The increasing value of eHealth in the delivery of patient-centred cancer care

Penedo, Frank J.; Oswald, Laura B.; Kronenfeld, Joshua P.; Garcia, Sofia F.; Cella, David; Yanez, Betina R.

doi:10.1016/s1470-2045(20)30021-8

Cited by 186 publications

(162 citation statements)

References 65 publications

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“…Pulling data collected by patients’ personal wearable devices or smartphones into EHR would allow these data to be viewed and discussed during clinical encounters and would also enable automatic provider alerts to be triggered if prespecified thresholds are exceeded or significant anomalies are detected 59 . Making data available to clinicians and integrated into their EHR workflow will require training or guidance about how to use these data in clinical conversations and decision making 60 . In one feasibility trial that integrated Fitbit step count data into EHR, investigators reported that the majority of clinicians looked at survivors’ activity data and reported that Fitbit data provided insight into their patients’ lifestyles 61 .…”

Section: Challenges and Practical Considerationsmentioning

confidence: 99%

“…For example, wearable devices can be used to monitor and motivate physical activity as part of prehabilitation or rehabilitation efforts. Interventions such as those to support pain management, address cognitive impairment, or reduce stress can be delivered via smartphone apps, and collecting concurrent sensor data can enable researchers to evaluate app use patterns and behavioral changes in response to intervention content 45 , 60 . Furthermore, sensor data can be used to tailor intervention content, dose, or timing, setting attainable individualized goals and delivering prompts at the right time, when participants are receptive to intervention messages or in need of support 63 .…”

Section: Opportunities and Clinical Implicationsmentioning

confidence: 99%

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Harnessing consumer smartphone and wearable sensors for clinical cancer research

Low

2020

npj Digit. Med.

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As smartphones and consumer wearable devices become more ubiquitous, there is a growing opportunity to capture rich mobile sensor data continuously, passively, and in real-world settings with minimal burden. In the context of cancer, changes in these passively sensed digital biomarkers may reflect meaningful variation in functional status, symptom burden, quality of life, and risk for adverse clinical outcomes. These data could enable real-time remote monitoring of patients between clinical encounters and more proactive, comprehensive, and personalized care. Over the past few years, small studies across a variety of cancer populations support the feasibility and potential clinical value of mobile sensors in oncology. Barriers to implementing mobile sensing in clinical oncology care include the challenges of managing and making sense of continuous sensor data, patient engagement issues, difficulty integrating sensor data into existing electronic health systems and clinical workflows, and ethical and privacy concerns. Multidisciplinary collaboration is needed to develop mobile sensing frameworks that overcome these barriers and that can be implemented at large-scale for remote monitoring of deteriorating health during or after cancer treatment or for promotion and tailoring of lifestyle or symptom management interventions. Leveraging digital technology has the potential to enrich scientific understanding of how cancer and its treatment affect patient lives, to use this understanding to offer more timely and personalized support to patients, and to improve clinical oncology outcomes.

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Section: Challenges and Practical Considerationsmentioning

confidence: 99%

Section: Opportunities and Clinical Implicationsmentioning

confidence: 99%

Harnessing consumer smartphone and wearable sensors for clinical cancer research

Low

2020

npj Digit. Med.

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“…10 Beyond follow-up, teleoncology applications may include remote treatment supervision, symptom management, palliative and survivorship care, and improved patient access to clinical trials. 11,12 As a field deeply interlinked with technology, radiation oncology may be particularly receptive to the introduction of telemedicine, which can also be used for remote treatment planning, quality assurance, physician coverage, or documentation of patient-reported outcome measures. [13][14][15] Few centers have reported on their long-term clinical experiences, indicating a high level of patient satisfaction with telemedicine for radiation oncology consultations.…”

Section: Telemedicinedhealing At a Distancementioning

confidence: 99%

“Connection Failed”: A Word of Caution on Telemedicine in Radiation Oncology

Finazzi

Papachristofilou

Zimmermann

2020

International Journal of Radiation Oncology*Biology*Physics

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“…High patient satisfaction with VC is reported in literature for patients receiving outpatient medical specialist care at home. [8][9][10] To date, little is known as to the patient's relative advantage of adding visual interaction when compared with TC. Although it may be believed that VC is in popular demand by patients, their willingness and ability to accept VC as contact modality over TC has not been investigated before in an academic setting.…”

Section: Introductionmentioning

confidence: 99%

Comparing video consultation and telephone consultation at the outpatient clinic of a tertiary referral centre: patient and provider benefits

et al. 2020

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ObjectivesTelephone consultations are frequently used in the outpatient setting in order to avoid unnecessary travel and to reduce hospital visit-related costs for patients. However, they are limited by the absence of non-verbal communication in contrast to video consultation. Little is known considering the possible advantages of using video consultation in comparison to telephone consultation according to both patients and healthcare providers.MethodsPatients with colorectal diseases were asked to choose between a telephone consultation or a video consultation for their next appointment at the outpatient clinic of a tertiary referral centre. Willingness to use video consultation, value of non-verbal communication, patient satisfaction, provider satisfaction and user friendliness of the video connection technology were measured using questionnaires.ResultsNone of the included patients ever had a video consultation before with a healthcare provider. Nonetheless, 22/50 preferred a video consultation over a telephone consultation. Patients who preferred a video consultation underlined the benefits of providing visual feedback to both patients and healthcare providers. Moreover, healthcare providers felt they were better able to assess the patients’ healthcare condition.ConclusionFor patients who value both verbal and non-verbal interaction and feel comfortable with the use of video consultation, video consultation is the preferred contact modality. Shared decision making should be used to choose the preferred interaction modality. For patients with low digital skills, support might be needed or video consultation may not be the preferred choice.

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The increasing value of eHealth in the delivery of patient-centred cancer care

Cited by 186 publications

References 65 publications

Harnessing consumer smartphone and wearable sensors for clinical cancer research

Harnessing consumer smartphone and wearable sensors for clinical cancer research

“Connection Failed”: A Word of Caution on Telemedicine in Radiation Oncology

Comparing video consultation and telephone consultation at the outpatient clinic of a tertiary referral centre: patient and provider benefits

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