Social determinants of health explored within an electronic patient reported outcomes (ePROs) remote symptom monitoring platform for patients with acute myeloid leukemia (AML).

• DOI: 10.1200/op.2023.19.11_suppl.353
• Publication Date: 2023-10-26T13:03:34Z
• Authors: Omer Hassan Jamy; Tanya Marya Wildes; Nicholas C Coombs; Emily R Beamon; Fjoralba Kristo; Dasha Cherepanov; Aaron Galaznik; Emelly Rusli
• Keywords: Marital status

353 Background: Social determinants of health (SDoH) are non-medical factors, such as income, education, employment, and area residence that can influence outcomes. Research shows SDoH impact people’s health, well-being, quality life (QoL) and, for patients with cancer, treatment Electronic Patient Reported Outcomes (ePROs) integration into routine oncology practice improves patient time on therapy, survival, resource utilization. This study explores the use an ePRO platform gathering care Acute Myeloid Leukemia (AML). Methods: Adult AML undergoing were enrolled in Carevive remote symptom monitoring (RSM) between March 1, 2021 April 20, 2023. Patients received baseline weekly surveys to assess burden, physical function, overall throughout treatment. Baseline characteristics included age, sex, race, frailty status (modified Geriatric Assessment, CARE survey item, and/or self-reported activity level), comorbidities, (living-, caregiver-, marital-, employment-, education-, insurance-status, travel distance cancer center. Symptoms (derived from PRO-CTCAE) QoL (EORTC QLC C30 #29 & #30) assessed weekly, along compliance. Results stratified by compared burden QoL. Results: 124 analysis, median follow-up 12 weeks. Half male (50%); age was 66 (range 21-88), majority White (76%) had at least one comorbidity (69%). Survey compliance 69%, measured total number completed out assigned each patient. Among 71 (57%) who all responses, 38 (54%) married, 35 (49%) a bachelor’s degree, 45 (63%) retired, reported having full- or part-time caregiver, 26 (37%) lived other adult, 48 (68%) more than 20 miles their nearest living adult symptoms often alone (1.65 vs. 1.24 per patient-week). Symptom reporting comparable across responses. Conclusions: illustrates feasibility using RSM indicators care. While high, 43% did not complete items, indicating possible reticence respond some questions. differences may indicate potential need focus without caregiver. support importance utility identify actionable risk factors poor Further exploration is needed understand caregiver/lifestyle arrangements.