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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