The PROMova study comparing active and passive use of patient-reported outcome measures in ovarian cancer follow-up: effect on patient-perceived involvement, satisfaction with care, and usefulness

Authors

  • Anette Stolberg Kargo Department of Oncology, Lillebaelt Hospital, University Hospital of Southern Denmark, Vejle, Denmark; Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark; Center for Shared Decision Making, Lillebaelt Hospital, University Hospital of Southern Denmark, Vejle, Denmark
  • Pernille Tine Jensen Department of Gynaecology and Obstetrics, Aarhus University Hospital, Aarhus, Denmark; Faculty of Health Science, Aarhus University, Aarhus, Denmark
  • Kristina Lindemann Department of Gynaecological Oncology, Division of Cancer Medicine, Oslo University Hospital, Oslo, Norway; Faculty of Medicine, Institute of Clinical Medicine, University of Oslo, Oslo, Norway
  • Niels Henrik Ingvar Hjollund AmbuFlex/WestChronic, Occupational Medicine, University Research Clinic, Aarhus University, Herning, Denmark; Department of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark
  • Bente Lund Department of Oncology, Aalborg University Hospital, Aalborg, Denmark
  • Mette Haee Department of Oncology, Aarhus University Hospital, Aarhus, Denmark
  • Sören Möller Department of Clinical Research, University of Southern Denmark, Odense, Denmark; OPEN – Open Patient data Explorative Network, Odense University Hospital, Odense, Denmark
  • Dorte Gilså Hansen Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark; Center for Shared Decision Making, Lillebaelt Hospital, University Hospital of Southern Denmark, Vejle, Denmark
  • Karina Dahl Steffensen Department of Oncology, Lillebaelt Hospital, University Hospital of Southern Denmark, Vejle, Denmark; Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark; Center for Shared Decision Making, Lillebaelt Hospital, University Hospital of Southern Denmark, Vejle, Denmark

DOI:

https://doi.org/10.1080/0284186X.2021.1891281

Keywords:

Ovarian cancer, PRO, patient reported outcomes, follow-up care, quality of life

Abstract

Background

Patients with ovarian cancer often experience substantial health problems and side effects resulting in reduced quality of life (QoL). Different models of using patient-reported outcome measures (PROMs) during follow-up may improve the quality of care. This national, multicenter observational study investigated the effect of active use of PROMs on patient-perceived involvement, satisfaction with care, unmet needs, and QoL during follow-up of ovarian cancer.

Material and methods

Ovarian cancer patients were recruited at the end of primary treatment at eight centers in Denmark. During 18 months of follow-up patients repeatedly completed European Organization for Research and Treatment of Cancer (EORTC) questionnaires covering health related QoL and symptoms. At the sites using PROMs actively (ACT), the clinician had access to an overview of the patient's scores during the clinical encounter. Clinicians using PROMs passively were alerted in case of severe development of symptoms. Following each encounter, patients evaluated their health service experience by completing the CollaboRATE scale of involvement in decision making, the Patient Experience Questionnaire, and ad hoc questions covering patient-perceived usefulness of the PROMs.

Results

A total of 223 patients were enrolled, i.e., 168 (75.3%) at five sites using ACT and 53 (23.8%) at three sites using them passively. We found no statistically significant difference in involvement in the decision making, satisfaction with care, unmet needs, and QoL between the two groups. The majority of patients found it useful to complete the PROMs, although it did not seem to significantly support them in raising issues with the oncologist.

Conclusion

Active use of PROMs did not improve patients’ experience of involvement in follow-up care as compared to passive use.

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Additional Files

Published

2021-04-03

How to Cite

Stolberg Kargo, A., Tine Jensen, P., Lindemann, K., Ingvar Hjollund, N. H., Lund, B., Haee, M., … Dahl Steffensen, K. (2021). The PROMova study comparing active and passive use of patient-reported outcome measures in ovarian cancer follow-up: effect on patient-perceived involvement, satisfaction with care, and usefulness. Acta Oncologica, 60(4), 434–443. https://doi.org/10.1080/0284186X.2021.1891281

Issue

Vol. 60 No. 4 (2021): Acta Oncologica

Section

Articles