Longitudinal screening and management of fatigue, pain, and emotional distress associated with cancer therapy

Butt, Zeeshan; Wagner, Lynne I.; Beaumont, Jennifer L.; Paice, Judith A.; Straus, Joshua L.; Peterman, Amy H.; Carro, George W.; Roenn, Jamie H. Von; Shevrin, Dan; Cella, David

doi:10.1007/s00520-007-0291-2

Cited by 25 publications

(18 citation statements)

References 29 publications

(37 reference statements)

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“…Amongst 17 studies that provided some results of changes to patient management, 13 studies [11,20,33,37,39,45,46,48-50],[52,53,55] reported either a strong or modest positive effect on the changes to patient management whilst 4 studies [34-36,54] found no such effect. However, it is worth noting that 10 studies did not provide any information about the changes to patient management and there were often less complete descriptions of the results on patient management when reported.…”

Section: Resultsmentioning

confidence: 99%

A systematic review of the impact of routine collection of patient reported outcome measures on patients, providers and health organisations in an oncologic setting

Chen

Hollis

2013

BMC Health Serv Res

646

573

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BackgroundDespite growing interest and urges by leading experts for the routine collection of patient reported outcome (PRO) measures in all general care patients, and in particular cancer patients, there has not been an updated comprehensive review of the evidence regarding the impact of adopting such a strategy on patients, service providers and organisations in an oncologic setting.MethodsBased on a critical analysis of the three most recent systematic reviews, the current systematic review developed a six-method strategy in searching and reviewing the most relevant quantitative studies between January 2000 and October 2011 using a set of pre-determined inclusion criteria and theory-based outcome indicators. The Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) system was used to rate the quality and importance of the identified publications, and the synthesis of the evidence was conducted.ResultsThe 27 identified studies showed strong evidence that the well-implemented PROs improved patient-provider communication and patient satisfaction. There was also growing evidence that it improved the monitoring of treatment response and the detection of unrecognised problems. However, there was a weak or non-existent evidence-base regarding the impact on changes to patient management and improved health outcomes, changes to patient health behaviour, the effectiveness of quality improvement of organisations, and on transparency, accountability, public reporting activities, and performance of the health care system.ConclusionsDespite the existence of significant gaps in the evidence-base, there is growing evidence in support of routine PRO collection in enabling better and patient-centred care in cancer settings.

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Section: Resultsmentioning

confidence: 99%

A systematic review of the impact of routine collection of patient reported outcome measures on patients, providers and health organisations in an oncologic setting

Chen

Hollis

2013

BMC Health Serv Res

646

573

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“…Routine monitoring of patient-centered outcomes have predominantly been tested in chemotherapy settings 29,30 , with positive effects on patient-provider communication, 31–34 detecting unrecognized problems, 30,34–37 guiding clinical care, 36,38–40 and improving health outcomes. 40–44 In transplant patients, changes in symptom intensity and global physical health were all significantly associated with changes in average daily steps, as measured by wearable pedometers.…”

Section: Discussionmentioning

confidence: 99%

Wireless Monitoring Program of Patient-Centered Outcomes and Recovery Before and After Major Abdominal Cancer Surgery

et al. 2017

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Importance A combined objective and subjective wireless monitoring program of patient-centered outcomes can be carried out in patients before and after major abdominal surgery. Objective To conduct a proof-of-concept study of a wireless, patient-centered outcomes monitoring program before and after major abdominal cancer surgery. Design Patients wore wristband pedometers and completed online patient-reported outcome surveys (symptoms, QOL) 3 to 7 days before surgery, through hospitalization, and for two weeks post-discharge. Alerts were generated for all moderate to severe scores for symptoms and QOL. Surgery-related data was collected via electronic medical chart and complications were calculated using the Clavien-Dindo classification. Setting The study was carried out in the inpatient and outpatient surgical oncology unit of one NCI designated comprehensive cancer center. Participants Eligible patients were scheduled to undergo curative resection for hepatobiliary and gastrointestinal malignancies, English-speaking, and 18 years or older. Twenty participants were enrolled over 4 months. Main Outcomes and Measures Outcomes included 1) adherence with wearing the pedometer; 2) adherence with completing the surveys (MDASI and EQ-5D-5L), and 3) satisfaction with the monitoring program. Results Pedometer adherence (88% pre-op versus 83% post-discharge) was higher than survey adherence (75% completed). The median number of steps at day 7 was 1689 (19% of steps at baseline). This correlated with the comprehensive complication index (CCI), for which the median was 15/100 (r = −0.64, p<0.05). Post-discharge overall symptom severity (2.3/10) and symptom interference with activities (3.5/10) were mild. Pain, fatigue, and appetite loss were moderate after surgery (4.4, 4.7, 4.0). QOL scores were lowest at discharge (66.6/100), but improved at week 2 (73.9/100). While patient-reported outcomes returned to baseline at 2 weeks, the number of steps was only one third of pre-operative baseline. Conclusions and Relevance Wireless monitoring of combined subjective and objective patient-centered outcomes can be carried out in the surgical oncology setting. Pre- and post-operative patient-centered outcomes have the potential of identifying high risk populations who may need additional interventions to support postoperative functional and symptom recovery.

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“…For example, the treatment of chemotherapy-induced anemia reduces fatigue, improves sleep and appetite, and reduces the interference of symptoms with function [24]. However, although fatigue has been found to adversely affect a third of patients with cancer, the condition remains relatively undertreated and poorly understood, despite evidence that patients with cancer find the identification and discussion of this symptom helpful [9,18,50]. To date, few large-scale surveys have been conducted to examine the prevalence of cancer treatmentrelated side effects and to characterize the experience of fatigue from the patient's perspective.…”

Section: Introductionmentioning

confidence: 99%

Symptoms and treatment burden associated with cancer treatment: results from a cross-sectional national survey in the U.S.

Henry

Viswanathan

Elkin

et al. 2008

Support Care Cancer

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325

235

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Longitudinal screening and management of fatigue, pain, and emotional distress associated with cancer therapy

Abstract: Improved symptom identification and communication may optimize the detection of those at risk of morbidity and decreased quality of life because of excess symptom burden.

Cited by 25 publications

References 29 publications

A systematic review of the impact of routine collection of patient reported outcome measures on patients, providers and health organisations in an oncologic setting

A systematic review of the impact of routine collection of patient reported outcome measures on patients, providers and health organisations in an oncologic setting

Wireless Monitoring Program of Patient-Centered Outcomes and Recovery Before and After Major Abdominal Cancer Surgery

Symptoms and treatment burden associated with cancer treatment: results from a cross-sectional national survey in the U.S.

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