Letteria Consolo1,2, Greta Castellini3, Silvia Cilluffo4, Ilaria Basile5, Maura Lusignani6. 1. Department of Biomedicine and Prevention, University of Rome "Tor Vergata", Rome, Italy. letteria.consolo@unimi.it. 2. Bachelor School of Nursing, IRCCS, National Cancer Institute, Milan, Italy. letteria.consolo@unimi.it. 3. Unit of Clinical Epidemiology, IRCCS Galeazzi Orthopaedic Institute, Milan, Italy. 4. Bachelor School of Nursing, ASST Grande Ospedale Metropolitano Niguarda, University, Milan, Italy. 5. Palliative Care, Pain Therapy and Rehabilitation Unit, IRCCS, National Cancer Institute, Milan, Italy. 6. Associate Professor, Department of Biomedical Sciences for Health, University of Milan, Milan, Italy.
Abstract
BACKGROUND: In palliative oncology settings, electronic patient-reported outcome (PRO) assessment can play an important role in supporting clinical activities for clinicians and patients. This scoping review aims to map the technological innovation of electronic patient-reported outcome measures (e-PROMs) in cancer palliative care and how PRO data collected through e-PROMs can influence the monitoring and management of symptoms and enable better communication between health professionals and patients. METHODS: A scoping review study was designed according to the Arksey and O'Malley framework. Medline, Embase, Web of Science, SCOPUS, PsycINFO and CINAHL and gray literature sources were consulted. The inclusion criteria were people over 18 years old receiving palliative and/or end-of-life care using e-PROMs. RESULTS: Thirteen primary studies were included: nine quantitative studies, two qualitative studies, and two mixed-method studies. The recently developed software that supports e-PROMs allows patients to receive feedback on their symptoms, helps clinicians prioritize care needs and monitors patients' conditions as their symptoms change. Electronic PRO data prompt difficult, end-of-life communication between clinicians and patients to better organize care in the last phase of life. CONCLUSION: This work shows that electronic PRO data assessment provides valuable tools for patients' well-being and the management of symptoms; only one study reported conflicting results. However, with studies lacking on how clinicians can use these tools to improve communication with patients, more research is needed.
BACKGROUND: In palliative oncology settings, electronic patient-reported outcome (PRO) assessment can play an important role in supporting clinical activities for clinicians and patients. This scoping review aims to map the technological innovation of electronic patient-reported outcome measures (e-PROMs) in cancer palliative care and how PRO data collected through e-PROMs can influence the monitoring and management of symptoms and enable better communication between health professionals and patients. METHODS: A scoping review study was designed according to the Arksey and O'Malley framework. Medline, Embase, Web of Science, SCOPUS, PsycINFO and CINAHL and gray literature sources were consulted. The inclusion criteria were people over 18 years old receiving palliative and/or end-of-life care using e-PROMs. RESULTS: Thirteen primary studies were included: nine quantitative studies, two qualitative studies, and two mixed-method studies. The recently developed software that supports e-PROMs allows patients to receive feedback on their symptoms, helps clinicians prioritize care needs and monitors patients' conditions as their symptoms change. Electronic PRO data prompt difficult, end-of-life communication between clinicians and patients to better organize care in the last phase of life. CONCLUSION: This work shows that electronic PRO data assessment provides valuable tools for patients' well-being and the management of symptoms; only one study reported conflicting results. However, with studies lacking on how clinicians can use these tools to improve communication with patients, more research is needed.
Authors: Gemmae M Fix; Carol VanDeusen Lukas; Rendelle E Bolton; Jennifer N Hill; Nora Mueller; Sherri L LaVela; Barbara G Bokhour Journal: Health Expect Date: 2017-08-25 Impact factor: 3.377
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