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• W3091862663 abstract "Introduction: A marked shift in ambulatory patient assessment was instituted by cancer centers in response to theCOVID-19 crisis At our center, non-urgent appointments were deferred, and essential assessments were conductedvirtually whenever possible Prior to COVID-19, all patients attending ambulatory clinic completed an EdmontonSymptom Assessment Scale (ESAS) form via touch pad, with assistance as needed by clinic volunteers Ourpurpose here was to explore how virtual conduct of clinics impacted the collection of patient-reported outcomes andto address the unmet need for recognition and management of severe symptoms, particularly depression/anxiety Methods: We performed a mixed methods cross-sectional study to test the feasibility of remote completion of theESAS form by patients scheduled for appointments at a weekly surgical oncology clinic at a major Canadian cancercenter Over the course of the first 5 weeks of the study, patients were phoned after their appointment to requestpermission to email the ESAS form and asked to return the completed form electronically Over the next 2 weeks, patients who attended in-person appointments were asked to complete a hard-copy ESAS form in clinic Clinicallysignificant distress was defined a priori as score >2 for depression and >3 for anxiety We compared compliance with the two methods (virtual vs hard-copy) of patient-reported data collection Results: For the entire study cohort, median age was 64 (35-89) and 48% were female For the virtual method ofESAS completion, 45 patients had telephone contact attempted: 30 agreed to study participation, 1 declined, and 14could not be reached despite repeated attempts For the hard-copy method, all 22 patients approached consentedto participation For the virtual method, 15 patients successfully completed and returned the ESAS formelectronically, yielding an overall compliance rate of 33% For the hard-copy method, the compliance rate was 95%(1 patient deferred after consenting, then did not return the form) There were no differences in patient age, gender, or tumor type between the two methods For the patients who agreed to the virtual method but did not return acompleted electronic form, the following barriers were identified: unable to open/complete PDF;technology phobia;lack of motivation;patient provided invalid email address Of the completed forms, 28% revealed a depression score>2 and 31% an anxiety score >3;22% reported both severe depression and anxiety There was no difference in thedegree of distress reported virtually or via hard copy" @default.
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• W3091862663 date "2020-01-01" @default.
• W3091862663 modified "2023-09-23" @default.
• W3091862663 title "Barriers to implementation of virtual collection of patient-reported data in the COVID-19 era" @default.
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