# Electronic patient-reported outcomes and remote monitoring

Source: https://onco.cc/technologies/remote-patient-monitoring/  
OnCo record `remote-patient-monitoring` (Technology). Data CC BY-NC 4.0, attribute "Data from OnCo (onco.cc)"; commercial use needs a licence.

## TL;DR

Apps and sensors that let patients report symptoms between visits, which in trials improved survival and cut emergency visits.

## Summary

Basch's randomised trials (JCO 2016; JAMA 2017; PRO-TECT 2022) showed weekly symptom reporting with nurse alerts improved quality of life, reduced ER visits, and in one trial extended survival by five months. Platforms: Kaiku Health (Elekta), Noona (Varian), Carevive, Memora Health, Navigating Cancer, Canopy, and EHR-native tools (Epic); several of the smaller vendors have merged or closed, so verify current availability. Wearables and passive monitoring (activity, heart rate) are being validated as endpoints.

## Fields

- Kind: Technology
- Status: established
- Last checked: 2026-09-08
- Tags: supporting
- Principle: Validated PRO instruments (PRO-CTCAE) delivered on schedule, threshold alerts routed to clinical teams, and dashboards integrated with the EHR.
- Strengths: Level-1 evidence for benefit; Low cost
- Limitations: Alert fatigue and staffing; Digital access gaps; Reimbursement uneven

## Sources

- Basch: asking patients to report symptoms online during chemotherapy improved survival (JAMA 2017): https://doi.org/10.1001/jama.2017.7156

## Connected records

- fronts: [AI & Computation](https://onco.cc/fronts/ai-computation/), [Supportive Care & Survivorship](https://onco.cc/fronts/supportive-care/)
- technologies: [Decentralised and hybrid clinical trials](https://onco.cc/technologies/decentralised-clinical-trials/), [Exercise & lifestyle oncology](https://onco.cc/technologies/exercise-oncology/), [Infusion pumps, ports, and ambulatory chemotherapy devices](https://onco.cc/technologies/infusion-devices-vascular-access/), [Prospective surveillance: looking for the problem before it becomes a disability](https://onco.cc/technologies/rejuv-rehab-prospective-surveillance/), [Telemedicine, teleoncology, and telepathology](https://onco.cc/technologies/telemedicine-teleoncology/)
- companies: [Canopy](https://onco.cc/companies/canopy/), [Careology](https://onco.cc/companies/careology/), [Elekta](https://onco.cc/companies/elekta/), [Kaiku Health (Elekta)](https://onco.cc/companies/kaiku-health/), [Liyfe](https://onco.cc/companies/liyfe/), [Reimagine Care](https://onco.cc/companies/reimagine-care/), [Varian (Siemens Healthineers)](https://onco.cc/companies/varian/)
- key papers: [Basch: asking patients to report symptoms online during chemotherapy improved survival](https://onco.cc/key-papers/paper-basch-epro-survival-jama-2017/)
- terms: [Quality of life and patient-reported outcomes (QoL, PRO)](https://onco.cc/terms/qol-pro/)
- roadmaps: [Supportive care and survivorship roadmap: making treatment bearable → proving it extends life → caring for tens of millions afterwards](https://onco.cc/roadmaps/survivorship-roadmap/), [Trial modernisation roadmap: the randomised trial → platforms and adaptive designs → decentralised, pragmatic and always-on](https://onco.cc/roadmaps/trial-modernisation-roadmap/)

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