The impact of an electronic health questionnaire on symptom management and behavior reporting for breast cancer survivors

Breast cancer (BC) patients experience multiple symptoms as a result of diagnosis and treatment. While surveillance for detecting cancer recurrence is fundamental to follow-up care, managing symptoms, and promoting health behaviors are equally important. UCSF has implemented a secure online health q...

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Bibliographic Details
Published in:Breast cancer research and treatment 2012-08, Vol.134 (3), p.1327-1335
Main Authors: Bock, Meredith, Moore, Dan, Hwang, Jimmy, Shumay, Dianne, Lawson, Laurell, Hamolsky, Deborah, Esserman, Laura, Rugo, Hope, Chien, A. Jo, Park, John, Munster, Pamela, Melisko, Michelle
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Breast cancer
Breast Neoplasms - epidemiology
Breast Neoplasms - prevention & control
Cancer research
Cancer therapies
Care and treatment
Epidemiology
Exercise
Female
Gynecology. Andrology. Obstetrics
Health
Health Behavior
Health Status
Health surveys
Humans
Mammary gland diseases
Medical informatics
Medical sciences
Medicine
Medicine & Public Health
Middle Aged
Oncology
Questionnaires
Recurrence
Self Report
Social Media
Surveys and Questionnaires
Survivors
Tumors
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Summary:Breast cancer (BC) patients experience multiple symptoms as a result of diagnosis and treatment. While surveillance for detecting cancer recurrence is fundamental to follow-up care, managing symptoms, and promoting health behaviors are equally important. UCSF has implemented a secure online health questionnaire enabling BC patients to provide updates of their health history and symptoms. We randomly selected a sample of stage I–III BC patients ( n  = 106) who completed a questionnaire before a medical oncology visit between August 2010 and January 2011 and consented to have data used for research. We conducted a chart review calculating the number of symptoms reported in the questionnaire, the clinic note only, and both questionnaire and clinic note, excluding chronic symptoms addressed previously. Self-reported data on exercise and alcohol consumption was compared to documentation of these lifestyle factors in clinic notes. Patients reported significantly more symptoms using the online questionnaire (mean = 3.8, range 0–13) than were documented by the provider in clinic notes (mean = 1.8, range 0–7; p  
ISSN:0167-6806
1573-7217
DOI:10.1007/s10549-012-2150-1