Patient reported outcomes in oncology: changing perspectives—a systematic review
Abstract In public health context, oncology is associated with severe negative impact on patients and on their relatives’ quality of life. Over the last decades, survival has remained at 50% worldwide for some tumor locations. Patient reported outcomes (PROs) assessment and, the corresponding use in...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-05-01
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| Series: | Health and Quality of Life Outcomes |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12955-022-01987-x |
| _version_ | 1811250891461754880 |
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| author | Augusta Silveira Teresa Sequeira Joaquim Gonçalves Pedro Lopes Ferreira |
| author_facet | Augusta Silveira Teresa Sequeira Joaquim Gonçalves Pedro Lopes Ferreira |
| author_sort | Augusta Silveira |
| collection | DOAJ |
| description | Abstract In public health context, oncology is associated with severe negative impact on patients and on their relatives’ quality of life. Over the last decades, survival has remained at 50% worldwide for some tumor locations. Patient reported outcomes (PROs) assessment and, the corresponding use in clinical practice, help establishing patient individualized profiling involving caregivers. The purpose of this systematic review was to examine critical success factors for PROs assessment in daily clinical oncology practice. Additionally, we investigated how PROs collection can change oncology perspectives for patients and caregivers. According to PRISMA guidelines, 83 studies were included in this systematic review, whether related with implementation in daily clinical practice or associated with its use in oncology. PROs assessment gathers multi-professional teams, biomedical and clinical expertise, patients, families and caregivers. Institutional involvement, first line for caregiver’s adherence, team continuous formation, encompassing training and support, design of clear workflows, continuous monitoring, and data analysis are crucial for implementation. PROs measures are decisive in oncology. Several items were improved, including caregiver–patient–physician communication, patient risk groups identification, unmet problems and needs detection, disease course and treatment tracking, prognostic markers, cost-effectiveness measurement and comfort/support provision for both patients and caregivers. Routine assessment and implementation of PROs in clinical practice are a major challenge and a paradigm transformation for future. |
| first_indexed | 2024-04-12T16:11:31Z |
| format | Article |
| id | doaj.art-14db3d48e810452cbced01ae3fe330fb |
| institution | Directory Open Access Journal |
| issn | 1477-7525 |
| language | English |
| last_indexed | 2024-04-12T16:11:31Z |
| publishDate | 2022-05-01 |
| publisher | BMC |
| record_format | Article |
| series | Health and Quality of Life Outcomes |
| spelling | doaj.art-14db3d48e810452cbced01ae3fe330fb2022-12-22T03:25:52ZengBMCHealth and Quality of Life Outcomes1477-75252022-05-0120111510.1186/s12955-022-01987-xPatient reported outcomes in oncology: changing perspectives—a systematic reviewAugusta Silveira0Teresa Sequeira1Joaquim Gonçalves2Pedro Lopes Ferreira3Health Sciences Faculty, Fernando Pessoa University (UFP-FCS)Health Sciences Faculty, Fernando Pessoa University (UFP-FCS)2Ai - Applied Artificial Intelligence Laboratory, School of Technology of Polytechnic Institute of Cávado and AveCentre for Health Studies and Research of University of Coimbra, Centre for Innovative Biomedicine and BiotechnologyAbstract In public health context, oncology is associated with severe negative impact on patients and on their relatives’ quality of life. Over the last decades, survival has remained at 50% worldwide for some tumor locations. Patient reported outcomes (PROs) assessment and, the corresponding use in clinical practice, help establishing patient individualized profiling involving caregivers. The purpose of this systematic review was to examine critical success factors for PROs assessment in daily clinical oncology practice. Additionally, we investigated how PROs collection can change oncology perspectives for patients and caregivers. According to PRISMA guidelines, 83 studies were included in this systematic review, whether related with implementation in daily clinical practice or associated with its use in oncology. PROs assessment gathers multi-professional teams, biomedical and clinical expertise, patients, families and caregivers. Institutional involvement, first line for caregiver’s adherence, team continuous formation, encompassing training and support, design of clear workflows, continuous monitoring, and data analysis are crucial for implementation. PROs measures are decisive in oncology. Several items were improved, including caregiver–patient–physician communication, patient risk groups identification, unmet problems and needs detection, disease course and treatment tracking, prognostic markers, cost-effectiveness measurement and comfort/support provision for both patients and caregivers. Routine assessment and implementation of PROs in clinical practice are a major challenge and a paradigm transformation for future.https://doi.org/10.1186/s12955-022-01987-xPatient reported outcomesOncologyCritical success factorsImplementationCaregivers |
| spellingShingle | Augusta Silveira Teresa Sequeira Joaquim Gonçalves Pedro Lopes Ferreira Patient reported outcomes in oncology: changing perspectives—a systematic review Health and Quality of Life Outcomes Patient reported outcomes Oncology Critical success factors Implementation Caregivers |
| title | Patient reported outcomes in oncology: changing perspectives—a systematic review |
| title_full | Patient reported outcomes in oncology: changing perspectives—a systematic review |
| title_fullStr | Patient reported outcomes in oncology: changing perspectives—a systematic review |
| title_full_unstemmed | Patient reported outcomes in oncology: changing perspectives—a systematic review |
| title_short | Patient reported outcomes in oncology: changing perspectives—a systematic review |
| title_sort | patient reported outcomes in oncology changing perspectives a systematic review |
| topic | Patient reported outcomes Oncology Critical success factors Implementation Caregivers |
| url | https://doi.org/10.1186/s12955-022-01987-x |
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