Evidence map›Paper›PMID 34898539›Full record

ArticleCurrent oncology (Toronto, Ont.)2021

RELIEF: A Digital Health Tool for the Remote Self-Reporting of Symptoms in Patients with Cancer to Address Palliative Care Needs and Minimize Emergency Department Visits.

Ravi Bhargava, Bonnie Keating, Sarina R Isenberg, Saranjah Subramaniam, Pete Wegier, Martin Chasen

Registry-linked trialOpen access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Current oncology (Toronto, Ont.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05806255 (Remote Self-Reporting of Symptoms by Patients With Palliative Care Needs), which is not on this map. Cited by 19 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 5 pooled it
4.3field-weighted citation impact, top 5% 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.

NCT05806255 naunknown statusnot on this mapstarted 2024, after this paper: background citation

Remote Self-Reporting of Symptoms by Patients With Palliative Care Needs (RELIEF): A Mixed-Methods Implementation Study

TypeinterventionalSponsorWilliam Osler Health SystemRan2024 to 2025Enrolled600ConditionsPalliative CareArmsThe RELIEF App
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 5 syntheses or guidelines pooled it, 34 citations in OpenAlex.

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  5. Effect of applying digital health in palliative care for patients with advanced cancer: a meta-analysis and systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
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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

6 authors at 4 institutions in 1 country.

Ravi BhargavaPharmaceutical & Healthcare Management and Innovation, Department of Biomedical and Molecular Sciences, Queen's University, Kingston, ON K7L 3N6, Canada.
Bonnie KeatingDivision of Supportive and Palliative Care, William Osler Health System, Brampton, ON L6R 3J7, Canada.
Sarina R IsenbergBruyère Research Institute, Ottawa, ON K1N 5C8, Canada.
Saranjah SubramaniamHumber River Hospital, Toronto, ON M3M 0B2, Canada.
Pete WegierInstitute of Health Policy, Management & Evaluation, University of Toronto, Toronto, ON M5S 1A4, Canada.
Martin ChasenGlobal Institute of Psychosocial, Palliative and End-of-Life Care, University of Toronto, Toronto, ON M5S 1A4, Canada.ORCID 0000-0002-0406-9692
University of Toronto · CAHumber River Regional Hospital · CAUniversity of Ottawa · CAWilliam Osler Health System · CA

Funding

Centre for Aging + Brain Health Innovation N/A
6 · The paper itself

Abstract

The lack of timely symptom reporting remains a barrier to effective symptom management and comfort for patients with cancer-related palliative care needs. Poor symptom management at home can lead to unwanted outcomes, such as emergency department visits and death in hospital. We developed and evaluated RELIEF, a remote symptom self-reporting app for community patients with palliative care needs. A pilot feasibility study was conducted at a large, community hospital in Ontario, Canada. Patients self-reported their symptoms each morning using validated clinical symptom measures and RELIEF would alert for worsening or severe symptoms. RELIEF alerts were monitored by palliative care nurses who would then contact patients to determine if appropriate clinical intervention could be initiated to avoid unnecessary emergency department visits. A total of 20 patients were recruited to use RELIEF for two months. Patients completed 80% of daily self-report assessments; 133 alerts were trigged, half of which required clinical intervention. No patient visited the emergency department for symptom management during the study. Clinical staff estimated five emergency department visits were avoided because of RELIEF-saving an estimated cost of over CAD 60,000. RELIEF is a feasible and acceptable method for the remote monitoring of patients with palliative care needs through regular symptom self-reporting.

Indexed as

NeoplasmsPalliative CareEmergency Service, HospitalFeasibility StudiesHumansOntariohome carepalliative careremote monitoringsymptom reportingvirtual care

Identifiers

PMID34898539
PMCPMC8544531
OpenAlexW3208801070

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.