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Stuijt DG, Radanovic I, Kos M, Schoones JW, Stuurman FE, Exadaktylos V, Bins AD, Bosch JJ, van Oijen MG. Smartphone-Based Passive Sensing in Monitoring Patients With Cancer: A Systematic Review. JCO Clin Cancer Inform 2023; 7:e2300141. [PMID: 38033281 PMCID: PMC10703123 DOI: 10.1200/cci.23.00141] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2023] [Revised: 09/08/2023] [Accepted: 10/11/2023] [Indexed: 12/02/2023] Open
Abstract
PURPOSE Patients with cancer are prone to frequent unplanned hospital visits because of disease or treatment complications. Smartphone-based passive sensing (SBPS) comprises data collection using smartphone sensors or device usage patterns, which may be an affordable and burdenless technique for remote monitoring of patients with cancer and timely detection of safety events. The aim of this article was to systematically review the published literature to identify the current state of SBPS in oncology care and research. METHODS A literature search was done with cutoff date July 29, 2022, using six different databases. Articles were included if they reported original studies using SBPS in patients with cancer or cancer survivors. Data extracted from studies included type of sensors used, cancer type, study objectives, and main findings. RESULTS Twelve studies were included, the oldest report being from 2017. The most frequent of the nine analyzed sensors and smartphone analytics was the accelerometer (eight studies) and geolocation (eight studies), followed by call logs (two studies). Breast cancer was the most studied cancer type (eight studies with 111 patients), followed by GI cancers (six studies with 133 patients). All studies aiming for feasibility concluded that SBPS in oncology was feasible (seven studies). SBPS was used as a monitoring tool, with passively sensed data being correlated with adverse events, symptom burden, cancer-related fatigue, decision conflict, recovery trends after surgery, or psychosocial impact. SBPS was also used in one study as a predictive tool for health deterioration. CONCLUSION SBPS shows early promise in oncology, although it cannot yet replace traditional tools to monitor quality of life and clinical outcomes. For this, validation of SBPS will be required. Therefore, further research is warranted with this developing technique.
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Affiliation(s)
- Dominique G. Stuijt
- Centre for Human Drug Research, Leiden, the Netherlands
- Department of Medical Oncology, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, the Netherlands
| | | | - Milan Kos
- Department of Medical Oncology, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, the Netherlands
- Cancer Center Amsterdam, Theme Therapy, Amsterdam, the Netherlands
| | - Jan W. Schoones
- Directorate of Research Policy, Leiden University Medical Center, Leiden, the Netherlands
| | - Frederik E. Stuurman
- Department Clinical Pharmacology and Toxicology, Leiden University Medical Center, Leiden, the Netherlands
| | | | - Adriaan D. Bins
- Department of Medical Oncology, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, the Netherlands
- Cancer Center Amsterdam, Theme Therapy, Amsterdam, the Netherlands
| | | | - Martijn G.H. van Oijen
- Department of Medical Oncology, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, the Netherlands
- Cancer Center Amsterdam, Theme Therapy, Amsterdam, the Netherlands
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Elgendi M, Wu W, Guan C, Menon C. Revolutionizing smartphone gyrocardiography for heart rate monitoring: overcoming clinical validation hurdles. Front Cardiovasc Med 2023; 10:1237043. [PMID: 37692045 PMCID: PMC10485384 DOI: 10.3389/fcvm.2023.1237043] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2023] [Accepted: 08/14/2023] [Indexed: 09/12/2023] Open
Abstract
Accurate heart rate (HR) measurement is crucial for optimal cardiac health, and while conventional methods such as electrocardiography and photoplethysmography are widely used for continuous daily monitoring, they may face practical limitations due to their dependence on external sensors and susceptibility to motion artifacts. In recent years, mechanocardiography (MCG)-based technologies, such as gyrocardiography (GCG) and seismocardiography (SCG), have emerged as promising alternatives to address these limitations. GCG has shown enhanced sensitivity and accuracy for HR detection compared to SCG, although its benefits are often overlooked in the context of the widespread use of accelerometers in HR monitoring applications. In this perspective, we aim to explore the potential and challenges of GCG, while recognizing that other technologies, including photoplethysmography and remote photoplethysmography, also have promising applications for HR monitoring. We propose a roadmap for future research to unlock the transformative capabilities of GCG for everyday heart rate monitoring.
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Affiliation(s)
- Mohamed Elgendi
- Biomedical and Mobile Health Technology Lab, Department of Health Sciences and Technology, ETH Zurich, Zurich, Switzerland
| | - Wenshan Wu
- Biomedical and Mobile Health Technology Lab, Department of Health Sciences and Technology, ETH Zurich, Zurich, Switzerland
- School of Computer Science and Engineering, Nanyang Technological University, Singapore, Singapore
| | - Cuntai Guan
- School of Computer Science and Engineering, Nanyang Technological University, Singapore, Singapore
| | - Carlo Menon
- Biomedical and Mobile Health Technology Lab, Department of Health Sciences and Technology, ETH Zurich, Zurich, Switzerland
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Elkaddoum R, Zakhour J, Hajal M, Aoun M, Njeim M, Mahrous M, Al-Shamsi HO, Brahim ZB, Khatib SA, Kourie HR. Improving the management of ALK-rearranged non-small-cell lung cancer through a mobile application: a physicians-based survey. Pharmacogenomics 2023; 24:725-730. [PMID: 37706248 DOI: 10.2217/pgs-2023-0111] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/15/2023] Open
Abstract
Background: ALK rearrangements account for around 5% of non-small-cell lung cancers. Aim: This study surveys physicians on the potential efficacy of a mobile application in improving the management of ALK-rearranged non-small-cell lung cancer, through knowledge, treatment adherence and real-time adverse events reporting. Materials & methods: A total of 118 physicians from 11 countries in the Middle East participated. Results & conclusion: Results indicate 94% support for enhancing team communication via an application, and 93% believe real-time adverse events reporting improves the quality of care. Participants found an ALK-rearrangement patient-physicians forum valuable for communication improvement. Motivations for application use included treatment planning (73%), care enhancement (60%) and contributing to publications (40%).
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Affiliation(s)
- Ronaldo Elkaddoum
- Department of Hematology-Oncology, Faculty of Medicine, Saint Joseph University, Beirut, 11-5076-Riad El Solh, Lebanon
| | - John Zakhour
- Department of Hematology-Oncology, Faculty of Medicine, Saint Joseph University, Beirut, 11-5076-Riad El Solh, Lebanon
| | - Mary Hajal
- Department of Hematology-Oncology, Faculty of Medicine, Saint Joseph University, Beirut, 11-5076-Riad El Solh, Lebanon
| | - Maroun Aoun
- Department of Hematology-Oncology, Faculty of Medicine, Saint Joseph University, Beirut, 11-5076-Riad El Solh, Lebanon
| | - Maria Njeim
- Department of Hematology-Oncology, Faculty of Medicine, Saint Joseph University, Beirut, 11-5076-Riad El Solh, Lebanon
| | - Mirvat Mahrous
- Prince Sultan Military Medical City, Riyadh 12233, Saudi ArabiaKSA and Faculty Of Medicine, Minia University, Egypt
| | - Humaid O Al-Shamsi
- Department of Oncology, Burjeel Cancer Institute, P.O. Box 92510, Abu Dhabi, United Arab Emirates; Innovation and Research Center, Burjeel Cancer Institute, Abu Dhabi, United Arab Emirates; College of Medicine, University of Sharjah, Sharjah, United Arab Emirates; Emirates Oncology Society, Dubai, United Arab Emirates
| | - Zineb Ben Brahim
- Faculty of Medicine, Pharmacy and Dental Medicine of Fez, University Sidi Mohamed Benabdellah, 30070, Fez, Morocco
| | - Sami A Khatib
- Private practice, Al Khaldi Hospital, 11183, Amman, Jordan
| | - Hampig Raphael Kourie
- Department of Hematology-Oncology, Faculty of Medicine, Saint Joseph University, Beirut, 11-5076-Riad El Solh, Lebanon
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Amiri P, Ahmadian L, Khajouei R. The applications and the effectiveness of mHealth interventions to manage lung cancer patients: a systematic review. HEALTH AND TECHNOLOGY 2023. [DOI: 10.1007/s12553-023-00735-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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Abdulkarem AB, Saud AHM, Abd Allatef MM, Sauod AMA, Abdulkareem MB, Shantaf AM. Internet of Thing for Personalhealthcare Monitoring System. 2022 INTERNATIONAL CONGRESS ON HUMAN-COMPUTER INTERACTION, OPTIMIZATION AND ROBOTIC APPLICATIONS (HORA) 2022. [DOI: 10.1109/hora55278.2022.9800008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/02/2023]
Affiliation(s)
| | | | | | | | | | - Ahmed Muhi Shantaf
- Al-Maarif University College,Dept. Computer Engineering Techniques,Ramadi,Iraq
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Scotti Requena S, Sterling M, Elphinston RA, Ritchie C, Robins S, R Armfield N. Development and use of mobile messaging for individuals with musculoskeletal pain conditions: a scoping review protocol. BMJ Open 2021; 11:e048964. [PMID: 34253673 PMCID: PMC8276305 DOI: 10.1136/bmjopen-2021-048964] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
INTRODUCTION Previous reviews of mobile messaging for individuals with musculoskeletal pain have shown positive effects on pain and disability. However, the configuration of digital content, method of presentation and interaction, dose and frequency needed for optimal results remain unclear. Patient preferences concerning such systems are also unclear. Addressing these knowledge gaps, incorporating evidence from both experimental and observational studies, may be useful to understand the extent of the relevant literature, and to influence the design and outcomes of future messaging systems. We aim to map information that could be influential in the design of future mobile messaging systems for individuals with musculoskeletal pain conditions, and to summarise the findings of efficacy, effectiveness, and economics derived from both experimental and observational studies. METHODS AND ANALYSIS We will include studies describing the development and/or use of mobile messaging to support adults (≥18 years) with acute or chronic musculoskeletal pain. We will exclude digital health studies that lack a mobile messaging component, or those targeted at other health conditions unrelated to the bones, muscles and connective tissues, or involving surgical or patients with cancer, or studies involving solely healthy individuals. Our sources of information will be online databases and reference lists of relevant papers. We will include papers published in English in the last 10 years. Two pairs of independent reviewers will screen, select and extract the data, with any disagreements mediated by a third reviewer. We will report the results according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews checklist. We will synthesise the findings in a tabular format and provide a descriptive summary. ETHICS AND DISSEMINATION Formal ethical approval is not required. We will disseminate the findings through publication in a peer-reviewed journal, relevant conferences, and relevant consumer forums. TRIAL REGISTRATION Open Science Framework https://osf.io/8mzya; DOI: 10.17605/OSF.IO/8MZYA.
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Affiliation(s)
- Simone Scotti Requena
- RECOVER Injury Research Centre, The University of Queensland, Herston, Queensland, Australia
| | - Michele Sterling
- RECOVER Injury Research Centre, The University of Queensland, Herston, Queensland, Australia
- NHMRC Centre for Research Excellence in Road Traffic Injury Recovery, Herston, Queensland, Australia
| | - Rachel A Elphinston
- RECOVER Injury Research Centre, The University of Queensland, Herston, Queensland, Australia
- NHMRC Centre for Research Excellence in Road Traffic Injury Recovery, Herston, Queensland, Australia
- School of Psychology, The University of Queensland, Saint Lucia, Queensland, Australia
| | - Carrie Ritchie
- RECOVER Injury Research Centre, The University of Queensland, Herston, Queensland, Australia
| | - Sarah Robins
- RECOVER Injury Research Centre, The University of Queensland, Herston, Queensland, Australia
| | - Nigel R Armfield
- RECOVER Injury Research Centre, The University of Queensland, Herston, Queensland, Australia
- Centre for Health Services Research, The University of Queensland, Wooloongabba, Queensland, Australia
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Salmani H, Ahmadi M, Shahrokhi N. The Impact of Mobile Health on Cancer Screening: A Systematic Review. Cancer Inform 2020; 19:1176935120954191. [PMID: 33116352 PMCID: PMC7573752 DOI: 10.1177/1176935120954191] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2020] [Accepted: 08/11/2020] [Indexed: 01/15/2023] Open
Abstract
Introduction: Mobile health is an emerging technology around the world that can be effective in cancer screening. This study aimed to examine the effectiveness of mobile health applications on cancer screening. Methods: We conducted a systematic literature review of studies related to the use of mobile health applications in cancer screening. We also conducted a comprehensive search of articles on cancer screening related to the use of mobile health applications in journals published between January 1, 2008, and January 31, 2019, using 5 databases: IEEE, Scopus, Web of Science, Science Direct and PubMed. Results: A total of 23 articles met the inclusion criteria and were included in the present review. All studies have identified positive effects of applications on cancer screening and clinical health outcomes. Furthermore, more than half of mobile applications had multiple functions such as providing information, planning and education. Moreover, most of the studies, which examined the satisfaction of patients and quality improvement, showed healthcare application users have significantly higher satisfaction of living and it leads to improving quality. Conclusion: This study found that the use of mobile health applications has a positive impact on health-related behaviours and outcomes. Application users were more satisfied with applying mobile health applications to manage their health condition in comparison with users who received conventional care.
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Affiliation(s)
- Hosna Salmani
- School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
| | - Maryam Ahmadi
- School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
| | - Nafiseh Shahrokhi
- School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
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Moura P, Fazendeiro P, Inácio PRM, Vieira-Marques P, Ferreira A. Assessing Access Control Risk for mHealth: A Delphi Study to Categorize Security of Health Data and Provide Risk Assessment for Mobile Apps. JOURNAL OF HEALTHCARE ENGINEERING 2020; 2020:5601068. [PMID: 32015795 PMCID: PMC6988678 DOI: 10.1155/2020/5601068] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/11/2019] [Revised: 10/07/2019] [Accepted: 10/28/2019] [Indexed: 11/25/2022]
Abstract
Background Smartphones can tackle healthcare stakeholders' diverse needs. Nonetheless, the risk of data disclosure/breach can be higher when using such devices, due to the lack of adequate security and the fact that a medical record has a significant higher financial value when compared with other records. Means to assess those risks are required for every mHealth application interaction, dependent and independent of its goals/content. Objective To present a risk assessment feature integration into the SoTRAACE (Socio-Technical Risk-Adaptable Access Control) model, as well as the operationalization of the related mobile health decision policies. Methods Since there is still a lack of a definition for health data security categorization, a Delphi study with security experts was performed for this purpose, to reflect the knowledge of security experts and to be closer to real-life situations and their associated risks. Results The Delphi study allowed a consensus to be reached on eleven risk factors of information security related to mobile applications that can easily be adapted into the described SoTRAACE prototype. Within those risk factors, the most significant five, as assessed by the experts, and in descending order of risk level, are as follows: (1) security in the communication (e.g., used security protocols), (2) behavioural differences (e.g., different or outlier patterns of behaviour detected for a user), (3) type of wireless connection and respective encryption, (4) resource sensitivity, and (5) device threat level (e.g., known vulnerabilities associated to a device or its operating system). Conclusions Building adaptable, risk-aware resilient access control models into the most generalized technology used nowadays (e.g., smartphones) is crucial to fulfil both the goals of users as well as security and privacy requirements for healthcare data.
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Affiliation(s)
- Pedro Moura
- CINTESIS—Center for Health Technologies and Services Research, Faculty of Medicine, University of Porto, Porto, Portugal
- Department of Computer Science, Universidade da Beira Interior and Instituto de Telecomunicações, Covilhã, Portugal
| | - Paulo Fazendeiro
- Department of Computer Science, Universidade da Beira Interior and Instituto de Telecomunicações, Covilhã, Portugal
| | - Pedro R. M. Inácio
- Department of Computer Science, Universidade da Beira Interior and Instituto de Telecomunicações, Covilhã, Portugal
| | - Pedro Vieira-Marques
- CINTESIS—Center for Health Technologies and Services Research, Faculty of Medicine, University of Porto, Porto, Portugal
| | - Ana Ferreira
- CINTESIS—Center for Health Technologies and Services Research, Faculty of Medicine, University of Porto, Porto, Portugal
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Majumder S, Deen MJ. Smartphone Sensors for Health Monitoring and Diagnosis. SENSORS (BASEL, SWITZERLAND) 2019; 19:E2164. [PMID: 31075985 PMCID: PMC6539461 DOI: 10.3390/s19092164] [Citation(s) in RCA: 117] [Impact Index Per Article: 23.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/29/2019] [Revised: 04/27/2019] [Accepted: 04/30/2019] [Indexed: 12/29/2022]
Abstract
Over the past few decades, we have witnessed a dramatic rise in life expectancy owing to significant advances in medical science and technology, medicine as well as increased awareness about nutrition, education, and environmental and personal hygiene. Consequently, the elderly population in many countries are expected to rise rapidly in the coming years. A rapidly rising elderly demographics is expected to adversely affect the socioeconomic systems of many nations in terms of costs associated with their healthcare and wellbeing. In addition, diseases related to the cardiovascular system, eye, respiratory system, skin and mental health are widespread globally. However, most of these diseases can be avoided and/or properly managed through continuous monitoring. In order to enable continuous health monitoring as well as to serve growing healthcare needs; affordable, non-invasive and easy-to-use healthcare solutions are critical. The ever-increasing penetration of smartphones, coupled with embedded sensors and modern communication technologies, make it an attractive technology for enabling continuous and remote monitoring of an individual's health and wellbeing with negligible additional costs. In this paper, we present a comprehensive review of the state-of-the-art research and developments in smartphone-sensor based healthcare technologies. A discussion on regulatory policies for medical devices and their implications in smartphone-based healthcare systems is presented. Finally, some future research perspectives and concerns regarding smartphone-based healthcare systems are described.
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Affiliation(s)
- Sumit Majumder
- Department of Electrical and Computer Engineering, McMaster University, Hamilton, ON L8S 4L8, Canada.
| | - M Jamal Deen
- Department of Electrical and Computer Engineering, McMaster University, Hamilton, ON L8S 4L8, Canada.
- School of Biomedical Engineering, McMaster University, Hamilton, ON L8S 4L8, Canada.
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Snyder CW, Dorsey ER, Atreja A. The Best Digital Biomarkers Papers of 2017. Digit Biomark 2018; 2:64-73. [PMID: 32095757 PMCID: PMC7015358 DOI: 10.1159/000489224] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2018] [Accepted: 04/13/2018] [Indexed: 12/24/2022] Open
Abstract
The use and evaluation of digital biomarkers, objective and quantifiable measures of biology, and health collected through digital devices is growing rapidly. To highlight some of the most promising work in the field, we have compiled a list of the top digital biomarkers papers from the past year. Eligible papers reported on original research that evaluated a digital sensor (e.g., smartphone, wearable sensor, implantable device) in humans and was published in a peer-reviewed journal in 2017. Nominations were solicited from the editorial board of Digital Biomarkers and supplemented by papers the editorial team identified from Web of Science, Google Scholar, and PubMed. The editorial board then selected up to ten papers to be recognized among 28 nominations. Here, we present all of the nominated papers and profile the eight that received the most votes. The top eight papers evaluated 1,290 individuals with digital pills, smartwatches, wearable devices, and electronic inhalers in disease states ranging from dementia to diabetes and from Parkinson disease to pain.
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Affiliation(s)
- Christopher W. Snyder
- Center for Health + Technology, University of Rochester Medical Center, Rochester, New York, USA
| | - E. Ray Dorsey
- Center for Health + Technology, University of Rochester Medical Center, Rochester, New York, USA
| | - Ashish Atreja
- AppLab, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA
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