Table 1.
Patient-Reported Data | Clinical Data from Medical Record |
|
---|---|---|
Symptoms | Pain intensity (Pain Numeric Rating Scale26), quality, and pattern (investigator developed items) | |
Dyspnea, fatigue, insomnia, anorexia, and overall symptom distress (Symptom Distress Scale44) | ||
Depression (Personal Health Questionnaire-945) | ||
Anxiety (Hospital Anxiety and Depression Scale46) | ||
Opioid-induced constipation (Constipation severity measure47 and Patient Reported Outcomes version of the Common Terminology Criteria for Adverse Events – PRO-CTCAE v373, 74) | ||
Alcohol risk and drug allergiesa | Risk for hazardous alcohol use (Alcohol Use Disorders Identification Test48) | |
Drug allergies | ||
Comorbidities a | History of peptic ulcer disease | |
Cancer therapy | Start and end dates of all regimens of chemotherapy, radiation, or targeted therapy | |
Lab values for visit date | Platelet count, serum creatinine, hemoglobin | |
Patient characteristics | Age, weight on visit date | |
Supportive care medications | Prescribed medications with dose and frequency (opioid and non-opioid pain medications, antidepressants, anxiolytics, hypnotics, psychostimulants, laxatives) | |
Actual use of prescribed and over-the-counter supportive care medications |
Data collected once at the beginning of the study and used at each visit.