Exploring the integration of patient-reported outcome measures in clinical practice: A cross-sectional survey of EORTC healthcare professionals
Background - Using patient reported-outcome measures (PROMs) in routine care has significant potential to benefit patients with cancer, but it is unclear how widely they are used in practice. - Methods - We conducted a cross-sectional survey (November 2023-April 2024) among healthcare professionals...
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| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
2 May 2025
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| In: |
European journal of cancer
Year: 2025, Volume: 220, Pages: 1-9 |
| ISSN: | 1879-0852 |
| DOI: | 10.1016/j.ejca.2025.115333 |
| Online Access: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.ejca.2025.115333 Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S0959804925001145 |
| Author Notes: | Jens Lehmann, Tatiana Dragan, Elke Rammant, Kelly M. de Ligt, Julia Lai-Kwon, Emma Lidington, Renée Bultijnck, Daniel Dejaco, Katherine J. Taylor, Tihana Gašpert, Elena Colombo, Ainhoa Madariaga, Mariana Brandão, Jan P. Nicolay, Ioannis Zerdes, Francesca Bosisio, Dora Correia, Alessia Pellerino, Gloria Marquina, Mário Fontes-Sousa, Guillaume Grisay, Tiago Silva, Alexander Siebenhüner, Antonella Cammarota, Petr Szturz |
| Summary: | Background - Using patient reported-outcome measures (PROMs) in routine care has significant potential to benefit patients with cancer, but it is unclear how widely they are used in practice. - Methods - We conducted a cross-sectional survey (November 2023-April 2024) among healthcare professionals (HCPs) in the European Organisation for Research and Treatment of Cancer (EORTC). Descriptive statistics and chi-square tests assessed PROM use patterns, regional differences, and barriers. Binary regression models compared barriers between PROM users and non-users. - Results - Of the 3733 EORTC members contacted, 784 responded (21% response rate), predominantly physicians. Among the 784 HCPs (50% women), 338 (43%) did not use PROMs, 214 (27%) were occasional users, and 232 (30%) used PROMs regularly. PROM use was significantly higher in Western Europe than in Central/Eastern Europe. PROMs were primarily used for monitoring health status and enhancing communication. PROM use was highest among HCPs treating bone, soft tissue, genito-urinary, and gynecological cancers, and lowest in lung cancer. Key barriers to PROM use included lack of time (reported by 70% of respondents) and insufficient support on how to use PROMs (73%). Compared to non-users, PROM users more frequently identified patient-level barriers, such as accessibility concerns, as relevant (Odds Ratio 3.5, 95% Confidence Interval 2.4-5.3). - Conclusions - PROM use varies by cancer type, setting, and region. Addressing time constraints, providing support, and overcoming patient barriers are key to broader integration. Ensuring equitable access to PROM tools across regions and settings is vital for promoting equity in cancer care. |
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| Item Description: | Online veröffentlicht: 1. März 2025, Artikelversion: 4. März 2025 Gesehen am 02.06.2025 |
| Physical Description: | Online Resource |
| ISSN: | 1879-0852 |
| DOI: | 10.1016/j.ejca.2025.115333 |