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Patient-reported Outcome Measures: E-Health Anwendungen stoßen auf große Zustimmung
Karger Kompass Onkologie Pub Date : 2022-01-01 , DOI: 10.1159/000522468
Tanja Zimmermann

Patient-reported outcome measures obtained via E-Health tools ease the assessment burden and encourage patient participation in cancer care (PaCC Study) <b>Background:</b> E-health based patient-reported outcome measures (PROMs) have the potential to automate early identification of both nutrition status and distress status in cancer patients while facilitating treatment and encouraging patient participation. This cross-sectional study assessed the acceptability, accuracy, and clinical utility of PROMs collected via E-Health tools among patients undergoing treatment for stomach, colorectal, and pancreatic tumors. <b>Results:</b> Eight-nine percent mostly, or completely, agreed that PROMs via tablets should be integrated in routine clinical care. Men were significantly more likely to require help completing the questionnaires than women (inv.OR = 0.51, 95% CI = (0.27, 0.95), p = 0.035). The level of help needed increased by 3% with each 1-year increase in age (inv. OR = 1.03, 95% CI = (1.01, 1.06), p = 0.013). On average, a patient tended to declare weight which was 0.84 kg inferior to their true weight (Bland and Altman 95 % CI = (–3.9, 5.6); SD: 2.41) and a height which was 0.95 cm superior to their true height (Bland and Altman 95 % CI = (–5, 3.1); SD 2.08). Patient-reported nutrition status was significantly associated with the professionally generated assessment (95% CI = (2.27, 4.15), p &#x3c; 0.001). As nutrition status declined, the distress score increased (95%CI = (0.88, 1.68), p &#x3c; 0.001). Of the patients, 48.8% who were both distressed and malnourished requested supportive care to address their problems. <b>Conclusion:</b> Patient-reported assessments utilizing E-health tools are an accurate and efficient method to encourage patient participation in cancer care while simultaneously ensuring that regular assessment of psycho-social and nutritional aspects of care are efficiently integrated in the daily clinical routine.

中文翻译:

患者报告的结果测量:电子健康 Anwendungen stoßen auf große Zustimmung

通过 E-Health 工具获得的患者报告结果测量可减轻评估负担并鼓励患者参与癌症护理(PaCC 研究)<b>背景:</b>基于电子健康的患者报告结果测量 (PROM) 具有潜力自动化早期识别癌症患者的营养状况和痛苦状态,同时促进治疗并鼓励患者参与。这项横断面研究评估了通过 E-Health 工具收集的 PROM 在接受胃、结肠直肠和胰腺肿瘤治疗的患者中的可接受性、准确性和临床实用性。<b>结果:</b> 89% 的人大部分或完全同意将通过平板电脑的 PROM 整合到常规临床护理中。男性比女性更可能需要帮助来完成问卷(inv.OR = 0.51, 95% CI = (0.27, 0.95), p = 0.035)。年龄每增加 1 年,所需帮助水平增加 3%(inv. OR = 1.03, 95% CI = (1.01, 1.06), p = 0.013)。平均而言,患者倾向于宣称体重比真实体重低 0.84 千克(Bland 和 Altman 95 % CI = (–3.9, 5.6);标准差:2.41),身高比真实身高高 0.95 厘米( Bland 和 Altman 95 % CI = (–5, 3.1);SD 2.08)。患者报告的营养状况与专业评估显着相关(95% CI = (2.27, 4.15), p < 0.001)。随着营养状况下降,痛苦评分增加(95%CI = (0.88, 1.68), p < 0.001)。患者中,48 人。8% 既痛苦又营养不良的人请求支持性护理来解决他们的问题。<b>结论:</b> 使用电子健康工具的患者报告评估是一种准确有效的方法,可以鼓励患者参与癌症护理,同时确保将护理的心理社会和营养方面的定期评估有效整合到临床日常。
更新日期:2022-01-01
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