Computer-Based Symptom Assessment Is Feasible in Patients With Advanced Cancer: Results From an International Multicenter Study, the EPCRC-CSA

摘要: Abstract Context Symptom assessment by computers is only effective if it provides valid results and perceived as useful for clinical use the end users: patients health care providers. Objectives To identify factors associated with discontinuation, time expenditure, patient preferences of computerized symptom used in an international multicenter data collection project: European Palliative Care Research Collaborative-Computerized Assessment. Methods Cancer incurable metastatic or locally advanced disease were recruited from 17 centers eight countries, providing 1017 records analyses. Observer-based registrations patient-reported measures on pain, depression, physical function entered touch screen laptop computers. Results The entire was completed 94.9% ( n =965), median age 63 years (range 18–91 years) Karnofsky Performance Status (KPS) score 70 20–100). Predictive noncompletion higher age, lower KPS, more pain P ≤0.012). Time expenditure among completers increased male gender, Norwegian nationality, number comorbidities, functioning ≤0.007) but inversely related to levels tiredness ≤0.03). Need assistance predicted nationality other than Norwegian, educational level Conclusion high completion rate shows that feasible cancer. However, reduced performance status reduces compliance increases need assistance. Future work should aim at identifying minimum set screening questions refine software optimize reduce respondent burden frail patients.