Forward Outcomes Laboratory
The Forward Outcomes Lab uses qualitative and quantitative methods to investigate patient-centered outcomes, quality of life, and survivorship in pediatric and adult populations.
About the Lab
The Forward Outcomes Lab is dedicated to advancing patient-centered care and improving quality of life through innovative research. We lead and collaborate on NIH and industry-funded clinical trials and observational studies that aim to improve clinical care, support shared decision-making, and understand what matters most to patients.
We partner with patients, caregivers, clinicians, researchers, and communities to conduct qualitative interviews, develop and validate surveys, and collect patient reported outcomes (PROs), which are reports of health that come directly from the patient.
As a multidisciplinary team, we bring together expertise in sociology, population health sciences, epidemiology, public health, clinical medicine, and communication to advance patient-centered research.
About the PIs
Kathryn E. Flynn, PhD
Georgia Carroll Professor of Women's Health Research
Vice Chair for Research, Department of Medicine
Medical College of Wisconsin
Scientific Director for Patient-Reported Outcomes
Center for International Blood & Marrow Transplant Research
Rachel Cusatis, PhD
Associate Professor of Medicine
Medical College of Wisconsin
Senior Scientific Director of Patient Centered Research and Survivorship
Center for International Blood & Marrow Transplant Research
Current Research
CIBMTR Patient Reported Outcomes (PRO) Protocol
The Center for International Blood and Marrow Transplant Research (CIBMTR) PRO Protocol is a nationwide study collecting PROs among people who receive transplants and cellular therapies. The goal is to understand trajectories of symptoms and function over time and assess long term treatment outcomes.
H. Jean Khoury Cure CML Consortium
The Chronic Myeloid Leukemia (CML) Consortium is a collaboration of doctors and researchers from 23 medical centers who seek to improve the lives of people with CML and understand CML biology through innovative clinical trials.
Symptom Monitoring Using Patient-Report to Improve Medication Use (SyMPTOM)
The SyMPTOM Study is a multi-site randomized trial that aims to helps breast cancer survivors manage treatment-related symptoms. Participants regularly report their symptoms, and pharmacists use this information to create personalized plans that support treatment adherence and symptom management.
Visualize and Integrate health related quality of life Experiences With Survivors and care team (VIEWS) Study
The VIEWS Study assessed understanding of and preferences for graphs of PRO data among allo-HCT patients, their caregivers, and healthcare team members. In this study, we found that the graphs were well-understood and liked across groups, and that care team members are motivated to include graphs into clinical care to help patients better understand their symptoms and functioning over time.
Current Members
Idayat Akinola, MBBS, MPH
Clinical Research Coordinator III
Joanna Balza, PhD, RN
Postdoctoral Researcher
Miranda Kapfhammer, MPH
Clinical Research Coordinator II
Essie Krcma
Clinical Research Associate I
Carlos Litovich, DrPH, MPH
Postdoctoral Researcher
Sarah Reed-Thryselius, MPH
PhD Student
Lexi Soule, MPH
Research Program Coordinator I
Oyiza Usman, MD
Research Program Assistant, PhD Candidate in Public & Community Health
Recent Publications | Kathryn E. Flynn, PhD
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(Schoenbeck K, Wei D, Hazra NC, Constantinescu C, Meng Y, Latremouille-Viau D, Marquez G, Yang D, Damon A, Sadek I, Guérin A, Clements J, DeMairo K, Hiller J, Flynn KE.) Leuk Lymphoma. 2026 Sep 13:1-11 PMID: 42732478 SCOPUS ID: 2-s2.0-105050388863 09/13/2026
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(Burek AG, Butler K, Liljestrom T, Weber E, Endres G, Stutzman L, Porada K, Mohammed A, Severson HE, Flynn KE, Ullman A, Davis MBH.) J Hosp Med. 2026 Sep;21(9):1035-1046 PMID: 42543878 PMCID: PMC13534897 SCOPUS ID: 2-s2.0-105046427626 08/03/2026
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(Gavin KL, Tiegs J, Winn AN, Makris V, Neuner JM, Flynn KE.) Support Care Cancer. 2026 Jun 25;34(7) PMID: 42348017 PMCID: PMC13303315 SCOPUS ID: 2-s2.0-105043180016 06/25/2026
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(Akinola I, Flynn KE, Yee LM, Saffian E, Peterson Z, Palatnik A.) Pregnancy (Hoboken). 2026 Jan;2(1):e70232 PMID: 42597204 PMCID: PMC13344773 08/14/2026
Recent Publications | Rachel Cusatis, PhD
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(Auletta JJ, Stanek J, Bo-Subait S, Al Malki MM, Cook R, Gooptu M, Shaffer B, Jimenez AJ, Modi D, Hill JA, Huppler AR, Kou J, Cusatis R, Broglie L, Shaw BE, Stefanski H, Spellman SR, Devine SM.) Blood Adv. 2026 Oct 13;10(19):6551-6563 PMID: 42448319 SCOPUS ID: 2-s2.0-105051395330 07/15/2026
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(Al Malki MM, Bo-Subait S, Logan B, Olson J, Kou J, Smith S, Leckrone E, Wu J, Stefanski HE, Auletta JJ, Spellman SR, Malmberg C, Askar M, Cusatis R, Shaffer BC, Modi D, Khimani F, Gooptu M, Hamadani M, Madbouly A, Maiers M, Fingerson S, Cook R, Ballen K, Loren A, Larkin K, Arai S, Qayed M, Choi SW, Broglie L, Shaw BE, Devine SM, Jimenez Jimenez AM.) J Clin Oncol. 2026 Sep 16:JCO2602255 PMID: 42748388 SCOPUS ID: 2-s2.0-105050574708 09/16/2026
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(Shaffer BC, Al Malki MM, Jimenez AMJ, Stanek J, Bo-Subait S, Logan BR, Kou J, Leckrone E, Stefanski HE, Spellman SR, Malmberg C, Askar M, Cusatis R, Modi D, Khimani F, Hamadani M, Maiers M, Cook R, Ballen K, Bolaños-Meade J, Rao U, Milner J, Abboud R, Jamieson K, Carrum G, Dholaria B, Hogan WJ, Reshef R, Kosuri S, Loren A, Larkin K, Arai S, Qayed M, Choi SW, Broglie L, Auletta JJ, Shaw BE, Devine SM, Gooptu M.) Am J Hematol. 2026 Aug 31 PMID: 42674730 SCOPUS ID: 2-s2.0-105048940816 08/31/2026
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Hematopoietic Cell Transplant Access and Patient Diversity.
(Cusatis R, Kou J, Bupp C, Mattila D, Abboud R, Arai S, Bolaños Meade J, Carrum G, Dholaria B, Fareh F, Hamadani M, Hogan WJ, Jamieson K, Jimenez Jimenez AM, Khimani F, Kelkar AH, Kosuri S, Larkin KT, Al Malki MM, McCurdy SR, Milner J, Modi D, Reshef R, Shaffer BC, Shanmugasundaram K, Rao U, Auletta JJ, Devine SM, Logan BR, Shaw BE.) JAMA Netw Open. 2026 May 01;9(5):e2610839 PMID: 42084866 PMCID: PMC13147192 SCOPUS ID: 2-s2.0-105038059420 05/05/2026