PD17-09 FIVE-YEAR EXPERIENCE WITH PELVIC FLOOR MESH EXPLANT SURGERY: PATIENT CHARACTERISTICS AND PATIENT REPORTED OUTCOMES

We assessed whether changeover from open retropubic [RRP] to robotic-assisted laparoscopic prostatectomy [RALP] means a step forward or backward for the initial RALP patients. Therefore the first 105 RALPs of an experienced open prostatic surgeon and robotic novice—with tutoring in the initial 25 cases—were compared to the most recent 105 RRPs of the same surgeon. The groups were comparable with respect to patient characteristics and postoperative tumor characteristics (all P>0.09). The only disadvantage of RALP was a longer operating time; the advantages were lower estimated blood loss, fewer anastomotic leakages, earlier catheter removal, shorter hospital stay (all P<0.04), and less major complications within 90 days postoperatively (P<0.01). Positive surgical margin rates were comparable both overall and stratified for pT stage in both groups (all P<0.08). In addition, an equivalent number of lymph nodes were removed (P>0.07). Twelve months after surgery, patient reported continence and erectile function were comparably good (all P>0.11). Our study indicates that an experienced open prostatic surgeon and robotic novice who switches to RALP can achieve favorable surgical results despite the initial RALP learning curve. At the same time neither oncological nor functional outcomes are compromised.

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The Effect of Payer Type on Patient-Reported Outcomes in Total Joint Arthroplasty Is Modulated by Baseline Patient Characteristics

The Journal of Arthroplasty ◽

10.1016/j.arth.2019.01.069 ◽

2019 ◽

Vol 34 (6) ◽

pp. 1072-1075 ◽

Cited By ~ 3

Author(s):

Mohamad J. Halawi ◽

Mark P. Cote ◽

Lawrence Savoy ◽

Vincent J. Williams ◽

Jay R. Lieberman

Keyword(s):

Total Joint Arthroplasty ◽

Patient Reported Outcomes ◽

Patient Characteristics ◽

Joint Arthroplasty ◽

Patient Reported

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Involving patients to improve their care through real-time patient reported outcome (PRO)-CTCAE chemotoxicity surveys in an outpatient chemodaycare (DC) setting: Evaluating patient acceptability.

Journal of Clinical Oncology ◽

10.1200/jco.2014.32.30_suppl.64 ◽

2014 ◽

Vol 32 (30_suppl) ◽

pp. 64-64 ◽

Cited By ~ 1

Author(s):

Hannah Solomon ◽

Catherine Brown ◽

Ashlee Vennettilli ◽

Aein Zarrin ◽

Aditi Dobriyal ◽

...

Keyword(s):

Patient Reported Outcomes ◽

Quality Care ◽

Patient Characteristics ◽

Patient Reported Outcome ◽

Clinic Visit ◽

Survey Method ◽

Patient Acceptance ◽

Patient Acceptability ◽

Patient Reported ◽

Patient’S Perception

64 Background: In a busy DC setting, the efficiency of identifying important treatment toxicities is essential to quality care. Using a systematic approach to collecting patient-reported outcomes in the waiting rooms of DC units is one possible means of improving care while involving patients. This study reports such a pilot study, and the associated assessment of patient acceptance of this approach. Methods: 156 cancer patients over the age of 18 receiving chemotherapy treatment at Princess Margaret Cancer Centre completed a patient-reported chemotoxicity assessment using PRO-CTCAE items on tablet technology. Main symptoms assessed were: fatigue, nausea and vomiting, diarrhea and constipation, pain, aching muscles and/or joints and dysgeusia. Patient’s perception on the usefulness of PROMs and their willingness to complete such a tool routinely was assessed. Results: The median age was 53.5 (range: 19-88 years), 38% were male and 66% were Caucasian. Over 80% did not find the survey overly time consuming (or made their visit more difficult). Less than 1% were distressed by the survey questions. Over 80% reported that the survey asked the appropriate questions. While 81% considered the PROMs useful in informing their physician of their symptoms, 25% reported they would not be willing to complete the survey at each clinic visit. Another 25% were unsure of their feelings toward this approach. 93% were happy to complete the survey using tablet touchscreen technology. Conclusions: Most patients found the survey method of self-reporting one’s symptoms to be acceptable, non-distressful, and an important practice. From the patient perspective, the process of reporting one’s symptoms using tablet touchscreen technology is both simple and feasible.Yet, only 50% of patients would be willing to complete this survey at every clinic visit. Additional mixed-methods analysis looking at patient characteristics associated with acceptance/non-acceptance and willingness to complete the survey on a regular basis is ongoing and will be reported at the conference.

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Utilizing electronic technologies to measure patient-reported outcomes (PRO) assessment completion time.

Journal of Clinical Oncology ◽

10.1200/jco.2016.34.26_suppl.69 ◽

2016 ◽

Vol 34 (26_suppl) ◽

pp. 69-69

Author(s):

Norman Brito-Dellan ◽

Tony Lam ◽

Marsha N. Richardson ◽

Ellen F. Manzullo ◽

Michael Kallen ◽

...

Keyword(s):

Completion Time ◽

Patient Reported Outcomes ◽

New Technologies ◽

Patient Characteristics ◽

Fatigue Score ◽

Cancer Related Fatigue ◽

Patient Reported ◽

Assessment And Treatment ◽

Brief Fatigue Inventory ◽

Active Cancer

69 Background: Patient-reported outcomes (PROs) contribute to the assessment and treatment of cancer-related fatigue (CRF). Paper-based symptom assessments are cumbersome and time-consuming. Electronic assessments are an efficient alternative. This study describes CRF Clinic patients at a major cancer Institution, the time they required to complete self-reported CRF symptom assessments via a tablet computer (iPad), and the factors influencing PRO assessment completion time. Methods: From 1/1/2011 to 8/21/2012, 190 newly-referred CRF Clinic patients utilized an iPad to complete standardized CRF symptom assessments for: fatigue, pain, depression, anxiety, stress, sleepiness, and apathy. A web-based assessment module (BrightOutcome) was employed, which recorded assessment start and completion times. Non-Parametric test statistics were utilized for analysis. Results: Of the initial 190 patients, 3 were excluded due to non-cancer diagnoses and 1 was excluded due to an erroneous completion time of 8,903 minutes. Sample size is 186 patients; mean age was 55.49 years (range: 31-89); 69.4% (n = 119) were female. Patient mean fatigue score (Brief Fatigue Inventory) was 6.4. Mean assessment completion time was 16.73 minutes (range: 4-47). Assessments took longer to complete for patients ≥ 65 years (mean: 21.53 minutes; range: 9-43), males (mean of 18.3 vs. 16 minutes for females), patients with severe fatigue (7-10) (mean 18.31 minutes; range: 4-47), greatest apathy (38-72) (mean: 19.5 minutes; range 8-47), those with active cancer (mean: 18.02 minutes vs. 15.15 minutes in cancer survivors), and those with 2 or more comorbidities (mean: 18.41 minutes vs. 15.86 minutes in those with less than 2 comorbidities). Pain severity and interference, anxiety, depression, stress, and sleepiness did not statistically significantly impact assessment completion time. Conclusions: Patients who are older, male, fatigued, apathetic, with active cancer or with 2 or more comorbidities may require longer in-clinic time to complete standard symptom assessments. Further studies exploring these and other patient characteristics potentially impacting the integration of new technologies into patient care and research are warranted.

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A novel integrative medicine educational program for radiation oncology patients: Feasibility and patient-reported outcomes.

Journal of Clinical Oncology ◽

10.1200/jco.2017.35.15_suppl.e21629 ◽

2017 ◽

Vol 35 (15_suppl) ◽

pp. e21629-e21629

Author(s):

Kareem Fakhoury ◽

Mark J. Stavas

Keyword(s):

Integrative Medicine ◽

Radiation Oncology ◽

Educational Program ◽

Patient Reported Outcomes ◽

Performance Status ◽

Patient Characteristics ◽

Clinic Visit ◽

Clinical Workflow ◽

Waiting Room ◽

Patient Reported

e21629 Background: Integrative medicine uses complementary health approaches (CHAs) to improve wellness. Many patients use CHAs to manage acute and late toxicities of radiotherapy (RT). However, few patients disclose CHA use to their radiation oncologist. Patients acknowledge a need for improved education on CHAs and have shown interest in attending a hospital-based educational program. Here we assess the feasibility of implementing such a program and the associated patient-reported outcomes, including intention to disclose CHA use and patient satisfaction. Methods: A structured curriculum was designed as a collaboration between an academic institution’s integrative medicine center and radiation oncology department. Four one-hour lectures covered topics of meditation, yoga, massage therapy, and nutrition, each led by a topic expert. Lectures included didactic and interactive components. Individuals over age 18 and actively receiving RT were recruited by nurses, radiation therapists, and a designated study team member in the waiting room. Pre- and post-lecture surveys were used to assess patient characteristics, CHA use disclosure, satisfaction, and qualitative feedback. Results: 43 surveys were completed. The patient sample was 47% female, median age 63. The majority had breast or prostate cancer (60%). Of about 100 patients receiving RT each day, 5 to 7 attended each lecture. 36% of participants had disclosed their use of CHAs before the lecture; 67% intended to disclose their use after the lecture. 98% felt the lecture enhanced their patient experience with a median agreement of 8 on a 9-point Likert scale. Conclusions: This program is the first to increase satisfaction and CHA use disclosure. Patients expressed interest in learning simple, convenient, and effective tools to abate acute toxicities, rather than focus on chronic symptoms of remission and recovery. However, patient recruitment could not be effectively integrated into the clinical workflow. Attendance was limited by timing, transportation, and performance status. To increase reach and minimize cost, we suggest investigating a program that is integrated into the clinic visit or available in an online format.

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Treatment for Osteoporosis among Women in Japan: Associations with Patient Characteristics and Patient-Reported Outcomes in the 2008–2011 Japan National Health and Wellness Surveys

Journal of Osteoporosis ◽

10.1155/2014/909153 ◽

2014 ◽

Vol 2014 ◽

pp. 1-9 ◽

Cited By ~ 4

Author(s):

Masayo Sato ◽

Jeffrey Vietri ◽

Jennifer A. Flynn ◽

Saeko Fujiwara

Keyword(s):

Patient Reported Outcomes ◽

Healthcare Providers ◽

Patient Characteristics ◽

Current Treatment ◽

Self Report ◽

Health And Wellness ◽

Bivariate Statistics ◽

Annual Survey ◽

Patient Reported ◽

History Of

This study was conducted to identify characteristics associated with treatment for osteoporosis among women aged 50 years and older in Japan and to explore differences among patients according to treatment regimen. Data were provided by a large annual survey representative of Japanese aged 18 and older; all measures were by self-report. Women aged 50 and older who reported diagnosed osteoporosis (N=900) were compared based on current treatment status using bivariate statistics and logistic regression. Approximately 1 in 3 women in this study reporting diagnosed osteoporosis were currently untreated. Factors associated with current treatment for osteoporosis included having ≥1 physician visit in the prior 6 months (OR = 5.4,P<0.001), self-rated moderate or severe osteoporosis (OR = 2.8,P<0.001), completion of menopause (OR = 1.6,P<0.05), and family history of osteoporosis (OR = 1.5,P<0.05), while longer duration of osteoporosis diagnosis (OR = 0.9,P<0.05) and arthritis (OR = 0.7,P<0.05) were associated with lower odds of treatment. These findings suggest that diagnosed patients are not being actively managed in the longer term, and efforts need to be made to ensure that patients stay engaged with their healthcare providers.

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