Patient outcomes, patient experiences and process indicators associated with the routine use of patient-reported outcome measures (PROMs) in cancer care: a systematic review

Caitlin Graupner*, Merel L. Kimman, Suzanne Mul, Annerika H. M. Slok, Danny Claessens, Jos Kleijnen, Carmen D. Dirksen, Stephanie O. Breukink

*Corresponding author for this work

Research output: Contribution to journal(Systematic) Review article peer-review

24 Citations (Web of Science)

Abstract

Purpose In current cancer care, there is a growing debate about the value of using patient-reported outcome measures (PROMs) in daily clinical follow-up. A systematic review of the literature was conducted to assess the evidence of the effectiveness of the routine use of PROMs in daily cancer care in terms of patient outcomes, patient experiences and process indicators and to identify the effect of giving feedback about PROM findings to patients and/or health care professionals (HCPs). Methods A systematic search was performed. Studies were eligible for inclusion when they (1) used a PROM as an intervention, with or without feedback to patients and/or HCPs, compared with not using a PROM, and (2) used a PROM as an intervention with feedback to patients and/or HCPs, compared with using a PROM without giving feedback to patients and/or HCPs. Results After screening of 8341 references, 22 original studies met the inclusion criteria. Most studies found a positive effect on survival, symptoms, HRQoL and patient satisfaction. In general, using feedback to patient and/or HCPs about the PROM results led to better symptom control, HRQoL, patient satisfaction and patient-doctor communication. The majority of included studies had insufficient power to detect significant differences in the outcomes assessed. Conclusion This review shows that predominantly positive findings were found in the use of a PROM in daily cancer care. Additionally, more positive effects were seen when feedback is provided to patient and/or health care professionals, and it is thus highly recommended that this is always done.

Original languageEnglish
Pages (from-to)573-593
Number of pages21
JournalSupportive Care in Cancer
Volume29
Issue number2
Early online date2 Sep 2020
DOIs
Publication statusPublished - Feb 2021

Keywords

  • Patient-reported outcome measures
  • PROM
  • Cancer
  • Patient-reported outcomes
  • QUALITY-OF-LIFE
  • RANDOMIZED CONTROLLED-TRIAL
  • CENTERED OUTCOMES
  • CLINICAL-PRACTICE
  • SYMPTOM PREVALENCE
  • HEALTH OUTCOMES
  • STANDARD SET
  • ONCOLOGY
  • IMPACT
  • ASSESSMENTS

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