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Nursing Clinical Information System01:27

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Nursing Clinical Information System (NCIS)
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Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
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Use of an Integrated Knowledge Translation Approach to Develop an Electronic Patient-Reported Outcome System for

Christian Lopez1,2, Sarah E Neil-Sztramko3,4, Kristin L Campbell5

  • 1Department of Supportive Care, Princess Margaret Cancer Centre, 610 University Avenue, Toronto, ON, M5G 2C4, Canada, 1 416 581 8620.

JMIR Cancer
|November 24, 2025
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Summary
This summary is machine-generated.

Electronic prospective surveillance models (ePSMs) can improve cancer care by screening patients remotely. The REACH system, developed using an integrated knowledge translation approach, links patients to tailored rehabilitation resources based on their needs.

Keywords:
cancerdigital healthelectronic patient-reported outcomesimplementation scienceintegrated knowledge translationrehabilitationsupportive caresymptom management

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Area of Science:

  • Oncology
  • Digital Health
  • Rehabilitation Medicine

Background:

  • Electronic prospective surveillance models (ePSMs) offer potential for managing cancer-related impairments.
  • Successful implementation requires aligning with patient/provider needs and clinical workflows.
  • Adaptation to local contexts is crucial for widespread adoption.

Purpose of the Study:

  • To describe the development of REACH, a web-based ePSM for remote screening of physical cancer-related impairments.
  • To outline the integrated knowledge translation (iKT) approach used in REACH's design and development.
  • To detail how REACH directs patients to tailored rehabilitation resources based on identified needs.

Main Methods:

  • Utilized an integrated knowledge translation (iKT) approach involving patients, clinicians, administrators, and IT specialists.
  • Conducted surveys, literature reviews, environmental scans, interviews, and focus groups to inform system design.
  • Employed co-design workshops, usability testing, and machine learning for optimization and prototype development.
  • Developed a web-based application with privacy and security assessments.

Main Results:

  • REACH enables remote, device-agnostic completion of cancer-specific assessments.
  • The system provides automated advice, linking patients to self-management resources and rehabilitation referrals.
  • Patient-tailored resource libraries are dynamically updated based on reported impairments.
  • Features include patient-driven management of high impairment scores and enhanced usability.

Conclusions:

  • The iKT approach facilitated the creation of a user-friendly, clinically relevant ePSM (REACH).
  • REACH demonstrates effective integration of patient-reported outcomes for personalized cancer care.
  • The system's implementation across four Canadian cancer centers is underway, with ongoing evaluation for refinement.