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Experience With the Routine Use of Electronic Patient-Reported Outcome Measures for Patients With Lung Cancer.

Cathryn Crockett1, James Price2, Mai Pham2

  • 1Northern Ireland Cancer Centre, Belfast, United Kingdom.

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Electronic patient-reported outcome measures (ePROMs) in lung cancer care are feasible and provide meaningful data. ePROMs capture patient-reported symptoms and quality of life, informing clinical practice and research.

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Area of Science:

  • Oncology
  • Health Informatics
  • Patient-Reported Outcomes

Background:

  • The implementation of electronic patient-reported outcome measures (ePROMs) in routine clinical settings is a growing area in cancer care.
  • Lung cancer patients experience significant symptom burden and quality of life (QoL) issues that impact treatment decisions and outcomes.

Purpose of the Study:

  • To evaluate the feasibility and clinical relevance of routine ePROMs for lung cancer patients.
  • To assess the impact of patient characteristics and treatments on symptom and QoL scores.

Main Methods:

  • The Christie NHS Foundation Trust implemented an ePROMs service using online questionnaires for lung cancer patients.
  • Data from 1,480 patients (Jan 2019-Dec 2020) were analyzed, including baseline, pre- and post-treatment (palliative SACT or radical radiotherapy) symptom and QoL scores.
  • Analyses considered age, Eastern Cooperative Oncology Group performance status (ECOG PS), and Adult Comorbidity Evaluation-27 (ACE-27) scores.

Main Results:

  • Worse symptom and QoL scores were associated with higher ACE-27 scores and ECOG PS.
  • Palliative systemic anticancer therapy (SACT) improved cough and hemoptysis but worsened mobility.
  • Radical thoracic radiotherapy improved hemoptysis but worsened pain and fatigue.

Conclusions:

  • Routine ePROMs implementation in lung cancer care is feasible and yields clinically relevant data.
  • ePROMs can inform clinical practice, guide treatment adjustments, and identify areas for future research.
  • Patient-reported outcomes provide valuable insights into the impact of cancer and its treatments on daily life.