The Cancer Rehabilitation Medicine Metrics Consortium: A Path to Enhanced, Multi-Site Outcome Assessment to Enhance Care and Demonstrate Value
PurposeA primary objective stated at the Cancer Rehabilitation Symposium at the National Institutes of Health was to improve outcome measurement. The purpose of this project was for the Cancer Rehabilitation Medicine Metrics Consortium (CRMMC) to develop an assessment tool to evaluate function in ca...
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doaj-4abf5ea8513e4db991c01e8ef5c209502021-02-03T05:42:52ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2021-02-011010.3389/fonc.2020.625700625700The Cancer Rehabilitation Medicine Metrics Consortium: A Path to Enhanced, Multi-Site Outcome Assessment to Enhance Care and Demonstrate ValueSean R. Smith0Mary Vargo1David S. Zucker2Maryanne Henderson3Samman Shahpar4Eric M. Wisotzky5Christian Custodio6Jeffrey Basford7Gina Jay8Lynn Gerber9Andrea Cheville10Department of Physical Medicine and Rehabilitation, Michigan Medicine, Ann Arbor, MI, United StatesCase Western Reserve University, Cleveland, OH, United StatesCancer Rehabilitation Medicine Services, Swedish Cancer Institute, Swedish Health Services, Seattle, WA, United StatesDepartment of Physical Medicine and Rehabilitation, University of Pittsburgh Medical Center, Pittsburgh, PA, United StatesShirley Ryan AbilityLab, Chicago, IL, United StatesMedStar National Rehabilitation Hospital, Washington, DC, United StatesDepartment of Neurology, Memorial Sloan Kettering Cancer Center, New York, NY, United StatesDepartment of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN, United StatesDepartment of Physical Medicine and Rehabilitation, Michigan Medicine, Ann Arbor, MI, United StatesCenter for Study of Chronic Illness and Disability, George Mason University, Fairfax, VA, United StatesDepartment of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN, United StatesPurposeA primary objective stated at the Cancer Rehabilitation Symposium at the National Institutes of Health was to improve outcome measurement. The purpose of this project was for the Cancer Rehabilitation Medicine Metrics Consortium (CRMMC) to develop an assessment tool to evaluate function in cancer patients via a data-driven and methodologically sound process. There is no agreed-upon measure of physical and cognitive function for cancer patients, making it difficult to demonstrate the value of rehabilitation interventions. Cancer patients are a particularly challenging population, with many tumor- and treatment-related variables impacting function.MethodsInvestigators from nine different cancer rehabilitation programs participated in a modified-Delphi process to delineate necessary aspects of an ideal patient assessment tool, including instrument type, domains evaluated, applicability across a range of patient traits, clinical feasibility, and item response characteristics. This involved numerous meetings, data review, and analysis of items involved in patient assessment.ResultsThe CRMMC developed a 21-item patient-reported outcome measure based on item response theory. The process by which the short form was developed was documented and provides a framework for other clinicians to follow. ConclusionThis document provides a framework for rehabilitation providers to follow when developing an assessment tool. This process is described in a stepwise fashion for reproducibility even in different, non-cancer populations.https://www.frontiersin.org/articles/10.3389/fonc.2020.625700/fullcancer rehabilitationpatient reported outcome measuresoutcome measurementcancer functionfunctional measurementcancer survivorship |
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DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Sean R. Smith Mary Vargo David S. Zucker Maryanne Henderson Samman Shahpar Eric M. Wisotzky Christian Custodio Jeffrey Basford Gina Jay Lynn Gerber Andrea Cheville |
spellingShingle |
Sean R. Smith Mary Vargo David S. Zucker Maryanne Henderson Samman Shahpar Eric M. Wisotzky Christian Custodio Jeffrey Basford Gina Jay Lynn Gerber Andrea Cheville The Cancer Rehabilitation Medicine Metrics Consortium: A Path to Enhanced, Multi-Site Outcome Assessment to Enhance Care and Demonstrate Value Frontiers in Oncology cancer rehabilitation patient reported outcome measures outcome measurement cancer function functional measurement cancer survivorship |
author_facet |
Sean R. Smith Mary Vargo David S. Zucker Maryanne Henderson Samman Shahpar Eric M. Wisotzky Christian Custodio Jeffrey Basford Gina Jay Lynn Gerber Andrea Cheville |
author_sort |
Sean R. Smith |
title |
The Cancer Rehabilitation Medicine Metrics Consortium: A Path to Enhanced, Multi-Site Outcome Assessment to Enhance Care and Demonstrate Value |
title_short |
The Cancer Rehabilitation Medicine Metrics Consortium: A Path to Enhanced, Multi-Site Outcome Assessment to Enhance Care and Demonstrate Value |
title_full |
The Cancer Rehabilitation Medicine Metrics Consortium: A Path to Enhanced, Multi-Site Outcome Assessment to Enhance Care and Demonstrate Value |
title_fullStr |
The Cancer Rehabilitation Medicine Metrics Consortium: A Path to Enhanced, Multi-Site Outcome Assessment to Enhance Care and Demonstrate Value |
title_full_unstemmed |
The Cancer Rehabilitation Medicine Metrics Consortium: A Path to Enhanced, Multi-Site Outcome Assessment to Enhance Care and Demonstrate Value |
title_sort |
cancer rehabilitation medicine metrics consortium: a path to enhanced, multi-site outcome assessment to enhance care and demonstrate value |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Oncology |
issn |
2234-943X |
publishDate |
2021-02-01 |
description |
PurposeA primary objective stated at the Cancer Rehabilitation Symposium at the National Institutes of Health was to improve outcome measurement. The purpose of this project was for the Cancer Rehabilitation Medicine Metrics Consortium (CRMMC) to develop an assessment tool to evaluate function in cancer patients via a data-driven and methodologically sound process. There is no agreed-upon measure of physical and cognitive function for cancer patients, making it difficult to demonstrate the value of rehabilitation interventions. Cancer patients are a particularly challenging population, with many tumor- and treatment-related variables impacting function.MethodsInvestigators from nine different cancer rehabilitation programs participated in a modified-Delphi process to delineate necessary aspects of an ideal patient assessment tool, including instrument type, domains evaluated, applicability across a range of patient traits, clinical feasibility, and item response characteristics. This involved numerous meetings, data review, and analysis of items involved in patient assessment.ResultsThe CRMMC developed a 21-item patient-reported outcome measure based on item response theory. The process by which the short form was developed was documented and provides a framework for other clinicians to follow. ConclusionThis document provides a framework for rehabilitation providers to follow when developing an assessment tool. This process is described in a stepwise fashion for reproducibility even in different, non-cancer populations. |
topic |
cancer rehabilitation patient reported outcome measures outcome measurement cancer function functional measurement cancer survivorship |
url |
https://www.frontiersin.org/articles/10.3389/fonc.2020.625700/full |
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