Development of a hospital-based patient-reported outcome framework for lung cancer patients: a study protocol

Abstract Background Patient-reported outcome (PRO) data is central to the delivery of quality health care. Establishing sustainable, reliable and cost-efficient methods for routine collection and integration of PRO data into health information systems is challenging. This protocol paper describes th...

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Main Authors: Natasha Moloczij, Karla Gough, Benjamin Solomon, David Ball, Linda Mileshkin, Mary Duffy, Mei Krishnasamy
Format: Article
Language:English
Published: BMC 2018-01-01
Series:Health and Quality of Life Outcomes
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12955-017-0837-z
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author Natasha Moloczij
Karla Gough
Benjamin Solomon
David Ball
Linda Mileshkin
Mary Duffy
Mei Krishnasamy
author_facet Natasha Moloczij
Karla Gough
Benjamin Solomon
David Ball
Linda Mileshkin
Mary Duffy
Mei Krishnasamy
author_sort Natasha Moloczij
collection DOAJ
description Abstract Background Patient-reported outcome (PRO) data is central to the delivery of quality health care. Establishing sustainable, reliable and cost-efficient methods for routine collection and integration of PRO data into health information systems is challenging. This protocol paper describes the design and structure of a study to develop and pilot test a PRO framework to systematically and longitudinally collect PRO data from a cohort of lung cancer patients at a comprehensive cancer centre in Australia. Methods Best-practice guidelines for developing registries aimed at collecting PROs informed the development of this PRO framework. Framework components included: achieving consensus on determining the purpose of the framework, the PRO measures to be included, the data collection time points and collection methods (electronic and paper), establishing processes to safeguard the quality of the data collected and to link the PRO framework to an existing hospital-based lung cancer clinical registry. Lung cancer patients will be invited to give feedback on the PRO measures (PROMs) chosen and the data collection time points and methods. Implementation of the framework will be piloted for 12 months. Then a mixed-methods approach used to explore patient and multidisciplinary perspectives on the feasibility of implementing the framework and linking it to the lung cancer clinical registry, its clinical utility, perceptions of data collection burden, and preliminary assessment of resource costs to integrate, implement and sustain the PRO framework. The PRO data set will include: a quality of life questionnaire (EORTC-QLQ-C30) and the EORTC lung cancer specific module (QLQC-LC-13). These will be collected pre-treatment (baseline), 2, 6 and 12 months post-baseline. Also, four social isolation questions (PROMIS) will be collected at baseline. Discussion Identifying and deciding on the overall purpose, clinical utility of data and which PROs to collect from patients requires careful consideration. Our study will explore how PRO data collection processes that link to a clinical data set can be developed and integrated; how PRO systems that are easy for patients to complete and professionals to use in practice can be achieved, and will provide indicative costs of developing and integrating a longitudinal PRO framework into routine hospital data collection systems. Trial registration This study is not a clinical trial and is therefore not registered in any trial registry. However, it has received human research ethics approval (LNR/16/PMCC/45).
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spelling doaj.art-0f15563beaa54d6faa82a20afa31728f2022-12-21T23:08:15ZengBMCHealth and Quality of Life Outcomes1477-75252018-01-011611810.1186/s12955-017-0837-zDevelopment of a hospital-based patient-reported outcome framework for lung cancer patients: a study protocolNatasha Moloczij0Karla Gough1Benjamin Solomon2David Ball3Linda Mileshkin4Mary Duffy5Mei Krishnasamy6Peter MacCallum Cancer CentrePeter MacCallum Cancer CentrePeter MacCallum Cancer CentrePeter MacCallum Cancer CentrePeter MacCallum Cancer CentrePeter MacCallum Cancer CentreDepartment of Nursing, School of Health Sciences, University of MelbourneAbstract Background Patient-reported outcome (PRO) data is central to the delivery of quality health care. Establishing sustainable, reliable and cost-efficient methods for routine collection and integration of PRO data into health information systems is challenging. This protocol paper describes the design and structure of a study to develop and pilot test a PRO framework to systematically and longitudinally collect PRO data from a cohort of lung cancer patients at a comprehensive cancer centre in Australia. Methods Best-practice guidelines for developing registries aimed at collecting PROs informed the development of this PRO framework. Framework components included: achieving consensus on determining the purpose of the framework, the PRO measures to be included, the data collection time points and collection methods (electronic and paper), establishing processes to safeguard the quality of the data collected and to link the PRO framework to an existing hospital-based lung cancer clinical registry. Lung cancer patients will be invited to give feedback on the PRO measures (PROMs) chosen and the data collection time points and methods. Implementation of the framework will be piloted for 12 months. Then a mixed-methods approach used to explore patient and multidisciplinary perspectives on the feasibility of implementing the framework and linking it to the lung cancer clinical registry, its clinical utility, perceptions of data collection burden, and preliminary assessment of resource costs to integrate, implement and sustain the PRO framework. The PRO data set will include: a quality of life questionnaire (EORTC-QLQ-C30) and the EORTC lung cancer specific module (QLQC-LC-13). These will be collected pre-treatment (baseline), 2, 6 and 12 months post-baseline. Also, four social isolation questions (PROMIS) will be collected at baseline. Discussion Identifying and deciding on the overall purpose, clinical utility of data and which PROs to collect from patients requires careful consideration. Our study will explore how PRO data collection processes that link to a clinical data set can be developed and integrated; how PRO systems that are easy for patients to complete and professionals to use in practice can be achieved, and will provide indicative costs of developing and integrating a longitudinal PRO framework into routine hospital data collection systems. Trial registration This study is not a clinical trial and is therefore not registered in any trial registry. However, it has received human research ethics approval (LNR/16/PMCC/45).http://link.springer.com/article/10.1186/s12955-017-0837-zOncologyPatient-reported outcomesLung cancerQuality of careFeasibility
spellingShingle Natasha Moloczij
Karla Gough
Benjamin Solomon
David Ball
Linda Mileshkin
Mary Duffy
Mei Krishnasamy
Development of a hospital-based patient-reported outcome framework for lung cancer patients: a study protocol
Health and Quality of Life Outcomes
Oncology
Patient-reported outcomes
Lung cancer
Quality of care
Feasibility
title Development of a hospital-based patient-reported outcome framework for lung cancer patients: a study protocol
title_full Development of a hospital-based patient-reported outcome framework for lung cancer patients: a study protocol
title_fullStr Development of a hospital-based patient-reported outcome framework for lung cancer patients: a study protocol
title_full_unstemmed Development of a hospital-based patient-reported outcome framework for lung cancer patients: a study protocol
title_short Development of a hospital-based patient-reported outcome framework for lung cancer patients: a study protocol
title_sort development of a hospital based patient reported outcome framework for lung cancer patients a study protocol
topic Oncology
Patient-reported outcomes
Lung cancer
Quality of care
Feasibility
url http://link.springer.com/article/10.1186/s12955-017-0837-z
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