Trial reportSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025
Patient and staff experiences with an EHR-Integrated Symptom Management Program (eSyM) in oncology.
Trial report 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 2 papers, 1 of them a synthesis that pooled it.
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Who cites it
2 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effectiveness of digital health interventions for the management of Low Anterior Resection Syndrome (LARS) after sphincter-preserving surgery for rectal cancer: a systematic review and meta-analysis.BMC gastroenterology · 2026Pooled it
- Letter comments on: "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 · 2026Article
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13 authors.
Funding
Abstract
contextTo bolster integration of electronic patient-reported outcomes (ePROs) into routine practice, a consortium of six cancer centers developed an EHR-integrated electronic symptom management program (eSyM) and deployed it in an institutional randomized stepped-wedge hybrid effectiveness-implementation study involving patients receiving chemotherapy or surgery.
objectivesWe conducted qualitative interviews with patients and staff after implementing eSyM to understand and compare experiences and perceptions regarding the intervention and barriers/facilitators to ePRO usage in routine oncology practice.
methodsWe developed semi-structured interview guides for patients and both clinical and non-clinical staff exposed to eSyM. Questions were informed by the Consolidated Framework for Implementation Research (CFIR). Patients provided consent; a consent waiver was obtained for staff. Interview transcripts were dual-coded and thematically analyzed.
resultsFrom September 2020 to March 2024, 79 staff and 14 patients participated in interviews. Staff and patients held similar beliefs regarding eSyM compatibility, communication, and prioritization. Most perceived that eSyM was easy to use and improved communication, but competing demands impeded regular utilization, and deeper engagement was necessary for sustainability. Discordance emerged in the domains of receptivity and technology. Patients were more receptive to eSyM and to using technology than staff perceived.
conclusionMost patients and staff reported that eSyM added value and was easy to navigate. Staff tended to underestimate patients' receptivity to eSyM. De-prioritization of eSyM could reflect a lack of perceived mutual engagement in or impact from the intervention. Understanding perceived and experienced facilitators and barriers can enable successful implementation of ePRO systems like eSyM to improve cancer care delivery.
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