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J Patient Rep Outcomes. 2017;1(1):1. doi: 10.1186/s41687-017-0005-6. Epub 2017 Sep 12.

Feasibility and acceptability of electronic symptom surveillance with clinician feedback using the Patient-Reported Outcomes version of Common Terminology Criteria for Adverse Events (PRO-CTCAE) in Danish prostate cancer patients.

Journal of patient-reported outcomes

Christina Baeksted, Helle Pappot, Aase Nissen, Niels Henrik Hjollund, Sandra A Mitchell, Ethan Basch, Pernille Envold Bidstrup, Susanne Oksbjerg Dalton, Christoffer Johansen

Affiliations

  1. 1Documentation & Quality, Danish Cancer Society, Strandboulevarden 49, DK-2100 Copenhagen, Denmark.
  2. 2Department of Oncology, The Finsen Centre, Rigshospitalet, Blegdamsvej 9, DK-2100 Copenhagen, Denmark.
  3. 3Department of Clinical Epidemiology, Aarhus University Hospital, Olof Palmes Allé 43-45, DK-8200 Aarhus, Denmark.
  4. 4WestChronic, Department of Occupational Medicine, University Clinic, Health, Aarhus University, Gl. Landevej 61, DK-7400 Herning, Denmark.
  5. 5Outcomes Research Branch, Division of Cancer Control and Population Sciences, National Cancer Institute, 9609 Medical Center Drive, 3 East Suite 448, Rockville, MD 20850 USA.
  6. 6Cancer Outcomes Research Program, UNC Lineberger Comprehensive Cancer Center, 101 Manning Dr, Chapel Hill, NC 27514 USA.
  7. 7Unit of Survivorship, Danish Cancer Society Research Center, Strandboulevarden 49, DK-2100 Copenhagen, Denmark.

PMID: 29757324 PMCID: PMC5934932 DOI: 10.1186/s41687-017-0005-6

Abstract

BACKGROUND: The aim was to examine the feasibility, acceptability and clinical utility of electronic symptom surveillance with clinician feedback using a subset of items drawn from the Patient-Reported Outcomes version of Common Terminology Criteria for Adverse Events (PRO-CTCAE) in a cancer treatment setting.

METHODS: Danish-speaking men with castration-resistant metastatic prostate cancer receiving treatment at the Department of Oncology, Rigshospitalet, Copenhagen between March 9, 2015 and June 8, 2015 were invited to participate (

RESULTS: Fifty-four out of sixty-three (86%) eligible patients were enrolled. The PRO-CTCAE questionnaire was completed a total of 168 times by 54 participants (median number per patient was 3, range 1-5). Eight surveys were missed, resulting in a compliance rate of 97%. At the end of the study period, 35 patients (65%) were still receiving active treatment and completed the evaluation questionnaire. Patients reported that their PRO-CTCAE responses served as a communication tool. Oncologists stated that the availability of the PRO-CTCAE self-reports during the consultation improved patient-clinician communication about side effects.

CONCLUSION: Electronic capture of symptomatic toxicities using PRO-CTCAE and the submission of self-reports to clinicians prior to consultation were feasible among metastatic prostate cancer patients receiving chemotherapy in an outpatient setting, and this procedure was acceptable to both patients and clinicians. Continued research, including a cluster-randomized trial, will evaluate the effects of submitting patients' PRO-CTCAE results to clinicians prior to consultation on the quality of side-effects management and resultant clinical outcomes.

Keywords: Electronic reporting; Feasibility; PRO-CTCAE; Prostate cancer; Symptom surveillance

Conflict of interest statement

The authors declare that they have no competing interests.Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

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