PMID- 29732483 OWN - NLM STAT- MEDLINE DCOM- 20181105 LR - 20190318 IS - 1433-7339 (Electronic) IS - 0941-4355 (Linking) VI - 26 IP - 11 DP - 2018 Nov TI - Feasibility and accessibility of electronic patient-reported outcome measures using a smartphone during routine chemotherapy: a pilot study. PG - 3721-3728 LID - 10.1007/s00520-018-4232-z [doi] AB - PURPOSE: There is growing interest in integrating electronic patient-reported outcome (PRO) measures into routine oncology practice for symptom monitoring. Here, we evaluated the feasibility and accessibility of electronic PRO measures using a smartphone (PRO-SMART) for cancer patients receiving routine chemotherapy. METHODS: The proposed PRO-SMART application obtains daily personal health record (PHR) data from cancer patients via a smartphone. An analysis report of cumulative PHR data is provided to the clinician in a format suitable for upload to electronic medical records (EMRs). Cancer outpatients who had received at least two cycles of chemotherapy and who were scheduled for two more cycles were enrolled. RESULTS: Between February 2015 and December 2016, 111 patients were screened and 101 of these were included. One-hundred patients used PRO-SMART at least once and were included in the final analysis (90.1% overall accessibility among all screened patients). The number of symptomatic adverse events (AEs) related to chemotherapy recorded in EMRs (mean +/- standard deviation [SD]) increased from 0.92 +/- 0.80 to 2.26 +/- 1.80 (P < 0.001), and grading of AEs increased from 0.81 +/- 0.69 to 1.00 +/- 0.62 (P = 0.029). After using PRO-SMART, the numeric rating scale for pain (mean +/- SD) increased from 0.20 +/- 0.72 to 0.99 +/- 1.55 (P < 0.001). A patient-reported questionnaire revealed that 64.2% of patients found it useful and 83% found it easy to use. CONCLUSIONS: This study suggests that the proposed PRO-SMART is feasible and accessible for assessment of symptomatic AEs in cancer patients receiving chemotherapy for a prospective randomized trial. FAU - Bae, Woo Kyun AU - Bae WK AD - Department of Internal Medicine, Chonnam National University Hwasun Hospital, Hwasun-Gun, South Korea. FAU - Kwon, Jihyun AU - Kwon J AD - Department of Internal Medicine, Chungbuk National University Hospital, Cheongju, South Korea. FAU - Lee, Hyun Woo AU - Lee HW AD - Department of Internal Medicine, Ajou University School of Medicine, Suwon, South Korea. FAU - Lee, Sang-Cheol AU - Lee SC AD - Department of Internal Medicine, Soonchunhyang University Cheonan Hospital, Cheonan, South Korea. FAU - Song, Eun-Kee AU - Song EK AD - Department of Internal Medicine, Chonbuk National University Medical School, Jeonju, South Korea. FAU - Shim, Hyeok AU - Shim H AD - Department of Internal Medicine, School of Medicine, Wonkwang University, Iksan, South Korea. FAU - Ryu, Keun Ho AU - Ryu KH AD - Database/Bioinformatics Laboratory, College of Electrical & Computer Engineering, Chungbuk National University, Cheongju, South Korea. FAU - Song, Jemin AU - Song J AD - Turbosoft Inc., Cheongwon, South Korea. FAU - Seo, Sungbo AU - Seo S AD - Turbosoft Inc., Cheongwon, South Korea. FAU - Yang, Yaewon AU - Yang Y AD - Department of Internal Medicine, Chungbuk National University Hospital, Cheongju, South Korea. FAU - Park, Jong-Hyock AU - Park JH AD - College of Medicine/Graduate School of Health Science Business Convergence, Chungbuk National University, Cheongju, South Korea. FAU - Lee, Ki Hyeong AU - Lee KH AD - Department of Internal Medicine, Chungbuk National University Hospital, Cheongju, South Korea. AD - Department of Internal Medicine, College of Medicine, Chungbuk National University, Chungdae-ro 1, Seowon-gu, Cheongju, 28644, South Korea. FAU - Han, Hye Sook AU - Han HS AUID- ORCID: 0000-0001-6729-8700 AD - Department of Internal Medicine, Chungbuk National University Hospital, Cheongju, South Korea. sook3529@hanmail.net. AD - Department of Internal Medicine, College of Medicine, Chungbuk National University, Chungdae-ro 1, Seowon-gu, Cheongju, 28644, South Korea. sook3529@hanmail.net. LA - eng PT - Clinical Trial PT - Journal Article PT - Multicenter Study DEP - 20180507 PL - Germany TA - Support Care Cancer JT - Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer JID - 9302957 RN - 0 (Antineoplastic Agents) SB - IM MH - *Access to Information MH - Adult MH - Aged MH - Antineoplastic Agents/*therapeutic use MH - *Electronic Health Records/statistics & numerical data MH - Feasibility Studies MH - Female MH - Humans MH - Male MH - Middle Aged MH - Mobile Applications MH - Monitoring, Physiologic/*methods/standards MH - Neoplasms/*drug therapy MH - Pain MH - *Patient Reported Outcome Measures MH - Pilot Projects MH - *Smartphone/statistics & numerical data MH - Surveys and Questionnaires OTO - NOTNLM OT - Cancer OT - Chemotherapy OT - Patient-reported outcome measures OT - Smartphone OT - Symptom EDAT- 2018/05/08 06:00 MHDA- 2018/11/06 06:00 CRDT- 2018/05/08 06:00 PHST- 2017/11/03 00:00 [received] PHST- 2018/04/26 00:00 [accepted] PHST- 2018/05/08 06:00 [pubmed] PHST- 2018/11/06 06:00 [medline] PHST- 2018/05/08 06:00 [entrez] AID - 10.1007/s00520-018-4232-z [pii] AID - 10.1007/s00520-018-4232-z [doi] PST - ppublish SO - Support Care Cancer. 2018 Nov;26(11):3721-3728. doi: 10.1007/s00520-018-4232-z. Epub 2018 May 7.