Evidence map›Paper›PMID 40215451›Full record

ArticleJCO oncology practice2025

Implementation of Symptom Monitoring With Electronic Patient-Reported Outcomes: Perspectives and Recommendations From Community Oncology Practices (Alliance AFT-39).

Gita N Mody, Antonia V Bennett, Angela M Stover, Mattias Jonsson, Randall Teal, Maihan Vu, Jessica Carda-Auten, Jennifer Jansen, Philip Carr, Amylou Dueck and 2 more

Abstract read
In one paragraph

Article in JCO oncology practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Quality of life during electronic patient-reported outcome (ePRO) monitoring in thoracic surgery patients: a pilot randomized controlled trial.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Trial
  2. Patient and staff experiences with an EHR-Integrated Symptom Management Program (eSyM) in oncology.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Trial
  3. Feasibility of clinical implementation and acceptability of patient-reported screening for chemotherapy-induced peripheral neuropathy (CIPN).Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  4. Article
  5. Article
  6. Patient-reported symptom assessments and early chemotherapy discontinuation in routine gastrointestinal cancer care.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  7. Article
  8. 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

12 authors.

Gita N ModyUNC School of Medicine, Division of Cardiothoracic Surgery, Chapel Hill, NC.ORCID 0000-0003-0218-6948
Antonia V BennettUNC Lineberger Comprehensive Care Center, Chapel Hill, NC.ORCID 0000-0002-8968-4511
Angela M StoverUNC Lineberger Comprehensive Care Center, Chapel Hill, NC.ORCID 0000-0003-0983-686X
Mattias JonssonUNC Lineberger Comprehensive Care Center, Chapel Hill, NC.ORCID 0000-0002-0846-3742
Randall TealUNC Connected Health for Applications & Interventions (CHAI) Core, Chapel Hill, NC.
Maihan VuUNC Connected Health for Applications & Interventions (CHAI) Core, Chapel Hill, NC.
Jessica Carda-AutenUNC Connected Health for Applications & Interventions (CHAI) Core, Chapel Hill, NC.
Jennifer JansenUNC Lineberger Comprehensive Care Center, Chapel Hill, NC.ORCID 0000-0001-6993-3069
Philip CarrUNC Lineberger Comprehensive Care Center, Chapel Hill, NC.
Amylou DueckMayo Clinic-Arizona, Scottsdale, AZ.ORCID 0000-0002-9912-1085
Sydney HensonUNC Lineberger Comprehensive Care Center, Chapel Hill, NC.
Ethan BaschUNC Lineberger Comprehensive Care Center, Chapel Hill, NC.ORCID 0000-0003-3813-9318

Funding

Virology Research Program (Program 4)P30CA016086 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI David Darr · 1985 to 2026
$201.5M
UNIV OF NORTH CAROLINA CLINICAL NUTRITION RESEARCH UNITP30DK056350 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Ian Michael Carroll · 1999 to 2026
$31.6M
Improving Thoracic Surgical Care using electronic Patient-Reported Outcomes (ePROs)K23HL157765 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Gita Natwar Mody · 2022 to 2026
$1.0M
NCI NIH HHS P30 CA016086NHLBI NIH HHS K23 HL157765NIDDK NIH HHS P30 DK056350
6 · The paper itself

Abstract

purposeMonitoring with electronic patient-reported outcome (ePRO) systems can improve cancer outcomes and is increasingly recommended. Optimal implementations of ePROs in routine clinical care are not yet known. Perspectives from clinicians, clinic staff, and patients who used ePROs can provide real-world insights for optimizing the design, efficiency, and effectiveness of future implementations.

methodsProviders, clinic staff, and patients receiving treatment for metastatic cancer from community oncology practices that implemented ePROs as part of the national PRO-TECT trial (Alliance AFT-39) participated in semi-structured interviews related to ePROs. Perceptions from clinicians on perceived benefits, usefulness, acceptability, impact on quality of care, and required effort; from staff on clinical integration and effort; and from patients on ease of use, usefulness, and effort were collected. Themes, subthemes, and recommendations were identified via a standardized coding-based directed thematic analytic approach.

resultsNinety-eight clinic members and 67 patients participated from 25 intervention sites. Four themes were identified: (1) positive impact of ePROs on cancer care quality, communication, and relationship-building; (2) ePRO system usability; (3) challenges to ePRO integration with clinical workflow; and (4) recommendations for improving ePRO systems and implementation. Subthemes related to the impact of ePROs on cancer care included enhanced communication with care team, increased awareness of symptoms, and increased ability to self-manage symptoms. Actionable recommendations for future initiatives were to engage and train clinicians, staff, and organizational support for ePRO-related activities; tailor content of ePRO surveys to be clinically actionable; integrate ePRO alert notifications and reports with existing information systems; and optimize integration of ePROs with existing clinic workflow processes.

conclusionExperiences of care team members and patients were positive, with actionable recommendations identified to guide future ePRO implementations.

Indexed as

Medical OncologyNeoplasmsPatient Reported Outcome MeasuresFemaleHumansMaleMiddle Aged

Identifiers

PMID40215451
PMCPMC12353610

What OpenQuestion holds

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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.