School of Health Sciences, University of Brasilia, Brasilia, Brazil.
Centro Universitário do Distrito Federal, Brasilia, Brazil.
JMIR Mhealth Uhealth. 2019 Aug 27;7(8):e13245. doi: 10.2196/13245.
Cancer is a major cause of morbidity, disability, and mortality worldwide, and breast cancer is the most common cause of death in women. Different modalities of cancer treatment can have adverse effects that reduce the quality of life of patients and lead to treatment interruptions, if not managed properly. The use of mobile technologies has brought innovative possibilities for improving health care. Mobile apps can help individuals manage their own health and well-being and may also promote healthy lifestyles and information access.
The aim of this study was to identify available evidence on the use of mobile apps to provide information and facilitate communication regarding self-care management related to the adverse effects of toxicities owing to breast cancer therapy.
This systematic review includes studies which were identified using a search strategy adapted for each electronic database: CINAHL, Cochrane Library, LILACS, LIVIVO, PubMed, SCOPUS, and Web of Science. In addition, a gray literature search was performed using Google Scholar. All the electronic database searches were conducted on April 17, 2019. Two investigators independently reviewed the titles and abstracts of the studies identified and then read the full text of all selected papers. The quality of the included studies was analyzed by the Cochrane Collaboration Risk of Bias Tool and the Methodological Index for Non-Randomized Studies.
A total of 9 studies which met the eligibility criteria-3 randomized clinical trials and 6 nonrandomized studies published in English from 2010 to 2018-were considered for this systematic review; 396 patients with breast cancer, as well as 40 experts in the medical and nursing fields, and 3 software engineers were included.
The evidence from the studies included in this systematic review is currently limited but suggests that mobile apps for women with breast cancer might be an acceptable information source that can improve patient well-being; they can also be used to report symptoms and adverse treatment-related effects and promote self-care. There is a need to test more evidence-based apps in future randomized clinical trials.
癌症是全球发病率、残疾率和死亡率的主要原因，乳腺癌是女性死亡的主要原因。不同的癌症治疗方法可能会产生不良反应，降低患者的生活质量，并导致治疗中断，如果不能得到妥善管理。移动技术的使用为改善医疗保健带来了创新的可能性。移动应用程序可以帮助个人管理自己的健康和幸福，也可以促进健康的生活方式和信息获取。
本研究旨在确定现有关于使用移动应用程序提供与乳腺癌治疗毒性相关的自我护理管理信息和促进交流的证据。
本系统评价包括通过适应每个电子数据库的搜索策略确定的研究：CINAHL、Cochrane 图书馆、LILACS、LIVIVO、PubMed、SCOPUS 和 Web of Science。此外，还使用 Google Scholar 进行了灰色文献搜索。所有电子数据库搜索均于 2019 年 4 月 17 日进行。两名调查员独立审查了研究的标题和摘要，然后阅读了所有选定论文的全文。使用 Cochrane 协作风险偏倚工具和非随机研究方法学指数对纳入研究的质量进行了分析。
共有 9 项符合纳入标准的研究（3 项随机临床试验和 6 项发表于 2010 年至 2018 年的非随机研究）被纳入本系统评价；共有 396 名乳腺癌患者、40 名医学和护理领域的专家以及 3 名软件工程师纳入本系统评价。
本系统评价纳入研究的证据目前有限，但表明针对乳腺癌女性的移动应用程序可能是一种可以改善患者幸福感的可接受信息来源；它们还可以用于报告症状和治疗相关的不良反应，并促进自我护理。未来需要在随机临床试验中测试更多基于证据的应用程序。
