Reliability of adverse symptom event reporting by clinicians.
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| Title: | Reliability of adverse symptom event reporting by clinicians. |
|---|---|
| Authors: | Atkinson, Thomas, Li, Yuelin, Coffey, Charles, Sit, Laura, Shaw, Mary, Lavene, Dawn, Bennett, Antonia, Fruscione, Mike, Rogak, Lauren, Hay, Jennifer, Gönen, Mithat, Schrag, Deborah, Basch, Ethan |
| Source: | Quality of Life Research. Sep2012, Vol. 21 Issue 7, p1159-1164. 6p. 2 Charts, 1 Graph. |
| Subjects: | Drug toxicity, Reliability (Personality trait), Symptoms, Adverse health care events, Risk assessment, Data analysis, Retrospective studies |
| Abstract: | Purpose: Adverse symptom event reporting is vital as part of clinical trials and drug labeling to ensure patient safety and inform risk-benefit decision making. The purpose of this study was to assess the reliability of adverse event reporting of different clinicians for the same patient for the same visit. Methods: A retrospective reliability analysis was completed for a sample of 393 cancer patients (42.8% men; age 26-91, M = 62.39) from lung ( n = 134), prostate ( n = 113), and Ob/Gyn ( n = 146) clinics. These patients were each seen by two clinicians who independently rated seven Common Terminology Criteria for Adverse Events (CTCAE) symptoms. Twenty-three percent of patients were enrolled in therapeutic clinical trials. Results: The average time between rater evaluations was 68 min. Intraclass correlation coefficients were moderate for constipation (0.50), diarrhea (0.58), dyspnea (0.69), fatigue (0.50), nausea (0.52), neuropathy (0.71), and vomiting (0.46). These values demonstrated stability over follow-up visits. Two-point differences, which would likely affect treatment decisions, were most frequently seen among symptomatic patients for constipation (18%), vomiting (15%), and nausea (8%). Conclusion: Agreement between different clinicians when reporting adverse symptom events is moderate at best. Modification of approaches to adverse symptom reporting, such as patient self-reporting, should be considered. [ABSTRACT FROM AUTHOR] |
| Copyright of Quality of Life Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 79340571 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Reliability of adverse symptom event reporting by clinicians. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Atkinson%2C+Thomas%22">Atkinson, Thomas</searchLink><br /><searchLink fieldCode="AR" term="%22Li%2C+Yuelin%22">Li, Yuelin</searchLink><br /><searchLink fieldCode="AR" term="%22Coffey%2C+Charles%22">Coffey, Charles</searchLink><br /><searchLink fieldCode="AR" term="%22Sit%2C+Laura%22">Sit, Laura</searchLink><br /><searchLink fieldCode="AR" term="%22Shaw%2C+Mary%22">Shaw, Mary</searchLink><br /><searchLink fieldCode="AR" term="%22Lavene%2C+Dawn%22">Lavene, Dawn</searchLink><br /><searchLink fieldCode="AR" term="%22Bennett%2C+Antonia%22">Bennett, Antonia</searchLink><br /><searchLink fieldCode="AR" term="%22Fruscione%2C+Mike%22">Fruscione, Mike</searchLink><br /><searchLink fieldCode="AR" term="%22Rogak%2C+Lauren%22">Rogak, Lauren</searchLink><br /><searchLink fieldCode="AR" term="%22Hay%2C+Jennifer%22">Hay, Jennifer</searchLink><br /><searchLink fieldCode="AR" term="%22Gönen%2C+Mithat%22">Gönen, Mithat</searchLink><br /><searchLink fieldCode="AR" term="%22Schrag%2C+Deborah%22">Schrag, Deborah</searchLink><br /><searchLink fieldCode="AR" term="%22Basch%2C+Ethan%22">Basch, Ethan</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Quality+of+Life+Research%22">Quality of Life Research</searchLink>. Sep2012, Vol. 21 Issue 7, p1159-1164. 6p. 2 Charts, 1 Graph. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Drug+toxicity%22">Drug toxicity</searchLink><br /><searchLink fieldCode="DE" term="%22Reliability+%28Personality+trait%29%22">Reliability (Personality trait)</searchLink><br /><searchLink fieldCode="DE" term="%22Symptoms%22">Symptoms</searchLink><br /><searchLink fieldCode="DE" term="%22Adverse+health+care+events%22">Adverse health care events</searchLink><br /><searchLink fieldCode="DE" term="%22Risk+assessment%22">Risk assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis%22">Data analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Retrospective+studies%22">Retrospective studies</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Purpose: Adverse symptom event reporting is vital as part of clinical trials and drug labeling to ensure patient safety and inform risk-benefit decision making. The purpose of this study was to assess the reliability of adverse event reporting of different clinicians for the same patient for the same visit. Methods: A retrospective reliability analysis was completed for a sample of 393 cancer patients (42.8% men; age 26-91, M = 62.39) from lung ( n = 134), prostate ( n = 113), and Ob/Gyn ( n = 146) clinics. These patients were each seen by two clinicians who independently rated seven Common Terminology Criteria for Adverse Events (CTCAE) symptoms. Twenty-three percent of patients were enrolled in therapeutic clinical trials. Results: The average time between rater evaluations was 68 min. Intraclass correlation coefficients were moderate for constipation (0.50), diarrhea (0.58), dyspnea (0.69), fatigue (0.50), nausea (0.52), neuropathy (0.71), and vomiting (0.46). These values demonstrated stability over follow-up visits. Two-point differences, which would likely affect treatment decisions, were most frequently seen among symptomatic patients for constipation (18%), vomiting (15%), and nausea (8%). Conclusion: Agreement between different clinicians when reporting adverse symptom events is moderate at best. Modification of approaches to adverse symptom reporting, such as patient self-reporting, should be considered. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Quality of Life Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1007/s11136-011-0031-4 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 6 StartPage: 1159 Subjects: – SubjectFull: Drug toxicity Type: general – SubjectFull: Reliability (Personality trait) Type: general – SubjectFull: Symptoms Type: general – SubjectFull: Adverse health care events Type: general – SubjectFull: Risk assessment Type: general – SubjectFull: Data analysis Type: general – SubjectFull: Retrospective studies Type: general Titles: – TitleFull: Reliability of adverse symptom event reporting by clinicians. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Atkinson, Thomas – PersonEntity: Name: NameFull: Li, Yuelin – PersonEntity: Name: NameFull: Coffey, Charles – PersonEntity: Name: NameFull: Sit, Laura – PersonEntity: Name: NameFull: Shaw, Mary – PersonEntity: Name: NameFull: Lavene, Dawn – PersonEntity: Name: NameFull: Bennett, Antonia – PersonEntity: Name: NameFull: Fruscione, Mike – PersonEntity: Name: NameFull: Rogak, Lauren – PersonEntity: Name: NameFull: Hay, Jennifer – PersonEntity: Name: NameFull: Gönen, Mithat – PersonEntity: Name: NameFull: Schrag, Deborah – PersonEntity: Name: NameFull: Basch, Ethan IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 09 Text: Sep2012 Type: published Y: 2012 Identifiers: – Type: issn-print Value: 09629343 Numbering: – Type: volume Value: 21 – Type: issue Value: 7 Titles: – TitleFull: Quality of Life Research Type: main |
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