Phase III non-randomized controlled trial of PROMPT-Care, an eHealth intervention utilizing patient reported outcomes in routine clinical care: Impact on emergency department presentations.

• DOI: 10.1200/jco.2019.37.15_suppl.6510
• Publication Date: 2019-05-27T16:11:05Z
• Authors: Afaf Girgis; Ivana Durcinoska; Anthony Arnold; Nasreen Kaadan; Andrew Alexis Miller; Joseph Descallar; Geoff Delaney
• Keywords: eHealth; Telehealth

6510 Background: The significant impact of routine assessment and clinical utilization patient-reported outcomes (PRO) on patient survival reduced emergency department (ED) presentations has been demonstrated in specific populations (e.g. advanced cancer). This controlled trial evaluated the an eHealth system, PROMPT-Care, ED a diverse population cancer patients from four oncology treatments centers. Methods: All adult receiving care (including adjuvant therapy follow-up) were eligible, excepting those with diagnosis hematological malignancy, insufficient English literacy or no internet access outside clinic. Intervention (PROMPT-Care) completed monthly online assessments comprising 61 items distress, common symptoms unmet needs, PRO results electronically transferred into electronic medical record (EMR). In “real-time”, team accessed patients’ summary reports to guide their care, email alert notified nurses ongoing unresolved issues between visits, received links support self-management. Control group (n = 2,288) comprised general usual at participating Multivariable negative binomial regression was used compare between-group differences. Results: From April 2016 March 2018, 345 eligible (mean age 62, 58% female, 27% stage IV) participated sent least within first six months trial. On average, control had 30 PROMPT-Care 21 per 10,000 days. After adjusting for age, sex disease, 26% (95% CI 0.2%, 57%) fewer compared (p 0.0483). Conclusions: intervention resulted significantly broad patients, including currently undergoing treatment are follow-up, wide range tumor types. its utility as improved model supportive population, potential healthcare cost savings. Clinical information: ACTRN12616000615482.