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Examining the Effectiveness of Electronic Patient-Reported Outcomes in People With Cancer: Systematic Review and
Melissa Betty Perry1, Sally Taylor1,2, Binish Khatoon1,2
1Christie Patient Centred Research, The Christie NHS Foundation Trust, Manchester, United Kingdom.
Journal of Medical Internet Research
|July 31, 2024
Summary
Electronic patient-reported outcomes (ePROs) significantly improve health-related quality of life (HRQOL) in cancer patients. Tailored advice and clinician alerts enhance ePRO effectiveness, guiding future clinical applications.
Area of Science:
- Oncology
- Health Informatics
- Clinical Research
Background:
- Electronic patient-reported outcomes (ePROs) are increasingly utilized in oncology.
- ePROs demonstrate potential benefits for patient care and health resource management.
Purpose of the Study:
- To isolate and evaluate the effect of ePRO administration in cancer patients.
- To compare ePRO interventions against a control condition.
Main Methods:
- Systematic review and meta-analysis following PRISMA guidelines.
- Inclusion of randomized controlled trials assessing ePROs for health-related outcomes in cancer patients.
- Primary outcome: health-related quality of life (HRQOL); Secondary outcomes: symptoms, hospital admissions, unplanned visits, chemotherapy completion, survival, and satisfaction.
Main Results:
- Meta-analysis of 15 studies (19 trials) revealed significant HRQOL improvements at 3 and 6 months.
- Functional Assessment of Cancer Therapy–General scores improved at 3 months (SMD 0.29).
- Nine studies (60%) showed a positive HRQOL signal, particularly those with tailored advice and clinician alerts.
Conclusions:
- ePROs improve HRQOL in cancer patients, with enhanced effects when combined with tailored advice and clinician alerts.
- Findings offer guidance for healthcare professionals in selecting optimal ePRO features.
- Further research can refine ePRO integration into clinical practice.
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