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3033 Equivalence of Paper-Based and Smartphone-Based Patient-Reported Outcomes Using the Perioperative Symptom Assessment of Lung Surgery (PSA-Lung): A Randomized Crossover Equivalence Study Hongfan Yu 1 , Qiuling Shi 1 , Xing Wei 2 1 State Key Laboratory of Ultrasound in Medicine and Engineering, College of Biomedical Engineering, Chongqing Medical University, Chongqing, China, 2 Department of Thoracic Surgery, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, Affiliated Cancer Hospital of the University of Electronic Science and Technology of China, Chendu, China Journal of Patient-Reported Outcomes 2026 , 10(Suppl 1) :3033 Aims Electronic patient-reported outcomes (ePROs) are increasingly adopted for real-time symptom monitoring and deliver early warning to clinicians, yet equivalence validation with paper-based formats remains limited by selection bias

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