Feasibility and Acceptability of Implementing Site-Specific Patient-Reported Outcome Measure in Head and Neck Cancer Clinics: A Prospective Institutional Study

Abdulla Al-Rashdan,Petra Grendarova,Demetra Yannitsos,Harvey Quon,Robyn Banerjee,Lisa Barbera

Advances in radiation oncology（2022）

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摘要

_ABSTRACT

Introduction

_{To assess the feasibility and acceptability of implementing the MD Anderson Symptom Inventory- Head and Neck (MDASI-HN) module in cancer clinics and its effect on patient-reported experience.}

Methods

_{We conducted a prospective, longitudinal study at a tertiary cancer institution between September 2020 and August 2021. Patients diagnosed with a new head and neck (HN) cancer, who were evaluated to receive radiotherapy with or without chemotherapy, and could communicate in English were approached to participate. The primary outcome was feasibility and acceptability of the MDASI-HN implementation in the radiation oncology department assessed by patient and provider exit surveys. Secondary outcomes were patient-reported experience as recorded by a shortened Your Voice Matters survey (YVM) in two cohorts pre- and post- MDASI-HN implementation and symptom scores. Descriptive statistics were used for exit surveys and symptom scores. Mann Whitney tests were used to assess differences in positive responses between pre- and post-implementation for each YVM question. Cochrane-Armitage tests were used to examine changes in patient-reported experience over time.}

Results

_{Fifty-one patients were enrolled in the post-implementation cohort and 29(60%) responded to the exit survey. 89% of patients reported that MDASI-HN made it easier to remember symptoms and 86% recommend its use in routine care. Four out of the five radiation oncology head and neck providers (80%) responded to exit surveys, 75% felt the MDASI-HN provided clinically-relevant information, improved communication with patients, and did not increase clinic time. The overall patient-reported experience was not impacted by the implementation (p=0.82). The probability of positive responses over time was significant(p=0.025) in the clinic coordination domain for the post-implementation cohort.}

Conclusion

_{Implementation of MDASI-HN was feasible and acceptable by patients and providers. While the overall patient-reported experience was not impacted by implementation, some aspects improved as treatment progressed.}

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关键词

neck cancer clinics,outcome measure,site-specific,patient-reported

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