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A recent study published in JAMA Network Open on January 14, 2025, highlights the positive impact of an electronic patient-recorded outcome (ePRO) monitoring system in improving patient-physician communication in cardiovascular care. The study, led by Dr. Shuhei Yamashita and his team from the Keio University School of Medicine, explored the effectiveness of this system in enhancing the quality of interactions between patients and healthcare providers.
The research, which was conducted as part of an open-label, multicenter, randomized Phase II trial from October 2022 to October 2023, involved 50 participants diagnosed with heart failure, atrial fibrillation, or coronary artery disease. These patients were randomly assigned to either the ePRO or control group. Participants in the ePRO group were asked to complete a series of patient-reported outcome measures, including the Kansas City Cardiomyopathy Questionnaire, Atrial Fibrillation Effect on Quality-of-Life Questionnaire, or Seattle Angina Questionnaire, before their clinical examination.
The study’s key outcome measures included patient satisfaction, quality of information (QOI) provided by physicians, and disease knowledge. To assess these, the researchers used the Patient Satisfaction Questionnaire (PSQ) to evaluate the patients’ experiences and satisfaction levels with their care.
The results demonstrated that the ePRO group showed significant improvements in both PSQ and QOI scores compared to the control group, particularly in areas related to treatment and communication. Patients in the ePRO group reported better communication with their physicians, which contributed to an overall enhanced experience in managing their cardiovascular conditions.
“This multicenter pilot randomized clinical trial demonstrated the feasibility and efficacy of the electronic monitoring of PROs in cardiovascular care,” the authors concluded, emphasizing the system’s potential to improve patient outcomes through better communication and more informed decision-making.
The study paves the way for further research and application of ePRO systems in clinical settings, offering a promising tool for optimizing care and patient engagement in the management of cardiovascular diseases.
For more details, refer to the full study: Shuhei Yamashita et al, Electronic Patient-Reported Outcome System Implementation in Outpatient Cardiovascular Care, JAMA Network Open (2025). DOI: 10.1001/jamanetworkopen.2024.54084.
