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Management of gastrointestinal symptoms in advanced cancer patients: the rapid learning cancer clinic model.

Publication ,  Journal Article
Abernethy, AP; Wheeler, JL; Zafar, SY
Published in: Curr Opin Support Palliat Care
March 2010

PURPOSE OF REVIEW: Gastrointestinal symptoms are prevalent, often persistent, and detrimental to patients' quality of life. This review discusses evaluation of gastrointestinal symptoms as patient-reported outcomes (PROs) and presents an information technology-based system for symptom monitoring and management. The electronic PRO (ePRO) system is then placed within the larger context of rapid learning healthcare, a concept currently under development in which data obtained through both research and clinical care continuously build large datasets for analysis, seed future research, fuel expansion of the evidence base, and support clinical decision-making. RECENT FINDINGS: PROs are increasingly recognized as valid measures of symptoms, functional status, and quality of life. They have demonstrated prognostic significance and are being developed as a component of toxicity reporting in clinical trials. Recent studies have validated an information technology-based approach for collecting ePROs in routine clinical care. The system is feasible and acceptable; electronic and paper-based data, collected on validated assessment instruments, are equivalent; ePRO collection supports real-time symptom monitoring and management. The ePRO system represents a first step toward implementing rapid learning healthcare at the clinic level. SUMMARY: ePROs provide a rich source of information to support monitoring and clinical management of troubling symptoms such as gastrointestinal complaints.

Duke Scholars

Published In

Curr Opin Support Palliat Care

DOI

EISSN

1751-4266

Publication Date

March 2010

Volume

4

Issue

1

Start / End Page

36 / 45

Location

United States

Related Subject Headings

  • Severity of Illness Index
  • Patient Participation
  • Outcome Assessment, Health Care
  • Oncology & Carcinogenesis
  • Neoplasms
  • Medical Records Systems, Computerized
  • Internet
  • Humans
  • Gastrointestinal Diseases
  • 4203 Health services and systems
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Abernethy, A. P., Wheeler, J. L., & Zafar, S. Y. (2010). Management of gastrointestinal symptoms in advanced cancer patients: the rapid learning cancer clinic model. Curr Opin Support Palliat Care, 4(1), 36–45. https://doi.org/10.1097/SPC.0b013e32833575fd
Abernethy, Amy P., Jane L. Wheeler, and S Yousuf Zafar. “Management of gastrointestinal symptoms in advanced cancer patients: the rapid learning cancer clinic model.Curr Opin Support Palliat Care 4, no. 1 (March 2010): 36–45. https://doi.org/10.1097/SPC.0b013e32833575fd.
Abernethy AP, Wheeler JL, Zafar SY. Management of gastrointestinal symptoms in advanced cancer patients: the rapid learning cancer clinic model. Curr Opin Support Palliat Care. 2010 Mar;4(1):36–45.
Abernethy, Amy P., et al. “Management of gastrointestinal symptoms in advanced cancer patients: the rapid learning cancer clinic model.Curr Opin Support Palliat Care, vol. 4, no. 1, Mar. 2010, pp. 36–45. Pubmed, doi:10.1097/SPC.0b013e32833575fd.
Abernethy AP, Wheeler JL, Zafar SY. Management of gastrointestinal symptoms in advanced cancer patients: the rapid learning cancer clinic model. Curr Opin Support Palliat Care. 2010 Mar;4(1):36–45.

Published In

Curr Opin Support Palliat Care

DOI

EISSN

1751-4266

Publication Date

March 2010

Volume

4

Issue

1

Start / End Page

36 / 45

Location

United States

Related Subject Headings

  • Severity of Illness Index
  • Patient Participation
  • Outcome Assessment, Health Care
  • Oncology & Carcinogenesis
  • Neoplasms
  • Medical Records Systems, Computerized
  • Internet
  • Humans
  • Gastrointestinal Diseases
  • 4203 Health services and systems