical Center, Memphis, TN 38120, United States.
Sandra WongDepartment of Surgery, Dartmouth Hitchcock Medical Center, Lebanon, NH 03766, United States.ORCID https://orcid.org/0000-0002-8594-6086
Deborah SchragDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY 10065, United States.
David CellaInstitute for Public Health and Medicine, Center for Patient-Centered Outcomes, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, United States.ORCID https://orcid.org/0000-0002-9881-4541
Ashley Wilder SmithOutcomes Research Branch, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, MD 20850, United States.
Justin D SmithDivision of Health System Innovation and Research, Department of Population Health Sciences, Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, UT 84132, United States.
IMPACT Consortium

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
UNIVERSITY OF UTAH MEDICAL INFORMATICS TRAININGT15LM007124 · NLM · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI Karen Louise Eilbeck · 1997 to 2026
$22.0M
Enhanced, EHR-facilitated Cancer Symptom Control (E2C2) Pragmatic Clinical TrialUM1CA233033 · NCI · MAYO CLINIC ROCHESTER · PI CHEVILLE, ANDREA LYNNE · 2018 to 2018
$8.7M
Implementation and Evaluation of an Expanded Bilingual Electronic Symptom Management Program across a Multi-site, Fully-integrated Comprehensive Cancer CenterUM1CA233035 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI CELLA, DAVID · 2018 to 2021
$8.1M
NCI NIH HHS P30 CA008748NCI NIH HHS UM1 CA233033NCI NIH HHS UM1 CA233035NLM NIH HHS T15 LM007124
6 · The paper itself

Abstract

Objectives: To report lessons from integrating the methods and perspectives of clinical informatics (CI) and implementation science (IS) in the context of Improving the Management of symPtoms during and following Cancer Treatment (IMPACT) Consortium pragmatic trials. Materials and Methods: IMPACT informaticists, trialists, and implementation scientists met to identify challenges and solutions by examining robust case examples from 3 Research Centers that are deploying systematic symptom assessment and management interventions via electronic health records (EHRs). Investigators discussed data collection and CI challenges, implementation strategies, and lessons learned. Results: CI implementation strategies and EHRs systems were utilized to collect and act upon symptoms and impairments in functioning via electronic patient-reported outcomes (ePRO) captured in ambulatory oncology settings. Limited EHR functionality and data collection capabilities constrained the ability to address IS questions. Collecting ePRO data required significant planning and organizational champions adept at navigating ambiguity. Discussion: Bringing together CI and IS perspectives offers critical opportunities for monitoring and managing cancer symptoms via ePROs. Discussions between CI and IS researchers identified and addressed gaps between applied informatics implementation and theory-based IS trial and evaluation methods. The use of common terminology may foster shared mental models between CI and IS communities to enhance EHR design to more effectively facilitate ePRO implementation and clinical responses. Conclusion: Implementation of ePROs in ambulatory oncology clinics benefits from common understanding of the concepts, lexicon, and incentives between CI implementers and IS researchers to facilitate and measure the results of implementation efforts.

Indexed as

cancerelectronic health informationimplementation sciencemedical informationpatient-reported outcomessymptom management

Identifiers

PMID39234146
PMCPMC11373565

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.