参与电子患者报告结果测量收集,作为瘤学常规支持性护理提供的一部分
SriVarsha Katoju1, Oliver T Nguyen2,3, Sahana Rajasekhara4
1Department of Community Health and Family Medicine, University of Florida, Gainesville, FL.
JCO oncology practice
|March 5, 2025
概括
在癌症护理中的电子患者报告结果测量 (ePROM) 显示出不同的参与率. 年龄,保险和癌症类型等因素影响提交率,这表明需要量身定制的干预措施来提高参与度.
科学领域:
- 在瘤学瘤学.
- 数字健康数字健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 电子患者报告结果测量 (ePROM) 在癌症护理中提供了好处,包括早期识别有风险的患者.
- 目前关于ePROM在支持性癌症护理方面的研究主要集中在临床试验上,对标准护理环境的数据较少.
- 了解患者参与ePROM对于优化其在常规临床实践中的实施至关重要.
研究的目的:
- 评估在接受支持性癌症护理的患者中电子患者报告结果测量 (ePROM) 的参与率.
- 确定与支持性护理诊所中较高的ePROM提交率相关的人口,临床和社会因素.
主要方法:
- 追溯分析了国家癌症研究所指定的综合癌症中心的4780名患者的数据.
- 在面对面的预约期间通过平板电脑进行ePROM评估,包括验证的工具和额外的症状问题.
- 后勤回归和零截断负二项式回归模型用于分析影响ePROM提交的因素.
主要成果:
- 总体而言,42.7%的患者至少提交了一次ePROM评估.
- 更高的提交率与35-64岁,医疗保险,非转移性癌症和特定癌症类型 (泌尿器,乳腺,多种,肠道) 相关.
- 年轻的患者和拥有私人保险的患者也显示出更高的提交率.
结论:
- 支持性癌症护理中的ePROM提交率受到患者人口统计学,癌症特征和健康的社会决定因素的影响.
- 加强ePROM参与的干预措施应考虑根据癌症部位,转移状态和护理人员支持量身定制.
- 需要进一步的研究来优化ePROM在标准支持性癌症护理中的使用.
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