Patients on chemotherapy or immunotherapy answer a short weekly symptom questionnaire on their phone; severe answers alert the nurse the same day. Trials show this improves how people feel and function and cuts emergency visits; whether it lengthens life is not settled, because the largest trial found no survival difference.
Electronic patient-reported outcome monitoring with nurse alerts improved quality of life and reduced emergency visits in a randomised trial at Memorial Sloan Kettering (Basch et al.), which also reported longer overall survival, and in the PRO-TECT cluster-randomised trial in 52 community practices, whose primary outcome, overall survival, showed no difference (hazard ratio 0.99). How often it is offered outside trials and payment models has not been measured; the trial investigators name unprotected nursing time as the main barrier. The proposal is a reimbursed care standard: every patient on active systemic therapy is offered weekly ePRO monitoring with defined alert thresholds and response times, and payers cover the monitoring as they cover a drug.
Shares Weekly electronic symptom reporting as a standard of care during systemic therapy, Electronic patient-reported outcome (ePRO) symptom monitoring.
Shares Basch: asking patients to report symptoms online during chemotherapy improved survival, Toxicity and quality of life are undervalued.
Shares Asking people how they are, every week, as a treatment in its own right, Electronic patient-reported outcome (ePRO) symptom monitoring, Patients lack understanding, navigation and agency, Toxicity and quality of life are undervalued.
Shares Patients lack understanding, navigation and agency, Memorial Sloan Kettering Cancer Center, Toxicity and quality of life are undervalued.
Shares Basch: asking patients to report symptoms online during chemotherapy improved survival, Toxicity and quality of life are undervalued.
Shares Asking people how they are, every week, as a treatment in its own right, Electronic patient-reported outcome (ePRO) symptom monitoring, Patients lack understanding, navigation and agency, Toxicity and quality of life are undervalued.
Shares Weekly electronic symptom reporting as a standard of care during systemic therapy, Asking people how they are, every week, as a treatment in its own right, Electronic patient-reported outcome (ePRO) symptom monitoring.
Shares Patients lack understanding, navigation and agency, Toxicity and quality of life are undervalued.
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