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Gynecologic Survivorship Tool: Development, Implementation, and Symptom Outcomes
Jeanne Carter1,2,3, Nadeem R Abu-Rustum1,4, Sally Saban1
1Gynecology Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY.
JCO Clinical Cancer Informatics
|March 3, 2022
Summary
The Gynecologic Survivorship Tool (GST) is a feasible digital health tool for managing symptoms in women treated for gynecologic cancer. It showed a high completion rate, aiding clinical teams in addressing patient concerns effectively.
Area of Science:
- Oncology
- Digital Health
- Clinical Informatics
Background:
- Symptom management is crucial for women undergoing treatment for gynecologic cancer.
- Digital health tools offer potential for improved patient monitoring and care delivery.
- Existing tools may not adequately address the multifaceted needs of gynecologic cancer survivors.
Purpose of the Study:
- To develop and implement the Gynecologic Survivorship Tool (GST), a digital health clinical tool.
- To assess the feasibility of the GST for symptom management in surgically treated gynecologic cancer patients.
- To conduct a retrospective review of data generated by the GST.
Main Methods:
- The GST was developed using literature review, expert opinion, and patient feedback.
- It comprises 17 questions across six key symptom categories.
- An electronic version was piloted using the Memorial Sloan Kettering Cancer Center Engage platform.
Main Results:
- 3,357 assessments were completed by 1,405 patients with a 71% completion rate.
- Most assessments (68%) were done at home via a patient portal.
- Commonly reported symptoms included bowel issues, swelling, pain, vaginal dryness, and bleeding.
Conclusions:
- The GST is a feasible digital tool with a high completion rate and minimal time commitment.
- It serves as an effective electronic reporting mechanism for patients.
- The tool enables medical teams to develop targeted strategies for symptom alleviation during follow-up.
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