Publications by authors named "Hilary Neal"

Purpose: Electronic patient-reported outcome measures (ePROMs) are digitalized health questionnaires used to gauge patients' subjective experience of health and disease. They are becoming prevalent in cancer care and have been linked to a host of benefits including improved survival. MyChristie-MyHealth is the ePROM established at the Christie NHS Foundation Trust in 2019.

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Street homeless people face stigmas in addition multiple unmet needs, which may include physical, psychological, mental health and social needs to name a few. Their life expectancy is shorter than that of the general population. Mental health problems are common but street homeless people face considerable barriers accessing support.

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Background: Cancer and its treatment can have significant impacts on health status, quality of life and functioning of patients. Direct information from patients regarding these aspects can be collected via electronic platforms in the form of electronic Patient Reported Outcome Measures (ePROMs). Research has shown that the use of ePROMS in cancer care leads to improved communication, better symptom control, prolonged survival and a reduction in hospital admissions and emergency department attendance.

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Article Synopsis
  • The Christie NHS Foundation Trust launched an electronic patient-reported outcome measures (ePROMs) service for lung cancer patients in January 2019, enabling them to report symptoms and quality of life (QoL) online.
  • Over 1,400 patients participated, with results showing significant differences in symptoms related to ECOG performance status and comorbidity scores, but no notable differences among age groups.
  • Patients receiving palliative treatment reported improvements in cough and hemoptysis, though mobility declined; those undergoing radical thoracic radiotherapy experienced better hemoptysis but worse pain and fatigue.
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