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Table 1 Comparison of clinical records and initial assessment regarding the number of identified symptoms (n = 100/sample)

From: An implementation study of electronic assessment of patient-reported outcomes in inpatient radiation oncology

Symptom (day of admission)

Clinical documentation*

Initial assessment (EORTC QLQ-C30)

Sample

IA0

IA1

IA2

Sample

IA0

IA1

IA2

Reduced emotional function

Physician

4

10

8

Moderate

36

28

Nurse

6

9

7

Severe

24

22

Total

8

6

11

Total

60

50

Fatigue

Physician

5

3

4

Moderate

27

27

Nurse

2

1

1

Severe

50

47

Total

7

3

5

Total

77

74

Nausea/vomiting

Physician

5

3

3

Moderate

0

0

Nurse

6

3

2

Severe

27

14

Total

8

4

4

Total

27

14

Pain

Physician

26

17

28

Moderate

14

8

Nurse

37

26

40

Severe

52

51

Total

43

30

47

Total

66

59

Dyspnea

Physician

5

4

9

Moderate

0

0

Nurse

32

31

28

Severe

50

53

Total

32

31

31

Total

50

53

Insomnia

Physician

3

4

4

Moderate

28

25

Nurse

42

36

31

Severe

30

28

Total

42

38

34

Total

58

53

Appetite loss

Physician

1

2

2

Moderate

24

20

Nurse

0

2

0

Severe

23

21

Total

1

3

2

Total

47

41

Constipation

Physician

7

6

0

Moderate

10

10

Nurse

6

14

5

Severe

15

14

Total

9

16

5

Total

25

24

Diarrhea

Physician

1

2

1

Moderate

0

0

Nurse

1

2

3

Severe

19

18

Total

2

2

3

Total

19

18

Financial difficulties

Physician

0

0

0

Moderate

0

0

Nurse

0

0

0

Severe

26

30

Total

0

0

0

Total

26

30

Total number

 

152

143

142

 

455

416

  1. IA0 without initial assessment, IA1 with initial assessment, without integration of results into electronic patient records, IA2 with initial assessment, with integration of results into electronic patient records
  2. *Since some symptoms appeared in both physician and nurse documentation, the total number of assessed symptoms does not equal the sum