Details:

Alternative Title:
Cancer
Personal Author:
Seneviratne, Martin G. ; Bozkurt, Selen ; Patel, Manali I. ; Seto, Tina ; Brooks, James D. ; ... More +
Seneviratne, Martin G. ; Bozkurt, Selen ; Patel, Manali I. ; Seto, Tina ; Brooks, James D. ; Blayney, Douglas W. ; Kurian, Allison W. ; Hernandez-Boussard, Tina Less -
Description:
Background:

The collection of patient-reported outcomes is an emerging priority internationally, guiding clinical care, quality improvement projects and research studies. Following the deployment of Patient-Reported Outcomes Measurement Information System (PROMIS) surveys in routine outpatient workflows at our academic cancer center, we used electronic health record data to evaluate survey completion rates and self-reported global health measures across two tumor types: breast and prostate cancer.

Methods:

We retrospectively analyzed 11,657 PROMIS surveys from breast cancer patients and 4,411 surveys from prostate cancer patients, calculating survey completion rates, global physical health (GPH) and global mental health (GMH) scores between 2013–2018.

Results:

A total of 36.6% of eligible breast cancer patients and 23.6% of prostate cancer patients completed at least one survey, with completion rates lower among Black patients in both tumor types (p<0.05). Mean T scores (calibrated to a general population mean of 50) for GPH were 48.4 ± 9 in breast cancer and 50.6 ± 9 in prostate cancer; and GMH scores were 52.7 ± 8 and 52.1 ± 9 respectively. GPH and GMH were frequently lower among ethnic minorities, patients without private health insurance, and those with advanced disease.

Conclusions:

Our analysis provides important baseline data on patient-reported global health in breast and prostate cancer. Demonstrating that PROs can be integrated into clinical workflows, the study shows that supportive efforts may be needed to improve PRO collection and global health endpoints in vulnerable populations.


Subject:
[+]
Academic Medical Centers
Adult
Aged
Aged, 80 And Over
Article
Breast
Breast Neoplasms
Electronic Health Records
Female
Global Health
Health Surveys
Humans
Male
Mental Health
Middle Aged
Patient-Centered Outcomes
Patient Reported Outcome Measures
Prostate
Prostatic Neoplasms
Real-World Evidence
Retrospective Studies
Self Report

Source:
Cancer. 125(6):943-951
Pubmed ID:
30512191
Pubmed Central ID:
PMC6403006
Document Type:
Journal Article
Funding:
HHSN261201000140C/CA/NCI NIH HHS/United States ; HHSN261201000035C/CA/NCI NIH HHS/United States ; U58 DP000807/DP/NCCDPHP CDC HHS/United States ; R01 CA183962/CA/NCI NIH HHS/United States ; HHSN261201000035I/CA/NCI NIH HHS/United States ; ... More +
HHSN261201000140C/CA/NCI NIH HHS/United States ; HHSN261201000035C/CA/NCI NIH HHS/United States ; U58 DP000807/DP/NCCDPHP CDC HHS/United States ; R01 CA183962/CA/NCI NIH HHS/United States ; HHSN261201000035I/CA/NCI NIH HHS/United States ; HHSN261201000034C/CA/NCI NIH HHS/United States Less -
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:81999fc981912aea5418dd2648c004c14f16cf671917d0aee83b690c13ea9c3d
File Type:

Supporting Files

• nihms-997092.nxml

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