Social determinants of health explored within an electronic patient reported outcomes (ePROS) remote symptom monitoring platform for patients with multiple myeloma (MM).

Authors

null

Tanya Marya Wildes

University of Nebraska Medical Center, Omaha, NE

Tanya Marya Wildes, Nicholas C Coombs, Emily R Beamon, Fjoralba Kristo, Dasha Cherepanov, Aaron Galaznik, Emelly Rusli

Organizations

University of Nebraska Medical Center, Omaha, NE, Piedmont Research Strategies, Inc, Greenville, NC, Takeda, Cambridge, MA, Millennium Pharmaceuticals, Inc., a wholly owned subsidiary of Takeda Pharmaceutical Company Limited, Cambridge, MA, Carevive Systems Inc., Miami, FL, Carevive Systems Inc., North Miami, FL

Research Funding

No funding received
None.

Background: Social determinants of health (SDoH) are non-medical factors, such as income, education, employment, and area of residence, that can influence health outcomes. Research shows SDoH impact people’s health, well-being, and quality of life (QoL) and, for patients with cancer, treatment outcomes. Electronic Patient Reported Outcomes (ePROs) integration into routine oncology practice improves patient time on therapy, survival, and resource utilization. This study explores the use of an ePRO platform for routine gathering of SDoH incorporated into care for Multiple Myeloma (MM). Methods: Adult patients with MM undergoing treatment were enrolled in the Carevive remote symptom monitoring (RSM) platform between March 1, 2021 and April 20, 2023. Patients received baseline and weekly surveys to assess patient-reported symptom burden, physical function, overall health, and survey compliance. Baseline characteristics included age, sex, race, frailty status (modified Geriatric Assessment, CARE survey item, and/or self-reported activity level), comorbidities, and SDoH (living-, caregiver-, marital-, employment-, education-, insurance-status, travel distance to cancer center). Symptoms (derived from the PRO-CTCAE) and QoL (EORTC QLQ-C30 items #29 & #30) were assessed weekly. Results were stratified by SDoH status and compared by symptom burden and QoL. Results: A total of 151 patients were included in analysis, with median follow-up time of 12 weeks: majority were male (56%) and white (75%); median age was 66 years old (range 20-87), and 70% had at least one comorbidity. Survey compliance was 71%, measured by the total number of surveys completed out of the total number of surveys assigned by each patient. Among 84 (56)% patients with SDoH responses, 67 (80%) were married, 45 (54%) had at least a bachelor’s degree, 49 (58%) were retired, 21 (25%) reported having a full- or part-time caregiver, 73 (87%) lived with at least one other adult, and 39 (46%) lived more than 20 miles from their nearest cancer center. Symptoms were reported more often by patients with a caregiver compared to patients without a caregiver (1.67 vs. 1.12 total symptoms per patient-week) and by patients living with at least one other adult compared to patients living alone (1.53 vs. 1.21 symptoms per patient-week). Conclusions: This study illustrates the feasibility of using RSM for gathering SDoH and patience experience indicators in routine clinical care. While overall survey compliance was high, 44% did not complete all SDoH items, indicating possible patient reticence to respond to some questions. Differences in symptom reporting rates indicate a potential need to focus on patients living alone, or without a caregiver. This further supports the importance and utility of SDoH indicators to identify actionable risk factors for poor health outcomes.

Disclaimer

This material on this page is ©2024 American Society of Clinical Oncology, all rights reserved. Licensing available upon request. For more information, please contact licensing@asco.org

Abstract Details

Meeting

2023 ASCO Quality Care Symposium

Session Type

Poster Session

Session Title

Poster Session A

Track

Quality, Safety, and Implementation Science,Cost, Value, and Policy,Patient Experience,Survivorship

Sub Track

Integrating Patient Experience Assessment and Patient Reported Outcomes Into Practice

Citation

JCO Oncol Pract 19, 2023 (suppl 11; abstr 354)

DOI

10.1200/OP.2023.19.11_suppl.354

Abstract #

354

Poster Bd #

F11

Abstract Disclosures

Similar Abstracts

Abstract

2021 ASCO Annual Meeting

Perceptions of prognosis in caregivers of multiple myeloma (MM) patients.

First Author: Yael N. Shapiro

Abstract

2023 ASCO Quality Care Symposium

Availability of family caregiver support in U.S. cancer centers.

First Author: James Nicholas Odom