Evidence map›Paper›PMID 41122437›Full record

ArticleRheumatology advances in practice2025

Improved clinical care and capacity through an integrated electronic patient-reported outcome measure and health record system in inflammatory arthritis.

Antoni Chan, Kathryn Rigler, Nneoma Zabbey, Liz van Rossen, Mustansar Hussain, Andrew Hubbard

Abstract read
In one paragraph

Article in Rheumatology advances in practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Review
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

6 authors.

Antoni ChanDepartment of Rheumatology, Royal Berkshire NHS Foundation Trust, Reading, UK.ORCID https://orcid.org/0000-0003-2323-8161
Kathryn RiglerDepartment of Rheumatology, Royal Berkshire NHS Foundation Trust, Reading, UK.
Nneoma ZabbeyDepartment of Rheumatology, Royal Berkshire NHS Foundation Trust, Reading, UK.
Liz van RossenPhysiotherapy Department, East Kent Hospitals University NHS Foundation Trust, Canterbury, UK.
Mustansar HussainInformation Management and Technology Department, Royal Berkshire NHS Foundation Trust, Reading, UK.
Andrew HubbardInformation Management and Technology Department, Royal Berkshire NHS Foundation Trust, Reading, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Patient-reported outcome measures (PROMs) are essential for inflammatory arthritis (IA). Collecting electronic PROMs (ePROMs) remotely into electronic patient records (EPRs) enables timely, patient-centred care. This study evaluated the real-world clinical impact, efficiency and feasibility of implementing a fully integrated ePROM system across three IA conditions: rheumatoid arthritis, axial spondyloarthritis and psoriatic arthritis. Methods: From January 2019 to December 2024, IA patients completed ePROMs remotely at regular intervals or on request by patients or clinicians, with data automatically uploaded to the EPR. Alerts based on predefined thresholds prompted clinical review. Patients with stable disease were transitioned to patient-initiated follow-up. Outcomes include ePROM completion rates, patient engagement, satisfaction, appointment utilisation, time savings and the new-to-follow up (N:FU) ratio. Time saved was estimated by calculating reduced follow-up appointments multiplied by 20-min consultation length. We assessed effectiveness through patient and clinician engagement and satisfaction. Results: The ePROM completion rates improved from 25% (paper) to 66% (ePROM). A total of 1500 clinic hours per year were saved through reduced follow-ups. The N:FU ratio improved from 1:3.1 in 2019 to 1:2.2 in 2024. Increased capacity enabled shorter waiting times for new and urgent follow-up patient clinic appointments. Longitudinal ePROM trends provided better actionable insight than single time points. Conclusion: The integrated ePROM system enhanced PROM completion, enabled safe remote monitoring and supported expansion of patient-initiated follow-up. The system improved the efficiency and responsiveness of IA care as well as promoted personalised care.

Indexed as

digital technologyelectronic patient-reported outcome measuresinflammatory arthritispatient-initiated follow-uppersonalised careremote monitoring

Identifiers

PMID41122437
PMCPMC12536897

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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.