Durable usage of patient-reported outcome measures in clinical practice to monitor health-related quality of life in head and neck cancer patients

S. Duman-Lubberding, C. F. van Uden-Kraan, F. Jansen, B. I. Witte, S. E.J. Eerenstein, S. van Weert, R. de Bree, C. R. Leemans, I. M. Verdonck-de Leeuw

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Purpose: To investigate the long-term follow-up (5 years) of implementing patient-reported outcome measures (PROMs) in clinical practice to monitor health-related quality of life (HRQOL) in head and neck cancer (HNC) patients. Methods: A mixed method design was used. The usage rate of OncoQuest (a touch screen computer system to monitor HRQOL) and the subsequent nurse consultation was calculated among HNC patients who visited the outpatient clinic for regular follow-up, as well as differences between ever users and never users (sociodemographic and clinical characteristics). The content of the nurse consultation was investigated. Reasons for not using (barriers) or using (facilitators) OncoQuest and the nurse consultation were explored from the perspective of HNC patients, and of head and neck surgeons. Results: Usage rate of OncoQuest was 67% and of the nurse consultation 79%. Usage of OncoQuest was significantly related to tumor subsite and tumor stage. Topics most frequently (>40%) discussed during the nurse consultation were global quality of life (97%), head and neck cancer related symptoms (82%), other physical symptoms such as pain (61%), and psychological problems such as anxiety (44%). Several barriers and facilitators to implement PROMs in clinical practice were reported by both patients and head and neck surgeons. Conclusion: Usage of PROMs in clinical practice and a nurse consultation is durable, even 5 years after the introduction. This study contributes to better insight into long-term follow-up of implementation, thereby guiding future research and projects that aim to implement PROMs in clinical practice to monitor HRQOL among (head and neck) cancer patients.

Original languageEnglish
Pages (from-to)3775-3783
Number of pages9
JournalSupportive Care in Cancer
Volume25
Issue number12
DOIs
Publication statusPublished - 1 Dec 2017

Cite this

@article{bcfe32fd85d14124b92ef28bd12a09e1,
title = "Durable usage of patient-reported outcome measures in clinical practice to monitor health-related quality of life in head and neck cancer patients",
abstract = "Purpose: To investigate the long-term follow-up (5 years) of implementing patient-reported outcome measures (PROMs) in clinical practice to monitor health-related quality of life (HRQOL) in head and neck cancer (HNC) patients. Methods: A mixed method design was used. The usage rate of OncoQuest (a touch screen computer system to monitor HRQOL) and the subsequent nurse consultation was calculated among HNC patients who visited the outpatient clinic for regular follow-up, as well as differences between ever users and never users (sociodemographic and clinical characteristics). The content of the nurse consultation was investigated. Reasons for not using (barriers) or using (facilitators) OncoQuest and the nurse consultation were explored from the perspective of HNC patients, and of head and neck surgeons. Results: Usage rate of OncoQuest was 67{\%} and of the nurse consultation 79{\%}. Usage of OncoQuest was significantly related to tumor subsite and tumor stage. Topics most frequently (>40{\%}) discussed during the nurse consultation were global quality of life (97{\%}), head and neck cancer related symptoms (82{\%}), other physical symptoms such as pain (61{\%}), and psychological problems such as anxiety (44{\%}). Several barriers and facilitators to implement PROMs in clinical practice were reported by both patients and head and neck surgeons. Conclusion: Usage of PROMs in clinical practice and a nurse consultation is durable, even 5 years after the introduction. This study contributes to better insight into long-term follow-up of implementation, thereby guiding future research and projects that aim to implement PROMs in clinical practice to monitor HRQOL among (head and neck) cancer patients.",
keywords = "Head and neck cancer, Health-related quality of life, Implementation, Patient-reported outcome measures, Screening for psychological distress",
author = "S. Duman-Lubberding and {van Uden-Kraan}, {C. F.} and F. Jansen and Witte, {B. I.} and Eerenstein, {S. E.J.} and {van Weert}, S. and {de Bree}, R. and Leemans, {C. R.} and {Verdonck-de Leeuw}, {I. M.}",
year = "2017",
month = "12",
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doi = "10.1007/s00520-017-3808-3",
language = "English",
volume = "25",
pages = "3775--3783",
journal = "Supportive Care in Cancer",
issn = "0941-4355",
publisher = "Springer Verlag",
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}

Durable usage of patient-reported outcome measures in clinical practice to monitor health-related quality of life in head and neck cancer patients. / Duman-Lubberding, S.; van Uden-Kraan, C. F.; Jansen, F.; Witte, B. I.; Eerenstein, S. E.J.; van Weert, S.; de Bree, R.; Leemans, C. R.; Verdonck-de Leeuw, I. M.

In: Supportive Care in Cancer, Vol. 25, No. 12, 01.12.2017, p. 3775-3783.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Durable usage of patient-reported outcome measures in clinical practice to monitor health-related quality of life in head and neck cancer patients

AU - Duman-Lubberding, S.

AU - van Uden-Kraan, C. F.

AU - Jansen, F.

AU - Witte, B. I.

AU - Eerenstein, S. E.J.

AU - van Weert, S.

AU - de Bree, R.

AU - Leemans, C. R.

AU - Verdonck-de Leeuw, I. M.

PY - 2017/12/1

Y1 - 2017/12/1

N2 - Purpose: To investigate the long-term follow-up (5 years) of implementing patient-reported outcome measures (PROMs) in clinical practice to monitor health-related quality of life (HRQOL) in head and neck cancer (HNC) patients. Methods: A mixed method design was used. The usage rate of OncoQuest (a touch screen computer system to monitor HRQOL) and the subsequent nurse consultation was calculated among HNC patients who visited the outpatient clinic for regular follow-up, as well as differences between ever users and never users (sociodemographic and clinical characteristics). The content of the nurse consultation was investigated. Reasons for not using (barriers) or using (facilitators) OncoQuest and the nurse consultation were explored from the perspective of HNC patients, and of head and neck surgeons. Results: Usage rate of OncoQuest was 67% and of the nurse consultation 79%. Usage of OncoQuest was significantly related to tumor subsite and tumor stage. Topics most frequently (>40%) discussed during the nurse consultation were global quality of life (97%), head and neck cancer related symptoms (82%), other physical symptoms such as pain (61%), and psychological problems such as anxiety (44%). Several barriers and facilitators to implement PROMs in clinical practice were reported by both patients and head and neck surgeons. Conclusion: Usage of PROMs in clinical practice and a nurse consultation is durable, even 5 years after the introduction. This study contributes to better insight into long-term follow-up of implementation, thereby guiding future research and projects that aim to implement PROMs in clinical practice to monitor HRQOL among (head and neck) cancer patients.

AB - Purpose: To investigate the long-term follow-up (5 years) of implementing patient-reported outcome measures (PROMs) in clinical practice to monitor health-related quality of life (HRQOL) in head and neck cancer (HNC) patients. Methods: A mixed method design was used. The usage rate of OncoQuest (a touch screen computer system to monitor HRQOL) and the subsequent nurse consultation was calculated among HNC patients who visited the outpatient clinic for regular follow-up, as well as differences between ever users and never users (sociodemographic and clinical characteristics). The content of the nurse consultation was investigated. Reasons for not using (barriers) or using (facilitators) OncoQuest and the nurse consultation were explored from the perspective of HNC patients, and of head and neck surgeons. Results: Usage rate of OncoQuest was 67% and of the nurse consultation 79%. Usage of OncoQuest was significantly related to tumor subsite and tumor stage. Topics most frequently (>40%) discussed during the nurse consultation were global quality of life (97%), head and neck cancer related symptoms (82%), other physical symptoms such as pain (61%), and psychological problems such as anxiety (44%). Several barriers and facilitators to implement PROMs in clinical practice were reported by both patients and head and neck surgeons. Conclusion: Usage of PROMs in clinical practice and a nurse consultation is durable, even 5 years after the introduction. This study contributes to better insight into long-term follow-up of implementation, thereby guiding future research and projects that aim to implement PROMs in clinical practice to monitor HRQOL among (head and neck) cancer patients.

KW - Head and neck cancer

KW - Health-related quality of life

KW - Implementation

KW - Patient-reported outcome measures

KW - Screening for psychological distress

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U2 - 10.1007/s00520-017-3808-3

DO - 10.1007/s00520-017-3808-3

M3 - Article

VL - 25

SP - 3775

EP - 3783

JO - Supportive Care in Cancer

JF - Supportive Care in Cancer

SN - 0941-4355

IS - 12

ER -