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ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025

e-PRO within a Comprehensive Companion Program to reduce emergency visits and inpatient admission in a Peruvian institution.

Patricia Rioja, Rossana Ruiz, Jhajaira Araujo, Jackeline Macetas, Sandra Acevedo, Tania Guevara, Mercedes Quesquen, Frank Young, Paola Montenegro

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Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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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

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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.

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4 · The record

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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.

Patricia RiojaDepartment of Oncology, Clinica Oncosalud-Auna, Lima, Peru. patricia.rioja@auna.org.
Rossana RuizDepartment of Oncology, Clinica Oncosalud-Auna, Lima, Peru.
Jhajaira AraujoCentro de Investigación Básica y Traslacional, Auna Ideas, Lima, Peru.
Jackeline MacetasDepartment of Oncology, Clinica Oncosalud-Auna, Lima, Peru.
Sandra AcevedoDepartment of Oncology, Clinica Oncosalud-Auna, Lima, Peru.
Tania GuevaraDepartment of Oncology, Clinica Oncosalud-Auna, Lima, Peru.
Mercedes QuesquenDepartment of Oncology, Clinica Oncosalud-Auna, Lima, Peru.
Frank YoungDepartment of Oncology, Clinica Oncosalud-Auna, Lima, Peru.
Paola MontenegroDepartment of Oncology, Clinica Oncosalud-Auna, Lima, Peru.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo describe the implementation process of an e-PRO system integrated into a comprehensive support program for gastrointestinal (GI) cancer patients as part of the quality care improvement management of our institution and to demonstrate its impact in terms of health resource utilization.

methodsThe "Comprehensive Companion Program" (CCP) was designed as a remote web-based intervention to comprehensively address patients' needs. It consists of three core elements: (1) an e-PRO questionnaire platform, (2) a channel to submit inquiries, and (3) a repository of educative resources. To examine the impact of the program on two indicators of health resource utilization, emergency room visits (ERV) and non-planned inpatient admissions (NIA), we conducted a retrospective cohort study, including GI cancer patients. Incidence rate (IR), IR ratios (IRR), and 95% confidence intervals were calculated. Time to first ERV and NIA curves were compared using the Kaplan Meier method and log rank test.

resultsA total of 199 were included; 97 enrolled into the CCP. The median age was 61 years (30-92 years), and 51.5% of patients were EGOG 0-1. Chemotherapy was the most common treatment (88.4%). The mean follow time was of 8.3 and 6.7 months, for patients in CCP and not, respectively. ERV rate was 1.90 per person-year for patients enrolled into the CCP (95% CI 1.58-2.26) vs 2.42 per person-year for patients not enrolled (95% CI 2.03-2.86) which means a 21% decrease in ERV (IRR 0.79 (95% CI 0.61-1.01; p = 0.05)). NIA rate was 0.74 per person-year for patients enrolled into the CCP (95% CI 0.55-0.98) vs 1.09 per person-year for patients not enrolled (95% CI 0.84-1.40) which translated into a 32% decrease in NIA (IRR 0.68 (95% CI 0.46-1.00; p = 0.04)). There were not differences in time to first event for any outcome.

conclusionsThis real-world experience demonstrates the feasibility of implementing an e-PRO system integrated into a comprehensive support program and highlights its potential impact on reducing healthcare resource utilization.

Indexed as

Emergency Service, HospitalGastrointestinal NeoplasmsHospitalizationAdultAgedAged, 80 and overCohort StudiesFemaleHumansMaleMiddle AgedPeruQuality ImprovementRetrospective StudiesSurveys and QuestionnairesCancer patientsEmergency visitsE-PROInpatient admission

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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.