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- Title
Evaluation of an online platform for cancer patient self-reporting of chemotherapy toxicities.
- Authors
Basch, Ethan; Artz, David; Iasonos, Alexia; Speakman, John; Shannon, Kevin; Lin, Kai; Pun, Charmaine; Yong, Henry; Fearn, Paul; Barz, Allison; Scher, Howard I; McCabe, Mary; Schrag, Deborah
- Abstract
The current mechanism for monitoring toxicity symptoms in cancer trials depends on a complex paper-based process. Electronic collection of patient-reported outcomes (PROs) may be more efficient and accurate. An online PRO platform was created including a simple data entry interface, real-time report generation, and an alert system to e-mail clinicians when patients self-report serious toxicities. Feasibility assessment involving 180 chemotherapy patients demonstrated high levels of use at up to 40 follow-up clinic visits per patient over 16 months (85% of patients at any given visit), with high levels of patient and clinician acceptance and satisfaction (>95%). Alerts were used as the basis for delayed chemotherapy treatments, dose modifications, and scheduling changes. These results demonstrate that online patient-reporting is a feasible strategy for chemotherapy toxicity symptom monitoring, and may improve safety and satisfaction with care. Ongoing multi-center research will evaluate the impact of this approach on clinical and administrative outcomes.
- Publication
Journal of the American Medical Informatics Association : JAMIA, 2007, Vol 14, Issue 3, p264
- ISSN
1067-5027
- Publication type
Journal Article
- DOI
10.1197/jamia.M2177