Digitalization of adverse event management in oncology to improve treatment outcome-A prospective study protocol.

The occurrence of adverse events frequently accompanies tumor treatments. Side effects should be detected and treated as soon as possible to maintain the best possible treatment outcome. Besides the standard reporting system Common Terminology Criteria for Adverse Events (CTCAE), physicians have rec...

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Autores principales: Angelika M R Kestler, Silke D Kühlwein, Johann M Kraus, Julian D Schwab, Robin Szekely, Patrick Thiam, Rolf Hühne, Niels Jahn, Axel Fürstberger, Nensi Ikonomi, Julien Balig, Rainer Schuler, Peter Kuhn, Florian Steger, Thomas Seufferlein, Hans A Kestler
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spelling oai:doaj.org-article:7c4f2bc7cbab4343b2e462efc97fb19c2021-12-02T20:07:19ZDigitalization of adverse event management in oncology to improve treatment outcome-A prospective study protocol.1932-620310.1371/journal.pone.0252493https://doaj.org/article/7c4f2bc7cbab4343b2e462efc97fb19c2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0252493https://doaj.org/toc/1932-6203The occurrence of adverse events frequently accompanies tumor treatments. Side effects should be detected and treated as soon as possible to maintain the best possible treatment outcome. Besides the standard reporting system Common Terminology Criteria for Adverse Events (CTCAE), physicians have recognized the potential of patient-reporting systems. These are based on a more subjective description of current patient reporting symptoms. Patient-reported symptoms are essential to define the impact of a given treatment on the quality of life and the patient's wellbeing. They also act against an underreporting of side effects which are paramount to define the actual value of a treatment for the individual patient. Here, we present a study protocol for a clinical trial that assesses the potential of a smartphone application for CTCAE conform symptom reporting and tracking that is adjusted to the standard clinical reporting system rather than symptom oriented descriptive trial tools. The presented study will be implemented in two parts, both lasting over six months. The first part will assess the feasibility of the application with 30 patients non-randomly divided into three equally-sized age groups (<55years, 55-75years, >75years). In the second part 36 other patients will be randomly assigned to two groups, one reporting using the smartphone and one not. This prospective second part will compare the impact of smartphone reported adverse events regarding applied therapy doses and quality of life to those of patients receiving standard care. We aim for early detection and treatment of adverse events in oncological treatment to improve patients' safety and outcomes. For this purpose, we will capture frequent adverse events of chemotherapies, immunotherapies, or other targeted therapies with our smartphone application. The presented trial is registered at the U.S. National Library of Medicine ClinicalTrials.gov (NCT04493450) on July 30, 2020.Angelika M R KestlerSilke D KühlweinJohann M KrausJulian D SchwabRobin SzekelyPatrick ThiamRolf HühneNiels JahnAxel FürstbergerNensi IkonomiJulien BaligRainer SchulerPeter KuhnFlorian StegerThomas SeufferleinHans A KestlerPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 6, p e0252493 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Angelika M R Kestler
Silke D Kühlwein
Johann M Kraus
Julian D Schwab
Robin Szekely
Patrick Thiam
Rolf Hühne
Niels Jahn
Axel Fürstberger
Nensi Ikonomi
Julien Balig
Rainer Schuler
Peter Kuhn
Florian Steger
Thomas Seufferlein
Hans A Kestler
Digitalization of adverse event management in oncology to improve treatment outcome-A prospective study protocol.
description The occurrence of adverse events frequently accompanies tumor treatments. Side effects should be detected and treated as soon as possible to maintain the best possible treatment outcome. Besides the standard reporting system Common Terminology Criteria for Adverse Events (CTCAE), physicians have recognized the potential of patient-reporting systems. These are based on a more subjective description of current patient reporting symptoms. Patient-reported symptoms are essential to define the impact of a given treatment on the quality of life and the patient's wellbeing. They also act against an underreporting of side effects which are paramount to define the actual value of a treatment for the individual patient. Here, we present a study protocol for a clinical trial that assesses the potential of a smartphone application for CTCAE conform symptom reporting and tracking that is adjusted to the standard clinical reporting system rather than symptom oriented descriptive trial tools. The presented study will be implemented in two parts, both lasting over six months. The first part will assess the feasibility of the application with 30 patients non-randomly divided into three equally-sized age groups (<55years, 55-75years, >75years). In the second part 36 other patients will be randomly assigned to two groups, one reporting using the smartphone and one not. This prospective second part will compare the impact of smartphone reported adverse events regarding applied therapy doses and quality of life to those of patients receiving standard care. We aim for early detection and treatment of adverse events in oncological treatment to improve patients' safety and outcomes. For this purpose, we will capture frequent adverse events of chemotherapies, immunotherapies, or other targeted therapies with our smartphone application. The presented trial is registered at the U.S. National Library of Medicine ClinicalTrials.gov (NCT04493450) on July 30, 2020.
format article
author Angelika M R Kestler
Silke D Kühlwein
Johann M Kraus
Julian D Schwab
Robin Szekely
Patrick Thiam
Rolf Hühne
Niels Jahn
Axel Fürstberger
Nensi Ikonomi
Julien Balig
Rainer Schuler
Peter Kuhn
Florian Steger
Thomas Seufferlein
Hans A Kestler
author_facet Angelika M R Kestler
Silke D Kühlwein
Johann M Kraus
Julian D Schwab
Robin Szekely
Patrick Thiam
Rolf Hühne
Niels Jahn
Axel Fürstberger
Nensi Ikonomi
Julien Balig
Rainer Schuler
Peter Kuhn
Florian Steger
Thomas Seufferlein
Hans A Kestler
author_sort Angelika M R Kestler
title Digitalization of adverse event management in oncology to improve treatment outcome-A prospective study protocol.
title_short Digitalization of adverse event management in oncology to improve treatment outcome-A prospective study protocol.
title_full Digitalization of adverse event management in oncology to improve treatment outcome-A prospective study protocol.
title_fullStr Digitalization of adverse event management in oncology to improve treatment outcome-A prospective study protocol.
title_full_unstemmed Digitalization of adverse event management in oncology to improve treatment outcome-A prospective study protocol.
title_sort digitalization of adverse event management in oncology to improve treatment outcome-a prospective study protocol.
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/7c4f2bc7cbab4343b2e462efc97fb19c
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