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Olson RA, Howard F, Lapointe V, Schellenberg D, Nichol A, Bowering G, Curtis S, Walter A, Brown S, Thompson C, Bergin J, Lomas S, French J, Halperin R, Tyldesley S, Beckham W. Provincial development of a patient-reported outcome initiative to guide patient care, quality improvement, and research. Healthc Manage Forum 2019; 31:13-17. [PMID: 29264976 DOI: 10.1177/0840470417715478] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The BC Cancer Agency Radiotherapy (RT) program started the Prospective Outcomes and Support Initiative (POSI) at all six centres to utilize patient-reported outcomes for immediate clinical care, quality improvement, and research. Patient-reported outcomes were collected at time of computed tomography simulation via tablet and 2 to 4 weeks post-RT via either tablet or over the phone by a registered nurse. From 2013 to 2016, patients were approached on 20,150 attempts by POSI for patients treated with RT for bone metastases (52%), brain metastases (11%), lung cancer (17%), gynecological cancer (16%), head and neck cancer (2%), and other pilots (2%). The accrual rate for all encounters was 85% (n = 17,101), with the accrual rate varying between the lowest and the highest accruing centre from 78% to 89% ( P < .001) and varying by tumour site ( P < .001). Using the POSI database, we have performed research and quality improvement initiatives that have changed practice.
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Affiliation(s)
- Robert A Olson
- 1 BC Cancer Agency, Centre for the North, Prince George, British Columbia, Canada.,2 Department of Surgery, Division of Radiation Oncology, University of British Columbia, Vancouver, British Columbia, Canada.,3 Department of Interdisciplinary Studies, University of Northern British Columbia, Prince George, British Columbia, Canada
| | - Fuchsia Howard
- 2 Department of Surgery, Division of Radiation Oncology, University of British Columbia, Vancouver, British Columbia, Canada
| | - Vincent Lapointe
- 4 BC Cancer Agency, Vancouver Centre, Vancouver, British Columbia, Canada
| | - Devin Schellenberg
- 4 BC Cancer Agency, Vancouver Centre, Vancouver, British Columbia, Canada.,5 BC Cancer Agency, Fraser Valley Centre, Surrey, British Columbia, Canada
| | - Alan Nichol
- 4 BC Cancer Agency, Vancouver Centre, Vancouver, British Columbia, Canada
| | - Gale Bowering
- 6 BC Cancer Agency, Abbotsford Centre, Abbotsford, British Columbia, Canada
| | - Susan Curtis
- 5 BC Cancer Agency, Fraser Valley Centre, Surrey, British Columbia, Canada
| | - Allison Walter
- 4 BC Cancer Agency, Vancouver Centre, Vancouver, British Columbia, Canada
| | - Steven Brown
- 1 BC Cancer Agency, Centre for the North, Prince George, British Columbia, Canada
| | - Corinne Thompson
- 7 BC Cancer Agency, Centre for the Southern Interior, Kelowna, British Columbia, Canada
| | - Jackie Bergin
- 7 BC Cancer Agency, Centre for the Southern Interior, Kelowna, British Columbia, Canada
| | - Sheri Lomas
- 4 BC Cancer Agency, Vancouver Centre, Vancouver, British Columbia, Canada
| | - John French
- 4 BC Cancer Agency, Vancouver Centre, Vancouver, British Columbia, Canada
| | - Ross Halperin
- 7 BC Cancer Agency, Centre for the Southern Interior, Kelowna, British Columbia, Canada
| | - Scott Tyldesley
- 4 BC Cancer Agency, Vancouver Centre, Vancouver, British Columbia, Canada
| | - Wayne Beckham
- 8 BC Cancer Agency, Vancouver Island Centre, Victoria, British Columbia, Canada
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