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

Journal of Patient-Reported Outcomes

Table 3 Comparison of clinical records and symptom monitoring regarding the number of identified symptoms (n = 100/sample)

Symptom (random treatment day)	Clinical documentation*				Symptom monitoring (EORTC single items)
Symptom (random treatment day)	Sample	SM0	SM1	SM2	Sample	SM0	SM1	SM2
Depression	Physician	2	3	0	Moderate	–	41	21
	Nurse	0	2	1	Severe	–	15	26
	Total	2	5	1	Total	–	56	47
Skin problems	Physician	4	2	8	Moderate	–	16	14
	Nurse	0	3	3	Severe	–	13	18
	Total	4	5	10	Total	–	29	32
Nausea	Physician	4	6	5	Moderate	–	19	18
	Nurse	1	5	1	Severe	–	16	10
	Total	4	10	6	Total	–	35	28
Vomiting	Physician	0	0	0	Moderate	–	5	5
	Nurse	0	3	1	Severe	–	9	2
	Total	0	3	1	Total	–	14	7
Pain	Physician	8	18	24	Moderate	–	19	14
	Nurse	11	16	18	Severe	–	9	8
	Total	14	27	34	Total	–	28	22
Insomnia	Physician	1	3	5	Moderate	–	24	42
	Nurse	10	5	13	Severe	–	29	19
	Total	11	8	17	Total	–	53	61
Appetite loss	Physician	0	0	1	Moderate	–	24	26
	Nurse	0	0	2	Severe	–	18	15
	Total	0	0	2	Total	–	42	41
Constipation	Physician	3	8	8	Moderate	–	22	13
	Nurse	0	6	4	Severe	–	17	11
	Total	3	12	10	Total	–	39	24
Diarrhea	Physician	2	2	2	Moderate	–	4	13
	Nurse	1	1	3	Severe	–	2	5
	Total	3	3	4	Total	–	6	18
Tiredness	Physician	1	0	0	Moderate	–	41	41
	Nurse	0	0	0	Severe	–	33	34
	Total	1	0	0	Total	–	74	75
Weakness	Physician	2	0	1	Moderate	–	36	32
	Nurse	0	1	2	Severe	–	29	29
	Total	2	1	3	Total	–	65	61
Total number		44	74	88		–	441	416

SM0 without symptom monitoring, SM1 with symptom monitoring, without integration of results into electronic patient records, SM2 with symptom monitoring, with integration of results into electronic patient records
*Since some symptoms appeared in both physician and nurse documentation, the total number of assessed symptoms does not equal the sum