Adding patientreported outcomes to medicares oncology valuebased payment model ethan basch, md, msc 1,2. Then we will transition to a qa session with participants and. Ethan basch in this podcast about patient reported outcomes research. Patientreported outcomes in cancer clinical trials. Ethan basch will elaborate on his study findings, including core symptom intervention components, and will discuss how proactively monitoring patient symptoms with the use of epro tools can improve clinical outcomes through care team collaboration and early interventions for symptom control. Jun 11, 2017 the paradoxical benefits of a web app for cancer patients. Software for administering the national cancer institute. Basch is a professor of medicine in the division of hematology and oncology at unc, and a professor of health policy and management in the school of public health. The importance of patientreported outcomes pros in. T1 development of the national cancer institutes patient reported outcomes version of the common terminology criteria for adverse events proctcae au basch, ethan. Professor george sledge is chief of division of oncology at stanford university medical center. Ethan basch, cancer outcomes research program, lineberger comprehensive cancer center, university of north carolina at. T1 development of the national cancer institutes patientreported outcomes version of the common terminology criteria for adverse events proctcae au basch, ethan.
Ethan basch, md, msc, is a unc lineberger comprehensive cancer center member, director of cancer outcomes research program, and professor in uncchapel hill department of medicine in the division of hematology and oncology. Baschs research focuses on the use of patientreported outcomes and novel technologies to measure the impact of interventions on patients experiences, and to inform decisions. Basch describes how patientreported outcomes, whether gathered in the clinic or at home through smart devices, could offer a valuable feedback loop which supplements objective passive data with actively gathered just in time patient reports to overlay a patients reported mood or feelings of aura. Measuring symptomatic adverse events with the national cancer institutes patient reported outcomes version of the common terminology criteria for adverse events proctcae. Ethan basch elaborate on his study findings, including core symptom intervention components learn how proactively monitoring patient symptoms with the use of epro tools can improve clinical outcomes through care team collaboration and early interventions for symptom control. Patientreported outcomes pros are reflections of how patients feel and. Overall survival results of a trial assessing patient reported outcomes for symptom monitoring during routine cancer treatment ethan basch, md, msc 1,2. Potential of patientreported outcomes as nonprimary endpoints in clinical trials.
Noona announces dream team of scientific advisors noona. There is growing interest to enhance symptom monitoring during routine cancer. Overall survival results of a trial assessing patientreported outcomes for symptom monitoring during routine cancer treatment ethan basch, md, msc 1,2. Ethan basch, md, msc, is the director of the unc lineberger cancer outcomes research program and a professor in the unc school of medicine division of hematologyoncology. The value of patientreported outcomes pros patientreported outcomes pros comprise clinical information reported directly by patients about how they feel and function for example, symptoms, performance status, distress, and quality of life. Noona has teamed up with its first two front row scientific advisors. Concise summaries and expert physician commentary that busy clinicians need to enhance patient care. Basch will consult on advancement of patientreported outcomes in leading oncology patient relationship management platform seattle prweb september 12, 2019 navigating cancer, the leading provider of oncology patient relationship management software, is pleased to announce that ethan basch, md, msc, fasco, has joined as the companys. And the university of north carolina ethan basch, md, msc. Jan 29, 2019 the promis patient reported outcomes measurement information system initiative developed new ways to measure patient reported outcomes pros, such as pain, fatigue, physical functioning, emotional distress, and social role participation that have a major impact on qualityoflife across a variety of chronic diseases. May 23, 2018 there is increasing interest to integrate collection of patient reported outcomes pros in routine practice to enhance clinical care. While working at memorial sloan kettering cancer center in new york city in 2007, basch began a study of patientreported outcomes pros, dividing 766 people.
In cancer clinical trials, adverse events aes are collected and reported using the u. Recommendations for incorporating patient reported outcomes into clinical comparativeeffectiveness research in adult oncology. Ethan basch, director of cancer outcomes research program at the unc chapel hill department of medicine, division of hematology. Patientreported outcomes and the evolution of adverse event reporting in. Ethan basch to lead carevives scientific advisory board carevive. Stakeholder perspectives on implementing the national cancer institutes patient reported outcomes. Feasibility and clinical impact of sharing patient reported symptom toxicities and performance status with clinical investigators during a phase 2 cancer treatment trial ethan basch, william a wood, deborah schrag, camelia s sima, mary shaw, lauren j rogak, mark g kris, marwan shouery, antonia bennett, thomas atkinson, and m catherine pietanza. Patientreported outcomes pro regarding symptoms and quality of life qol have become an important part of cancer clinical trials and routine care, as there is strong evidence that clinicians ratings alone do not present a complete picture of cancer patients symptom burdens 15. Ethan basch, md, msc, is director of the unc lineberger cancer outcomes research program and a professor in the unc school of medicine division of hematologyoncology. In the ambuflex software, the patients response was available as a.
Patientreported outcomes research uses technology to impact. Swartz rj, schwartz c, basch e, cai l, fairclough dl, mcleod l, mendoza tr, rapkin b. Baschs phone number, address, insurance information, hospital affiliations and more. Carevive to be featured in ethan basch pcori patient. Pdf usability testing of software for administering the. Mar 16, 2018 ethan basch director of the cancer outcomes research program, professor of medicine and public health at the unc lineberger comprehensive cancer center. Cost, technology issues are barriers to realtime cancer patient symptom reporting. Professor ethan basch is director of the cancer outcomes research program, and professor at uncchapel hill department of medicine.
Ethan basch university of north carolina at chapel hill. Patientreported outcomes version of the common terminology. Ethan basch is director of the cancer outcomes research program and professor of hematology and oncology at the university of north carolina lineberger comprehensive cancer center. Laura sit, michael fruscione, and deborah schrag, memorial sloan kettering cancer center, new york, ny. Patientreported outcomes rethinking clinical trials. Cancer patients who systematically reported their symptoms.
Studies emphasise the additional benefit of the use of pros improved symptom management. The common funds patientreported outcomes measurement information system promis program created new paradigms for how clinical research information is collected, used, and reported. Carevive to be featured in ethan basch pcori patientreported. Indeed, poorly controlled symptoms are a principal driver of preventable. Patientreported outcomes research pioneer, ethan basch, md, msc.
National cancer institutes nci common terminology criteria for adverse events ctcae. Basch e, abernethy ap, mullins cd, reeve bb, smith ml, coons sj, sloan j, wenzel k, chauhan c, eppard w, frank es, lipscomb j, raymond sa, spencer m, tunis s. Ethan basch, md, msc, director of the unc lineberger cancer outcomes research program and professor in the unc school of medicine, presented findings at the american society of clinical oncology annual meeting 2017 today that showed patients who used the symptomreporting internet tool lived five months longer than patients who reported. Overall survival for patientreported symptom monitoring. This monograph provides invaluable practical and methodological insights for those aiming to integrate patientreported outcomes into a quality program, ranging from selection of outcomes, to measures, analysis, and reporting. A total of 41 proctcae items selected for this study were encoded in the ambuflex software and presented to patients on tablet computers provided at the clinic fig. High compliance rates with patientreported outcomes in. The paradoxical benefits of a web app for cancer patients. Mar 02, 2020 it is at a sponsors own peril if they dont use patientreported outcomes tools. Jan 11, 2017 cost, technology issues are barriers to realtime cancer patient symptom reporting. International academy of health preference research, vol. Danishspeaking men with castrationresistant metastatic prostate cancer receiving treatment at. Basch s research on the use of patient reported outcomes has been revolutionary in cancer care and we believe that the effective use of pros in the real world is pivotal to success in valuebased care, said gena cook, founder and president of navigating cancer.
Electronic epro software enables patients to selfreport via the. Symptom monitoring with patientreported outcomes during routine cancer treatment. Symptom monitoring with patientreported outcomes during. Ethan basch director of the cancer outcomes research program, professor of medicine and public health at the unc lineberger comprehensive cancer center. Promis addressed a need in the clinical research community for a rigorously tested patient reported outcome pro measurement tool that uses recent advances in information technology. Feasibility and acceptability of electronic symptom. F ifteen years ago, when ethan basch started developing measures for aggregating patient reported outcomes, many of his colleagues in oncology saw no promise in this enterprise. Despite these demonstrated benefits, collection of patientreported symptoms is not standard practice in health care. Patient free text reporting of symptomatic adverse events. Ncis patientreported outcomes version of the common. There is increasing interest to integrate collection of patient reported outcomes pros in routine practice to enhance clinical care. Patientreported outcomes pros are already considered the gold standard for data collection in closely related research areas, including assessment of healthrelated quality of life hrql, treatment preferences, and satisfaction with care, and are of growing interest in comparative effectiveness research and.
Patientreported outcomes harnessing patients voices to. Feasibility and clinical impact of sharing patientreported. High compliance rates with patient reported outcomes in oncology trials submitted to the us food and drug administration ethan basch lineberger comprehensive cancer center and division of hematologyoncology, department of medicine, university of north carolina, chapel hill, nc. A prospective study measuring symptoms and healthrelated quality of life article sep 2016. Electronic toxicity monitoring and patientreported outcomes. Patient reported outcomes pros are already considered the gold standard for data collection in closely related research areas, including assessment of healthrelated quality of life hrql, treatment preferences, and satisfaction with care, and are of growing interest in comparative effectiveness research and.
Our health tracker program allows patients to engage with their care team in a. Basch argues that health care providers could be integrating patientreported information using questionnaires that patients complete at or between visits using the internet or smart devices, and transmitting that data into the electronic health record. Electronic patient reported outcomes from home in patients recovering from major gynecologic cancer surgery. For over a decade, my group has developed and implemented patient reported outcome. Martin w schoen, ethan basch, lori l hudson, arlene e chung, tito r. Software for administering the national cancer institutes. Ethan basch, md, msc director, cancer outcomes research program, university of north carolina katarina halling, msc global head patient reported outcomes, astrazeneca and industry codirector, pro consortium.
The software administers surveys to patients using items from the patient reported outcomes version of the common terminology criteria for adverse events proctcae through webbased or automated telephone interfaces and facilitates the management of survey administration and the resultant data by professionals clinicians and research. Adding patient reported outcomes to medicares oncology valuebased payment model ethan basch, md, msc 1,2. Software for administering the national cancer institutes patient. Electronic patientreported outcome systems in oncology clinical practice ca cancer j clin 62. The software administers surveys to patients using items from the patient reported outcomes version of the common terminology criteria for adverse events proctcae through webbased or automated. Samsi psychometric program longitudinal assessment of patientreported outcomes working group. Review of electronic patientreported outcomes systems used in cancer clinical care j oncol pract 10.
While working at memorial sloan kettering cancer center in new york city in 2007, basch began a study of patient reported outcomes pros, dividing 766 people with cancer into groups and following them for three years. Ethan basch, md, msc, director, cancer outcomes research program, university of north carolina at chapel hill. Feasibility and clinical impact of sharing patient. Ethan basch wants to improve communication between patients and their oncologists. Gnanasakthy a, lewis s, clark m, mordin m, demuro c.
Self care catalysts welcomes dr ethan basch as medical advisor. Development of the national cancer institutes patient. Research program, is highly engaged in patientreported outcomes. High compliance rates with patientreported outcomes in oncology trials submitted to the us food and drug administration ethan basch lineberger comprehensive cancer center and division of hematologyoncology, department of medicine, university of north carolina, chapel hill, nc. Implementation of patientreported outcomes in routine. Ethan basch, makes an impact on cancer care by using one of the best. F ifteen years ago, when ethan basch started developing measures for aggregating patientreported outcomes, many of his colleagues in oncology saw no promise in this enterprise. The software administers surveys to patients using items from the patientreported outcomes version of the common terminology criteria for adverse events proctcae through webbased or automated telephone interfaces and facilitates the management of survey administration and the resultant data. Moving forward toward standardizing analysis of quality of. Study underscores value of pros in improving lung cancer survival.
Sep 12, 2017 the aim was to examine the feasibility, acceptability and clinical utility of electronic symptom surveillance with clinician feedback using a subset of items drawn from the patient reported outcomes version of common terminology criteria for adverse events proctcae in a cancer treatment setting. Ethan basch, md, of the university of north carolina at chapel hill, summarizes a session he chaired on the burgeoning use of patientreported outcomes and wearable. Software for administering the national cancer institutes patientreported outcomes version of the common terminology criteria for adverse events. Symptom monitoring with patient reported outcomes during routine cancer treatment. The software administers surveys to patients using items from the patientreported outcomes version of the common terminology criteria for adverse events proctcae through webbased or automated. Randomized trial comparing a webmediated followup via patientreported outcomes pro vs. Basch s research focuses on the use of patient reported outcomes and novel technologies to measure the impact of interventions on patients experiences, and to inform decisions. As such, data on patientreported outcomes pros that quantify how a patient feels andor functions are frequently collected in cancer clinical trials. Patientreported outcomes harnessing patients voices to improve clinical care. Patientreported outcomes data can make cancer drugs. Adding patientreported outcomes to medicares oncology value.
New publication promis health organization pho, il. Study underscores value of pros in improving lung cancer. Symptom monitoring in pediatric oncology using patient. Ethan basch university of north carolina at chapel hill, nc. Implementation of patientreported outcomes in routine medical.
Symptom monitoring in pediatric oncology using patientreported outcomes. Electronic patientreported outcomes from home in patients recovering from major gynecologic cancer surgery. Cost, technology issues are barriers to realtime cancer. Ethan basch, director of cancer outcomes research program at the uncchapel hill department of medicine, division of hematology and oncology, university of north carolina, usa the use of. Ambuflex software has been developed and used in denmark to collect patientreported outcomes in a variety of chronic diseases 15, 21. Patientreported outcomes version of common terminology criteria for adverse events. Feasibility and clinical impact of sharing patientreported symptom toxicities and performance status with clinical investigators during a phase 2 cancer treatment trial show all authors. What are the challenges that patients face in communicating with their physicians, and how do questionnaires work to help. Using patientreported outcome measures in palliative care. Are you missing out on critical adverse event information. How hospitals are using patientreported outcomes to. The importance of patientreported outcomes pros in value.
Multiple studies show that systematic monitoring of patients using pros improves patient clinician communication, clinician awareness of symptoms, symptom management, patient satisfaction, quality of life, and overall survival. He is the director of the unc cancer outcomes research program, and serves as. Symptom monitoring in pediatric oncology using patient reported outcomes. Deborah schrag, md, mph 2,4 author affiliations article information. Patientreported outcomes encompass data reported directly by people about how they. Mitchell5, ethan basch6, pernille envold bidstrup7, susanne oksbjerg dalton7 and christoffer johansen2,7.
Basch is a medical oncologist and distinguished professor in the school of medicine division of hematologyoncology at. Capturing realtime reports of cancer patients symptoms between doctors visits has proven health benefits, but technology and cost barriers are getting in the way of widespread adoption of the practice, reports a ethan basch, md, msc, professor of medicine and director of unc linebergers cancer outcomes research program. Measuring symptomatic adverse events with the national cancer institutes patientreported outcomes version of the common terminology criteria for adverse events proctcae. Adding patientreported outcomes to medicares oncology. Oct 23, 2017 however, measuring patientreported outcomes pros patients own accounting of their symptoms, functional status, and quality of life can and should be a clinical tool. Patient reported outcomes in cancer clinical trials. There is increasing interest to integrate collection of patientreported outcomes pros in routine practice to enhance clinical care. Samsi psychometric program longitudinal assessment of patient reported outcomes working group.
The study sought to describe patiententered supplemental information on symptomatic adverse events aes in cancer clinical research reported via a national cancer institute software system and examine the feasibility of mapping these entries to established terminologies. The cost of patientreported outcomes in medicine nejm catalyst. It is at a sponsors own peril if they dont use patientreported outcomes tools. However, measuring patientreported outcomes pros patients own accounting of their symptoms, functional status, and quality of life can and should be a clinical tool. Basch and his colleagues developed guidance for integrating patient reported outcome performance measures into the design of clinical trials 1 to ensure that data collection include patients directly reported experiences to improve the quality of clinical research in healthcare decisionmaking. Multiple studies show that systematic monitoring of patients using pros improves patientclinician communication, clinician awareness of symptoms, symptom management, patient satisfaction, quality of life, and overall survival. Comparison between patient reported and clinicianobserved symptoms in oncology. How hospitals are using patientreported outcomes to improve care. Randomized trial comparing a webmediated followup via patient reported outcomes pro vs.
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