Hariprasad Roopa, Chalga Manjeet Singh, Kedar Ashwini, Kumar Vipin, Goala Subhadra, Tapkire Ritesh, Kannan Ravi
Centre for Evidence for Guidelines, Department of Health Research, New Delhi, India.
YRG CARE, Old No. 15, New No. 34, East Street, Kilpauk Garden Colony, Chennai, India.
Asian Pac J Cancer Prev. 2025 Jan 1;26(1):127-136. doi: 10.31557/APJCP.2025.26.1.127.
Cancer remains a leading cause of morbidity and mortality globally, with India experiencing a significant cancer burden. Effective population-based cancer screening is crucial for early detection and reduction of cancer-related deaths. This study aims to develop a mobile application-based Cancer Screening and Surveillance System (CSMS) to enhance the efficiency and effectiveness of population-based cancer screening by community health workers (CHWs).
An applied research approach was employed, integrating traditional cancer screening procedures with a newly developed mobile application system. The CSMS includes an Android-based mobile application and a web portal designed for real-time data collection, monitoring, and rapid referral of screen-positive cases. The system was piloted in the Cachar district of Assam and training sessions were conducted to equip CHWs with traditional cancer screening procedures and the necessary skills to utilize the mobile application for cancer screening. 199 CHWs were trained and screened eligible population of 73,630 individuals.
The mobile application facilitated efficient data collection and synchronization with a central server, enabling timely referrals and follow-ups. The system supported comprehensive data management, ensuring patient privacy and data security. The pilot implementation demonstrated improved screening coverage and streamlined referral processes, highlighting the system's potential to enhance cancer screening programs.
Mobile application-based Cancer Screening and Surveillance System provides a cost-effective and robust solution for population-based cancer screening. The developed system can improve data accuracy, facilitate timely referral and aid in early detection of cancer. Further studies should be conducted to evaluate the impact of the developed system and its scalability in more diverse settings.
癌症仍是全球发病和死亡的主要原因，印度面临着巨大的癌症负担。有效的基于人群的癌症筛查对于早期发现和减少癌症相关死亡至关重要。本研究旨在开发一种基于移动应用程序的癌症筛查与监测系统（CSMS），以提高社区卫生工作者（CHWs）进行基于人群的癌症筛查的效率和效果。
采用应用研究方法，将传统癌症筛查程序与新开发的移动应用系统相结合。CSMS包括一个基于安卓的移动应用程序和一个用于实时数据收集、监测以及对筛查呈阳性病例进行快速转诊的门户网站。该系统在阿萨姆邦的卡恰尔地区进行了试点，并开展了培训课程，以使社区卫生工作者掌握传统癌症筛查程序以及使用移动应用程序进行癌症筛查所需的技能。199名社区卫生工作者接受了培训，并对73630名符合条件的人群进行了筛查。
移动应用程序促进了高效的数据收集以及与中央服务器的同步，实现了及时转诊和随访。该系统支持全面的数据管理，确保了患者隐私和数据安全。试点实施表明筛查覆盖率有所提高，转诊流程更加顺畅，突出了该系统在加强癌症筛查项目方面的潜力。
基于移动应用程序的癌症筛查与监测系统为基于人群的癌症筛查提供了一种经济高效且强大的解决方案。所开发的系统可以提高数据准确性，促进及时转诊，并有助于癌症的早期发现。应进一步开展研究，以评估所开发系统的影响及其在更多样化环境中的可扩展性。
