A Narrative Review on the Collection and Use of Electronic Patient-Reported Outcomes in Cancer Survivorship Care with Emphasis on Symptom Monitoring

Current Oncology

Annemarie Becker¹  Maryam Lustberg²  Raymond J. Chan³  Annemarie Coolbrandt⁴  Lonneke V. van de Poll-Franse⁵  Gijs Geleijnse⁵  Corina J. G. van den Hurk⁵  Floortje Mols⁵  Bogda Koczwara⁶  Manuela Eicher⁷  Galina Velikova⁸  Ethan M. Basch⁹  Andreas Charalambous^1,10  Doris Howell^1,11  Iris Walraven^1,12 

[1] Amsterdam UMC, Department of Pulmonary Diseases, Cancer Center Amsterdam, 1081 HV Amsterdam, The Netherlands;Breast Medical Oncology, Yale Cancer Center, Yale School of Medicine, New Haven, CT 06520, USA;Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, SA 5042, Australia;Department of Oncology Nursing, University Hospitals Leuven, 3000 Leuven, Belgium;Department of Research and Development, Netherlands Comprehensive Cancer Organization (IKNL), 3511 DT Utrecht, The Netherlands;Flinders Medical Centre, Flinders University, Adelaide, SA 5042, Australia;Institute of Higher Education and Research in Health Care (IUFRS), Faculty of Biology and Medicine, University of Lausanne and Lausanne University Hospital, CH-1010 Lausanne, Switzerland;Leeds Institute of Medical Research at St James’s, University of Leeds and Leeds Cancer Centre, St James’s University Hospital, Leeds LS9 7TF, UK;Lineberger Comprehensive Cancer Center, University of North Carolina Cancer Center, Chapel Hill, NC 27599, USA;Nursing Department, Cyprus University of Technology, Limassol 3036, Cyprus;Princess Margaret Cancer Research Institute, University of Toronto, Toronto, ON M5G 2M9, Canada;Radboudumc, Department for Health Evidence, 6525 GA Nijmegen, The Netherlands;

关键词: cancer;    survivorship;    electronic patient-reported outcomes;    symptoms;    eHealth;    quality of care;   

DOI  :  10.3390/curroncol29060349

来源: DOAJ

【 摘 要 】

Electronic patient-reported outcome (ePRO) applications promise great added value for improving symptom management and health-related quality of life. The aim of this narrative review is to describe the collection and use of ePROs for cancer survivorship care, with an emphasis on ePRO-symptom monitoring. It offers many different perspectives from research settings, while current implementation in routine care is ongoing. ePRO collection optimizes survivorship care by providing insight into the patients’ well-being and prioritizing their unmet needs during the whole trajectory from diagnosis to end-of-life. ePRO-symptom monitoring can contribute to timely health risk detection and subsequently allow earlier intervention. Detection is optimized by automatically generated alerts that vary from simple to complex and multilayered. Using ePRO-symptoms during in-hospital consultation enhances the patients’ conversation with the health care provider before making informed decisions about treatments, other interventions, or self-management. ePRO(-symptoms) entail specific implementation issues and complementary ethics considerations. The latter is due to privacy concerns, digital divide, and scarcity of adequately representative data for particular groups of patients.

【 授权许可】

Unknown