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Cahill JE, Lin L, LoBiondo-Wood G, et al. Personal health records, symptoms, uncertainty, and mood in brain tumor patients. Neurooncol Pract. 2014;1(2):64-70doi: 10.1093/nop/npu005.
Cahill, J. E., Lin, L., LoBiondo-Wood, G., Armstrong, T. S., Acquaye, A. A., Vera-Bolanos, E., Gilbert, M. R., & Padhye, N. S. (2014). Personal health records, symptoms, uncertainty, and mood in brain tumor patients. Neuro-oncology practice, 1(2), 64-70. https://doi.org/10.1093/nop/npu005
Cahill, Jennifer E, et al. "Personal health records, symptoms, uncertainty, and mood in brain tumor patients." Neuro-oncology practice vol. 1,2 (2014): 64-70. doi: https://doi.org/10.1093/nop/npu005
Cahill JE, Lin L, LoBiondo-Wood G, Armstrong TS, Acquaye AA, Vera-Bolanos E, Gilbert MR, Padhye NS. Personal health records, symptoms, uncertainty, and mood in brain tumor patients. Neurooncol Pract. 2014 Jun;1(2):64-70. doi: 10.1093/nop/npu005. Epub 2014 May 05. PMID: 26034618; PMCID: PMC4371167.
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Neurooncol Pract. 2014 Jun;1(2):64-70. doi: 10.1093/nop/npu005. Epub 2014 May 05.

Personal health records, symptoms, uncertainty, and mood in brain tumor patients.

Neuro-oncology practice

Jennifer E Cahill, Lin Lin, Geri LoBiondo-Wood, Terri S Armstrong, Alvina A Acquaye, Elizabeth Vera-Bolanos, Mark R Gilbert, Nikhil S Padhye

Affiliations

  1. Department of Family Health , The University of Texas Health Science Center at Houston, School of Nursing , Houston, Texas (J.E.C., L.L., T.S.A.); Department of Neuro-Oncology , The University of Texas MD Anderson Cancer Center, Houston, Texas (T.S.A., A.A.A., E.V.B., M.R.G.); Department of Nursing Systems , The University of Texas Health Science Center at Houston, School of Nursing, Houston, Texas (G.L.W., N.S.P.).

PMID: 26034618 PMCID: PMC4371167 DOI: 10.1093/nop/npu005

Abstract

BACKGROUND: The advantages of patient access to the electronic medical record (EMR) through integrated personal health records (PHR) may be substantial, and foremost is the enhanced information flow between patient and practitioner. Because this is an emerging technology, the actualized benefits to complex patient groups remain largely unknown. MD Anderson Cancer Center provides web-based PHR portal access to the EMR including clinic notes, MRI results, and pathology reports. This study sought to evaluate PHR use by glioma patients.

METHODS: Cross-sectional survey and PHR-derived user data from 186 patients were analyzed using descriptive and inferential statistics. Logistic regression assessed disparities between users and nonusers. Dependence of PHR access on treatment stage was tested through linear regression. Path analysis evaluated PHR access, disease-related uncertainty, symptom experience, and mood.

RESULTS: Patients averaged 44.2 years (range 19y-80y), 77% had a high-grade tumor, and 60% had accessed PHR at least one time (range 0-126). Strongest predictors of access included education level (college level or higher), low performance status, middle income, and in-state residency. Patients undergoing treatment were more active users. PHR access was associated with lower disease-related uncertainty and lower symptom severity. Mood was not directly related to PHR use but mediated an association between symptom severity and uncertainty.

CONCLUSIONS: While many reports presume better disease and symptom understanding for patients with EMR access, this study is the first to correlate PHR use to lower patient uncertainty levels. Early examination of PHR provides an important basis for critical evaluation and optimization to better structure this benefit for brain tumor patients.

Keywords: brain tumors; health records; symptoms; uncertainty

References

  1. Res Theory Nurs Pract. 2009;23(1):8-22 - PubMed
  2. Prog Cardiovasc Nurs. 1994 Winter;9(1):22-32 - PubMed
  3. Nurs Res. 1990 Jan-Feb;39(1):42-7 - PubMed
  4. Cancer. 2013 Aug 1;119(15):2796-806 - PubMed
  5. J Neurooncol. 2006 Oct;80(1):27-35 - PubMed
  6. Image J Nurs Sch. 1990 Winter;22(4):256-62 - PubMed
  7. Lancet Oncol. 2008 Sep;9(9):884-91 - PubMed
  8. Qual Life Res. 1994 Apr;3(2):127-41 - PubMed
  9. J Obstet Gynecol Neonatal Nurs. 2004 Jan-Feb;33(1):71-9 - PubMed
  10. Stud Health Technol Inform. 2001;84(Pt 2):1440-4 - PubMed
  11. Nurs Res. 1991 Jul-Aug;40(4):236-40 - PubMed
  12. Telemed J E Health. 2007 Oct;13(5):509-17 - PubMed
  13. N Engl J Med. 2008 Jul 31;359(5):492-507 - PubMed
  14. J Am Med Inform Assoc. 2004 Sep-Oct;11(5):410-7 - PubMed
  15. Nurs Res. 1988 Mar-Apr;37(2):98-103, 127 - PubMed
  16. Psychooncology. 2002 Jul-Aug;11(4):273-81 - PubMed
  17. Image J Nurs Sch. 1988 Winter;20(4):225-32 - PubMed
  18. J Neurooncol. 2009 May;93(1):25-39 - PubMed
  19. West J Nurs Res. 1987 Feb;9(1):43-57 - PubMed
  20. J Neurooncol. 2012 Nov;110(2):293-300 - PubMed
  21. J R Soc Med. 2009 Dec;102(12):539-44 - PubMed
  22. BMJ. 2004 May 15;328(7449):1159 - PubMed
  23. Sch Inq Nurs Pract. 1995 Spring;9(1):3-24; discussion 25-9 - PubMed
  24. Patient Educ Couns. 2008 May;71(2):251-8 - PubMed
  25. J Pers Assess. 1983 Jun;47(3):305-6 - PubMed
  26. Res Nurs Health. 2006 Feb;29(1):18-39 - PubMed
  27. J Cancer Educ. 2009;24(1):73-9 - PubMed
  28. Annu Rev Nurs Res. 1997;15:57-80 - PubMed
  29. Nurs Res. 1981 Sep-Oct;30(5):258-63 - PubMed
  30. Cancer Nurs. 1996 Apr;19(2):112-7 - PubMed

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