Department of Medicine, Duke University School of Medicine, Durham, NC.
Tennessee Oncology, Nashville, TN.
Am Soc Clin Oncol Educ Book. 2022 Apr;42:1-6. doi: 10.1200/EDBK_350550.
With sophisticated mobile and wearable technologies available, there has been interest in leveraging these devices to help gather and analyze patient-generated health data (PGHD). This information could be used to better address health concerns, aid in treatment decision-making, and guide interventional strategies to improve outcomes. Among PGHD, electronic patient-reported outcomes, direct reports of patient experience usually collected via validated scales and questionnaires, are increasingly integrated into routine clinical practice to monitor patient status. Electronic patient-reported outcomes have been shown to improve outcomes, including symptom control, quality of life, and overall survival, in several clinical trials. Electronic patient-reported outcome collection is now being implemented across broader clinical practice settings but with limited evaluation of impact thus far. Wearable devices and mobile apps provide opportunities to collect additional PGHD, including continuous physiologic measures, and to generate algorithms with which to monitor patients with cancer and guide interventions. In this article, we discuss several topics related to PGHD and technology, including electronic patient-reported outcomes, mobile apps, and wearable devices and how their introduction into oncology care has the potential to improve the collection and use of PGHD in the future. We also highlight the challenges and future directions needed for mobile and wearable technologies to provide meaningful information that can be acted upon and thus can improve oncologic care.
随着先进的移动和可穿戴技术的出现，人们对利用这些设备来帮助收集和分析患者生成的健康数据（PGHD）产生了兴趣。这些信息可以用于更好地解决健康问题，辅助治疗决策，并指导干预策略以改善治疗效果。在 PGHD 中，电子患者报告的结果，即通过经过验证的量表和问卷直接报告的患者体验，越来越多地被整合到常规临床实践中，以监测患者的状态。几项临床试验表明，电子患者报告的结果可以改善治疗效果，包括症状控制、生活质量和总体生存率。电子患者报告结果的采集现在已经在更广泛的临床实践环境中实施，但迄今为止，对其影响的评估还很有限。可穿戴设备和移动应用程序提供了收集其他 PGHD 的机会，包括连续的生理测量，并生成可以监测癌症患者和指导干预的算法。在本文中，我们讨论了与 PGHD 和技术相关的几个主题，包括电子患者报告的结果、移动应用程序和可穿戴设备，以及它们在肿瘤学护理中的引入如何有潜力改善未来 PGHD 的收集和使用。我们还强调了移动和可穿戴技术需要克服的挑战和未来发展方向，以提供有意义的信息，从而可以改善肿瘤学护理。
