Integrating Pros into the EHR

Patient-reported outcomes (PROs) are well-established in the context of clinical trials, providing important assessment of the individual during an intervention/study. However, their usage in routine clinical settings remains low, for any number of reasons, despite their utility and ability to provide important, quick information about treatment response. We are working with the UCLA Health Resident Informatics program is to assess the clinical utility of embedded electronic health record (EHR) reporting of PROs and health-related quality-of-life (HRQoL) metrics in the counseling of patients with thyroid nodules and low-risk thyroid cancer. We anticipate that evaluation and reporting of PROs and HRQoL in the EHR will allow physicians to identify potential barriers to communication in these patients, including anxiety, depression, and fatigue. Addressing these barriers and improving physician-patient communication has the potential to enhance the implementation of management strategies that reduce overdiagnosis and overtreatment of low-risk thyroid cancer.