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Patient-reported outcome measurement implementation in cancer survivors: a systematic review

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Abstract

Purpose

Patient-reported outcome measurements (PROMs) are increasingly used for cancer patients receiving active treatment, but little is known about the implementation and usefulness of PROMs in cancer survivorship care. This systematic review evaluates how cancer survivors and healthcare providers (HCPs) perceive PROM implementation in survivorship care, and how PROM implementation impacts cancer survivors’ health outcomes.

Methods

We systematically searched PubMed/MEDLINE, Embase, CINAHL, Web of Science, and Cochrane Database of Systematic Reviews from database inception to February 2022 to identify randomized and nonrandomized studies of PROM implementation in cancer survivors.

Results

Based on prespecified eligibility criteria, we included 29 studies that reported on 26 unique PROMs. The studies were heterogeneous in study design, PROM instrument, patient demographics, and outcomes. Several studies found that cancer survivors and HCPs had favorable impressions of the utility of PROMs, and a few studies demonstrated that PROM implementation led to improvements in patient quality of life (QoL), with small to moderate effect sizes.

Conclusions

We found implementation of PROMs in cancer survivorship care improved health outcomes for select patient populations. Future research is needed to assess the real-world utility of PROM integration into clinical workflows and the impact of PROMs on measurable health outcomes.

Implications for Cancer Survivors.

Cancer survivors accepted PROMs. When successfully implemented, PROMs can improve health outcomes after completion of active treatment. We identify multiple avenues to strengthen PROM implementation to support cancer survivors.

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Abbreviations

ADT:

Androgen-deprivation therapy

AUC:

Area under the curve

AYA:

Adolescent and young adult

CINAHL:

Cumulative Index to Nursing and Allied Health Literature

HCP:

Healthcare provider

HRQoL:

Health-related quality of life

NR:

Not reported

PM&R:

Physical medicine and rehabilitation

PRO:

Patient-reported outcome

PROM:

Patient-reported outcome measurement

QoL:

Quality of life

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All authors contributed to this study. All authors read and approved the final manuscript. Conceptualization: S. S., M. R., L. C. H., L. S. Acquisition of data: H. W. Analysis and interpretation of data: S. S., J. D., M. G., M. R., M. C., T. E., G. H., C. T., N. L., L. C. H., L. S. Preparation of manuscript: S. S., J. D., M. G., M. R., M. C., T. E., G. H., C. T., N. L., H. W., L. C. H., L. S.

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Correspondence to Surbhi Singhal.

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Singhal, S., Dickerson, J., Glover, M.J. et al. Patient-reported outcome measurement implementation in cancer survivors: a systematic review. J Cancer Surviv 18, 223–244 (2024). https://doi.org/10.1007/s11764-022-01216-w

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