{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T17:21:07Z","timestamp":1790788867758,"version":"4.1.0"},"reference-count":44,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T00:00:00Z","timestamp":1778630400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T00:00:00Z","timestamp":1778630400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Integrating electronic patient-reported outcome measures (ePROMs) into routine hemodialysis (HD) care offers a way to enhance patient-centered decision-making.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This prospective matched cohort study involved adults on in-center HD followed for 6\u2009months. The intervention group completed monthly ePROMs (SF-VAQ and SF-36v2), while the control group received standard care. Outcomes included changes from baseline in Vascular Access (VA) related interventions, hospitalizations, SF-VAQ domain scores, and Health-Related Quality of Life (HRQoL).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Integrating ePROMs did not significantly impact the frequency of VA-related interventions or hospitalizations during the study period. Significant improvements were observed in the SF-VAQ domains, including reductions in perceived VA-related burden in the Physical (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.002), Social (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.001), and Dialysis-Related Complication (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.001) domains. The Physical Component Summary (PCS) and Mental Component Summary (MCS) of the SF-36v2 also improved significantly (PCS:\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.001; MCS:\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.000). A total of 31 (55%) of patients in the ePROM group achieved the Minimal Clinically Important Difference.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Implementation of an ePROM-guided care pathway is feasible and associated with improved patient-reported well-being and reduced VA-related burden. While these results suggest a benefit, the absence of longitudinal process data in the control arm means further research is required to distinguish ePROM-induced changes from standard care evolution.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11297298261446694","type":"journal-article","created":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T06:58:06Z","timestamp":1778741886000},"page":"2272-2283","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Implementation of electronic patient-reported outcome measures in hemodialysis: Findings from a matched cohort study"],"prefix":"10.1177","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5758-1024","authenticated-orcid":false,"given":"Jo\u00e3o Pedro","family":"Barros","sequence":"first","affiliation":[{"name":"Programme in Health Data Science, University of Porto, Porto, Portugal"},{"name":"NephroCare, Fresenius Medical Care Portugal, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo\u00e3o Almeida","family":"Fonseca","sequence":"additional","affiliation":[{"name":"CINTESIS@RiSE, MEDCIDS, University of Porto, Porto, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4138-2503","authenticated-orcid":false,"given":"Rui","family":"Pinto","sequence":"additional","affiliation":[{"name":"Hemodialysis Unit Nephrology Unidade local de Sa\u00fade de Coimbra, Coimbra, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge","family":"Pratas","sequence":"additional","affiliation":[{"name":"NephroCare, Fresenius Medical Care Portugal, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Lu\u00edsa","family":"Correia","sequence":"additional","affiliation":[{"name":"Nephrology Department, ULS do T\u00e2mega e Sousa, CHTS, Penafiel, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alcides","family":"Pereira","sequence":"additional","affiliation":[{"name":"NephroCare, Fresenius Medical Care Portugal, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beatriz","family":"Queir\u00f3s","sequence":"additional","affiliation":[{"name":"NephroCare, Fresenius Medical Care Portugal, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rui Andr\u00e9","family":"Sousa","sequence":"additional","affiliation":[{"name":"NephroCare, Fresenius Medical Care Portugal, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5365-0064","authenticated-orcid":false,"given":"Charmaine E","family":"Lok","sequence":"additional","affiliation":[{"name":"Toronto General Hospital, Toronto, ON, Canada"},{"name":"University of Toronto, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ricardo-Cruz","family":"Correia","sequence":"additional","affiliation":[{"name":"CINTESIS, MEDCIDS, University of Porto, Porto, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,13]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2024.05.021"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfz072"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.kint.2018.09.016"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2019.12.001"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2017.12.003"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.34067\/KID.0002882021"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2017.09.018"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.08370816"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/1129729819845624"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2017.1348473"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2019.02.011"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/11297298231170407"},{"key":"e_1_3_3_14_2","unstructured":"Ferreira P. 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