Cited by 2,593Cancer survivorship and careMobile Health and mHealth ApplicationsPain Management and Opioid Use

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Symptom Monitoring With Patient-Reported Outcomes During Routine Cancer Treatment: A Randomized Controlled Trial

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Basch, Ethan, Deal, Allison M., Kris, Mark G., Scher, Howard I., Hudis, Clifford A., Sabbatini, Paul, Rogak, Lauren, Bennett, Antonia V., Dueck, Amylou C., Atkinson, Thomas M., Chou, Joanne F., Dulko, Dorothy, Sit, Laura, Barz, Allison, Novotny, Paul, Fruscione, Michael, Sloan, Jeff A., Schrag, Deborah·2016·Journal of Clinical Oncology

DOI 10.1200/jco.2015.63.0830PMC PMC4872028

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Abstract

Purpose: There is growing interest to enhance symptom monitoring during routine cancer care using patient-reported outcomes, but evidence of impact on clinical outcomes is limited. Methods: We randomly assigned patients receiving routine outpatient chemotherapy for advanced solid tumors at Memorial Sloan Kettering Cancer Center to report 12 common symptoms via tablet computers or to receive usual care consisting of symptom monitoring at the discretion of clinicians. Those with home computers received weekly e-mail prompts to report between visits. Treating physicians received symptom printouts at visits, and nurses received e-mail alerts when participants reported severe or worsening symptoms. The primary outcome was change in health-related quality of life (HRQL) at 6 months compared with baseline, measured by the EuroQol EQ-5D Index. Secondary endpoints included emergency room (ER) visits, hospitalizations, and survival. Results: Among 766 patients allocated, HRQL improved among more participants in the intervention group than usual care (34% v 18%) and worsened among fewer (38% v 53%; P < .001). Overall, mean HRQL declined by less in the intervention group than usual care (1.4- v 7.1-point drop; P < .001). Patients receiving intervention were less frequently admitted to the ER (34% v 41%; P = .02) or hospitalized (45% v 49%; P = .08) and remained on chemotherapy longer (mean, 8.2 v 6.3 months; P = .002). Although 75% of the intervention group was alive at 1 year, 69% with usual care survived the year (P = .05), with differences also seen in quality-adjusted survival (mean of 8.7 v. 8.0 months; P = .004). Benefits were greater for participants lacking prior computer experience. Most patients receiving intervention (63%) reported severe symptoms during the study. Nurses frequently initiated clinical actions in response to e-mail alerts. Conclusion: Clinical benefits were associated with symptom self-reporting during cancer care.

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Background
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Dzimitrowicz, H. E., Blakely, L. J., Jones, L. W., & LeBlanc, T. W. (2022) · American Society of Clinical Oncology Educational Book · doi:10.1200/edbk_350550 · Cited by 21
Exploring supportive care and information needs through a proposed eHealth application among melanoma patients undergoing systemic therapy: a qualitative study
Fraterman, I., Glaser, S. L. C., Wilgenhof, S., Medlock, S. K., Mallo, H. A., Ronald Cornet, A., van de Poll-Franse, L. V., & Boekhout, A. H. (2022) · Supportive Care in Cancer · doi:10.1007/s00520-022-07133-z · Cited by 21
Development of Machine Learning Algorithms Incorporating Electronic Health Record Data, Patient-Reported Outcomes, or Both to Predict Mortality for Outpatients With Cancer
Parikh, R. B., Hasler, J., Zhang, Y., Liu, M., Chivers, C., Ferrell, W. J., Gabriel, P. E., Lerman, C. E., Bekelman, J. E., & Chen, J. (2022) · JCO Clinical Cancer Informatics · doi:10.1200/cci.22.00073 · Cited by 25
“Routine PRO assessment is now more common and may allow oncology clinicians to better identify patients with high symptom burden or declining functional status.(22-26) However, the role of PROs in risk stratification remains unexplored.”
Background
Management of Patients With Pancreatic Cancer Using the “Right Track” Model
Rosenzweig, A., Berlin, J. D., Chari, S. T., Kindler, H. L., Matrisian, L. M., Mayoral, A., Mills, J. B., Nissen, N. N., Picozzi, V. J., Zelada-Arenas, F., et al. (2023) · The Oncologist · doi:10.1093/oncolo/oyad080 · Cited by 20
Framework to leverage physical therapists for the assessment and treatment of chemotherapy-induced peripheral neurotoxicity (CIPN)
Stoller, S., Capozza, S. J., Alberti, P., Lustberg, M. B., & Kleckner, I. R. (2023) · Supportive Care in Cancer · doi:10.1007/s00520-023-07734-2 · Cited by 27
“This framework thematically extends prior practice-changing research on the benefits of using early palliative care [81, 83, 83] and the benefits of reporting patient symptoms [84] to improve patient care and quality of life.”
Background
Challenges of caring for older patients with multimorbidity including cancer
Seghers, P. A. L., Rostoft, S., O’Hanlon, S., O'Sullivan, B., Portielje, J. E. A., Wildiers, H. P. M. W., Soubeyran, P., & Hamaker, M. E. (2023) · Journal of Geriatric Oncology · doi:10.1016/j.jgo.2023.101588 · Cited by 21
Using Implementation Science Frameworks to Guide the Use of Electronic Patient-Reported Outcome Symptom Monitoring in Routine Cancer Care
Lai-Kwon, J. E., Rutherford, C., Jefford, M., Gore, C., & Best, S. (2024) · JCO Oncology Practice · doi:10.1200/op.23.00462 · Cited by 21
Development of a survivorship needs assessment planning tool for head and neck cancer survivors and their caregivers: a preliminary study
Sterba, K. R., Zapka, J. G., LaPelle, N. R., Garris, T. K., Buchanan, A., Scallion, M. L., & Day, T. A. (2017) · Journal of Cancer Survivorship · doi:10.1007/s11764-017-0621-4 · Cited by 21
“Evidence is increasing concerning the benefits of incorporating automated patient-reported outcome assessment systems into clinical practice with effective programs to train clinicians to use these systems [25, 40, 41].”
Background
Head and Neck Cancer: Improving Patient-Reported Outcome Measures for Clinical Practice
Silveira, A., Monteiro, E. F., & Sequeira, T. (2018) · Current Treatment Options in Oncology · doi:10.1007/s11864-018-0578-1 · Cited by 24
Survivorship care planning and implementation in neuro-oncology
Leeper, H. E., & Milbury, K. (2018) · Neuro-Oncology · doi:10.1093/neuonc/noy110 · Cited by 21
Interpreting and Acting on the PRO Scores From the Patient-reported Outcomes for Personalized Treatment and Care (PROMPT-Care) eHealth System
Girgis, A., Durcinoska, I., Arnold, A., & Delaney, G. P. (2019) · Medical Care · doi:10.1097/mlr.0000000000001094 · Cited by 21
Pathway to Precision Patient-Reported Outcomes
Kaufmann, T. L., & Rocque, G. B. (2021) · Journal of Clinical Oncology · doi:10.1200/jco.21.02163 · Cited by 22
Systemic therapies for preventing or treating aromatase inhibitor-induced musculoskeletal symptoms in early breast cancer
Roberts, K. E., Adsett, I. T., Rickett, K., Conroy, S. M., Chatfield, M. D., & Woodward, N. E. (2022) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd013167.pub2 · Cited by 25
Comparison of EORTC QLQ-C30 and PRO-CTCAE™ Questionnaires on Six Symptom Items
Taarnhøj, G. A., Kennedy, F., Absolom, K. L., Bæksted, C., Vogelius, I. R., Johansen, C., Velikova, G., & Pappot, H. (2018) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2018.05.017 · Cited by 21
“3 Introduction Within the last decade health-related quality of life (HRQO L) has become an integral part of clinical studies, usually as a secondary endpoint, or as a primary endpoint evaluati on of palliative treatments (1-6).”
BackgroundMethod
Population‐level evidence of survival benefits of patient‐reported outcome symptom monitoring software systems in routine cancer care
Basch, E., Charlot, M., & Dueck, A. C. (2020) · Cancer Medicine · doi:10.1002/cam4.3480 · Cited by 20
Self-citation
Implementing electronic patient-reported outcomes for patients with new oral chemotherapy prescriptions at an academic site and a community site
Doolin, J. W., Berry, J. L., Forbath, N. S., Tocci, N. X., Dechen, T., Li, S., Hartwell, R. A., Espiritu, J. K., Roberts, D. A., Zerillo, J. A., et al. (2021) · JCO Clinical Cancer Informatics · doi:10.1200/cci.20.00191 · Cited by 20
Integrating Patient-Reported Outcomes Into the Care of People With Advanced Cancer—A Practical Guide
Lai-Kwon, J. E., Thorner, E. D., Rutherford, C., Crossnohere, N. L., & Brundage, M. (2024) · American Society of Clinical Oncology Educational Book · doi:10.1200/edbk_438512 · Cited by 21
Harnessing the Power of Patient-Reported Outcomes in Oncology
Nipp, R. D., & Temel, J. S. (2018) · Clinical Cancer Research · doi:10.1158/1078-0432.ccr-18-0037 · Cited by 20
“Notably, patients' symptoms represent a modifiable risk factor that, if properly managed, can prompt earlier initiation of supportive care measures and may result in better symptom management, decreased health care utilization, and potentially improved survival (3, 5).”
Background
Teaching Patients with Advanced Cancer to Self-Advocate: Development and Acceptability of the Strong Together™ Serious Game
Thomas, T. H., McLaughlin, M., Hayden, M. A., Shumaker, E., Trybus, J., Myers, E., Zabiegalski, A., & Cohen, S. M. (2019) · Games for Health Journal · doi:10.1089/g4h.2018.0021 · Cited by 20
Using patient-reported outcomes to manage postoperative symptoms in patients with lung cancer: protocol for a multicentre, randomised controlled trial
Dai, W., Zhang, Y., Feng, W., Liao, X., Mu, Y., Zhang, R., Wei, X., Wu, C., Xie, S., Li, Q., et al. (2019) · BMJ Open · doi:10.1136/bmjopen-2019-030041 · Cited by 20
Measuring Outcomes in Cosmetic Abdominoplasty
de Vries, C. E. E., Klassen, A. F., Hoogbergen, M. M., Alderman, A. K., & Pusic, A. L. (2020) · Clinics in Plastic Surgery · doi:10.1016/j.cps.2020.03.003 · Cited by 20
Virtual Visits in Oncology: Enhancing Care Quality While Designing for Equity
Lafata, J. E., Smith, A. B., Wood, W. A., Fitzpatrick, B., & Royce, T. J. (2021) · JCO Oncology Practice · doi:10.1200/op.20.00645 · Cited by 19
Pilot implementation to assess the feasibility and care team impact of an app-based interactive care plan to remotely monitor breast cancer survivors
Stan, D. L., Inselman, J., Ridgeway, J. L., Johnson, K. N., Christopherson, L. A., McColley, S., Brown, J. K., Phillips, S. A., Allen, S. V., Hazelton, J. K., et al. (2022) · Journal of Cancer Survivorship · doi:10.1007/s11764-021-01136-1 · Cited by 20
A qualitative investigation of the supportive care experiences of people living with pancreatic and oesophagogastric cancer
Khan, N. N., Maharaj, A. D., Evans, S., Pilgrim, C. H. C., Zalcberg, J. R., Brown, W. A., Cashin, P., Croagh, D. G., Michael, N. G., Shapiro, J. D., et al. (2022) · BMC Health Services Research · doi:10.1186/s12913-022-07625-y · Cited by 21
“In order to enable identification of specific supportive care needs, models of care centred around measurement of patient reported outcomes for symptom monitoring [31] may be beneficial for patients.”
Background
Electronic self-reporting of adverse events for patients undergoing cancer treatment: the eRAPID research programme including two RCTs
Velikova, G., Absolom, K. L., Hewison, J., Holch, P., Warrington, L., AVERY, K. N. L., Richards, H. S., Blazeby, J. M., Dawkins, B., Hulme, C. T., et al. (2022) · Programme Grants for Applied Research · doi:10.3310/fdde8516 · Cited by 21
Empowerment through technology: A systematic evaluation of the content and quality of mobile applications to empower individuals with cancer
Thomas, T. H., Go, K., Go, K., McKinley, N. J., Dougherty, K. R., You, K.-L., & Lee, Y. J. (2022) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2022.104782 · Cited by 20
Screening for Distress and Health Outcomes in Head and Neck Cancer
Gascon, B., Panjwani, A. A., Mazzurco, O., & Li, M. (2022) · Current Oncology · doi:10.3390/curroncol29060304 · Cited by 20
Developing a Patient-Reported Outcome Measure for Radionuclide Therapy for Prostate Cancer
Gudenkauf, L. M., Chavez, M., Maconi, M. L., Geiss, C., Seyedroudbari, A., Thin, P., Hoogland, A. I., Nguyen, K., Murthy, V., Armstrong, W. R., et al. (2023) · Journal of Nuclear Medicine · doi:10.2967/jnumed.122.264946 · Cited by 20
“PRO importance is underscored by recent evidence that PRO monitoring improved post-chemother-apy survival and other important outcomes over usual care ( 11,12 ).”
Background
Assessing the feasibility of an electronic patient‐reported outcome (ePRO) collection system in caregivers of cancer patients
Klagholz, S. D., Ross, A. C., Wehrlen, L., Bedoya, S. Z., Wiener, L. S., & Bevans, M. F. (2018) · Psycho-Oncology · doi:10.1002/pon.4658 · Cited by 20
A Method to Summarize Toxicity in Cancer Randomized Clinical Trials
Carbini, M., Suárez‐Fariñas, M., & Maki, R. G. (2018) · Clinical Cancer Research · doi:10.1158/1078-0432.ccr-17-3314 · Cited by 20
“Given the striking difference of toxicity reported by patients themselves compared with clinician-scored toxicity (24), and the impact of patient-reported toxicity in improving patient outcomes (3), it is clear that the application of this or other methods for calculation of toxicity burden in clinical trials will nee…”
BackgroundMethod
Development of Health Pathways to Standardize Cancer Care Pathways Informed by Patient-Reported Outcomes and Clinical Practice Guidelines
Girgis, A., Durcinoska, I., Koh, E., Ng, W. L., Arnold, A., Delaney, G. P., & PROMPT-Care Pathways Working Group (2018) · JCO Clinical Cancer Informatics · doi:10.1200/cci.18.00024 · Cited by 20
Complementing clinical cancer registry data with patient reported outcomes: A feasibility study on routine electronic patient‐reported outcome assessment for the Austrian Myelome Registry
Sztankay, M. J., Neppl, L., Wintner, L. M., Loth, F. L. C., Willenbacher, W., Weger, R., Weyrer, W., Steurer, M., Rumpold, G., & Holzner, B. (2019) · European Journal of Cancer Care · doi:10.1111/ecc.13154 · Cited by 19
“Given the importance of HCPs’ feedback for patient adherence and the benefits of routine monitoring for patient care (Basch et al., 2016), it is necessary to raise awareness for the availability of QOL data among healthcare providers.”
Background
Toward Modernization of Geriatric Oncology by Digital Health Technologies
Shahrokni, A., Loh, K. P., & Wood, W. A. (2020) · American Society of Clinical Oncology Educational Book · doi:10.1200/edbk_279505 · Cited by 18
Consilium Smartphone App for Real-World Electronically Captured Patient-Reported Outcome Monitoring in Cancer Patients Undergoing anti-PD-L1-Directed Treatment
Trojan, A., Huber, U., Brauchbar, M., & Petrausch, U. (2020) · Case Reports in Oncology · doi:10.1159/000507345 · Cited by 20
Documentation of Symptoms in Children Newly Diagnosed With Cancer Highlights the Need for Routine Assessment Using Self-report
Bradford, N., Bowers, A. P., Chan, R. J., Walker, R., Herbert, A., Cashion, C., Condon, P., & Yates, P. M. (2020) · Cancer Nursing · doi:10.1097/ncc.0000000000000849 · Cited by 20
Electronic patient-reported symptom monitoring in patients recovering from ambulatory minimally invasive gynecologic surgery: A prospective pilot study
Zivanovic, O., Chen, L. Y., Vickers, A. J., Straubhar, A. M., Baser, R. E., Veith, M., Aiken, N., Carter, J., Curran, K., Simon, B. A., et al. (2020) · Gynecologic Oncology · doi:10.1016/j.ygyno.2020.07.004 · Cited by 22
Development of a patient-reported outcome questionnaire for aplastic anemia and paroxysmal nocturnal hemoglobinuria (PRO-AA/PNH)
Weisshaar, K., Ewald, H., Halter, J. P., Gerull, S., Schönfeld, S., Senft, Y., Martínez, M. T., Leuppi-Taegtmeyer, A. B., Khanna, N., Maier, B., et al. (2020) · Orphanet Journal of Rare Diseases · doi:10.1186/s13023-020-01532-3 · Cited by 19
Prevalence and Survival Impact of Self-Reported Symptom and Psychological Distress Among Patients With Multiple Myeloma
Richter, J. R., Sanchez, L. J., Biran, N., Wang, C. K., Tanenbaum, K., DeVincenzo, V., Grunman, B., Vesole, D. H., Siegel, D. S. D., Pecora, A. L., et al. (2020) · Clinical Lymphoma Myeloma & Leukemia · doi:10.1016/j.clml.2020.11.021 · Cited by 20
Implementation of a cloud-based electronic patient-reported outcome (ePRO) platform in patients with advanced cancer
Generalova, O., Roy, M., Hall, E. T., Shah, S. A., Cunanan, K. M., Fardeen, T., Velazquez, B., Chu, G., Bruzzone, B., Cabot, A., et al. (2021) · Journal of Patient-Reported Outcomes · doi:10.1186/s41687-021-00358-2 · Cited by 20
Role of Patient-Reported Outcomes in Postsurgical Monitoring in Oncology
Smith, A. B., & Basch, E. (2017) · Journal of Oncology Practice · doi:10.1200/jop.2017.023838 · Cited by 20
Self-citation
Screening supportive care needs, compliance with exercise program, quality of life, and anxiety level during the COVID-19 pandemic in individuals treated with hematopoietic stem cell transplantation
Yildiz Kabak, V., Atasavun Uysal, S., & Duger, T. (2021) · Supportive Care in Cancer · doi:10.1007/s00520-020-05965-1 · Cited by 19
Development of a Mobile Health App (TOGETHERCare) to Reduce Cancer Care Partner Burden: Product Design Study
Oakley-Girvan, I., Davis, S. W., Kurian, A., Rosas, L. G., Daniels, J., Palesh, O. G., Mesia, R. J., Kamal, A. H., Longmire, M., & Divi, V. (2021) · JMIR Formative Research · doi:10.2196/22608 · Cited by 17
“For example, in a randomized trial, Basch et al found an increase in health-related quality of life and a decrease in emergency room visits and hospitalizations for survivors who were provided with a tablet computer–based symptom reporting system [10].”
BackgroundInfluential
FASTOCH: Feasibility of Electronic Patient-Reported Outcomes in Older Patients With Cancer—A Multicenter Prospective Study
Cancel, M., Sauger, C., Biogeau, J., Dardaine‐Giraud, V., Lecomte, T., Solub, D., Combe, P., Wilmet, R., Aubard, E., Deloigne, A., et al. (2024) · Journal of Clinical Oncology · doi:10.1200/jco.23.02150 · Cited by 20
“Basch et al 16 investigated user perceptions of ePRO monitoring during cancer care.”
Core Set of Patient-Reported Outcome Measures for Measuring Quality of Life in Clinical Obesity Care
Dijkhorst, P. J., Monpellier, V. M., Terwee, C. B., Liem, R. S. L., van Wagensveld, B. A., Janssen, I. M. C., Ottosson, J., Halpern, B., Flint, S. W., van Rossum, E. F. C., et al. (2024) · Obesity Surgery · doi:10.1007/s11695-024-07381-4 · Cited by 19
“There is even evidence that PROMs can improve survival in cancer care [33].”
Background
Patient- vs Physician-Initiated Response to Symptom Monitoring and Health-Related Quality of Life
Billingy, N. E., van den Hurk, C. J. G., Tromp, V. N. M. F., van de Poll-Franse, L. V., Onwuteaka-Philipsen, B. D., Hugtenburg, J. G., Bogaard, H. J., Belderbos, J. S. A., Aaronson, N. K., Walraven, I., et al. (2024) · JAMA Network Open · doi:10.1001/jamanetworkopen.2024.28975 · Cited by 20
Who's really in the loop? Rethinking oversight in AI-assisted health care
Abulibdeh, R., Agyemang, G. O., Celi, L. A., Gorijavolu, R., Kalema, N. L., Kleinlein, R., Madapati, K., Salarikia, S. R., & Youssef, A. (2026) · The Lancet · doi:10.1016/s0140-6736(26)00204-7 · Cited by 23
Using Patient-Reported Outcomes to Describe the Patient Experience on Phase I Clinical Trials
Sedhom, R., FERRELL, B. R., Ruel, N. H., Koczywas, M., Chung, V. M., & Smith, T. J. (2020) · JNCI Cancer Spectrum · doi:10.1093/jncics/pkaa067 · Cited by 19
Comparing Clinician-Assessed and Patient-Reported Performance Status for Predicting Morbidity and Mortality in Patients With Advanced Cancer Receiving Chemotherapy
Wood, W. A., Deal, A. M., Stover, A. M., & Basch, E. (2021) · JCO Oncology Practice · doi:10.1200/op.20.00515 · Cited by 20
“Patients initiating treatment for metastatic breast, genitourinary, gynecologic, or lung cancer were randomly assigned either to serially self-reported symptoms and PS or usual care, to evaluate impact on clinical outcomes.(13,14) This is an ideal trial for the current analysis, as 441 patients and their paired clinic…”
MethodSelf-citation
Psychoeducational Nursing Intervention for Symptom Management in Cancer Patients: A Randomized Clinical Trial
Salvetti, M. D. G., Donato, S. C. T., Machado, C. S. P., de Almeida, N. G., Santos, D. V. D., & Kurita, G. P. (2021) · Asia-Pacific Journal of Oncology Nursing · doi:10.4103/apjon.apjon_56_20 · Cited by 19
“This is partially due to the rapid response of nurses to patients’ symptoms, which mitigates adverse complications.([39,40]) Loss of appetite in cancer patients is a serious clinical problem and can be related to nausea, changes in the way how food tastes, and metabolic changes associated with the disease and treatmen…”
Background
Effects of a self-monitoring intervention in breast cancer patients suffering from taste alterations induced by chemotherapy: A randomized, parallel-group controlled trial
Kinjo, T., Kanda, K., & Fujimoto, K. (2021) · European Journal of Oncology Nursing · doi:10.1016/j.ejon.2021.101956 · Cited by 21
Early Warning Scores and Their Application in the Inpatient Oncology Settings
Nagarajah, S., Krzyzanowska, M. K., & Murphy, T. (2022) · JCO Oncology Practice · doi:10.1200/op.21.00532 · Cited by 19

Authors: Basch, E., Deal, A. M., Kris, M. G., Scher, H. I., Hudis, C. A., Sabbatini, P., Rogak, L., Bennett, A. V., Dueck, A. C., Atkinson, T. M., Chou, J. F., Dulko, D., Sit, L., Barz, A., Novotny, P., Fruscione, M., Sloan, J. A., & Schrag, D.
Affiliations: University of North Carolina at Chapel Hill (US)
Ethan Basch, Mark G. Kris, Howard I. Scher, Clifford A. Hudis, Paul Sabbatini, Lauren Rogak, Thomas M. Atkinson, Joanne F. Chou, Dorothy Dulko, Laura Sit, Michael Fruscione, and Deborah Schrag, Memorial Sloan Kettering Cancer Center, New York, NY; Ethan Basch, Allison M. Deal, and Antonia V. Bennett, University of North Carolina, Chapel Hill, NC; Amylou C. Dueck, Mayo Clinic, Scottsdale, AZ; Allison Barz, Children’s Hospital of Philadelphia, Philadelphia, PA; Paul Novotny and Jeff A. Sloan, Mayo Clinic,...
ORCID: Basch, Ethan
Deal, Allison M.
Kris, Mark G.
Scher, Howard I.
Hudis, Clifford A.
Sabbatini, Paul
Rogak, Lauren
Bennett, Antonia V.
Dueck, Amylou C.
Atkinson, Thomas M.
Chou, Joanne F.
Dulko, Dorothy
Sit, Laura
Novotny, Paul
Fruscione, Michael
Sloan, Jeff A.
Schrag, Deborah
Venue: Journal of Clinical Oncology
Publisher: American Society of Clinical Oncology (ASCO)
Published: 2016-02-20
Volume: 34
Issue: 6
Pages: 557-565
ISSN: 0732-183X (ISSN-L)
1527-7755
DOI: 10.1200/jco.2015.63.0830
PMC: PMC4872028
OpenAlex: W2195040438
Cited by: 2,593
References: 36
Citations by year: 2026: 252 · 2025: 263 · 2024: 321 · 2023: 288 · 2022: 316 · 2021: 299 · 2020: 292 · 2019: 191 · 2018: 180 · 2017: 143 · 2016: 44
FWCI: 53.87
Type: journal article
Language: en
Update notices: correction (2019-02-07)
correction (2016-06-20)
Open access: green
www.ncbi.nlm.nih.gov
Locations: Journal of Clinical Oncology (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Funders: Memorial Sloan-Kettering Cancer Center
Society of Memorial Sloan Kettering
National Cancer Institute (P30CA008748, P30CA015083, P30CA016086)
Topics: Health Sciences › Medicine › Oncology › Cancer survivorship and care
Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
Keywords: patient-reported outcomes, symptom monitoring, cancer chemotherapy, health-related quality of life, advanced solid tumors, e-mail alerts, emergency department visits, hospitalization, survival, quality-adjusted survival, computer literacy, outpatient oncology
MeSH terms: Adult, Aged, Aged, 80 and over, Ambulatory Care, Antineoplastic Agents, Emergency Service, Hospital, Female, Hospitalization, Humans, Male, Middle Aged, Neoplasms, Quality of Life, Survival Rate, Internet, Nurse's Role, Electronic Mail, Self Report, Symptom Assessment

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Symptom Monitoring With Patient-Reported Outcomes During Routine Cancer Treatment: A Randomized Controlled Trial

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