Journal Articles

Examples of the use of My Clinical Outcomes in various Journal Articles in the last few years.

• Measuring performance in clinical outcomes: anaesthetics

  The Anaesthetics clinical team at Cardiff and Value University Health Board was one of many pathways to collaborate with MCO. By digitising patient reported-outcome measures (PROMs), with specific platform features designed for the peri-operative settings, patients undergoing colorectal surgery were invited to complete the Bauer, EQ-5D-5L, and VAS questionnaires five days after surgery. This study provided valuable insights into the average EQ-5D-VAS scores before and after surgery, identified the poorest scoring patient domains, as well as the feasibility and potential success of using digital software for collecting PROMs data. Building on this success, the clinical team plans to expand their work with additional questions at various time-points post-surgery to assess long-term patient outcomes.

  British Journal of Anaesthesia (BJA) Open, October 2024
  
  

• BMJ for the first time has reported that the combination of PROMs with supportive oncology services, could save the NHS substantial amounts of money.

  One year after the introduction of collection and analysis of PROMs from patients with treatable but not curable cancers University Hospitals Sussex using MCO, the published results demonstrate the positive impacts for patients and hospitals and clinics. In addition to the key findings, results show a return on investment with a benefit cost ratio of 1.4 – that is, for every £1 invested in the service, £1.40 was saved per patient.

  British Medical Journal, June 2022
  
  

• The introduction of routine use of Patient-Reported Outcomes Measures in a mixed oncology population

  University Hospitals Sussex implemented the routine use of electronic remote patient-reported outcome measures (PROMs) in a mixed oncology population, focusing on those with treatable but not curable cancers. This report reviews the use of MCO by 324 patients over a 9 month period, concluding on the value and effectiveness of remote PROMs collection.

  Royal College of Radiologists Journal of Clinical Oncology, 2021
  
  

• Assessing the feasibility of ePRO completion in older men receiving treatment for advanced prostate cancer both within the clinic and from home.

  There are multiple examples of successful ePRO programmes but no specific feasibility studies in those who are less digitally engaged. Prostate cancer is predominantly a disease of older men and digital exclusion is associated with increased age. This article highlights how ePRO measures can improve patient care and streamline services, the measures are feasible in clinic but more challenging from home, and the strategies to support remote completion.

  Royal College of Radiologists Journal of Clinical Oncology, 2021
  
  

• The challenge of introducing electronic Patient-Reported Outcome Measures into a radiotherapy service

Our partners at The Royal College of Radiologists discuss how they have been using the platform to collect and analyse PROMs data from patients undergoing radical pelvic radiotherapy, without physician bias. This article follows the experience of Project Trigger to-date, and outlines the potential for the national roll-out of a similar project using the same low-resource model.

Royal College of Radiologists Journal of Clinical Oncology, 2019

• Is virtual clinic follow-up of hip and knee joint replacement acceptable to patients and clinicians? A sequential mixed methods evaluation

  A virtual clinic follow-up pathway was introduced for hip and knee replacement patients, with web-based PROMs used alongside digital radiographs to facilitate clinical review. In this evaluation a questionnaire was distributed to all patients treated under the virtual clinic service over a 5-month period, showing the encouraging acceptance of a ‘click and go’ approach and aligning with the intention of virtual clinics - to provide cost effective follow-up and face-to-face capacity for patients who need it.

  Brisith Medical Journal, 2019

• Physical activity in ankylosing spondylitis: evaluation and analysis of an eHealth tool

  Evaluation of the value of using eHealth tools such as My Clinical Outcomes for clinical purposes and data collection for research in ankylosing spondylitis, inclusive of the development of treatment pathways and disease management strategies.

  Journal of Innovation in Health Informatics, 2016

• Performance of EQ-5D, howRu and Oxford hip & knee scores in assessing the outcome of hip and knee replacements

  Comparison of the performance of two generic PROMs, the EQ-5D-3 L and howRu score, collected using My Clinical Outcomes, in analysing the outcome of hip and knee replacements.

  BMC Health Services Research, 2016

• An acute knee injury: tracking a two-year recovery online

  Case study evaluating the benefits of using My Clinical Outcomes to support and enhance the care of a 62 year old patient with acute knee injury over 2 years.

  International Journal of Electronic Healthcare, 2015

• The Equivalence of Remote Electronic and Paper Patient Reported Outcome (PRO) Collection

  A randomised crossover study using the Coons et al. ISPOR taskforce recommendations concluded that remote ePRO collection using My Clinical Outcomes has excellent equivalence to paper PRO collection.

  The Journal of Arthroplasty, 2014

• Use of SMS and tablet computer improves the electronic collection of elective orthopaedic patient reported outcome measures

  A study looking at initial uptake of My Clinical Outcomes in an orthopaedic service showed that 94% of patients listed for an operation were able to register and complete a score online.

  Annals of the Royal College of Surgeons of England, 2014

• Investigating the use of at-home, web-based questionnaires compiling patient-reported outcome measures

  A study to determine whether a web-based PROMs system has the potential to provide satisfactory patient compliance and whether compiled data are equivalent to pen-and-paper PROMs data.
  The Journal of Long-term Effects of Medical Implants, 2013

• The My Clinical Outcomes website: providing real-time, patient level PROMs data

  An early evaluation of the NHS National PROMs Programme for hip and knee replacements, highlighting limitations and the opportunity for how digital tools such as My Clinical Outcomes can add value.
  Annals of the Royal College of Surgeons of England, 2012

 Case Reports

• Non-operative management, supported by self-monitoring using web-based patient reported outcome measures (PROMs), in knee osteoarthritis

  This case illustrates how web-based PROMs can be used to support conservative management of knee osteoarthritis by both empowering patients and minimising the burden on secondary care outpatient services.

  BMJ Case Rep, 2018

• Tracking a painful episode after a joint replacement using patient-reported outcome measures (PROMs)

  Web-based PROMs were used to monitor the improvement in pain and function symptoms. These outcome measures were beneficial in monitoring an episode of new pain, without requiring invasive or extensive investigation.

  BMJ Case Rep, 2018

• Patient-reported outcome measures (PROMs): enhancing decision making and follow-up

  Web-based PROMs prospectively collected electronically pre- and post-operatively allowed real-time review, aiding follow-up and reducing the need for clinical, face-to-face follow-up.

  BMJ Case Rep, 2017

• When to operate: online patient-reported outcome measures (PROMs) can help decide

  This case highlights how web-based PROMs can directly influence patient care in real time. After being placed on a waiting list for knee arthroplasty, the use of pre-operative PROMs allowed the patient and surgical team to review ongoing disability and as a result alter the management plan by deferring surgery.

  BMJ Case Rep, 2016

• Online follow-up after total hip replacement: a first case

  In a challenging financial climate in the NHS there is a drive to reduce the number of post-operative follow-up appointments. This case highlights the potential for remote post-operative follow-up.

  BMJ Case Reports, 2013

Market Insights

Examples of recent contributions from My Clinical Outcomes to market insight and research publications.

• Capturing cancer evidence

  How patient-reported outcomes can support patients undergoing cancer care, focussing on how MCO is supporting UK NHS oncology services to capture and track symptoms and side effect data during acute care as well as toxicity and late effects many months after treatment has finished.

  International Clinical Trials, 2018

• How digital tools could improve cancer care

  An update on developments with My Clinical Outcomes’ NHS Scotland and Macmillan / Royal College of Radiologists oncology projects.

  RCNi, 2018

• Using technology to transform cancer outcomes

  Blog for the Cancer Innovation Challenge on progress working with clinicians and patients at NHS Ayrshire and Arran, and plans for how NHS Scotland can measure and improve cancer outcomes.

  Cancer Innovation Challenge, 2018

• Are they happy with the care?

  A look at how digital outcomes measurement can help clinicians to better engage with their patients in the UK private sector as the Private Healthcare Information Network (PHIN) move to publish clinician-level outcomes data.

  Independent Practitioner Today, 2018

• PROMs in Practise

  Article on the current landscape for measurement of Patient Recorded Outcome Measures (PROMs) in the UK public and private sector and internationally, including the benefits of digital platforms such as My Clinical Outcomes.

  International Clinical Trials, 2018