{"id":"https://openalex.org/W4233592989","doi":"https://doi.org/10.21203/rs.3.rs-284516/v2","title":"Piloting A Self-Reported Symptom Assessment Tool In Three Outpatient Oncology Palliative Care Clinics","display_name":"Piloting A Self-Reported Symptom Assessment Tool In Three Outpatient Oncology Palliative Care Clinics","publication_year":2021,"publication_date":"2021-05-24","ids":{"openalex":"https://openalex.org/W4233592989","doi":"https://doi.org/10.21203/rs.3.rs-284516/v2"},"language":"en","primary_location":{"id":"doi:10.21203/rs.3.rs-284516/v2","doi":"https://doi.org/10.21203/rs.3.rs-284516/v2","is_oa":true,"landing_page_url":"https://doi.org/10.21203/rs.3.rs-284516/v2","pdf_url":"https://www.researchsquare.com/article/rs-284516/latest.pdf","source":{"id":"https://openalex.org/S4306525896","display_name":"Research Square","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"Research Square","raw_type":"posted-content"},"volume":null,"type":"preprint","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.researchsquare.com/article/rs-284516/latest.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5068020571","display_name":"Mallikaben Bhanubhai Patel","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I114027177","display_name":"University of North Carolina at Chapel Hill","ror":"https://ror.org/0130frc33","country_code":"US","type":"education","lineage":["https://openalex.org/I114027177"]},{"id":"https://openalex.org/I1333535994","display_name":"University of North Carolina Health Care","ror":"https://ror.org/00qz24g20","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1333535994"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Mallikaben Bhanubhai Patel","raw_affiliation_strings":["UNC Hospitals NC Memorial Hospital: UNC Medical Center North Carolina Memorial Hospital","UNC Hospitals NC Memorial Hospital: UNC Medical Center North Carolina Memorial Hospital Ashley Leak Bryant","UNC-Chapel Hill: The University of North Carolina at Chapel Hill","University of North Carolina at Chapel Hill"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"UNC Hospitals NC Memorial Hospital: UNC Medical Center North Carolina Memorial Hospital","institution_ids":["https://openalex.org/I114027177"]},{"raw_affiliation_string":"UNC Hospitals NC Memorial Hospital: UNC Medical Center North Carolina Memorial Hospital Ashley Leak Bryant","institution_ids":["https://openalex.org/I1333535994"]},{"raw_affiliation_string":"UNC-Chapel Hill: The University of North Carolina at Chapel Hill","institution_ids":["https://openalex.org/I114027177"]},{"raw_affiliation_string":"University of North Carolina at Chapel Hill","institution_ids":["https://openalex.org/I114027177"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5009509049","display_name":"Ashley Leak Bryant","orcid":"https://orcid.org/0000-0003-1178-1781","observed_orcids":["https://orcid.org/0000-0003-1178-1781"]},"institutions":[{"id":"https://openalex.org/I114027177","display_name":"University of North Carolina at Chapel Hill","ror":"https://ror.org/0130frc33","country_code":"US","type":"education","lineage":["https://openalex.org/I114027177"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ashley Leak Bryant","raw_affiliation_strings":["University of North Carolina at Chapel Hill"],"raw_orcid":"https://orcid.org/0000-0003-1178-1781","affiliations":[{"raw_affiliation_string":"University of North Carolina at Chapel Hill","institution_ids":["https://openalex.org/I114027177"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5081884191","display_name":"Deborah K. Mayer","orcid":"https://orcid.org/0000-0001-7007-4978","observed_orcids":["https://orcid.org/0000-0001-7007-4978"]},"institutions":[{"id":"https://openalex.org/I114027177","display_name":"University of North Carolina at Chapel Hill","ror":"https://ror.org/0130frc33","country_code":"US","type":"education","lineage":["https://openalex.org/I114027177"]},{"id":"https://openalex.org/I1333535994","display_name":"University of North Carolina Health Care","ror":"https://ror.org/00qz24g20","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1333535994"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Deborah K Mayer","raw_affiliation_strings":["UNC-Chapel Hill: The University of North Carolina at Chapel Hill","UNC Hospitals NC Memorial Hospital: UNC Medical Center North Carolina Memorial Hospital","UNC Hospitals NC Memorial Hospital: UNC Medical Center North Carolina Memorial Hospital Ashley Leak Bryant","University of North Carolina at Chapel Hill"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"UNC-Chapel Hill: The University of North Carolina at Chapel Hill","institution_ids":["https://openalex.org/I114027177"]},{"raw_affiliation_string":"UNC Hospitals NC Memorial Hospital: UNC Medical Center North Carolina Memorial Hospital","institution_ids":["https://openalex.org/I114027177"]},{"raw_affiliation_string":"UNC Hospitals NC Memorial Hospital: UNC Medical Center North Carolina Memorial Hospital Ashley Leak Bryant","institution_ids":["https://openalex.org/I1333535994"]},{"raw_affiliation_string":"University of North Carolina at Chapel Hill","institution_ids":["https://openalex.org/I114027177"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5018868552","display_name":"Gary G. Winzelberg","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I114027177","display_name":"University of North Carolina at Chapel Hill","ror":"https://ror.org/0130frc33","country_code":"US","type":"education","lineage":["https://openalex.org/I114027177"]},{"id":"https://openalex.org/I1333535994","display_name":"University of North Carolina Health Care","ror":"https://ror.org/00qz24g20","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1333535994"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Gary Winzelberg","raw_affiliation_strings":["UNC Hospitals NC Memorial Hospital: UNC Medical Center North Carolina Memorial Hospital","UNC Hospitals NC Memorial Hospital: UNC Medical Center North Carolina Memorial Hospital Ashley Leak Bryant","UNC-Chapel Hill: The University of North Carolina at Chapel Hill","University of North Carolina at Chapel Hill"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"UNC Hospitals NC Memorial Hospital: UNC Medical Center North Carolina Memorial Hospital","institution_ids":["https://openalex.org/I114027177"]},{"raw_affiliation_string":"UNC Hospitals NC Memorial Hospital: UNC Medical Center North Carolina Memorial Hospital Ashley Leak Bryant","institution_ids":["https://openalex.org/I1333535994"]},{"raw_affiliation_string":"UNC-Chapel Hill: The University of North Carolina at Chapel Hill","institution_ids":["https://openalex.org/I114027177"]},{"raw_affiliation_string":"University of North Carolina at Chapel Hill","institution_ids":["https://openalex.org/I114027177"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":2,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.8935999870300293,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.8935999870300293,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13340","display_name":"Palliative and Oncologic Care","score":0.07569999992847443,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10629","display_name":"Health Policy Implementation Science","score":0.011699999682605267,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/symptom-assessment","display_name":"symptom assessment","score":0.5899999737739563},{"id":"https://openalex.org/keywords/quality-of-life","display_name":"quality of life","score":0.7670000195503235},{"id":"https://openalex.org/keywords/edmonton-symptom-assessment-system","display_name":"Edmonton Symptom Assessment System","score":0.9290000200271606},{"id":"https://openalex.org/keywords/implementation-barriers","display_name":"implementation barriers","score":0.4659999907016754},{"id":"https://openalex.org/keywords/employee-turnover","display_name":"employee turnover","score":0.9980000257492065},{"id":"https://openalex.org/keywords/re-aim-framework","display_name":"RE-AIM framework","score":0.7020000219345093},{"id":"https://openalex.org/keywords/plan-do-study-act","display_name":"Plan-Do-Study-Act","score":0.8650000095367432},{"id":"https://openalex.org/keywords/electronic-health-record-integration","display_name":"electronic health record integration","score":0.8610000014305115},{"id":"https://openalex.org/keywords/quality-improvement","display_name":"quality improvement","score":0.531000018119812}],"concepts":[{"id":"https://openalex.org/C2994186709","wikidata":"https://www.wikidata.org/wiki/Q29483","display_name":"Palliative care","level":2,"score":0.6581763625144958},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6345672011375427},{"id":"https://openalex.org/C3020110884","wikidata":"https://www.wikidata.org/wiki/Q695416","display_name":"Outpatient clinic","level":2,"score":0.45734405517578125},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.442740261554718},{"id":"https://openalex.org/C205333247","wikidata":"https://www.wikidata.org/wiki/Q1602656","display_name":"Self-assessment","level":2,"score":0.4229500889778137},{"id":"https://openalex.org/C143998085","wikidata":"https://www.wikidata.org/wiki/Q162555","display_name":"Oncology","level":1,"score":0.3756353259086609},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.306431382894516},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.3028896450996399},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.2458747923374176},{"id":"https://openalex.org/C19417346","wikidata":"https://www.wikidata.org/wiki/Q7922","display_name":"Pedagogy","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.21203/rs.3.rs-284516/v2","doi":"https://doi.org/10.21203/rs.3.rs-284516/v2","is_oa":true,"landing_page_url":"https://doi.org/10.21203/rs.3.rs-284516/v2","pdf_url":"https://www.researchsquare.com/article/rs-284516/latest.pdf","source":{"id":"https://openalex.org/S4306525896","display_name":"Research Square","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"Research Square","raw_type":"posted-content"}],"best_oa_location":{"id":"doi:10.21203/rs.3.rs-284516/v2","doi":"https://doi.org/10.21203/rs.3.rs-284516/v2","is_oa":true,"landing_page_url":"https://doi.org/10.21203/rs.3.rs-284516/v2","pdf_url":"https://www.researchsquare.com/article/rs-284516/latest.pdf","source":{"id":"https://openalex.org/S4306525896","display_name":"Research Square","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"Research Square","raw_type":"posted-content"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320327235","display_name":"Servier","ror":"https://ror.org/034e7c066"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4233592989.pdf","grobid_xml":"https://content.openalex.org/works/W4233592989.grobid-xml"},"referenced_works_count":24,"referenced_works":["https://openalex.org/W1863875520","https://openalex.org/W1983833515","https://openalex.org/W2043418489","https://openalex.org/W2047297864","https://openalex.org/W2058325098","https://openalex.org/W2066797995","https://openalex.org/W2107420145","https://openalex.org/W2115112740","https://openalex.org/W2115133509","https://openalex.org/W2120079020","https://openalex.org/W2168127638","https://openalex.org/W2171362796","https://openalex.org/W2189957688","https://openalex.org/W2509882458","https://openalex.org/W2595513010","https://openalex.org/W2626539441","https://openalex.org/W2737613777","https://openalex.org/W2742409796","https://openalex.org/W2765843352","https://openalex.org/W2810979302","https://openalex.org/W2892586107","https://openalex.org/W2914048076","https://openalex.org/W2949284823","https://openalex.org/W6742171957"],"related_works":["https://openalex.org/W2902146138","https://openalex.org/W2595513010","https://openalex.org/W7221151429","https://openalex.org/W2589942403","https://openalex.org/W2590801142","https://openalex.org/W2058325098","https://openalex.org/W4376641693","https://openalex.org/W2809016373","https://openalex.org/W2156126058","https://openalex.org/W2589445072"],"abstract_inverted_index":{"Abstract":[0],"Background:":[1],"Palliative":[2],"care":[3,19,46],"outpatient":[4,43,206,263],"clinics":[5,48],"should":[6],"assess":[7],"patients\u2019":[8],"symptoms":[9],"and":[10,20,36,89,109,113,178,232],"quality":[11,30,37,59],"of":[12,28,38,49,81,92,103,122,129,137,148,228],"life":[13,39],"prior":[14],"to":[15,17,22,33,194,257],"visits":[16],"guide":[18],"response":[21],"treatments.":[23],"We":[24,191,208,216],"describe":[25],"the":[26,42,66,71,82,101,125,155,172,176,181,196,229,240,253,262],"implementation":[27,80,241],"a":[29,203],"improvement":[31,60],"initiative":[32],"increase":[34],"symptom":[35],"screening":[40],"in":[41,171,175,202,239,261],"oncology":[44,264],"palliative":[45],"(OOPC)":[47],"one":[50,90],"National":[51],"Cancer":[52,55],"Institute-designated":[53],"Comprehensive":[54],"Center.":[56],"Method:":[57],"Our":[58],"project":[61],"structure":[62],"was":[63,118,168,188],"based":[64],"on":[65,77,244],"RE-AIM":[67],"framework.":[68],"Guided":[69],"by":[70,120,220],"Plan-Do-Study-Act":[72],"(PDSA)":[73],"approach,":[74],"we":[75,247],"focused":[76],"assessing":[78],"effective":[79],"Edmonton":[83],"Symptom":[84],"Assessment":[85],"Scale":[86],"(ESAS-r":[87],")":[88],"Quality":[91],"Life":[93],"(QoL)":[94],"question":[95],"at":[96,180],"each":[97,104],"OOPC":[98,138],"visit.":[99],"At":[100],"end":[102],"3-week":[105],"PDSA":[106,157,165,183],"cycle,":[107],"barriers":[108,210,219],"facilitators":[110],"were":[111,152,192],"recognized":[112],"addressed.":[114],"The":[115,163,185],"implementation\u2019s":[116],"effectiveness":[117],"determined":[119],"percentage":[121],"adherence":[123],"using":[124],"following":[126],"formula:":[127],"[(number":[128],"ESAS-r":[130,197],"+1":[131],"QoL":[132,200],"forms":[133],"completed":[134,139,153],"per":[135,142],"clinic/Number":[136],"patient":[140,150,259],"appointments":[141,151],"clinic)":[143],"x":[144],"100].Results:":[145],"A":[146],"total":[147],"372":[149],"during":[154],"four":[156],"cycles,":[158],"with":[159],"overall":[160],"59%":[161],"adherence.":[162],"first":[164],"cycle":[166],"compliance":[167],"69%,":[169],"58%":[170],"second,":[173],"52%":[174],"third,":[177],"65%":[179],"last":[182],"cycle.":[184],"primary":[186],"barrier":[187],"staff":[189,214,236],"turnover.Conclusion:":[190],"able":[193],"implement":[195],"+":[198],"1":[199],"form":[201,251],"complex":[204],"clinical":[205],"setting.":[207],"identified":[209],"for":[211,234],"sustainability,":[212],"including":[213],"turnover.":[215],"addressed":[217],"these":[218],"providing":[221],"robust":[222],"instructions":[223],"that":[224],"outlined":[225],"an":[226],"overview":[227],"clinic":[230],"workflow":[231],"education":[233],"all":[235],"members":[237],"involved":[238],"process.":[242],"Based":[243],"our":[245],"experience,":[246],"suggest":[248],"integrating":[249],"this":[250],"into":[252],"electronic":[254],"medical":[255],"record":[256],"monitor":[258],"outcomes":[260],"clinics.":[265]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2022-05-12T00:00:00"}