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September 1, 2023JCO Clinical Cancer InformaticsOpen Access

Impact of Remote Symptom Monitoring With Electronic Patient-Reported Outcomes on Hospitalization, Survival, and Cost in Community Oncology Practice: The Texas Two-Step Study

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Authors

DPDebra A. PattTexas Oncology APAmila PatelHouston Methodist ABArun BhardwajSwami Devi Dyal Hospital and Dental College

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Implication

Observational study reveals lower hospitalization rates and healthcare costs with remote symptom monitoring in metastatic cancer, indicating improved value in oncology care.

Key Points

To assess the impact of remote symptom monitoring using electronic patient-reported outcomes on hospitalizations, survival, and care costs in patients with metastatic cancer.
Conducted a propensity score-matched observational study among metastatic cancer patients enrolled in the Oncology Care Model at a community oncology practice between July and December 2020.
Identified 458 matched patients (229 per group; 52% male, mean age 74 years) who completed ≥1 electronic survey compared with non-monitored controls.
Evaluated adverse events (hospital admissions, emergency visits, deaths) and monthly total care costs using Mann-Whitney U, chi-square tests, and multivariable logistic regression.
Mean total adverse events were lower in the electronic monitoring group compared to controls (0.98 vs 1.41; P = .007), including a decrease in hospitalization rates (20% vs 32.5%; P = .002).
Average hospitalizations were reduced (0.28 vs 0.52; P = .003) alongside a significantly shorter mean length of stay (1.9 vs 3.2 days; P = .03).
Emergency visits (38.4% vs 42.3%; P > .05) and mortality (11.8% vs 16.6%; P > .05) favored monitoring, with an average overall cost reduction of $1,146 per member per month.

Cite This Study

Patt et al. (2023) studied this question.

synapsesocial.com/papers/6a83e17cff78c9927a997cd7 https://doi.org/10.1200/cci.23.00182

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Implication

Observational study reveals lower hospitalization rates and healthcare costs with remote symptom monitoring in metastatic cancer, indicating improved value in oncology care.

Impact of Remote Symptom Monitoring With Electronic Patient-Reported Outcomes on Hospitalization, Survival, and Cost in Community Oncology Practice: The Texas Two-Step Study

Discussion

Member takes

Implication

Key Points

Cite This Study

Impact of Remote Symptom Monitoring With Electronic Patient-Reported Outcomes on Hospitalization, Survival, and Cost in Community Oncology Practice: The Texas Two-Step Study

Discussion

Member takes

Implication

Key Points

Cite This Study

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