Emerging Role of Mobile Applications and Wearable Devices for Prehabilitation in Urologic Oncology

Hunter, Hanna; Bennington-McKay, Nicole; Sher, Jessica; Psutka, Sarah P.; Lin, Cindy

doi:10.1016/j.euf.2023.10.010

Cited by 3 publications

(1 citation statement)

References 12 publications

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“…While many wearable technology studies have reported minimal adverse events associated with the intervention, there is a lack of uniform protocols for safety-related event monitoring (37). Inclusion criteria vary, and patients with multimorbidity are often excluded from these studies.…”

Section: Limitations Of Digital Healthmentioning

confidence: 99%

Using Wearable Technologies to Monitor Physical Activity and Exercise in Patients: A Narrative Review

Sher,

Lewis,

Lin

2024

Curr Sports Med Rep

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With an increasing prevalence of sedentary lifestyles driving a prominent public health crisis, digital health tools such as wearable technologies are revolutionizing clinicians’ ability to track physical activity and exercise. Despite their ubiquity in the consumer market, these technologies have not yet been fully incorporated into clinical practice. Though these tools promise efficacy and accessibility, a careful review of the current literature is important to understand the challenges and future promise of clinical implementation. Important considerations of implementation include health maintenance and disease prevention, ease of use by patients and providers, incorporation into the electronic health record, cost considerations, safety, privacy, and ethical considerations. This narrative review describes the recent literature on the implementation of wearable technologies in the prescription of physical activity and exercise. Application of these technologies is promising for this field’s future.

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Section: Limitations Of Digital Healthmentioning

confidence: 99%

Using Wearable Technologies to Monitor Physical Activity and Exercise in Patients: A Narrative Review

Sher,

Lewis,

Lin

2024

Curr Sports Med Rep

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Electrical excitability of cancer cells—CELEX model updated

Djamgoz

2024

Cancer Metastasis Rev

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The normal functioning of every cell in the body depends on its bioelectric properties and many diseases are caused by genetic and/or epigenetic dysregulation of the underlying ion channels. Metastasis, the main cause of death from cancer, is a complex multi-stage process in which cells break away from a primary tumour, invade the surrounding tissues, enter the circulation by encountering a blood vessel and spread around the body, ultimately lodging in distant organs and reproliferating to form secondary tumours leading to devastating organ failure. Such cellular behaviours are well known to involve ion channels. The CELEX model offers a novel insight to metastasis where it is the electrical excitation of the cancer cells that is responsible for their aggressive and invasive behaviour. In turn, the hyperexcitability is underpinned by concomitant upregulation of functional voltage-gated sodium channels and downregulation of voltage-gated potassium channels. Here, we update the in vitro and in vivo evidence in favour of the CELEX model for carcinomas. The results are unequivocal for the sodium channel. The potassium channel arm is also broadly supported by existing evidence although these data are complicated by the impact of the channels on the membrane potential and consequent secondary effects. Finally, consistent with the CELEX model, we show (i) that carcinomas are indeed electrically excitable and capable of generating action potentials and (ii) that combination of a sodium channel inhibitor and a potassium channel opener can produce a strong, additive anti-invasive effect. We discuss the possible clinical implications of the CELEX model in managing cancer.

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The use of technology in cancer prehabilitation: a systematic review

Tay,

Zhang,

Neo

2024

Front. Oncol.

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AimThis review aimed to evaluate the effectiveness and feasibility of cancer prehabilitation programs delivered through technological enablers compared to conventional face-to-face interventions.MethodsA systematic review was conducted, searching PubMed, Embase, and CINAHL for studies published from inception to February 6, 2024. Studies were included if they involved adult cancer patients in primary research, utilized technology for prehabilitation, and assessed functional, psychological, and quality of life outcomes.ResultsSixteen studies were included, encompassing wearables, apps, teleprehabilitation, and virtual reality. All studies reported feasibility, but challenges included technical issues, lack of supervision, and non-compliance. Effectiveness depended on intervention rigor and technology type. Wearables offered objective monitoring but faced compliance issues. Videoconferencing provided supervision and could mitigate compliance concerns. Multimodal programs and intervention-specific outcome measures were recommended.ConclusionTechnology-based prehabilitation programs seem feasible, but effectiveness depends on intervention design and technology employed. Future research should focus on developing robust evidence to guide clinical practice and explore the potential of integrated technological solutions.Systematic review registrationPROSPERO, identifier CRD42022376028.

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Emerging Role of Mobile Applications and Wearable Devices for Prehabilitation in Urologic Oncology

Cited by 3 publications

References 12 publications

Using Wearable Technologies to Monitor Physical Activity and Exercise in Patients: A Narrative Review

Using Wearable Technologies to Monitor Physical Activity and Exercise in Patients: A Narrative Review

Electrical excitability of cancer cells—CELEX model updated

The use of technology in cancer prehabilitation: a systematic review

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