Evidence map›Paper›PMID 29129704›Full record

ReviewContemporary clinical trials2018

Wearable activity monitors in oncology trials: Current use of an emerging technology.

Gillian Gresham, Jennifer Schrack, Louise M Gresham, Arvind M Shinde, Andrew E Hendifar, Richard Tuli, B J Rimel, Robert Figlin, Curtis L Meinert, Steven Piantadosi

Open access · hybridAbstract readReview
In one paragraph

Review in Contemporary clinical trials, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 80 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed, 6 pooled it
6.8field-weighted citation impact, top 2% of its field
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

80 citing papers in PubMed, 6 syntheses or guidelines pooled it, 149 citations in OpenAlex.

  1. Using digital technology to support wellbeing and independence among people living with incurable cancers: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Pooled it
  2. Pooled it
  3. Physical activity in surgical lung cancer patients: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Pooled it
  4. Pooled it
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  6. Pooled it
  7. Trial
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  10. Increasing physical activity in Cancer Survivors through a Text-messaging Exercise motivation Program (ICanSTEP).Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Trial
  11. Trial
  12. Wearable-derived postdischarge mobility as a digital biomarker for 90-day readmission and mortality in metastatic cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Observational
  13. Article
  14. An exploratory analysis of 24-h movement behaviors in individuals with cancer completing a 12-week resistance exercise intervention.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  15. Review
  16. Article
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  20. Observational

20 more citing papers are in PubMed but not listed here.

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

10 authors at 3 institutions in 2 countries.

Gillian GreshamJohns Hopkins Bloomberg School of Public Health, Department of Epidemiology, United States; Cedars-Sinai Medical Center, Samuel Oschin Comprehensive Cancer Institute, United States. Electronic address: ggresha3@jhu.edu.
Jennifer SchrackJohns Hopkins Bloomberg School of Public Health, Department of Epidemiology, United States.
Louise M GreshamUniversity of Ottawa, Department of Medicine, Canada.
Arvind M ShindeCedars-Sinai Medical Center, Samuel Oschin Comprehensive Cancer Institute, United States.
Andrew E HendifarCedars-Sinai Medical Center, Samuel Oschin Comprehensive Cancer Institute, United States.
Richard TuliCedars-Sinai Medical Center, Samuel Oschin Comprehensive Cancer Institute, United States.
B J RimelCedars-Sinai Medical Center, Samuel Oschin Comprehensive Cancer Institute, United States.
Robert FiglinCedars-Sinai Medical Center, Samuel Oschin Comprehensive Cancer Institute, United States.
Curtis L MeinertJohns Hopkins Bloomberg School of Public Health, Department of Epidemiology, United States.
Steven PiantadosiCedars-Sinai Medical Center, Samuel Oschin Comprehensive Cancer Institute, United States.
Cedars-Sinai Medical Center · USJohns Hopkins University · USUniversity of Ottawa · CA

Funding

Defining and Quantifying Fatigability in Functionally Independent Older AdultsR21AG053198 · NIA · JOHNS HOPKINS UNIVERSITY · PI SCHRACK, JENNIFER ANN · 2016 to 2017
$449k
NIA NIH HHS R21 AG053198
6 · The paper itself

Abstract

backgroundPhysical activity is an important outcome in oncology trials. Physical activity is commonly assessed using self-reported questionnaires, which are limited by recall and response biases. Recent advancements in wearable technology have provided oncologists with new opportunities to obtain real-time, objective physical activity data. The purpose of this review was to describe current uses of wearable activity monitors in oncology trials.

methodsWe searched Pubmed, Embase, and the Cochrane Central Register of Controlled Trials for oncology trials involving wearable activity monitors published between 2005 and 2016. We extracted details on study design, types of activity monitors used, and purpose for their use. We summarized activity monitor metrics including step counts, sleep and sedentary time, and time spent in moderate-to-vigorous activity.

resultsWe identified 41 trials of which 26 (63%) involved cancer survivors (post-treatment) and 15 trials (37%) involved patients with active cancer. Most trials (65%) involved breast cancer patients. Wearable activity monitors were commonly used in exercise (54%) or behavioral (29%) trials. Cancer survivors take between 4660 and 11,000 steps/day and those undergoing treatment take 2885 to 8300steps/day.

conclusionWearable activity monitors are increasingly being used to obtain objective measures of physical activity in oncology trials. There is potential for their use to expand to evaluate and predict clinical outcomes such as survival, quality of life, and treatment tolerance in future studies. Currently, there remains a lack of standardization in the types of monitors being used and how their data are being collected, analyzed, and interpreted. PRECIS: Recent advancements in wearable activity monitor technology have provided oncologists with new opportunities to monitor their patients' daily activity in real-world settings. The integration of wearable activity monitors into cancer care will help increase our understanding of the associations between physical activity and the prevention and management of the disease, in addition to other important cancer outcomes.

Indexed as

Cancer SurvivorsExerciseWearable Electronic DevicesEnergy MetabolismHeart RateHumansNeoplasmsRandomized Controlled Trials as TopicSleepCancerCancer survivorshipOncology trialsOutcome assessmentPhysical activityWearable activity monitorsWearable technology

Identifiers

PMID29129704
PMCPMC12004692
OpenAlexW2767880786

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.