Identifying Early Dehydration Risk With Home-Based Sensors During Radiation Treatment: A Feasibility Study on Patients With Head and Neck Cancer
Identifieur interne : 000335 ( Main/Merge ); précédent : 000334; suivant : 000336Identifying Early Dehydration Risk With Home-Based Sensors During Radiation Treatment: A Feasibility Study on Patients With Head and Neck Cancer
Auteurs : Susan K. Peterson ; Eileen H. Shinn ; Karen Basen-Engquist ; Wendy Demark-Wahnefried ; Alexander V. Prokhorov ; Chaitanya Baru ; Ingolf H. Krueger ; Emilia Farcas ; Philip Rios ; Adam S. Garden ; Beth M. Beadle ; Kai Lin ; Yan Yan ; Stephanie L. Martch ; Kevin PatrickSource :
- Journal of the National Cancer Institute. Monographs [ 1052-6773 ] ; 2013.
English descriptors
- KwdEn :
- MESH :
- diagnosis : Dehydration.
- instrumentation : Remote Sensing Technology.
- methods : Remote Sensing Technology.
- radiotherapy : Head and Neck Neoplasms.
- Adult, Aged, Aged, 80 and over, Computers, Handheld, Feasibility Studies, Female, Humans, Internet, Male, Middle Aged, Surveys and Questionnaires.
Abstract
Systems that enable remote monitoring of patients’ symptoms and other health-related outcomes may optimize cancer care outside of the clinic setting. CYCORE (
Head and neck cancer patients used home-based sensors to capture weight, blood pressure, pulse, and patient-reported outcomes for two 5-day periods during radiation therapy. Data were sent to the radiation oncologist of each head and neck cancer patient, who viewed them online via a Web-based interface. Feasibility outcomes included study completion rate, acceptability and perceived usefulness of the intervention, and adherence to the monitoring protocol. We also evaluated whether sensor data could identify dehydration-related events.
Fifty patients consented to participate, and 48 (96%) completed the study. More than 90% of patients rated their ease, self-efficacy, and satisfaction regarding use of the sensor suite as extremely favorable, with minimal concerns expressed regarding data privacy issues. Patients highly valued the ability to have immediate access to objective, self-monitoring data related to personal risk for dehydration. Clinician assessments indicated a high degree of satisfaction with the ease of using the CYCORE system and the resulting ability to monitor their patients remotely.
Implementing CYCORE in a clinical oncology care setting is feasible and highly acceptable to both patients and providers.
Url:
DOI: 10.1093/jncimonographs/lgt016
PubMed: 24395986
PubMed Central: 3881993
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PMC:3881993Le document en format XML
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Shinn</name></author><author><name sortKey="Basen Engquist, Karen" sort="Basen Engquist, Karen" uniqKey="Basen Engquist K" first="Karen" last="Basen-Engquist">Karen Basen-Engquist</name></author><author><name sortKey="Demark Wahnefried, Wendy" sort="Demark Wahnefried, Wendy" uniqKey="Demark Wahnefried W" first="Wendy" last="Demark-Wahnefried">Wendy Demark-Wahnefried</name></author><author><name sortKey="Prokhorov, Alexander V" sort="Prokhorov, Alexander V" uniqKey="Prokhorov A" first="Alexander V." last="Prokhorov">Alexander V. Prokhorov</name></author><author><name sortKey="Baru, Chaitanya" sort="Baru, Chaitanya" uniqKey="Baru C" first="Chaitanya" last="Baru">Chaitanya Baru</name></author><author><name sortKey="Krueger, Ingolf H" sort="Krueger, Ingolf H" uniqKey="Krueger I" first="Ingolf H." last="Krueger">Ingolf H. Krueger</name></author><author><name sortKey="Farcas, Emilia" sort="Farcas, Emilia" uniqKey="Farcas E" first="Emilia" last="Farcas">Emilia Farcas</name></author><author><name sortKey="Rios, Philip" sort="Rios, Philip" uniqKey="Rios P" first="Philip" last="Rios">Philip Rios</name></author><author><name sortKey="Garden, Adam S" sort="Garden, Adam S" uniqKey="Garden A" first="Adam S." last="Garden">Adam S. Garden</name></author><author><name sortKey="Beadle, Beth M" sort="Beadle, Beth M" uniqKey="Beadle B" first="Beth M." last="Beadle">Beth M. Beadle</name></author><author><name sortKey="Lin, Kai" sort="Lin, Kai" uniqKey="Lin K" first="Kai" last="Lin">Kai Lin</name></author><author><name sortKey="Yan, Yan" sort="Yan, Yan" uniqKey="Yan Y" first="Yan" last="Yan">Yan Yan</name></author><author><name sortKey="Martch, Stephanie L" sort="Martch, Stephanie L" uniqKey="Martch S" first="Stephanie L." last="Martch">Stephanie L. Martch</name></author><author><name sortKey="Patrick, Kevin" sort="Patrick, Kevin" uniqKey="Patrick K" first="Kevin" last="Patrick">Kevin Patrick</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24395986</idno><idno type="pmc">3881993</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3881993</idno><idno type="RBID">PMC:3881993</idno><idno type="doi">10.1093/jncimonographs/lgt016</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">000369</idno><idno type="wicri:Area/Pmc/Curation">000369</idno><idno type="wicri:Area/Pmc/Checkpoint">000314</idno><idno type="wicri:source">PubMed</idno><idno type="wicri:Area/PubMed/Corpus">000024</idno><idno type="wicri:Area/PubMed/Curation">000024</idno><idno type="wicri:Area/PubMed/Checkpoint">000024</idno><idno type="wicri:Area/Ncbi/Merge">000487</idno><idno type="wicri:Area/Ncbi/Curation">000487</idno><idno type="wicri:Area/Ncbi/Checkpoint">000487</idno><idno type="wicri:doubleKey">1052-6773:2013:Peterson S:identifying:early:dehydration</idno><idno type="wicri:Area/Main/Merge">000335</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Identifying Early Dehydration Risk With Home-Based Sensors During Radiation Treatment: A Feasibility Study on Patients With Head and Neck Cancer</title><author><name sortKey="Peterson, Susan K" sort="Peterson, Susan K" uniqKey="Peterson S" first="Susan K." last="Peterson">Susan K. Peterson</name></author><author><name sortKey="Shinn, Eileen H" sort="Shinn, Eileen H" uniqKey="Shinn E" first="Eileen H." last="Shinn">Eileen H. Shinn</name></author><author><name sortKey="Basen Engquist, Karen" sort="Basen Engquist, Karen" uniqKey="Basen Engquist K" first="Karen" last="Basen-Engquist">Karen Basen-Engquist</name></author><author><name sortKey="Demark Wahnefried, Wendy" sort="Demark Wahnefried, Wendy" uniqKey="Demark Wahnefried W" first="Wendy" last="Demark-Wahnefried">Wendy Demark-Wahnefried</name></author><author><name sortKey="Prokhorov, Alexander V" sort="Prokhorov, Alexander V" uniqKey="Prokhorov A" first="Alexander V." last="Prokhorov">Alexander V. Prokhorov</name></author><author><name sortKey="Baru, Chaitanya" sort="Baru, Chaitanya" uniqKey="Baru C" first="Chaitanya" last="Baru">Chaitanya Baru</name></author><author><name sortKey="Krueger, Ingolf H" sort="Krueger, Ingolf H" uniqKey="Krueger I" first="Ingolf H." last="Krueger">Ingolf H. Krueger</name></author><author><name sortKey="Farcas, Emilia" sort="Farcas, Emilia" uniqKey="Farcas E" first="Emilia" last="Farcas">Emilia Farcas</name></author><author><name sortKey="Rios, Philip" sort="Rios, Philip" uniqKey="Rios P" first="Philip" last="Rios">Philip Rios</name></author><author><name sortKey="Garden, Adam S" sort="Garden, Adam S" uniqKey="Garden A" first="Adam S." last="Garden">Adam S. Garden</name></author><author><name sortKey="Beadle, Beth M" sort="Beadle, Beth M" uniqKey="Beadle B" first="Beth M." last="Beadle">Beth M. Beadle</name></author><author><name sortKey="Lin, Kai" sort="Lin, Kai" uniqKey="Lin K" first="Kai" last="Lin">Kai Lin</name></author><author><name sortKey="Yan, Yan" sort="Yan, Yan" uniqKey="Yan Y" first="Yan" last="Yan">Yan Yan</name></author><author><name sortKey="Martch, Stephanie L" sort="Martch, Stephanie L" uniqKey="Martch S" first="Stephanie L." last="Martch">Stephanie L. Martch</name></author><author><name sortKey="Patrick, Kevin" sort="Patrick, Kevin" uniqKey="Patrick K" first="Kevin" last="Patrick">Kevin Patrick</name></author></analytic><series><title level="j">Journal of the National Cancer Institute. Monographs</title><idno type="ISSN">1052-6773</idno><idno type="eISSN">1745-6614</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Computers, Handheld</term><term>Dehydration (diagnosis)</term><term>Feasibility Studies</term><term>Female</term><term>Head and Neck Neoplasms (radiotherapy)</term><term>Humans</term><term>Internet</term><term>Male</term><term>Middle Aged</term><term>Remote Sensing Technology (instrumentation)</term><term>Remote Sensing Technology (methods)</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Dehydration</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Remote Sensing Technology</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Remote Sensing Technology</term></keywords><keywords scheme="MESH" qualifier="radiotherapy" xml:lang="en"><term>Head and Neck Neoplasms</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Computers, Handheld</term><term>Feasibility Studies</term><term>Female</term><term>Humans</term><term>Internet</term><term>Male</term><term>Middle Aged</term><term>Surveys and Questionnaires</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Systems that enable remote monitoring of patients’ symptoms and other health-related outcomes may optimize cancer care outside of the clinic setting. CYCORE (<bold>CY</bold>berinfrastructure for <bold>CO</bold>mparative effectiveness <bold>RE</bold>search) is a software-based prototype for a user-friendly cyberinfrastructure supporting the comprehensive collection and analyses of data from multiple domains using a suite of home-based and mobile sensors. This study evaluated the feasibility of using CYCORE to address early at-home identification of dehydration risk in head and neck cancer patients undergoing radiation therapy.</p></sec><sec><title>Methods</title><p>Head and neck cancer patients used home-based sensors to capture weight, blood pressure, pulse, and patient-reported outcomes for two 5-day periods during radiation therapy. Data were sent to the radiation oncologist of each head and neck cancer patient, who viewed them online via a Web-based interface. Feasibility outcomes included study completion rate, acceptability and perceived usefulness of the intervention, and adherence to the monitoring protocol. We also evaluated whether sensor data could identify dehydration-related events.</p></sec><sec><title>Results</title><p>Fifty patients consented to participate, and 48 (96%) completed the study. More than 90% of patients rated their ease, self-efficacy, and satisfaction regarding use of the sensor suite as extremely favorable, with minimal concerns expressed regarding data privacy issues. Patients highly valued the ability to have immediate access to objective, self-monitoring data related to personal risk for dehydration. Clinician assessments indicated a high degree of satisfaction with the ease of using the CYCORE system and the resulting ability to monitor their patients remotely.</p></sec><sec><title>Conclusion</title><p>Implementing CYCORE in a clinical oncology care setting is feasible and highly acceptable to both patients and providers.</p></sec></div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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