studies

476A AASLD ABSTRACTS HEPATOLOGY, October, 2015
The following authors have nothing to disclose: Maria Stepanova, Sarah Elfeky,
Alexandrea Srishord, Carey Escheik, Leo Mclaughlin, Mariam Afendy, Robert J.
Wong, Sharon L. Hunt
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A New Approach to Patient Centered Care in Hepatology:
Patient Reported Outcomes Assessment
Manisha Verma 1 , Victor J. Navarro 1 , Shana D. Stites 2 , Eyob L.
Feyssa 1 , Simona Rossi 1 ; 1 Hepatology, Einstein Healthcare Network,
Philadelphia, PA; 2 Center for Urban Health, Einstein Healthcare
Network, Philadelphia, PA
Background: Patient Reported Outcomes (PRO) are measures of
symptoms, health behavior &/or experiences reported directly
by patients. Integrating PRO Assessment (PA) in routine care
improves patient centered care (PCC). PROMIS-29 (Patient
Reported Outcomes Measurement Information System) is a
web-based NIH supported validated set of 29 questions used
for PA. Our aim is to identify if PA influences PCC in patients
with cirrhosis, through enhanced communication, & facilitating
detection of physical/ psychological issues. Methods: This is
a prospective nonrandomized study of the feasibility, acceptability,
& clinical value of PA in cirrhotics. PA included 1)
provider training in PA score interpretation, 2) administering
PROMIS-29, & 3) reporting PA results (T-scores) to patients &
providers for point of care use. T-score measures the symptom
assessed. Higher scores reflect greater symptom assessed. All
outpatients with cirrhosis were eligible. Patient and provider
feedback surveys were administered after each visit to assess
acceptability/feasibility. Descriptive statistics were used to
assess baseline measures; paired t-tests were used to compare
baseline and 3 month data. Results: 50 patients were enrolled;
3 month data were available for 20. There were no statistically
significant differences in baseline measures based on
gender, race, or duration of liver disease (p>0.05). At baseline,
pain, anxiety, & fatigue were worse in our sample vs the
US population (p