Academic Journal
Concordance Between Patient-Reported and Clinically Documented Symptoms in Acute Myeloid Leukemia.
| Τίτλος: | Concordance Between Patient-Reported and Clinically Documented Symptoms in Acute Myeloid Leukemia. |
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| Συγγραφείς: | Chae S; Sena Chae., Bae J; Jaewon Bae., Youn N; Nayung Youn., Pham H; Hanh Pham., Dunn Lopez K; Karen Dunn Lopez., Sutamtewagul G; Grerk Sutamtewagul., Rakel B; Barbara Rakel. |
| Πηγή: | Oncology nursing forum [Oncol Nurs Forum] 2026 Jun 24; Vol. 53 (4), pp. 1-13. |
| Τύπος έκδοσης: | Journal Article; Research Support, Non-U.S. Gov't |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Oncology Nursing Society Country of Publication: United States NLM ID: 7809033 Publication Model: Print Cited Medium: Internet ISSN: 1538-0688 (Electronic) Linking ISSN: 0190535X NLM ISO Abbreviation: Oncol Nurs Forum Subsets: MEDLINE |
| Imprint Name(s): | Publication: Pittsburgh, PA : Oncology Nursing Society Original Publication: New York, Oncology Nursing Society. |
| Ιατρικοί όροι (MeSH): | Leukemia, Myeloid, Acute*/diagnosis , Leukemia, Myeloid, Acute*/psychology , Leukemia, Myeloid, Acute*/complications , Electronic Health Records*/statistics & numerical data , Documentation* , Patient Reported Outcome Measures* , Self Report* , Symptom Assessment*, Humans ; Female ; Male ; Middle Aged ; Aged ; Adult ; Symptom Burden ; Aged, 80 and over ; Oncology Nursing |
| Περίληψη: | Objectives: To describe the frequency and documentation patterns of patient-reported and clinically documented symptoms, and to determine the degree of concordance and discordance between patient-reported symptoms and electronic health record (EHR) documentation. Sample & Setting: 31 adult patients with acute myeloid leukemia hospitalized at a large academic tertiary healthcare center. Methods & Variables: Self-reported symptoms were collected using a modified Memorial Symptom Assessment Scale, in which patients reported symptoms experienced during the prior seven days. Clinician-documented symptoms were manually extracted from clinical notes and nursing flow sheets in the EHR. Concordance and discordance were evaluated using Cohen's kappa and McNemar's tests. Results: Lack of energy (87% patients, 87% clinicians) and lack of appetite (74% patients, 84% clinicians) were the most frequently reported symptoms. However, many symptoms, particularly psychosocial symptoms such as feeling sad (n = 17 patients, 2 clinicians; kappa = -0.01, p = 0.001) and feeling irritable (n = 10 patients, 2 clinicians; kappa = -0.12, p = 0.043), showed substantial discordance and were often underdocumented in the EHR, suggesting that subjective patient experiences may be overlooked in routine documentation. Implications for Nursing: Accurate and comprehensive symptom documentation is essential for effective symptom management and clinical decision-making. Integrating structured symptom assessment tools or patient-reported outcomes into the EHR may improve documentation accuracy and enhance the quality of care for patients with acute myeloid leukemia. |
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| Grant Information: | P20 NR018081 United States NR NINR NIH HHS |
| Contributed Indexing: | Keywords: documentation; electronic health records; leukemia; symptom assessment |
| Entry Date(s): | Date Created: 20260624 Date Completed: 20260624 Latest Revision: 20260815 |
| Update Code: | 20260815 |
| PubMed Central ID: | PMC13309155 |
| DOI: | 10.1188/26.ONF.e26535329 |
| PMID: | 42341334 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1538-0688 |
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| DOI: | 10.1188/26.ONF.e26535329 |