Evidence map›Paper›PMID 28396993›Full record

ArticleJournal of cancer survivorship : research and practice2017

Ambulant monitoring and web-accessible home-based exercise program during outpatient follow-up for resected lung cancer survivors: actual use and feasibility in clinical practice.

J G Timmerman, M G H Dekker-van Weering, M M Stuiver, W G Groen, M W J M Wouters, T M Tönis, H J Hermens, M M R Vollenbroek-Hutten

Abstract read
In one paragraph

Article in Journal of cancer survivorship : research and practice, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Feasibility, acceptability, and efficacy of online supportive care for individuals living with and beyond lung cancer: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Pooled it
  3. Trial
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  5. Review
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  7. Article
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  9. Article
  10. Observational
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  12. Digital health for optimal supportive care in oncology: benefits, limits, and future perspectives.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020
    Review
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  17. Introduction to special section on digital technology and cancer survivorship.Journal of cancer survivorship : research and practice · 2017
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

J G TimmermanRoessingh Research and Development, Telemedicine Group, Enschede, The Netherlands. j.g.timmerman@utwente.nl.
M G H Dekker-van WeeringRoessingh Research and Development, Telemedicine Group, Enschede, The Netherlands.
M M StuiverThe Netherlands Cancer Institute, Amsterdam, The Netherlands.
W G GroenThe Netherlands Cancer Institute, Amsterdam, The Netherlands.
M W J M WoutersThe Netherlands Cancer Institute, Amsterdam, The Netherlands.
T M TönisRoessingh Research and Development, Telemedicine Group, Enschede, The Netherlands.
H J HermensRoessingh Research and Development, Telemedicine Group, Enschede, The Netherlands.
M M R Vollenbroek-HuttenFaculty of Electrical Engineering, Mathematics and Computer Science, Telemedicine Group, University of Twente, Enschede, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this study is to evaluate the feasibility of a telehealthcare application for operable lung cancer (OLC) patients, consisting of ambulant symptom and physical activity monitoring (S&PAM) and a web-accessible home-based exercise program (WEP), and identify possible barriers for successful adoption and implementation.

methodsA two-stage mixed methods design was used, in which 22 OLC patients and their treating healthcare professionals (HCPs) participated from pre-surgery to three (stage 1; n = 10) or six (stage 2; n = 12) months post-surgery. Actual use and acceptability (usability, usefulness, and satisfaction) were evaluated.

resultsSeventeen OLC patients (age (SD): 59 (8) years; 8 female) actively used the modules. S&PAM use varied from 1 to 11 monitoring days prior to outpatient consultations. Patients used WEP most frequently during the first 5 weeks, with an average of four logins a week. Fifty-eight percent used WEP beyond 7 weeks. No adverse situations occurred, and patients felt confident using the applications. Perceived added value included active lifestyle promotion, decreased anxiety, and accessibility to specialized HCPs. Physiotherapists used WEP as intended. Contrarily, physicians scarcely used information from S&PAM. To promote future adoption, strategies should focus on high-level patient tailoring of the technology, and formalization of including the applications in the clinical workflow.

conclusionsAmbulant monitoring and web-accessible home exercise is clinically feasible for OLC patients. However, low level of adoption by referring physicians may hamper successful implementation. IMPLICATIONS FOR CANCER SURVIVORS: Patients perceived both ambulant monitoring and web-accessible exercise as an added value to regular care and feasible to use in the period before and after lung resection.

Indexed as

Cancer SurvivorsExercise TherapyFeasibility StudiesFemaleFollow-Up StudiesHumansLung NeoplasmsMiddle AgedOutpatientsTelemedicineCancer survivorshipFeasibilityImplementationLung cancerRehabilitationTelehealthcare

Identifiers

PMID28396993
PMCPMC5671546

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.