Shahrokni Armin, Loh Kah Poh, Wood William A
Memorial Sloan Kettering Cancer Center, New York, NY.
James P. Wilmot Cancer Institute, University of Rochester School of Medicine and Dentistry, Rochester, NY.
Am Soc Clin Oncol Educ Book. 2020 Mar;40:1-7. doi: 10.1200/EDBK_279505.
The number of older adults with cancer is increasing. Over the past 3 decades, geriatric oncology research has focused on improving the assessment of frailty and fitness of older adults with cancer as well as methods of improving their outcomes. At the same time, advances in digital health technologies have opened new frontiers for reaching this goal. Digital health technologies encompass a variety of solutions, from electronic patient-reported outcomes (ePROs) to Big Data and wireless sensors. These solutions have the potential to further advance our understanding of patients' experiences during cancer treatment. Whereas the data on the feasibility and utility of such solutions in the care of older adults with cancer are limited, interest from digital health oncology researchers to further explore the benefits of these products is increasing. In this article, we describe the focus of geriatric oncology, the rationale behind the need to explore digital health technologies in this setting, and emerging data and ongoing studies, as well as provide guidelines for proper selection, implementation, and testing of digital health solutions in the context of geriatric oncology.
患癌老年人的数量正在增加。在过去30年里，老年肿瘤学研究聚焦于改善对老年癌症患者虚弱和健康状况的评估，以及改善其治疗结果的方法。与此同时，数字健康技术的进步为实现这一目标开辟了新领域。数字健康技术涵盖了从电子患者报告结局（ePROs）到大数据和无线传感器等各种解决方案。这些解决方案有可能进一步增进我们对患者癌症治疗期间体验的理解。尽管此类解决方案在老年癌症患者护理中的可行性和实用性数据有限，但数字健康肿瘤学研究人员进一步探索这些产品益处的兴趣正在增加。在本文中，我们描述了老年肿瘤学的重点、在这种情况下探索数字健康技术的必要性背后的基本原理、新出现的数据和正在进行的研究，并提供在老年肿瘤学背景下正确选择、实施和测试数字健康解决方案的指南。
