Implementation of electronic patient-reported outcome measures in hemodialysis: Findings from a matched cohort study

BACKGROUND: Integrating electronic patient-reported outcome measures (ePROMs) into routine hemodialysis (HD) care offers a way to enhance patient-centered decision-making. METHODS: This prospective matched cohort study involved adults on in-center HD followed for 6 months. The intervention group completed monthly ePROMs (SF-VAQ and SF-36v2), while the control group received standard care. Outcomes included changes from baseline in Vascular Access (VA) related interventions, hospitalizations, SF-VAQ domain scores, and Health-Related Quality of Life (HRQoL). RESULTS: = 0.000). A total of 31 (55%) of patients in the ePROM group achieved the Minimal Clinically Important Difference. CONCLUSIONS: Implementation of an ePROM-guided care pathway is feasible and associated with improved patient-reported well-being and reduced VA-related burden. While these results suggest a benefit, the absence of longitudinal process data in the control arm means further research is required to distinguish ePROM-induced changes from standard care evolution.