Patient- reported outcomes collected in ambulatory oncology practices: Feasibility, patterns, and correlates
Friese, Christopher R.; Fauer, Alex J.; Kuisell, Clare; Mendelsohn‐victor, Kari; Wright, Nathan C.; Griggs, Jennifer J.; Manojlovich, Milisa
2020-12
View/ Open
Citation
Friese, Christopher R.; Fauer, Alex J.; Kuisell, Clare; Mendelsohn‐victor, Kari ; Wright, Nathan C.; Griggs, Jennifer J.; Manojlovich, Milisa (2020). "Patient- reported outcomes collected in ambulatory oncology practices: Feasibility, patterns, and correlates." Health Services Research 55(6): 966-972.
Abstract
ObjectiveTo examine the feasibility of soliciting outcomes from adults who received chemotherapy treatment for cancer and describe the patterns and correlates of patient- reported toxicities.Data SourcesPatient survey data from 29 Michigan ambulatory oncology practices collected in 2017.Study DesignSecondary analysis of patient survey data. Descriptive statistics were generated at the patient and practice levels. Thematic analysis of open- text comments identified clusters of frequently reported toxicities.Data Collection MethodsPatients completed 11 items from the Patient- Reported Outcomes version of the Common Terminology Criteria for Adverse Events. Using a 5- point Likert scale, patients rated the frequency of nausea, vomiting, diarrhea, and pain; the severity of nausea, vomiting, constipation, numbness/tingling, and pain; and how much numbness/tingling and pain interfered with usual or daily activities. Patients could also report two toxicities in open- text comments. Finally, patients reported unplanned health care service for toxicity or side effect management.Principal FindingsOf 3565 eligible patients, 2245 participated (63%) and 457 (20%) rated at least one toxicity as severe/very severe. Across practices, the proportion of patients who reported at least one severe/very severe toxicity ranged from 8% to 50%. Troubling toxicities included pain frequency (mean 2.3, SD 1.3), pain severity (2.1, 1.1), and diarrhea frequency (1.9, 1.0). From completed assessments, 1653 (74%) reported at least one toxicity in open- text comments; fatigue (n = 182), stomach discomfort (n = 53), and skin/nail changes (n = 41) were most frequently reported. Regarding consequences, 156 patients (7%) reported unplanned health care service use: 41 (26%) visited an emergency department and 32 (21%) were admitted to a hospital.ConclusionsQuerying patients on chemotherapy treatment experiences and toxicities was feasible. Toxicity rates varied across practices, which informed quality improvement. Toxicity severity and service use incidence exceed previously published trial data, particularly for pain, fatigue, and gastrointestinal issues. Open- text questions enabled exploration with newer treatment regimens.Publisher
National Academy Press Wiley Periodicals, Inc.
ISSN
0017-9124 1475-6773
Other DOIs
Types
Article
Metadata
Show full item recordCollections
Remediation of Harmful Language
The University of Michigan Library aims to describe library materials in a way that respects the people and communities who create, use, and are represented in our collections. Report harmful or offensive language in catalog records, finding aids, or elsewhere in our collections anonymously through our metadata feedback form. More information at Remediation of Harmful Language.
Accessibility
If you are unable to use this file in its current format, please select the Contact Us link and we can modify it to make it more accessible to you.