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Gepubliceerd in: Quality of Life Research 1/2023

16-08-2022

Moving towards patient-reported outcomes in routine clinical practice: implementation lessons from the BREAST-Q

Auteurs: Jonas A. Nelson, Jacqueline J. Chu, Stefan Dabic, Elizabeth O. Kenworthy, Meghana G. Shamsunder, Colleen M. McCarthy, Babak J. Mehrara, Andrea L. Pusic

Gepubliceerd in: Quality of Life Research | Uitgave 1/2023

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Abstract

Purpose

Longitudinal, routine utilization of patient-reported outcome measures (PROMs) in clinical care has been challenging. The purpose of this study is to describe a quality improvement initiative to improve patient engagement with the BREAST-Q, a gold-standard PROM for breast reconstruction.

Methods

In 2011, we implemented the BREAST-Q as part of routine care. In 2018, we began a quality improvement initiative to increase BREAST-Q patient participation. The BREAST-Q was administered at every clinic visit via an institutional patient portal or an in-clinic tablet; digital dashboard technologies were used to improve workflow integration, real-time accountability, and immediate data availability at clinic visits. High clinical staff engagement was encouraged by assigning “BREAST-Q Champions.” BREAST-Q completion data and patient characteristics were examined to understand non-response to the assessment.

Results

Following quality improvement, the average annual BREAST-Q completion rate increased from 42.8% in 2011–2017 to 87.6% in 2019, the last full year of our study period. High completion rates were maintained January–July 2020; however, a significantly larger proportion of BREAST-Qs were completed at home in 2020 versus the same period in 2019 (49.7 vs. 38.8%, p < 0.001), potentially due to the COVID-19 pandemic. Compared with non-responders, responders were younger (49.7 vs. 52.2 years, p < 0.001), more likely to be white (76.9 vs. 73.6%, p < 0.001), and had private insurance (79.4 vs. 69.8%, p < 0.001).

Conclusion

Our quality improvement initiative successfully increased routine completion of the BREAST-Q. Similar implementation techniques may prove beneficial at other institutions interested in incorporating PROMs into routine care.
Literatuur
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Metagegevens
Titel
Moving towards patient-reported outcomes in routine clinical practice: implementation lessons from the BREAST-Q
Auteurs
Jonas A. Nelson
Jacqueline J. Chu
Stefan Dabic
Elizabeth O. Kenworthy
Meghana G. Shamsunder
Colleen M. McCarthy
Babak J. Mehrara
Andrea L. Pusic
Publicatiedatum
16-08-2022
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 1/2023
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-022-03213-z

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