Global use of electronic patient-reported outcome systems in nephrology: a mixed methods study.
Author
Anderson, Nicola ElizabethKyte, Derek
McMullan, Christel
Cockwell, Paul
Aiyegbusi, Olalekan Lee
Verdi, Rav
Calvert, Melanie
Publication date
2023-07-12Subject
Urology
Metadata
Show full item recordAbstract
Objectives: The use of electronic patient-reported outcome (ePRO) systems to support the management of patients with chronic kidney disease is increasing. This mixed-methods study aimed to comprehensively identify existing and developing ePRO systems, used in nephrology settings globally, ascertaining key characteristics and factors for successful implementation. Study design: ePRO systems and developers were identified through a scoping review of the literature and contact with field experts. Developers were invited to participate in a structured survey, to summarise key system characteristics including: (1) system objectives, (2) population, (3) PRO measures used, (4) level of automation, (5) reporting, (6) integration into workflow and (7) links to electronic health records/national registries. Subsequent semistructured interviews were conducted to explore responses. Setting and participants: Eligible systems included those being developed or used in nephrology settings to assess ePROs and summarise results to care providers. System developers included those with a key responsibility for aspects of the design, development or implementation of an eligible system. Analytical approach: Structured survey data were summarised using descriptive statistics. Interview transcripts were analysed using Codebook Thematic Analysis using domains from the Consolidated Framework for Implementation Research. Results: Fifteen unique ePRO systems were identified across seven countries; 10 system developers completed the structured survey and 7 participated in semistructured interviews. Despite system heterogeneity, reported features required for effective implementation included early and sustained patient involvement, clinician champions and expanding existing electronic platforms to integrate ePROs. Systems demonstrated several common features, with the majority being implemented within research settings, thereby affecting system implementation readiness for real-world application. Conclusions: There has been considerable research investment in ePRO systems. The findings of this study outline key system features and factors to support the successful implementation of ePROs in routine kidney care.Cite Now. Keywords: dialysis; patient reported outcome measures; qualitative research; quality of life; registries; telemedicine.Citation
Anderson NE, Kyte D, McMullan C, Cockwell P, Aiyegbusi OL, Verdi R, Calvert M. Global use of electronic patient-reported outcome systems in nephrology: a mixed methods study. BMJ Open. 2023 Jul 12;13(7):e070927. doi: 10.1136/bmjopen-2022-070927. PMID: 37438075; PMCID: PMC10347510.Type
ArticleAdditional Links
https://bmjopen.bmj.com/content/13/7/e070927PMID
37438075Journal
BMJ OpenPublisher
BMJ Publishing Groupae974a485f413a2113503eed53cd6c53
10.1136/bmjopen-2022-070927