Comparison of patient-reported symptoms and health behaviors to clinician documentation among patients with breast cancer in follow-up care.

2011 
9133 Background: Breast cancer (BC) patients (pts) experience symptoms from disease and treatment. While detection of recurrence is fundamental to follow up care, symptom management is equally important. UCSF has implemented a secure online health questionnaire enabling BC pts to update their health history and symptoms. A report summarizing this information is placed in the chart for clinician review prior to visits. Methods: We randomly selected a sample of stage I-III BC pts (n=41) who completed the questionnaire prior to a medical oncology visit and who 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. We used a paired t-test to compare the number of symptoms reported in the questionnaire compared to those documented by the clinician. We used a regression plot to determine whether the fraction of symptoms ag...
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