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BMC Health Services Research
Published in: BMC Health Services Research 1/2023

Open Access 01-12-2023 | Care | Research

Development and pilot study of “Smart Cancer Care”: a platform for managing side effects of chemotherapy

Authors: Cheolkyung Sin, Hyeyeong Kim, Hyeon-Su Im, Minsu Ock, Su-Jin Koh

Published in: BMC Health Services Research | Issue 1/2023

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Abstract

Background

As outpatient chemotherapy treatment increases, cancer patients receiving chemotherapy spend more time at home. In addition, since the types of chemotherapy are gradually expanding, it will be essential to prepare patient self-management strategies for various chemotherapy-related side effects. This study aimed to develop a platform (called Smart Cancer Care) to implement a chemotherapy side effect management program and to evaluate its feasibility.

Methods

Smart Cancer Care comprises an application for patients and a dashboard for medical staff. Thirty-two symptoms to be managed using Smart Cancer Care were summarized through a literature review and Delphi. Management guidelines were developed based on the severity of each symptom (3 stages), and installed in Smart Cancer Care according to the Common Terminology Criteria for Adverse Events (CTCAE) v5.0 guidelines. To evaluate the feasibility of the developed application and medical dashboard, cancer patients and cancer treatment medical staff used Smart Cancer Care for 2 to 3 weeks and subsequently reported the experience of using them.

Results

The patient application provided a list of symptoms according to the cancer type and anticancer drug enabling presence and severity of each symptom to be evaluated. Patients received management guidelines for symptoms based on the symptom evaluation results. On the medical staff dashboard, administrators and authorized medical personnel could access and assess information regarding side effects and symptom severity submitted by the patient. The feasibility and usefulness of Smart Cancer Care were confirmed through a pilot test targeting 30 patients and 24 chemotherapy-related medical staff. For patients, the evaluation score for the “The program will be helpful when seeing medical staff” item was the highest. For medical staff, the score for the “By checking the patient’s symptoms using the program, it helps to take appropriate measures for the patient” item was the highest. Although minor corrections were raised, most patients and medical staff expected that Smart Cancer Care would help their treatment.

Conclusions

The configuration of the application and dashboard of Smart Cancer Care detailed in this study could be used for the development of a widely accepted platform to implement a chemotherapy side effect management program.
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Literature
1.
2.
Puzanov I, Diab A, Abdallah K, Bingham CO 3rd, Brogdon C, Dadu R, et al. Managing toxicities associated with immune checkpoint inhibitors: consensus recommendations from the Society for Immunotherapy of Cancer (SITC) Toxicity Management Working Group. J Immunother Cancer. 2017;5(1):95.CrossRefPubMedPubMedCentral
3.
Hassett MJ, O’Malley AJ, Pakes JR, Newhouse JP, Earle CC. Frequency and cost of chemotherapy-related serious adverse effects in a population sample of women with breast cancer. J Natl Cancer Inst. 2006;98(16):1108–17.CrossRefPubMed
4.
Lim SJ, Yi M. Study on Cancer Patients who visited an Emergency Department with the Side Effects of Chemotherapy. J Korean Clin Nurs Res. 2014;20(1):75–89.
5.
6.
Chen J, Ou L, Hollis SJ. A systematic review of the impact of routine collection of patient reported outcome measures on patients, providers and health organisations in an oncologic setting. BMC Health Serv Res. 2013;13:211.CrossRefPubMedPubMedCentral
7.
Kotronoulas G, Kearney N, Maguire R, Harrow A, Di Domenico D, Croy S, et al. What is the value of the routine use of patient-reported outcome measures toward improvement of patient outcomes, processes of care, and health service outcomes in cancer care? A systematic review of controlled trials. J Clin Oncol. 2014;32(14):1480–501.CrossRefPubMed
8.
Howell D, Molloy S, Wilkinson K, Green E, Orchard K, Wang K, et al. Patient-reported outcomes in routine cancer clinical practice: a scoping review of use, impact on health outcomes, and implementation factors. Ann Oncol. 2015;26(9):1846–58.CrossRefPubMed
9.
Yang LY, Manhas DS, Howard AF, Olson RA. Patient-reported outcome use in oncology: a systematic review of the impact on patient-clinician communication. Support Care Cancer. 2018;26(1):41–60.CrossRefPubMed
10.
Marandino L, Necchi A, Aglietta M, Di Maio M. COVID-19 emergency and the need to Speed up the adoption of electronic patient-reported outcomes in Cancer Clinical Practice. JCO Oncol Pract. 2020;16(6):295–8.CrossRefPubMedPubMedCentral
11.
Warrington L, Absolom K, Conner M, Kellar I, Clayton B, Ayres M, et al. Electronic Systems for patients to Report and Manage Side Effects of Cancer Treatment: systematic review. J Med Internet Res. 2019;21(1):e10875.CrossRefPubMedPubMedCentral
12.
13.
14.
15.
Richards HS, Blazeby JM, Portal A, Harding R, Reed T, Lander T, et al. A real-time electronic symptom monitoring system for patients after discharge following surgery: a pilot study in cancer-related surgery. BMC Cancer. 2020;20(1):543.CrossRefPubMedPubMedCentral
16.
Avery KNL, Richards HS, Portal A, Reed T, Harding R, Carter R, et al. Developing a real-time electronic symptom monitoring system for patients after discharge following cancer-related surgery. BMC Cancer. 2019;19(1):463.CrossRefPubMedPubMedCentral
17.
Koh SJ, Choi Y, Cheon J, Kim CR, Kim JH, Kim JS. Using a wireless touch screen tablet personal computer is feasible to assess the quality of breast Cancer survivorship. J Cancer Res Pract. 2018;5(4):136–40.CrossRef
18.
Basch E, Deal AM, Kris MG, Scher HI, Hudis CA, Sabbatini P, et al. Symptom Monitoring with patient-reported Outcomes during Routine Cancer treatment: a Randomized Controlled Trial. J Clin Oncol. 2016;34(6):557–65.CrossRefPubMed
19.
Maguire R, McCann L, Kotronoulas G, Kearney N, Ream E, Armes J, et al. Real time remote symptom monitoring during chemotherapy for cancer: european multicentre randomised controlled trial (eSMART). BMJ. 2021;374:n1647.CrossRefPubMedPubMedCentral
20.
Ruland CM, Andersen T, Jeneson A, Moore S, Grimsbø GH, Børøsund E, et al. Effects of an internet support system to assist cancer patients in reducing symptom distress: a randomized controlled trial. Cancer Nurs. 2013;36(1):6–17.CrossRefPubMed
21.
Kearney N, McCann L, Norrie J, Taylor L, Gray P, McGee-Lennon M, et al. Evaluation of a mobile phone-based, advanced symptom management system (ASyMS) in the management of chemotherapy-related toxicity. Support Care Cancer. 2009;17(4):437–44.CrossRefPubMed
22.
Børøsund E, Cvancarova M, Moore SM, Ekstedt M, Ruland CM. Comparing effects in regular practice of e-communication and web-based self-management support among breast cancer patients: preliminary results from a randomized controlled trial. J Med Internet Res. 2014;16(12):e295.CrossRefPubMedPubMedCentral
23.
Berry DL, Hong F, Halpenny B, Partridge AH, Fann JR, Wolpin S, et al. Electronic self-report assessment for cancer and self-care support: results of a multicenter randomized trial. J Clin Oncol. 2014;32(3):199–205.CrossRefPubMed
24.
Li J, Talaei-Khoei A, Seale H, Ray P, Macintyre CR. Health Care Provider Adoption of eHealth: systematic literature review. Interact J Med Res. 2013;2(1):e7.CrossRefPubMedPubMedCentral
25.
Wang YH, Li JQ, Shi JF, Que JY, Liu JJ, Lappin JM, et al. Depression and anxiety in relation to cancer incidence and mortality: a systematic review and meta-analysis of cohort studies. Mol Psychiatry. 2020;25(7):1487–99.CrossRefPubMed
26.
Williams AM, Khan CP, Heckler CE, Barton DL, Ontko M, Geer J, et al. Fatigue, anxiety, and quality of life in breast cancer patients compared to non-cancer controls: a nationwide longitudinal analysis. Breast Cancer Res Treat. 2021;187(1):275–85.CrossRefPubMedPubMedCentral
27.
Mair FS, May C, O’Donnell C, Finch T, Sullivan F, Murray E. Factors that promote or inhibit the implementation of e-health systems: an explanatory systematic review. Bull World Health Organ. 2012;90(5):357–64.CrossRefPubMedPubMedCentral
28.
Curry SJ. eHealth research and healthcare delivery beyond intervention effectiveness. Am J Prev Med. 2007;32(5 Suppl):127–30.CrossRef
29.
Bennett AV, Jensen RE, Basch E. Electronic patient-reported outcome systems in oncology clinical practice. CA Cancer J Clin. 2012;62(5):337–47.CrossRefPubMed
30.
Pyo J, Ock M, Lee M, Kim J, Cheon J, Cho J, et al. Unmet needs related to the quality of life of advanced cancer patients in Korea: a qualitative study. BMC Palliat Care. 2021;20(1):58.CrossRefPubMedPubMedCentral
31.
Lennon MR, Bouamrane MM, Devlin AM, O’Connor S, O’Donnell C, Chetty U, et al. Readiness for delivering Digital Health at Scale: Lessons from a longitudinal qualitative evaluation of a National Digital Health Innovation Program in the United Kingdom. J Med Internet Res. 2017;19(2):e42.CrossRefPubMedPubMedCentral
Metadata
Title
Development and pilot study of “Smart Cancer Care”: a platform for managing side effects of chemotherapy
Authors
Cheolkyung Sin
Hyeyeong Kim
Hyeon-Su Im
Minsu Ock
Su-Jin Koh
Publication date
01-12-2023
Publisher
BioMed Central
Keyword
Care
Published in
BMC Health Services Research / Issue 1/2023
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-023-09871-0

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