Electronic patient-reported outcomes and remote monitoring
Apps and sensors that let patients report symptoms between visits, which in trials improved survival and cut emergency visits.
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.
How it works
Validated PRO instruments (PRO-CTCAE) delivered on schedule, threshold alerts routed to clinical teams, and dashboards integrated with the EHR.
- Level-1 evidence for benefit
- Low cost
- Alert fatigue and staffing
- Digital access gaps
- Reimbursement uneven
Latest papers
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