Evidence map›Paper›PMID 35107791›Full record

ArticleJournal of cancer survivorship : research and practice2022

Pilot implementation to assess the feasibility and care team impact of an app-based interactive care plan to remotely monitor breast cancer survivors.

Daniela L Stan, Jonathan W Inselman, Jennifer L Ridgeway, Kaley N Johnson, Laura A Christopherson, Samantha M McColley, Julie K Brown, Sarah A Phillips, Summer V Allen, Jennifer K Hazelton and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of cancer survivorship : research and practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 12% 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Patient-reported outcome measurement implementation in cancer survivors: a systematic review.Journal of cancer survivorship : research and practice · 2024
    Pooled it
  2. Pooled it
  3. Review
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  8. Review
  9. Living With and Beyond Cancer With Comorbid Conditions: Qualitative Insights to Understand Psychosocial Support Needs.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
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  12. Diabetic Kidney Disease Prevention Care Model Development.Clinical diabetes : a publication of the American Diabetes Association · 2024
    Article
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  14. Article
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  16. Research contributions from the First Cancer Center Survivorship Research Forum.Journal of cancer survivorship : research and practice · 2022
    Article
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

12 authors at 2 institutions in 1 country.

Daniela L StanGeneral Internal Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
Jonathan W InselmanKern Center for the Science of Health Care Delivery, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
Jennifer L RidgewayKern Center for the Science of Health Care Delivery, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
Kaley N JohnsonCenter for Digital Health, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
Laura A ChristophersonCenter for Digital Health, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
Samantha M McColleyCenter for Digital Health, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
Julie K BrownCenter for Digital Health, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
Sarah A PhillipsCenter for Digital Health, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
Summer V AllenFamily Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
Jennifer K HazeltonGeneral Internal Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
Kathryn J RuddyMedical Oncology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
Tufia C HaddadCenter for Digital Health, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA. haddad.tufia@mayo.edu.
Mayo Clinic · USWinnMed · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess the feasibility of an app-based, electronic health record (EHR)-integrated, interactive care plan (ICP) for breast cancer (BC) survivors.

methodsA single-arm pilot study was conducted with female BC survivors. ICP tasks included quarterly quality of life (QOL) questionnaire; monthly assessments of fatigue, insomnia, sexual dysfunction, hot flashes, and recurrence symptoms; and daily activity reminders. Embedded decision trees escalated recurrence symptoms to providers. On-demand education was available for self-management of treatment-related toxicities. The primary objective was to assess patients' engagement with ICP tasks against feasibility thresholds of 75% completion rate. Secondary objectives were evaluation of the system's functionality to track and escalate symptoms appropriately, and care team impact measured by volume of escalation messages generated. We report preliminary results 6 months after the last patient enrolled.

resultsTwenty-three patients enrolled August to November 2020. Mean age was 50.1 years. All patients engaged with at least one ICP task. The monthly average task completion rates were 62% for the QOL questionnaire, 59% for symptom assessments, and 37% for activity reminders. Task completion rate decreased over time. Eleven of 253 symptoms and QOL questionnaires (4.3%) generated messages for care escalation.

conclusionImplementation of an app-based, EHR-integrated ICP in BC survivors was feasible and created minimal provider burden; however, patient engagement was below the feasibility threshold suggesting that changes may enhance broad implementation and adoption. IMPLICATIONS FOR CANCER SURVIVORS: An ICP may facilitate remote monitoring, symptom control, and recurrence surveillance for cancer survivors as strategies to enhance patient engagement are applied.

Indexed as

Breast NeoplasmsCancer SurvivorsMobile ApplicationsFeasibility StudiesFemaleHumansMiddle AgedPatient Care TeamPilot ProjectsQuality of LifeSurvivorsCancer survivorshipInteractive care planMobile applicationRemote patient monitoringSelf-managementSymptom control

Identifiers

PMID35107791
PMCPMC8809246
OpenAlexW4210683431

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.