Improving quality of care by obtaining patient-reported outcomes (PRO)-CTCAE chemotoxicities using tablet technology in daycare (DC) waiting rooms.

Authors

null

Tian Qi Wang

Ontario Cancer Institute, Princess Margaret Cancer Centre, Toronto, ON, Canada

Tian Qi Wang, Catherine Brown, Ashlee Vennettilli, Lauren Wong, Aein Zarrin, Aditi Dobriyal, Linda Chen, Vivien Pat, Anthea Ho, Valerie Ho, Cindy Xin, Hannah Solomon, Margaret Irwin, Christina Gonos, Zahra Merali, Wei Xu, Doris Howell, Geoffrey Liu

Organizations

Ontario Cancer Institute, Princess Margaret Cancer Centre, Toronto, ON, Canada, Princess Margaret Hospital, Toronto, ON, Canada

Research Funding

No funding sources reported

Background: In a busy chemo DC, any efficient means of tracking important chemotoxicities can improve quality of care. The study goal was to evaluate whether tablet technology available in a DC waiting room is able to capture prevalent and severe toxicities associated with chemotherapy using the patient reported outcome (PRO) - common toxicity criteria for adverse events (CTCAE). Methods: This cross-sectional PRO-CTCAE study of 160 adult solid/hematologic cancer outpatients of all stages, who were undergoing chemotherapy (CT), focused on common chemotoxicities captured using touchscreen tablets in the DC waiting room of Princess Margaret Cancer Centre (Toronto, CA). Individual health scores from the EQ-5D VAS tool and the prevalence of AEs experienced by cancer patients within the past seven days were captured. Symptoms that were listed as moderate to very severe were considered significant. Results: Across a wide range of tumours and patients on intravenous CT, the median age (range) was 56 (19-88) years; 38% were males.Patients reported a median (range) health score (100 = best health possible, 0 = worst) of 70 (4-100). The severity offiveprevalent, key side-effects of CT were tabulated (Table). 59% of patients felt their fatigue interfered significantly with their daily activities, and 30% felt decreased appetite interfered significantly. 32% experienced nausea occasionally to almost constantly. Conclusions: The common symptoms of CT were captured FEASIBLY, and found to be highly prevalent in this CT-treated population. Capturing additional symptom prevalence outside of the 7-day time frame may be important from a clinical standpoint. Administration of PRO-CTCAE instrument through tablet technology may be an excellent method to help collect such data systematically and reliably. Updated data on 300 patients will be presented at the meeting.

Prevalence and severity of commonly occurring CT-related toxicities.
Symptoms Moderate Severe Very severe Total
Fatigue 41% 15% 3% 59%
Decreased appetite 27% 12% 5% 42%
Nausea 19% 6% 3% 28%
Vomiting 12% 4% 1% 17%
Mouth and throat sores 9% 8% 0% 17%

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Abstract Details

Meeting

2014 ASCO Quality Care Symposium

Session Type

Poster Session

Session Title

General Poster Session B: Cost, Value, and Policy in Quality and Practice of Quality

Track

Practice of Quality,Cost, Value, and Policy in Quality

Sub Track

Use of IT to Improve Quality

Citation

J Clin Oncol 32, 2014 (suppl 30; abstr 165)

DOI

10.1200/jco.2014.32.30_suppl.165

Abstract #

165

Poster Bd #

G14

Abstract Disclosures