Electronic patient self-assessment and management (SAM): A novel framework for cancer survivorship Journal Article


Authors: Vickers, A. J.; Salz, T.; Basch, E.; Cooperberg, M. R.; Carroll, P. R.; Tighe, F.; Eastham, J.; Rosen, R. C.
Article Title: Electronic patient self-assessment and management (SAM): A novel framework for cancer survivorship
Abstract: Background. We propose a novel framework for management of cancer survivorship: electronic patient Self-Assessment and Management (SAM). SAM is a framework for transfer of information to and from patients in such a way as to increase both the patient's and the health care provider's understanding of the patient's progress, and to help ensure that patient care follows best practice. Methods. Patients who participate in the SAM system are contacted by email at regular intervals and asked to complete validated questionnaires online. Patient responses on these questionnaires are then analyzed in order to provide patients with real-time, online information about their progress and to provide them with tailored and standardized medical advice. Patient-level data from the questionnaires are ported in real time to the patient's health care provider to be uploaded to clinic notes. An initial version of SAM has been developed at Memorial Sloan-Kettering Cancer Center (MSKCC) and the University of California, San Francisco (UCSF) for aiding the clinical management of patients after surgery for prostate cancer. Results. Pilot testing at MSKCC and UCSF suggests that implementation of SAM systems are feasible, with no major problems with compliance (> 70% response rate) or security. Conclusion. SAM is a conceptually simple framework for passing information to and from patients in such a way as to increase both the patient's and the health care provider's understanding of the patient's progress, and to help ensure that patient care follows best practice. © 2010 Vickers et al; licensee BioMed Central Ltd.
Keywords: letter; neoplasm; neoplasms; survivor; questionnaires; survivors; questionnaire; doctor patient relation; pilot study; pilot projects; medical record; physician-patient relations; information dissemination; disease management; self care; telemedicine; e-mail; electronic mail; computer system; computer systems; electronic health records
Journal Title: BMC Medical Informatics and Decision Making
Volume: 10
ISSN: 1472-6947
Publisher: Biomed Central Ltd  
Date Published: 2010-06-17
Start Page: 34
Language: English
DOI: 10.1186/1472-6947-10-34
PUBMED: 20565745
PROVIDER: scopus
PMCID: PMC2893444
DOI/URL:
Notes: --- - "Cited By (since 1996): 1" - "Export Date: 20 April 2011" - "Art. No.: 34" - "Source: Scopus"
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MSK Authors
  1. Talya Salz
    33 Salz
  2. Ethan Martin Basch
    158 Basch
  3. Andrew J Vickers
    570 Vickers
  4. James Eastham
    429 Eastham