Evidence map›Paper›PMID 36821818›Full record

ArticleJCO oncology practice2023

Integration of Remote Symptom and Biometric Monitoring Into the Care of Adult Patients With Cancer Receiving Chemotherapy-A Decentralized Feasibility Pilot Study.

Anaeze C Offodile, Domenica Delgado, Yu-Li Lin, Danielle Geyen, Christopher J Miller, Sanchita Jain, Janice P Finder, Sanjay Shete, Frank V Fossella, Michael J Overman and 1 more

Abstract read
In one paragraph

Article in JCO oncology practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Review
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

11 authors.

Anaeze C OffodileInstitute for Cancer Care Innovation, University of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0002-5169-4589
Domenica DelgadoOffice of the Chief Data and Technology Officer, University of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0003-3672-8186
Yu-Li LinDepartment of Plastic Surgery, University of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0003-4721-9387
Danielle GeyenInstitute for Cancer Care Innovation, University of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0002-9801-5061
Christopher J MillerDepartment of Behavioral Science, University of Texas MD Anderson Cancer Center, Houston, TX.
Sanchita JainOffice of the Chief Data and Technology Officer, University of Texas MD Anderson Cancer Center, Houston, TX.
Janice P FinderPatient Experience Clinical Programs, University of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0002-3313-6700
Sanjay SheteDepartment of Biostatistics, University of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0001-7622-376X
Frank V FossellaDepartment of Thoracic Medical Oncology, University of Texas MD Anderson Cancer Center, Houston, TX.
Michael J OvermanDepartment of Gastrointestinal Medical Oncology, University of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0001-5377-135X
Susan K PetersonDepartment of Behavioral Science, University of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0003-4793-1913

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Fabien Delerue · 1985 to 2026
$290.8M
NCI NIH HHS P30 CA016672
6 · The paper itself

Abstract

purposeAlthough electronic patient-reported outcomes (ePROs) are efficacious in symptom management, much is unknown about the utility of vital signs surveillance. We examined the feasibility of a remote patient monitoring platform that integrates ePROs and biometrics into the ambulatory management of symptom burden.

methodsUsing a decentralized workflow, patients with gastrointestinal or thoracic cancer were approached for a 1-month study. Patients reported symptom burden via ePROs and biometrics (blood pressure, oxygen saturation, pulse, weight, and temperature) using bluetooth-enabled devices daily. Alerts on the basis of prespecified thresholds were managed via nurse-led triage. Adherence was defined as the completion of > 70% of daily symptom and biometric reporting requirements. Pilot acceptability, appropriateness, and feasibility were measured using validated instruments. Net promoter score, system usability scale, and emergency department (ED) admission rates were collected.

resultsOver 8 months, 36 patients were enrolled and 25 (60% gastrointestinal) completed the study. Participants had a mean age of 58.0 years, mean Eastern Cooperative Oncology Group score of 0.88, were 52% female, and predominantly had stage IV or recurrent disease (72%). Program adherence was 73% and associated with high acceptability (4.63), feasibility (4.56), and appropriateness (4.46). System usability scale and net promoter score scores were 88 and 55, respectively. Seventy percent of alerts were generated by biometrics, 28% for symptoms, and 2% were patient-initiated communication. Finally, the ED visitation rate over the pilot period was 8%.

conclusionOur remote patient monitoring pilot program was highly acceptable, feasible, and appropriate. It had high rates of patient adherence and satisfaction and was associated with low ED visitation rates.

Indexed as

NeoplasmsPatient ComplianceAdultBiometryFeasibility StudiesFemaleHumansMaleMiddle AgedPilot Projects

Identifiers

PMID36821818
PMCPMC10332844

What OpenQuestion holds

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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.