Toward Modernization of Geriatric Oncology by Digital Health Technologies

Shahrokni, Armin; Loh, Kah Poh; Wood, William A.

doi:10.1200/edbk_279505

Cited by 13 publications

(8 citation statements)

References 56 publications

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“…For geriatric oncology, contexts of use might include baseline frailty or electronic rapid fitness assessments and monitoring for adverse events or functional deterioration between clinic visits. The use of home-based electronic patient-reported outcomes monitoring is currently being evaluated for the latter purpose [ 39 ].…”

Section: Target Digital Innovation To Do the Greatest Good For Indivi...mentioning

confidence: 99%

Advancing Digital Health Innovation in Oncology: Priorities for High-Value Digital Transformation in Cancer Care

Patel¹,

Goldsack²,

Cordovano³

et al. 2023

J Med Internet Res

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Although health care delivery is becoming increasingly digitized, driven by the pursuit of improved access, equity, efficiency, and effectiveness, progress does not appear to be equally distributed across therapeutic areas. Oncology is renowned for leading innovation in research and in care; digital pathology, digital radiology, real-world data, next-generation sequencing, patient-reported outcomes, and precision approaches driven by complex data and biomarkers are hallmarks of the field. However, remote patient monitoring, decentralized approaches to care and research, “hospital at home,” and machine learning techniques have yet to be broadly deployed to improve cancer care. In response, the Digital Medicine Society and Moffitt Cancer Center convened a multistakeholder roundtable discussion to bring together leading experts in cancer care and digital innovation. This viewpoint highlights the findings from these discussions, in which experts agreed that digital innovation is lagging in oncology relative to other therapeutic areas. It reports that this lag is most likely attributed to poor articulation of the challenges in cancer care and research best suited to digital solutions, lack of incentives and support, and missing standardized infrastructure to implement digital innovations. It concludes with suggestions for actions needed to bring the promise of digitization to cancer care to improve lives.

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Section: Target Digital Innovation To Do the Greatest Good For Indivi...mentioning

confidence: 99%

Advancing Digital Health Innovation in Oncology: Priorities for High-Value Digital Transformation in Cancer Care

Patel¹,

Goldsack²,

Cordovano³

et al. 2023

J Med Internet Res

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“…Although the familiarity of older adults with technology is increasing, barriers to wider adoption include very old age, lower disposable income, and higher co‐morbidity. 139 , 140 , 141 Although patients with cognitive impairment and high degree of frailty are probably less likely to direct benefit from DH approaches to disease management and care, DH technology may provide support to their caregivers. Whilst it has been shown that older adults are less likely to use new technology compared with younger adults, there is ample evidence that they also desire interaction with new technologies to remain active and engaged with society.…”

Section: Limitations Faced By Older Adults In Using Digital Health Te...mentioning

confidence: 99%

“…Although the familiarity of older adults with technology is increasing, barriers to wider adoption include very old age, lower disposable income, and higher co‐morbidity 139–141 . Although patients with cognitive impairment and high degree of frailty are probably less likely to direct benefit from DH approaches to disease management and care, DH technology may provide support to their caregivers.…”

Section: Limitations Faced By Older Adults In Using Digital Health Te...mentioning

confidence: 99%

Digital health in older adults for the prevention and management of cardiovascular diseases and frailty. A clinical consensus statement from the ESC Council for Cardiology Practice/Taskforce on Geriatric Cardiology, the ESC Digital Health Committee and the ESC Working Group on e‐Cardiology

et al. 2022

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Digital health technology is receiving increasing attention in cardiology. The rise of accessibility of digital health tools including wearable technologies and smart phone applications used in medical practice has created a new era in healthcare. The coronavirus pandemic has provided a new impetus for changes in delivering medical assistance across the world. This Consensus document discusses the potential implementation of digital health technology in older adults, suggesting a practical approach to general cardiologists working in an ambulatory outpatient clinic, highlighting the potential benefit and challenges of digital health in older patients with, or at risk of, cardiovascular disease. Advancing age may lead to a progressive loss of independence, to frailty, and to increasing degrees of disability. In Geriatric Cardiology digital health technology may serve as an additional tool both in cardiovascular prevention and treatment that may help by 1) supporting self-caring patients with cardiovascular disease to maintain their independence and improve the management of their cardiovascular disease 2) improving the prevention, detection and management of frailty and supporting

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“…As cancer remains a significant disease affecting the geriatric population, it is necessary to consider the relevant applications and ease of use [ 12 , 13 ]. Less than half of adults over the age of 65 years reported owning a smartphone in 2017, with an increase of 24% from 2013.…”

Section: Impact On Oncology Carementioning

confidence: 99%

Consumer Wearables and the Integration of New Objective Measures in Oncology: Patient and Provider Perspectives

Fonseka¹,

Woo²

2021

JMIR Mhealth Uhealth

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With one in five adults in the United States owning a smartwatch or fitness tracker, these devices are poised to impact all aspects of medicine by offering a more objective approach to replace self-reported data. Oncology has proved to be a prototypical example, and wearables offer immediate benefits to patients and oncologists with the ability to track symptoms and health metrics in real time. We aimed to review the recent literature on consumer-grade wearables and its current applications in cancer from the perspective of both the patient and the provider. The relevant studies suggested that these devices offer benefits, such as improved medication adherence and accuracy of symptom tracking over self-reported data, as well as insights that increase patient empowerment. Physical activity is consistently correlated with stronger patient outcomes, and a patient’s real-time metrics were found to be capable of tracking medication side effects and toxicity. Studies have made associations between wearable data and telomere shortening, cardiovascular disease, alcohol consumption, sleep apnea, and other conditions. The objective data obtained by the wearable presents a more complete picture of an individual’s health than the snapshot of a 15-minute office visit and a single set of vital signs. Real-time metrics can be translated into a digital phenotype that identifies risk factors specific to each patient, and shared risk factors across one’s social network may uncover common environmental exposures detrimental to one’s health. Wearable data and its upcoming integration with social media will be the foundation for the next generation of personalized medicine.

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Toward Modernization of Geriatric Oncology by Digital Health Technologies

Cited by 13 publications

References 56 publications

Advancing Digital Health Innovation in Oncology: Priorities for High-Value Digital Transformation in Cancer Care

Advancing Digital Health Innovation in Oncology: Priorities for High-Value Digital Transformation in Cancer Care

Digital health in older adults for the prevention and management of cardiovascular diseases and frailty. A clinical consensus statement from the ESC Council for Cardiology Practice/Taskforce on Geriatric Cardiology, the ESC Digital Health Committee and the ESC Working Group on e‐Cardiology

Consumer Wearables and the Integration of New Objective Measures in Oncology: Patient and Provider Perspectives

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