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Integrating 4 methods to evaluate physical function in patients with cancer (In4M): protocol for a prospective cohort
Gita Thanarajasingam1, Paul Kluetz2, Vishal Bhatnagar2
1Division of Hematology, Mayo Clinic, Rochester, Minnesota, USA thanarajasingam.gita@mayo.edu.
BMJ Open
|January 10, 2024
Summary
This study evaluates digital tools for measuring physical function in cancer patients undergoing chemotherapy. Findings will inform clinical trials and oncology practice by assessing data from wearables and patient-reported outcomes.
Area of Science:
- Oncology
- Digital Health
- Clinical Trials
Background:
- Accurate physical function assessment is crucial for understanding cancer and treatment impacts.
- Digital health technologies offer new methods for measuring patient symptoms and function.
- Longitudinal measurement characteristics of various assessment types need characterization for clinical decision-making.
Purpose of the Study:
- To characterize longitudinal measurement properties of physical function assessments in cancer patients.
- To evaluate the feasibility and patient experience of multimodal data collection.
- To inform regulatory and clinical decision-making in cancer clinical trials and practice.
Main Methods:
- Prospective study enrolling 200 patients with breast cancer or lymphoma receiving chemotherapy.
- Longitudinal physical function assessments using clinician-reported outcomes, patient-reported outcomes (PROs), and wearable sensors.
- Data aggregation via a patient-centered platform, followed for 9 months.
Main Results:
- Data analysis focuses on variability, sensitivity, and meaningful change in physical function assessments.
- Evaluation of relationships between physical function measures and key clinical outcomes.
- Assessment of the feasibility, usability, and acceptability of data collection methods.
Conclusions:
- Multimodal data collection using digital health tools is feasible in cancer patients.
- Understanding measurement characteristics of physical function assessments is vital for oncology research and practice.
- Patient-centered data aggregation platforms and wearable sensors show promise for real-world oncology applications.
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