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Related Experiment Video

Updated: Jan 7, 2026

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Impact of electronic patient-reported outcomes (ePRO) presentation in pancreatic cancer tumor board discussions on

Garrett Bourne1, Nicole Henderson1,2, Joud El Dick1,2

  • 1Division of hematology and oncology, O'Neal Comprehensive Cancer Center at UAB, Birmingham, AL, 35294, USA.

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|December 30, 2025
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Summary

Incorporating patient preferences and frailty data into pancreatic cancer treatment discussions may align care with patient capabilities, potentially reducing unplanned modifications and hospitalizations. Further research is needed to confirm these findings.

Keywords:
Electronic patient-reported outcomesGeriatric assessmentMultidisciplinary tumor boardsPancreatic ductal adenocarcinoma

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Area of Science:

  • Oncology
  • Geriatric Medicine
  • Health Services Research

Background:

  • Pancreatic ductal adenocarcinoma (PDAC) has a poor prognosis, particularly in older adults.
  • Geriatric assessments and electronic patient-reported outcomes (ePRO) are underutilized in clinical practice for PDAC management.
  • The INSPIRE intervention explored integrating patient preferences and frailty data into multidisciplinary tumor board (MDTB) discussions.

Purpose of the Study:

  • To evaluate the clinical impact of incorporating patient preferences and frailty data into MDTB discussions for PDAC patients.
  • To assess if this integration improves treatment consistency and reduces adverse healthcare utilization.

Main Methods:

  • Secondary analysis of the INSPIRE pilot intervention involving patients aged ≥60 years with PDAC.
  • Comparison between an intervention group (data presented at MDTBs) and a control group (data not presented).
  • Outcomes included treatment consistency with NCCN guidelines, unplanned treatment modifications, and healthcare utilization within six months of treatment initiation.

Main Results:

  • The intervention group showed slightly higher consistency with NCCN preferred regimens (63% vs. 60%).
  • Fewer unplanned treatment modifications (54% vs. 68%) and lower hospital admissions (33% vs. 50%) were observed in the intervention group.
  • Intervention patients had fewer comorbidities, a higher proportion of non-White patients, more resectable disease, and higher frailty rates compared to controls.

Conclusions:

  • The INSPIRE intervention shows potential for aligning PDAC treatment with patient capabilities and preferences.
  • This approach may reduce unplanned treatment modifications and hospital admissions.
  • Larger studies are required to validate these exploratory findings and assess generalizability.