Evaluation of an online platform for cancer patient self-reporting of chemotherapy toxicities Journal Article
| Authors: | Basch, E.; Artz, D.; Iasonos, A.; Speakman, J.; Shannon, K.; Lin, K.; Pun, C.; Yong, H.; Fearn, P.; Barz, A.; Scher, H. I.; McCabe, M.; Schrag, D. |
| Article Title: | Evaluation of an online platform for cancer patient self-reporting of chemotherapy toxicities |
| Abstract: | The current mechanism for monitoring toxicity symptoms in cancer trials depends on a complex paper-based process. Electronic collection of patient-reported outcomes (PROs) may be more efficient and accurate. An online PRO platform was created including a simple data entry interface, real-time report generation, and an alert system to e-mail clinicians when patients self-report serious toxicities. Feasibility assessment involving 180 chemotherapy patients demonstrated high levels of use at up to 40 follow-up clinic visits per patient over 16 months (85% of patients at any given visit), with high levels of patient and clinician acceptance and satisfaction (>95%). Alerts were used as the basis for delayed chemotherapy treatments, dose modifications, and scheduling changes. These results demonstrate that online patient-reporting is a feasible strategy for chemotherapy toxicity symptom monitoring, and may improve safety and satisfaction with care. Ongoing multi-center research will evaluate the impact of this approach on clinical and administrative outcomes. © 2007 J Am Med Inform Assoc. |
| Keywords: | cancer chemotherapy; patient satisfaction; antineoplastic agents; cancer patient; follow up; neoplasms; internet; user-computer interface; self report; questionnaires; patient care; adverse drug reaction reporting systems; feasibility study; feasibility studies; physician; drug dose regimen; patient attitude; online systems; self care; online system; e-mail; electronic mail; alertness |
| Journal Title: | Journal of the American Medical Informatics Association |
| Volume: | 14 |
| Issue: | 3 |
| ISSN: | 1067-5027 |
| Publisher: | Oxford University Press |
| Date Published: | 2007-05-01 |
| Start Page: | 264 |
| End Page: | 268 |
| Language: | English |
| DOI: | 10.1197/jamia.M2177 |
| PUBMED: | 17329732 |
| PROVIDER: | scopus |
| PMCID: | PMC2244885 |
| DOI/URL: | |
| Notes: | --- - "Cited By (since 1996): 22" - "Export Date: 17 November 2011" - "CODEN: JAMAF" - "Source: Scopus" |
