Pro-ePROs.

Yesterday we touched on reflex post-radiation follow-up appointments. While there’s certainly utility in post-treatment toxicity checks, toxicities don’t wait for an opening in our clinic schedules. Enter electronic patient-reported outcomes (ePROs) which notify your care team in real time. Here’s a prospective study of weekly ePROs sent to 678 women while receiving breast radiation and for 8 weeks after. A little less than half (45%) were completed by patients. A “severe” toxicity, alerting the care team, occurred in one-third of patients who completed ePROs. Most importantly, and unsurprisingly in the era of hypofractionation, 83% occured after treatment (aka after status checks). Up next: a cost effectiveness analysis of ePROs versus universal standard post-treatment clinic visits on a somewhat arbitrary timeline. | Lapen, Int J Radiat Oncol Biol Phys 2021

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