Evidence map›Paper›PMID 39842002›Full record

Trial reportJMIR cancer2025

Patient Voices: Multimethod Study on the Feasibility of Implementing Electronic Patient-Reported Outcome Measures in a Comprehensive Cancer Center.

Cinzia Brunelli, Sara Alfieri, Emanuela Zito, Marco Spelta, Laura Arba, Linda Lombi, Luana Caselli, Augusto Caraceni, Claudia Borreani, Anna Roli and 12 more

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in JMIR cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03968718 (PATIENT VOICES - A Project for the Integration of Systematic Assessment of Patient Reported Outcomes Within an E-Health Program in an Italian Comprehensive Cancer Center), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03968718 naunknown statusnot on this map

PATIENT VOICES - A Project for the Integration of Systematic Assessment of Patient Reported Outcomes Within an E-Health Program in an Italian Comprehensive Cancer Center

TypeinterventionalSponsorFondazione IRCCS Istituto Nazionale dei Tumori, MilanoRan2019 to 2021Enrolled640ConditionsNeoplasms, Symptoms and Signs, Psychological Distress, Satisfaction, ConsumerArmsSystematic ePROMs Assessment
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors.

Cinzia BrunelliPalliative Care, Pain Therapy and Rehabilitation Unit, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milano, Italy.ORCID 0000-0003-3905-1289
Sara AlfieriClinical Psychology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milano, Italy.ORCID 0000-0002-2183-240X
Emanuela ZitoInformation and Communication Technology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milano, Italy.ORCID 0000-0002-8318-4030
Marco SpeltaDepartment of Electronics, Information and Bioengineering, Politecnico di Milano, Milano, Italy.ORCID 0009-0008-1655-9112
Laura ArbaPalliative Care, Pain Therapy and Rehabilitation Unit, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milano, Italy.ORCID 0000-0003-0725-003X
Linda LombiDepartment of Sociology, Università Cattolica del Sacro Cuore, Milano, Italy.ORCID 0000-0002-8486-1021
Luana CaselliPalliative Care, Pain Therapy and Rehabilitation Unit, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milano, Italy.ORCID 0000-0001-7058-7570
Augusto CaraceniPalliative Care, Pain Therapy and Rehabilitation Unit, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milano, Italy.ORCID 0000-0002-0375-6204
Claudia BorreaniClinical Psychology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milano, Italy.ORCID 0000-0002-7447-4626
Anna RoliQuality, Education and Data Protection Unit, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milano, Italy.ORCID 0009-0003-2355-3097
Rosalba MiceliBiostatistics for Clinical Research Unit, Epidemiology and Data Science Unit, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milano, Italy.ORCID 0000-0003-0954-375X
Gabriele Tine'Biostatistics for Clinical Research Unit, Epidemiology and Data Science Unit, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milano, Italy.ORCID 0000-0003-1762-1375
Ernesto ZeccaPalliative Care, Pain Therapy and Rehabilitation Unit, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milano, Italy.ORCID 0000-0003-1689-0370
Marco PlataniaDepartment of Medical Oncology 1, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milano, Italy.ORCID 0000-0002-6989-487X
Giuseppe ProcopioDepartment of Medical Oncology 1, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milano, Italy.ORCID 0000-0002-2498-402X
Nicola NicolaiDepartment of Urology, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milano, Italy.ORCID 0000-0002-5718-2699
Luigi BattagliaColorectal Surgery Unit, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milano, Italy.ORCID 0000-0002-0220-5005
Laura LozzaRadiation Oncology, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milano, Italy.ORCID 0000-0002-7413-7427
Morena ShkodraPalliative Care, Pain Therapy and Rehabilitation Unit, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milano, Italy.ORCID 0000-0001-6543-7738
Giacomo MassaPalliative Care, Pain Therapy and Rehabilitation Unit, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milano, Italy.ORCID 0000-0003-4637-9821
Daniele LoiaconoDepartment of Electronics, Information and Bioengineering, Politecnico di Milano, Milano, Italy.ORCID 0000-0002-5355-0634
Giovanni ApoloneScientific Directorate, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milano, Italy.ORCID 0000-0001-5179-104X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background"Patient Voices" is a software developed to promote the systematic collection of electronic patient-reported outcome measures (ePROMs) in routine oncology clinical practice.

objectiveThis study aimed to assess compliance with and feasibility of the Patient Voices ePROM system and analyze patient-related barriers in an Italian comprehensive cancer center.

methodsConsecutive patients with cancer attending 3 outpatient clinics and 3 inpatient wards were screened for eligibility (adults, native speakers, and being able to fill in the ePROMs) and enrolled in a quantitative and qualitative multimethod study. Compliance, reasons for not administering the ePROMs, patients' interaction needs, and patient-perceived System Usability Scale (range 0-100) were collected; semistructured interviews were carried out in a subsample of patients.

resultsFrom June 2020 to September 2021, a total of 435 patients were screened, 421 (96.7%) were eligible, and 309 completed the ePROMs (309/421, 73.4%; 95% CI 69.8%-77.5%; mean age 63.3, SD 13.7 years). Organization problems and patient refusal were the main reasons for not administering the ePROMs (outpatients: 40/234, 17.1% and inpatients: 44/201, 21.9%). Help for tablet use was needed by 27.8% (47/169) of outpatients and 10.7% (15/140) of inpatients, while the support received for item interpretation was similar in the 2 groups (outpatients: 36/169, 21.3% and inpatients: 26/140, 18.6%). Average System Usability Scale scores indicated high usability in both groups (outpatients: mean 86.8, SD 15.8 and inpatients: mean 83.9, SD 18.8). Overall, repeated measurement compliance was 76.9% (173/225; outpatients only). Interviewed patients showed positive attitudes toward ePROMs. However, there are barriers to implementation related to the time and cognitive effort required to complete the questionnaires. There is also skepticism about the usefulness of ePROMs in interactions with health care professionals.

conclusionsThis study provides useful information for future ePROM implementation strategies, aimed at effectively supporting the routine clinical management and care of patients with cancer. In addition, these findings may be relevant to other organizations willing to systematically collect PROMs or ePROMs in their clinical routines.

trial registrationClinicalTrials.gov NCT03968718; https://clinicaltrials.gov/study/NCT03968718.

Indexed as

Cancer Care FacilitiesNeoplasmsPatient Reported Outcome MeasuresAdultAgedFeasibility StudiesFemaleHumansItalyMaleMiddle Agedbarriercancerclinical managementeHealthelectronic patient-reported outcomesfeasibilityimplementationmixed methods studyoncologypatient compliancepatient-reported outcomesPROMsquality of lifequestionnairesemistructured interviewusability scale

Identifiers

PMID39842002
PMCPMC11799810

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.