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Improving Practice in a Head and Neck Oncology Clinic Using the PRO-CTCAE Tool
Rose Ann Ruddy1, Brigit Carter2, Maryanne Giuliante1
1From Memorial Sloan Kettering Cancer Center, Montvale, New Jersey.
Journal of the Advanced Practitioner in Oncology
|September 27, 2024
Summary
Implementing the patient-reported outcome version of the Common Terminology Criteria for Adverse Events (PRO-CTCAE) survey improved symptom management and increased hydration visits for head and neck cancer patients. Provider satisfaction was high.
Area of Science:
- Oncology
- Patient-Reported Outcomes
- Quality Improvement
Background:
- Head and neck cancer patients experience numerous treatment-related side effects.
- Patient-reported outcomes (PROs) are crucial for effective cancer care management.
- Adverse event monitoring is essential for patient safety and treatment adherence.
Purpose of the Study:
- To implement the patient-reported outcome version of the Common Terminology Criteria for Adverse Events (PRO-CTCAE) measurement system.
- To reduce the number of patient hydration visits.
- To assess healthcare provider satisfaction with the PRO-CTCAE survey.
Main Methods:
- Quality improvement project utilizing the PRO-CTCAE survey.
- Descriptive statistics and Fisher's exact test for data analysis.
- Comparison of hydration visits before and after PRO-CTCAE implementation.
Main Results:
- High survey response rate of 91.2% (excluding telehealth visits).
- Significant increase in hydration visits from 23.5% to 38.5% post-implementation (p < .001).
- Overwhelmingly positive provider satisfaction with the PRO-CTCAE survey.
Conclusions:
- The PRO-CTCAE survey facilitates timely patient symptom reporting and management.
- Integration of PRO-CTCAE enhances efficient communication between patients and providers.
- PRO-CTCAE is a valuable component of a multidisciplinary approach to cancer care.

