Trial Outcomes & Findings for Behavioral Economic Strategies to Improve PRO Adherence (NCT NCT06013176)

NCT ID: NCT06013176

Last Updated: 2025-12-29

Results Overview

The primary outcome will be PRO adherence, measured at the patient level as the proportion of expected PRO questionnaires completed per patient.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

476 participants

Primary outcome timeframe

3 months

Results posted on

2025-12-29

Participant Flow

Participant milestones

Participant milestones
Measure
Usual Practice
This arm will consist of encounter-based PRO monitoring, in which patients have an opportunity to complete PRO questionnaires via patient portal in advance of clinical encounters or via tablet during clinical encounters. While clinicians will be encouraged to view and discuss PROs with patients during clinical encounters, they will not be prompted to do so in real-time, nor will there be alerts for escalating symptoms.
Encounter-based PRO Monitoring
Encounter-based PRO monitoring (usual practice) plus patient reminders and triage nurse alerts Encounter-based PRO monitoring: This arm consists of usual practice plus the addition of patient reminders to complete PRO questionnaires and triage nurse alerts for severe symptoms. Patient reminders will be operationalized through the Epic patient portal. Triage nurse alerts will be routed to Epic symptom management pools in response to a patient reporting moderate or severe symptoms. Patients will have the opportunity to decline or opt-out of triage nurse support. Clinical interventions stemming from triage nurse alerts will be up to the discretion of clinical teams - i.e., clinical responses will be neither prescriptive nor mandatory. Notably, the entry point for triage nurse alerts (i.e., Epic symptom management pools), as well as resultant clinical responses, are existing standard operating procedures/practices for patients reporting symptoms by phone.
Remote PRO Monitoring
Remote PRO monitoring plus patient reminders and triage nurse alerts Remote PRO monitoring: This arm will consist of weekly PRO questionnaires administered via the patient portal, de-linked from clinical encounters. Patient reminders will be operationalized through the Epic patient portal. Triage nurse alerts will be routed to Epic symptom management pools in response to a patient reporting moderate or severe symptoms. Patients will have the opportunity to decline or opt-out of triage nurse support. Clinical interventions stemming from triage nurse alerts will be up to the discretion of clinical teams - i.e., clinical responses will be neither prescriptive nor mandatory. Notably, the entry point for triage nurse alerts (i.e., Epic symptom management pools), as well as resultant clinical responses, are existing standard operating procedures/practices for patients reporting symptoms by phone.
Overall Study
STARTED
171
144
161
Overall Study
Completed at least one questionnaire
115
106
118
Overall Study
COMPLETED
171
144
161
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Behavioral Economic Strategies to Improve PRO Adherence

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Usual Practice
n=171 Participants
This arm will consist of encounter-based PRO monitoring, in which patients have an opportunity to complete PRO questionnaires via patient portal in advance of clinical encounters or via tablet during clinical encounters. While clinicians will be encouraged to view and discuss PROs with patients during clinical encounters, they will not be prompted to do so in real-time, nor will there be alerts for escalating symptoms.
Encounter-based PRO Monitoring
n=144 Participants
Encounter-based PRO monitoring (usual practice) plus patient reminders and triage nurse alerts Encounter-based PRO monitoring: This arm consists of usual practice plus the addition of patient reminders to complete PRO questionnaires and triage nurse alerts for severe symptoms. Patient reminders will be operationalized through the Epic patient portal. Triage nurse alerts will be routed to Epic symptom management pools in response to a patient reporting moderate or severe symptoms. Patients will have the opportunity to decline or opt-out of triage nurse support. Clinical interventions stemming from triage nurse alerts will be up to the discretion of clinical teams - i.e., clinical responses will be neither prescriptive nor mandatory. Notably, the entry point for triage nurse alerts (i.e., Epic symptom management pools), as well as resultant clinical responses, are existing standard operating procedures/practices for patients reporting symptoms by phone.
Remote PRO Monitoring
n=161 Participants
Remote PRO monitoring plus patient reminders and triage nurse alerts Remote PRO monitoring: This arm will consist of weekly PRO questionnaires administered via the patient portal, de-linked from clinical encounters. Patient reminders will be operationalized through the Epic patient portal. Triage nurse alerts will be routed to Epic symptom management pools in response to a patient reporting moderate or severe symptoms. Patients will have the opportunity to decline or opt-out of triage nurse support. Clinical interventions stemming from triage nurse alerts will be up to the discretion of clinical teams - i.e., clinical responses will be neither prescriptive nor mandatory. Notably, the entry point for triage nurse alerts (i.e., Epic symptom management pools), as well as resultant clinical responses, are existing standard operating procedures/practices for patients reporting symptoms by phone.
Total
n=476 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=174 Participants
0 Participants
n=166 Participants
0 Participants
n=167 Participants
0 Participants
n=164 Participants
Age, Categorical
Between 18 and 65 years
69 Participants
n=174 Participants
51 Participants
n=166 Participants
64 Participants
n=167 Participants
184 Participants
n=164 Participants
Age, Categorical
>=65 years
102 Participants
n=174 Participants
93 Participants
n=166 Participants
97 Participants
n=167 Participants
292 Participants
n=164 Participants
Sex: Female, Male
Female
66 Participants
n=174 Participants
58 Participants
n=166 Participants
55 Participants
n=167 Participants
179 Participants
n=164 Participants
Sex: Female, Male
Male
105 Participants
n=174 Participants
86 Participants
n=166 Participants
106 Participants
n=167 Participants
297 Participants
n=164 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
161 Participants
n=174 Participants
135 Participants
n=166 Participants
154 Participants
n=167 Participants
450 Participants
n=164 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
4 Participants
n=174 Participants
6 Participants
n=166 Participants
2 Participants
n=167 Participants
12 Participants
n=164 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
6 Participants
n=174 Participants
3 Participants
n=166 Participants
5 Participants
n=167 Participants
14 Participants
n=164 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=174 Participants
0 Participants
n=166 Participants
0 Participants
n=167 Participants
1 Participants
n=164 Participants
Race (NIH/OMB)
Asian
5 Participants
n=174 Participants
7 Participants
n=166 Participants
10 Participants
n=167 Participants
22 Participants
n=164 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=174 Participants
0 Participants
n=166 Participants
1 Participants
n=167 Participants
2 Participants
n=164 Participants
Race (NIH/OMB)
Black or African American
44 Participants
n=174 Participants
27 Participants
n=166 Participants
36 Participants
n=167 Participants
107 Participants
n=164 Participants
Race (NIH/OMB)
White
110 Participants
n=174 Participants
102 Participants
n=166 Participants
104 Participants
n=167 Participants
316 Participants
n=164 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=174 Participants
3 Participants
n=166 Participants
0 Participants
n=167 Participants
4 Participants
n=164 Participants
Race (NIH/OMB)
Unknown or Not Reported
9 Participants
n=174 Participants
5 Participants
n=166 Participants
10 Participants
n=167 Participants
24 Participants
n=164 Participants
Region of Enrollment
United States
171 participants
n=174 Participants
144 participants
n=166 Participants
161 participants
n=167 Participants
476 participants
n=164 Participants

PRIMARY outcome

Timeframe: 3 months

The primary outcome will be PRO adherence, measured at the patient level as the proportion of expected PRO questionnaires completed per patient.

Outcome measures

Outcome measures
Measure
Usual practice
n=171 Participants
This arm will consist of encounter-based PRO monitoring, in which patients have an opportunity to complete PRO questionnaires via patient portal in advance of clinical encounters or via tablet during clinical encounters. While clinicians will be encouraged to view and discuss PROs with patients during clinical encounters, they will not be prompted to do so in real-time, nor will there be alerts for escalating symptoms.
Encounter-based PRO monitoring
n=144 Participants
Encounter-based PRO monitoring (usual practice) plus patient reminders and triage nurse alerts Encounter-based PRO monitoring: This arm consists of usual practice plus the addition of patient reminders to complete PRO questionnaires and triage nurse alerts for severe symptoms. Patient reminders will be operationalized through the Epic patient portal. Triage nurse alerts will be routed to Epic symptom management pools in response to a patient reporting moderate or severe symptoms. Patients will have the opportunity to decline or opt-out of triage nurse support. Clinical interventions stemming from triage nurse alerts will be up to the discretion of clinical teams - i.e., clinical responses will be neither prescriptive nor mandatory. Notably, the entry point for triage nurse alerts (i.e., Epic symptom management pools), as well as resultant clinical responses, are existing standard operating procedures/practices for patients reporting symptoms by phone.
Remote PRO monitoring
n=161 Participants
Remote PRO monitoring plus patient reminders and triage nurse alerts Remote PRO monitoring: This arm will consist of weekly PRO questionnaires administered via the patient portal, de-linked from clinical encounters. Patient reminders will be operationalized through the Epic patient portal. Triage nurse alerts will be routed to Epic symptom management pools in response to a patient reporting moderate or severe symptoms. Patients will have the opportunity to decline or opt-out of triage nurse support. Clinical interventions stemming from triage nurse alerts will be up to the discretion of clinical teams - i.e., clinical responses will be neither prescriptive nor mandatory. Notably, the entry point for triage nurse alerts (i.e., Epic symptom management pools), as well as resultant clinical responses, are existing standard operating procedures/practices for patients reporting symptoms by phone.
PRO Adherence
50.0 pct. assigned questionnaires completed
Interval 43.9 to 56.1
56.9 pct. assigned questionnaires completed
Interval 50.4 to 63.4
34.9 pct. assigned questionnaires completed
Interval 29.8 to 40.0

SECONDARY outcome

Timeframe: 3 months

Outcome measures

Outcome measures
Measure
Usual practice
n=171 Participants
This arm will consist of encounter-based PRO monitoring, in which patients have an opportunity to complete PRO questionnaires via patient portal in advance of clinical encounters or via tablet during clinical encounters. While clinicians will be encouraged to view and discuss PROs with patients during clinical encounters, they will not be prompted to do so in real-time, nor will there be alerts for escalating symptoms.
Encounter-based PRO monitoring
n=144 Participants
Encounter-based PRO monitoring (usual practice) plus patient reminders and triage nurse alerts Encounter-based PRO monitoring: This arm consists of usual practice plus the addition of patient reminders to complete PRO questionnaires and triage nurse alerts for severe symptoms. Patient reminders will be operationalized through the Epic patient portal. Triage nurse alerts will be routed to Epic symptom management pools in response to a patient reporting moderate or severe symptoms. Patients will have the opportunity to decline or opt-out of triage nurse support. Clinical interventions stemming from triage nurse alerts will be up to the discretion of clinical teams - i.e., clinical responses will be neither prescriptive nor mandatory. Notably, the entry point for triage nurse alerts (i.e., Epic symptom management pools), as well as resultant clinical responses, are existing standard operating procedures/practices for patients reporting symptoms by phone.
Remote PRO monitoring
n=161 Participants
Remote PRO monitoring plus patient reminders and triage nurse alerts Remote PRO monitoring: This arm will consist of weekly PRO questionnaires administered via the patient portal, de-linked from clinical encounters. Patient reminders will be operationalized through the Epic patient portal. Triage nurse alerts will be routed to Epic symptom management pools in response to a patient reporting moderate or severe symptoms. Patients will have the opportunity to decline or opt-out of triage nurse support. Clinical interventions stemming from triage nurse alerts will be up to the discretion of clinical teams - i.e., clinical responses will be neither prescriptive nor mandatory. Notably, the entry point for triage nurse alerts (i.e., Epic symptom management pools), as well as resultant clinical responses, are existing standard operating procedures/practices for patients reporting symptoms by phone.
Percent of Patients With at Least One Note Documenting PROs During Study Period
67 Participants
82 Participants
96 Participants

SECONDARY outcome

Timeframe: 3 months

Outcome measures

Outcome measures
Measure
Usual practice
n=171 Participants
This arm will consist of encounter-based PRO monitoring, in which patients have an opportunity to complete PRO questionnaires via patient portal in advance of clinical encounters or via tablet during clinical encounters. While clinicians will be encouraged to view and discuss PROs with patients during clinical encounters, they will not be prompted to do so in real-time, nor will there be alerts for escalating symptoms.
Encounter-based PRO monitoring
n=144 Participants
Encounter-based PRO monitoring (usual practice) plus patient reminders and triage nurse alerts Encounter-based PRO monitoring: This arm consists of usual practice plus the addition of patient reminders to complete PRO questionnaires and triage nurse alerts for severe symptoms. Patient reminders will be operationalized through the Epic patient portal. Triage nurse alerts will be routed to Epic symptom management pools in response to a patient reporting moderate or severe symptoms. Patients will have the opportunity to decline or opt-out of triage nurse support. Clinical interventions stemming from triage nurse alerts will be up to the discretion of clinical teams - i.e., clinical responses will be neither prescriptive nor mandatory. Notably, the entry point for triage nurse alerts (i.e., Epic symptom management pools), as well as resultant clinical responses, are existing standard operating procedures/practices for patients reporting symptoms by phone.
Remote PRO monitoring
n=161 Participants
Remote PRO monitoring plus patient reminders and triage nurse alerts Remote PRO monitoring: This arm will consist of weekly PRO questionnaires administered via the patient portal, de-linked from clinical encounters. Patient reminders will be operationalized through the Epic patient portal. Triage nurse alerts will be routed to Epic symptom management pools in response to a patient reporting moderate or severe symptoms. Patients will have the opportunity to decline or opt-out of triage nurse support. Clinical interventions stemming from triage nurse alerts will be up to the discretion of clinical teams - i.e., clinical responses will be neither prescriptive nor mandatory. Notably, the entry point for triage nurse alerts (i.e., Epic symptom management pools), as well as resultant clinical responses, are existing standard operating procedures/practices for patients reporting symptoms by phone.
Percent of Patients With at Least One Note Documenting PROs Per Month During Study Period
20 Participants
16 Participants
32 Participants

SECONDARY outcome

Timeframe: 3 months

Population: Clinical teams documented responses to patients' questionnaire submissions within the electronic health record.

Outcome measures

Outcome measures
Measure
Usual practice
n=113 Responses to questionnaire submissions
This arm will consist of encounter-based PRO monitoring, in which patients have an opportunity to complete PRO questionnaires via patient portal in advance of clinical encounters or via tablet during clinical encounters. While clinicians will be encouraged to view and discuss PROs with patients during clinical encounters, they will not be prompted to do so in real-time, nor will there be alerts for escalating symptoms.
Encounter-based PRO monitoring
n=176 Responses to questionnaire submissions
Encounter-based PRO monitoring (usual practice) plus patient reminders and triage nurse alerts Encounter-based PRO monitoring: This arm consists of usual practice plus the addition of patient reminders to complete PRO questionnaires and triage nurse alerts for severe symptoms. Patient reminders will be operationalized through the Epic patient portal. Triage nurse alerts will be routed to Epic symptom management pools in response to a patient reporting moderate or severe symptoms. Patients will have the opportunity to decline or opt-out of triage nurse support. Clinical interventions stemming from triage nurse alerts will be up to the discretion of clinical teams - i.e., clinical responses will be neither prescriptive nor mandatory. Notably, the entry point for triage nurse alerts (i.e., Epic symptom management pools), as well as resultant clinical responses, are existing standard operating procedures/practices for patients reporting symptoms by phone.
Remote PRO monitoring
Remote PRO monitoring plus patient reminders and triage nurse alerts Remote PRO monitoring: This arm will consist of weekly PRO questionnaires administered via the patient portal, de-linked from clinical encounters. Patient reminders will be operationalized through the Epic patient portal. Triage nurse alerts will be routed to Epic symptom management pools in response to a patient reporting moderate or severe symptoms. Patients will have the opportunity to decline or opt-out of triage nurse support. Clinical interventions stemming from triage nurse alerts will be up to the discretion of clinical teams - i.e., clinical responses will be neither prescriptive nor mandatory. Notably, the entry point for triage nurse alerts (i.e., Epic symptom management pools), as well as resultant clinical responses, are existing standard operating procedures/practices for patients reporting symptoms by phone.
Time to Alert Response (for Arms 2 and 3 Only)
1.24 days
Standard Deviation 1.06
1.20 days
Standard Deviation 1.01

SECONDARY outcome

Timeframe: 3 months

Outcome measures

Outcome measures
Measure
Usual practice
n=144 Participants
This arm will consist of encounter-based PRO monitoring, in which patients have an opportunity to complete PRO questionnaires via patient portal in advance of clinical encounters or via tablet during clinical encounters. While clinicians will be encouraged to view and discuss PROs with patients during clinical encounters, they will not be prompted to do so in real-time, nor will there be alerts for escalating symptoms.
Encounter-based PRO monitoring
n=161 Participants
Encounter-based PRO monitoring (usual practice) plus patient reminders and triage nurse alerts Encounter-based PRO monitoring: This arm consists of usual practice plus the addition of patient reminders to complete PRO questionnaires and triage nurse alerts for severe symptoms. Patient reminders will be operationalized through the Epic patient portal. Triage nurse alerts will be routed to Epic symptom management pools in response to a patient reporting moderate or severe symptoms. Patients will have the opportunity to decline or opt-out of triage nurse support. Clinical interventions stemming from triage nurse alerts will be up to the discretion of clinical teams - i.e., clinical responses will be neither prescriptive nor mandatory. Notably, the entry point for triage nurse alerts (i.e., Epic symptom management pools), as well as resultant clinical responses, are existing standard operating procedures/practices for patients reporting symptoms by phone.
Remote PRO monitoring
Remote PRO monitoring plus patient reminders and triage nurse alerts Remote PRO monitoring: This arm will consist of weekly PRO questionnaires administered via the patient portal, de-linked from clinical encounters. Patient reminders will be operationalized through the Epic patient portal. Triage nurse alerts will be routed to Epic symptom management pools in response to a patient reporting moderate or severe symptoms. Patients will have the opportunity to decline or opt-out of triage nurse support. Clinical interventions stemming from triage nurse alerts will be up to the discretion of clinical teams - i.e., clinical responses will be neither prescriptive nor mandatory. Notably, the entry point for triage nurse alerts (i.e., Epic symptom management pools), as well as resultant clinical responses, are existing standard operating procedures/practices for patients reporting symptoms by phone.
Percent of Patients Who Trigger an Alert for Triage Nurses (for Arms 2 and 3 Only)
71 Participants
84 Participants

SECONDARY outcome

Timeframe: 3 months

Percent of patients with an emergency department visit or hospitalization

Outcome measures

Outcome measures
Measure
Usual practice
n=171 Participants
This arm will consist of encounter-based PRO monitoring, in which patients have an opportunity to complete PRO questionnaires via patient portal in advance of clinical encounters or via tablet during clinical encounters. While clinicians will be encouraged to view and discuss PROs with patients during clinical encounters, they will not be prompted to do so in real-time, nor will there be alerts for escalating symptoms.
Encounter-based PRO monitoring
n=144 Participants
Encounter-based PRO monitoring (usual practice) plus patient reminders and triage nurse alerts Encounter-based PRO monitoring: This arm consists of usual practice plus the addition of patient reminders to complete PRO questionnaires and triage nurse alerts for severe symptoms. Patient reminders will be operationalized through the Epic patient portal. Triage nurse alerts will be routed to Epic symptom management pools in response to a patient reporting moderate or severe symptoms. Patients will have the opportunity to decline or opt-out of triage nurse support. Clinical interventions stemming from triage nurse alerts will be up to the discretion of clinical teams - i.e., clinical responses will be neither prescriptive nor mandatory. Notably, the entry point for triage nurse alerts (i.e., Epic symptom management pools), as well as resultant clinical responses, are existing standard operating procedures/practices for patients reporting symptoms by phone.
Remote PRO monitoring
n=161 Participants
Remote PRO monitoring plus patient reminders and triage nurse alerts Remote PRO monitoring: This arm will consist of weekly PRO questionnaires administered via the patient portal, de-linked from clinical encounters. Patient reminders will be operationalized through the Epic patient portal. Triage nurse alerts will be routed to Epic symptom management pools in response to a patient reporting moderate or severe symptoms. Patients will have the opportunity to decline or opt-out of triage nurse support. Clinical interventions stemming from triage nurse alerts will be up to the discretion of clinical teams - i.e., clinical responses will be neither prescriptive nor mandatory. Notably, the entry point for triage nurse alerts (i.e., Epic symptom management pools), as well as resultant clinical responses, are existing standard operating procedures/practices for patients reporting symptoms by phone.
Acute Care Utilization
48 Participants
45 Participants
51 Participants

SECONDARY outcome

Timeframe: 3 months

Percent of patients with a treatment modification

Outcome measures

Outcome measures
Measure
Usual practice
n=171 Participants
This arm will consist of encounter-based PRO monitoring, in which patients have an opportunity to complete PRO questionnaires via patient portal in advance of clinical encounters or via tablet during clinical encounters. While clinicians will be encouraged to view and discuss PROs with patients during clinical encounters, they will not be prompted to do so in real-time, nor will there be alerts for escalating symptoms.
Encounter-based PRO monitoring
n=144 Participants
Encounter-based PRO monitoring (usual practice) plus patient reminders and triage nurse alerts Encounter-based PRO monitoring: This arm consists of usual practice plus the addition of patient reminders to complete PRO questionnaires and triage nurse alerts for severe symptoms. Patient reminders will be operationalized through the Epic patient portal. Triage nurse alerts will be routed to Epic symptom management pools in response to a patient reporting moderate or severe symptoms. Patients will have the opportunity to decline or opt-out of triage nurse support. Clinical interventions stemming from triage nurse alerts will be up to the discretion of clinical teams - i.e., clinical responses will be neither prescriptive nor mandatory. Notably, the entry point for triage nurse alerts (i.e., Epic symptom management pools), as well as resultant clinical responses, are existing standard operating procedures/practices for patients reporting symptoms by phone.
Remote PRO monitoring
n=161 Participants
Remote PRO monitoring plus patient reminders and triage nurse alerts Remote PRO monitoring: This arm will consist of weekly PRO questionnaires administered via the patient portal, de-linked from clinical encounters. Patient reminders will be operationalized through the Epic patient portal. Triage nurse alerts will be routed to Epic symptom management pools in response to a patient reporting moderate or severe symptoms. Patients will have the opportunity to decline or opt-out of triage nurse support. Clinical interventions stemming from triage nurse alerts will be up to the discretion of clinical teams - i.e., clinical responses will be neither prescriptive nor mandatory. Notably, the entry point for triage nurse alerts (i.e., Epic symptom management pools), as well as resultant clinical responses, are existing standard operating procedures/practices for patients reporting symptoms by phone.
Treatment Modifications
43 Participants
35 Participants
29 Participants

SECONDARY outcome

Timeframe: 3 months

Average duration of therapy during the study period

Outcome measures

Outcome measures
Measure
Usual practice
n=171 Participants
This arm will consist of encounter-based PRO monitoring, in which patients have an opportunity to complete PRO questionnaires via patient portal in advance of clinical encounters or via tablet during clinical encounters. While clinicians will be encouraged to view and discuss PROs with patients during clinical encounters, they will not be prompted to do so in real-time, nor will there be alerts for escalating symptoms.
Encounter-based PRO monitoring
n=144 Participants
Encounter-based PRO monitoring (usual practice) plus patient reminders and triage nurse alerts Encounter-based PRO monitoring: This arm consists of usual practice plus the addition of patient reminders to complete PRO questionnaires and triage nurse alerts for severe symptoms. Patient reminders will be operationalized through the Epic patient portal. Triage nurse alerts will be routed to Epic symptom management pools in response to a patient reporting moderate or severe symptoms. Patients will have the opportunity to decline or opt-out of triage nurse support. Clinical interventions stemming from triage nurse alerts will be up to the discretion of clinical teams - i.e., clinical responses will be neither prescriptive nor mandatory. Notably, the entry point for triage nurse alerts (i.e., Epic symptom management pools), as well as resultant clinical responses, are existing standard operating procedures/practices for patients reporting symptoms by phone.
Remote PRO monitoring
n=161 Participants
Remote PRO monitoring plus patient reminders and triage nurse alerts Remote PRO monitoring: This arm will consist of weekly PRO questionnaires administered via the patient portal, de-linked from clinical encounters. Patient reminders will be operationalized through the Epic patient portal. Triage nurse alerts will be routed to Epic symptom management pools in response to a patient reporting moderate or severe symptoms. Patients will have the opportunity to decline or opt-out of triage nurse support. Clinical interventions stemming from triage nurse alerts will be up to the discretion of clinical teams - i.e., clinical responses will be neither prescriptive nor mandatory. Notably, the entry point for triage nurse alerts (i.e., Epic symptom management pools), as well as resultant clinical responses, are existing standard operating procedures/practices for patients reporting symptoms by phone.
Duration of Therapy
56.82 days
Standard Deviation 31.67
55.94 days
Standard Deviation 33.91
53.66 days
Standard Deviation 32.62

Adverse Events

Usual Practice

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Encounter-based PRO Monitoring

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Remote PRO Monitoring

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Samuel Takvorian

Abramson Cancer Center

Phone: 267-438-8269

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place