A prospective study of the feasibility and acceptability of a Web-based, electronic patient-reported outcome system in assessing patient recovery after major gynecologic cancer surgery Journal Article

   

Authors:	Andikyan, V.; Rezk, Y.; Einstein, M. H.; Gualtiere, G.; Leitao, M. M. Jr; Sonoda, Y.; Abu-Rustum, N. R.; Barakat, R. R.; Basch, E. M.; Chi, D. S.
Article Title:	A prospective study of the feasibility and acceptability of a Web-based, electronic patient-reported outcome system in assessing patient recovery after major gynecologic cancer surgery
Abstract:	Purpose: The purposes of this study are to evaluate the feasibility of capturing patient-reported outcomes (PROs) electronically and to identify the most common distressing symptoms in women recovering from major gynecologic cancer surgery. Methods: This was a prospective, single-arm pilot study. Eligible participants included those scheduled for a laparotomy for presumed or known gynecologic malignancy. Patients completed a Web-based STAR (Symptom Tracking and Reporting for Patients) questionnaire once preoperatively and weekly during the 6-week postoperative period. The questionnaire consisted of the patient adaptation of the NCI CTCAE 3.0 and EORTC QLQ-C30 3.0. When a patient submitted a response that was concerning, an automated email alert was sent to the clinician. The patient's assessment of STAR's usefulness was measured via an exit survey. Results: Forty-nine patients completed the study. The procedures included the following: hysterectomy ± staging (67%), resection of tumor (22%), salpingo-oophorectomy (6%), and other (4%). Most patients (82%) completed at least 4 sessions in STAR. The CTC generated 43 alerts. These alerts resulted in 25 telephone contacts with patients, 2 ER referrals, one new appointment, and one pharmaceutical prescription. The 3 most common patient-reported symptoms generating an alert were as follows: poor performance status (19%), nausea (18%), and fatigue (17%). Most patients found STAR useful (80%) and would recommend it to others (85%). Conclusion: Application of a Web-based, electronic STAR system is feasible in the postoperative period, highly accepted by patients, and warrants further study. Poor performance status, nausea, and fatigue were the most common distressing patient-reported symptoms. © 2012 Elsevier Inc.
Keywords:	adult; clinical article; treatment outcome; aged; middle aged; cancer surgery; clinical trial; fatigue; postoperative period; conference paper; outcome assessment; hysterectomy; laparotomy; prospective study; salpingooophorectomy; prospective studies; quality of life; nausea; internet; patient assessment; self report; questionnaires; genital neoplasms, female; postoperative complications; prescription; questionnaire; pilot study; feasibility studies; pilot projects; gynecologic surgical procedures; major surgery; patient-reported outcomes; gynecologic cancer; gynecologic surgery; patient acceptance of health care; telephone; e-mail; patient reported outcome; gynecologic cancer surgery; star; major gynecologic cancer surgery
Journal Title:	Gynecologic Oncology
Volume:	127
Issue:	2
ISSN:	0090-8258
Publisher:	Elsevier Inc.
Date Published:	2012-11-01
Start Page:	273
End Page:	277
Language:	English
DOI:	10.1016/j.ygyno.2012.07.124
PROVIDER:	scopus
PUBMED:	22871467
PMCID:	PMC3641568
DOI/URL:	http://www.scopus.com/inward/record.url?eid=2-s2.0-84867400853&partnerID=40&md5=9c6f87ca98239d9485755f5dd16e5124
Notes:	--- - "Export Date: 2 November 2012" - "CODEN: GYNOA" - "Source: Scopus"

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