Do High Symptom Scores Trigger Clinical Actions? An Audit After Implementing Electronic Symptom Screening
Identifieur interne : 002A47 ( Pmc/Checkpoint ); précédent : 002A46; suivant : 002A48Do High Symptom Scores Trigger Clinical Actions? An Audit After Implementing Electronic Symptom Screening
Auteurs : Hsien Seow [Canada] ; Jonathan Sussman [Canada] ; Lorraine Martelli-Reid [Canada] ; Greg Pond [Canada] ; Daryl Bainbridge [Canada]Source :
- Journal of Oncology Practice [ 1554-7477 ] ; 2012.
Abstract
The authors examine whether patient visits with higher symptom scores are associated with higher rates of symptom documentation in the chart and symptom-specific actions being taken.
Url:
DOI: 10.1200/JOP.2011.000525
PubMed: 23598849
PubMed Central: 3500488
Affiliations:
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An Audit After Implementing Electronic Symptom Screening</title><author><name sortKey="Seow, Hsien" sort="Seow, Hsien" uniqKey="Seow H" first="Hsien" last="Seow">Hsien Seow</name><affiliation wicri:level="1"><nlm:aff id="aff1">McMaster University; and Juravinski Cancer Centre, Hamilton, Ontario, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>McMaster University; and Juravinski Cancer Centre, Hamilton, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Sussman, Jonathan" sort="Sussman, Jonathan" uniqKey="Sussman J" first="Jonathan" last="Sussman">Jonathan Sussman</name><affiliation wicri:level="1"><nlm:aff id="aff1">McMaster University; and Juravinski Cancer Centre, Hamilton, Ontario, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>McMaster University; and Juravinski Cancer Centre, Hamilton, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Martelli Reid, Lorraine" sort="Martelli Reid, Lorraine" uniqKey="Martelli Reid L" first="Lorraine" last="Martelli-Reid">Lorraine Martelli-Reid</name><affiliation wicri:level="1"><nlm:aff id="aff1">McMaster University; and Juravinski Cancer Centre, Hamilton, Ontario, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>McMaster University; and Juravinski Cancer Centre, Hamilton, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Pond, Greg" sort="Pond, Greg" uniqKey="Pond G" first="Greg" last="Pond">Greg Pond</name><affiliation wicri:level="1"><nlm:aff id="aff1">McMaster University; and Juravinski Cancer Centre, Hamilton, Ontario, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>McMaster University; and Juravinski Cancer Centre, Hamilton, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Bainbridge, Daryl" sort="Bainbridge, Daryl" uniqKey="Bainbridge D" first="Daryl" last="Bainbridge">Daryl Bainbridge</name><affiliation wicri:level="1"><nlm:aff id="aff1">McMaster University; and Juravinski Cancer Centre, Hamilton, Ontario, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>McMaster University; and Juravinski Cancer Centre, Hamilton, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23598849</idno><idno type="pmc">3500488</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3500488</idno><idno type="RBID">PMC:3500488</idno><idno type="doi">10.1200/JOP.2011.000525</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">002F72</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002F72</idno><idno type="wicri:Area/Pmc/Curation">002F71</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002F71</idno><idno type="wicri:Area/Pmc/Checkpoint">002A47</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">002A47</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Do High Symptom Scores Trigger Clinical Actions? An Audit After Implementing Electronic Symptom Screening</title><author><name sortKey="Seow, Hsien" sort="Seow, Hsien" uniqKey="Seow H" first="Hsien" last="Seow">Hsien Seow</name><affiliation wicri:level="1"><nlm:aff id="aff1">McMaster University; and Juravinski Cancer Centre, Hamilton, Ontario, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>McMaster University; and Juravinski Cancer Centre, Hamilton, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Sussman, Jonathan" sort="Sussman, Jonathan" uniqKey="Sussman J" first="Jonathan" last="Sussman">Jonathan Sussman</name><affiliation wicri:level="1"><nlm:aff id="aff1">McMaster University; and Juravinski Cancer Centre, Hamilton, Ontario, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>McMaster University; and Juravinski Cancer Centre, Hamilton, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Martelli Reid, Lorraine" sort="Martelli Reid, Lorraine" uniqKey="Martelli Reid L" first="Lorraine" last="Martelli-Reid">Lorraine Martelli-Reid</name><affiliation wicri:level="1"><nlm:aff id="aff1">McMaster University; and Juravinski Cancer Centre, Hamilton, Ontario, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>McMaster University; and Juravinski Cancer Centre, Hamilton, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Pond, Greg" sort="Pond, Greg" uniqKey="Pond G" first="Greg" last="Pond">Greg Pond</name><affiliation wicri:level="1"><nlm:aff id="aff1">McMaster University; and Juravinski Cancer Centre, Hamilton, Ontario, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>McMaster University; and Juravinski Cancer Centre, Hamilton, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Bainbridge, Daryl" sort="Bainbridge, Daryl" uniqKey="Bainbridge D" first="Daryl" last="Bainbridge">Daryl Bainbridge</name><affiliation wicri:level="1"><nlm:aff id="aff1">McMaster University; and Juravinski Cancer Centre, Hamilton, Ontario, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>McMaster University; and Juravinski Cancer Centre, Hamilton, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of Oncology Practice</title><idno type="ISSN">1554-7477</idno><idno type="eISSN">1935-469X</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>The authors examine whether patient visits with higher symptom scores are associated with higher rates of symptom documentation in the chart and symptom-specific actions being taken.</p></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Oncol Pract</journal-id><journal-id journal-id-type="iso-abbrev">J Oncol Pract</journal-id><journal-id journal-id-type="hwp">jop</journal-id><journal-id journal-id-type="pmc">jop</journal-id><journal-id journal-id-type="publisher-id">J Onc Prac</journal-id><journal-title-group><journal-title>Journal of Oncology Practice</journal-title></journal-title-group><issn pub-type="ppub">1554-7477</issn><issn pub-type="epub">1935-469X</issn><publisher><publisher-name>American Society of Clinical Oncology</publisher-name><publisher-loc>Alexandria, VA</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">23598849</article-id><article-id pub-id-type="pmc">3500488</article-id><article-id pub-id-type="publisher-id">3792599</article-id><article-id pub-id-type="doi">10.1200/JOP.2011.000525</article-id><article-categories><subj-group subj-group-type="hwp-journal-coll"><subject>92</subject><subject>90</subject><subject>86</subject><subject>145</subject></subj-group><subj-group subj-group-type="heading"><subject>Health Care Delivery</subject><subj-group><subject>Original Contributions</subject></subj-group></subj-group></article-categories><title-group><article-title>Do High Symptom Scores Trigger Clinical Actions? An Audit After Implementing Electronic Symptom Screening</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Seow</surname><given-names>Hsien</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="aff1"></xref><xref ref-type="corresp" rid="cor1"></xref></contrib><contrib contrib-type="author"><name><surname>Sussman</surname><given-names>Jonathan</given-names></name><degrees>MD, MSc</degrees><xref ref-type="aff" rid="aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Martelli-Reid</surname><given-names>Lorraine</given-names></name><degrees>RN, MN, NP</degrees><xref ref-type="aff" rid="aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Pond</surname><given-names>Greg</given-names></name><degrees>PhD, PStat</degrees><xref ref-type="aff" rid="aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Bainbridge</surname><given-names>Daryl</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="aff1"></xref></contrib><aff id="aff1">McMaster University; and Juravinski Cancer Centre, Hamilton, Ontario, Canada</aff></contrib-group><author-notes><corresp id="cor1">Corresponding author: Hsien Seow, PhD,
<addr-line>Cancer Care Ontario Research Chair in Health Services Research, Assistant Professor, Department of Oncology, McMaster University, 699 Concession St, 4th floor, Rm 4-229, Hamilton, Ontario L8V 5C2, Canada</addr-line>; e-mail: <email>seowh@mcmaster.ca</email>.</corresp></author-notes><pub-date pub-type="ppub"><month>11</month><year>2012</year></pub-date><pub-date pub-type="epub"><day>21</day><month>8</month><year>2012</year></pub-date><pub-date pub-type="pmc-release"><day>1</day><month>3</month><year>2013</year></pub-date><pmc-comment> PMC Release delay is 4 months and 0 days and was based on the
<volume>8</volume><issue>6</issue><fpage>e142</fpage><lpage>e148</lpage><history><date date-type="accepted"><day>11</day><month>6</month><year>2012</year></date></history><permissions><copyright-statement>Copyright © 2012 by American Society of Clinical Oncology</copyright-statement><copyright-year>2012</copyright-year></permissions><self-uri xlink:title="pdf" xlink:type="simple" xlink:href="jop0061200e142.pdf"></self-uri><abstract abstract-type="precis"><p>The authors examine whether patient visits with higher symptom scores are associated with higher rates of symptom documentation in the chart and symptom-specific actions being taken.</p></abstract><abstract><sec><title>Purpose:</title><p>Standardized, electronic, symptom assessment is purported to help identify symptom needs. However, little research examines clinical processes related to symptom management, such as whether patients with worsening symptoms receive clinical actions more often. This study examined whether patient visits with higher symptom scores are associated with higher rates of symptom documentation in the chart and symptom-specific actions being taken.</p></sec><sec><title>Methods:</title><p>Retrospective chart reviews on cancer patient visits at a regional cancer center. An electronic Edmonton Symptom Assessment Scale (ESAS), a validated tool to measure symptoms, was implemented center-wide to standardize symptom screening at every patient visit. The independent variable was ESAS scores for pain and shortness of breath, categorized by severity: 0 (none), 1-3, 4-6, 7-10 (severe). Outcomes included symptom documentation in the chart on the visit date and symptom-related action(s) taken within 1 week.</p></sec><sec><title>Results:</title><p>Nine hundred twelve visits were identified. Pain and shortness of breath were documented in 51.8% and 29.7% of charts, and a related-action occurred in 16.9% and 3.9% of charts, respectively. As ESAS severity score category increased from none to severe, the proportion of visits with pain documented increased significantly (36.9%, 49.2%, 55.2%, and 71.4%; <italic>P</italic> < .001). Likewise, as ESAS score severity increased, the proportion of visits with a pain-related action increased significantly (4.2%, 10.6%, 21.3%, and 37.0%; <italic>P</italic> < .001). Trends were similar for shortness of breath.</p></sec><sec><title>Conclusion:</title><p>Results show a positive association between higher symptom scores and higher rates of documentation and clinical actions taken. However, symptom-related actions were documented in a minority of visits in which symptoms were noted as severe.</p></sec></abstract></article-meta></front></pmc><affiliations><list><country><li>Canada</li></country></list><tree><country name="Canada"><noRegion><name sortKey="Seow, Hsien" sort="Seow, Hsien" uniqKey="Seow H" first="Hsien" last="Seow">Hsien Seow</name></noRegion><name sortKey="Bainbridge, Daryl" sort="Bainbridge, Daryl" uniqKey="Bainbridge D" first="Daryl" last="Bainbridge">Daryl Bainbridge</name><name sortKey="Martelli Reid, Lorraine" sort="Martelli Reid, Lorraine" uniqKey="Martelli Reid L" first="Lorraine" last="Martelli-Reid">Lorraine Martelli-Reid</name><name sortKey="Pond, Greg" sort="Pond, Greg" uniqKey="Pond G" first="Greg" last="Pond">Greg Pond</name><name sortKey="Sussman, Jonathan" sort="Sussman, Jonathan" uniqKey="Sussman J" first="Jonathan" last="Sussman">Jonathan Sussman</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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