College of Osteopathic Medicine of the Pacific, Western University of Health Sciences, Pomona, CA, United States.
Olive View-University of California, Los Angeles Medical Center, Sylmar, CA, United States.
JMIR Mhealth Uhealth. 2021 Jul 15;9(7):e28664. doi: 10.2196/28664.
With one in five adults in the United States owning a smartwatch or fitness tracker, these devices are poised to impact all aspects of medicine by offering a more objective approach to replace self-reported data. Oncology has proved to be a prototypical example, and wearables offer immediate benefits to patients and oncologists with the ability to track symptoms and health metrics in real time. We aimed to review the recent literature on consumer-grade wearables and its current applications in cancer from the perspective of both the patient and the provider. The relevant studies suggested that these devices offer benefits, such as improved medication adherence and accuracy of symptom tracking over self-reported data, as well as insights that increase patient empowerment. Physical activity is consistently correlated with stronger patient outcomes, and a patient's real-time metrics were found to be capable of tracking medication side effects and toxicity. Studies have made associations between wearable data and telomere shortening, cardiovascular disease, alcohol consumption, sleep apnea, and other conditions. The objective data obtained by the wearable presents a more complete picture of an individual's health than the snapshot of a 15-minute office visit and a single set of vital signs. Real-time metrics can be translated into a digital phenotype that identifies risk factors specific to each patient, and shared risk factors across one's social network may uncover common environmental exposures detrimental to one's health. Wearable data and its upcoming integration with social media will be the foundation for the next generation of personalized medicine.
在美国，五分之一的成年人拥有智能手表或健身追踪器，这些设备有望通过提供更客观的方法来替代自我报告的数据，从而对医学的各个方面产生影响。肿瘤学已被证明是一个典型的例子，可穿戴设备为患者和肿瘤学家提供了即时的好处，使他们能够实时跟踪症状和健康指标。我们旨在从患者和提供者的角度回顾消费级可穿戴设备及其在癌症中的当前应用的最新文献。相关研究表明，这些设备提供了一些好处，例如提高了药物依从性和对症状的跟踪准确性，以及增加了患者的自主权。身体活动与更强的患者预后一致，并且患者的实时指标能够跟踪药物副作用和毒性。研究已经将可穿戴设备数据与端粒缩短、心血管疾病、饮酒、睡眠呼吸暂停和其他疾病联系起来。可穿戴设备获得的客观数据比 15 分钟的办公室就诊和一组生命体征的快照更全面地描述了一个人的健康状况。实时指标可以转化为数字表型，识别每个患者特有的风险因素，并且一个人的社交网络中的共同风险因素可能会发现对健康有害的共同环境暴露。可穿戴设备数据及其即将与社交媒体的整合将成为下一代个性化医疗的基础。
