Table 1. Characteristics of Electronic Symptom Monitoring and Management Systems for Home Use in Patients receiving Chemotherapy.
System and Reference | Origin | Platform | Symptom Reporting and Monitoring | Alerts | Self-care messages/ Library or Information Resource | Reports | Reminders | Clinician Interface |
---|---|---|---|---|---|---|---|---|
Symptom Tracking and Reporting (STAR)11,21 | Memorial Sloan Kettering Cancer Center NYC, NY, USA | Web portal at home | Adapted CTCAE for self-report; timing not specified | No/No | Longitudinal reports viewed by patient and clinician | Email reminders | Clinician could access and follow-up with patient | |
WebChoice10 | University Hospital Oslo, Norway | Web Site | Symptoms and Quality of Life; timing not specified | No | Tailored/ Information page with links | No | No –Voluntary log in | Clinician could not access; follow-up occurred after patient emailed nurse |
Symptom Care and Management System12 | National University Cancer Institute Singapore | Web site could use mobile device | Vital signs and 5 symptoms (if screen positive); daily reporting | No | Standard/Educational module | In real time with 7 days of data | Not reported | Clinician could access and follow-up with patient by video-conference only |
t+ Medical Ltd 13 | Oxford University, Oxford, UK | Mobile phone | Temperature and 5 symptoms (CTCAE); twice daily reporting | Pager | Tailored/No | Real time, cumulative | Not reported | Clinician access and follow-up with patient |
Advanced Symptom Management System (ASyMS)9,14 | Cancer Care Research Centre,University of Stirling, Stirling, UK | Mobile phone | Temperature and 6 symptoms; twice daily reporting and if sick | Pager | Tailored/No | Nurse views on web | Not reported | Clinician could access and follow-up with patient |
Tele-oncology service using short message service (SMS) 15 | National Cancer Centre Singapore | Mobile phone, short message service | Nausea and vomiting; daily reporting | Tailored/No | Not reported | Short message service | Clinician could access and pharmacist follow-up with patient | |
Handheld Symptom Management System 16 | UK based study, Universities Stirling, Glasgow | Personal Digital Assistant | Adapted C-SAS for report of 5 symptoms; at least once a day reporting | Pager or email | Tailored/No | Real time, Nurse views on web | Not reported | Clinician could access and follow-up with patient |
Communicating Health Assisted by Technology Project (CHAT) 17 | Ohio State University Comprehensive Cancer Center, Columbus, OH, USA | Personal Digital Assistant | Brief Pain Inventory, Fatigue Symptom Inventory, CESD, SF-36; weekly reporting | PDA alarm tells patient to call oncologist | No/No | Summary graph | Via PDA | No |
Symptom Monitoring and Reporting System for Lung Cancer (SyMon-L) 18 | Clinics in Cook County area (IL) | telephone-based interactive voice response (IVR) technology | 13-item symptom survey (Functional Assessment of Cancer Therapy [FACT] and LungSymptom Index [FLSI]; weekly reporting | No/No | Weekly automated delivery of paper report | Phone | Clinician could not access; follow-up in response to email alert | |
Telephone Linked Care for Cancer Symptom Monitoring; Automated Symptom Monitoring 1,19 | Huntsman Cancer Institute, University of Utah College of Nursing, Salt Lake City, UT, USA | Interactive Voice response system | 10 symptoms (1-10 numeric scale) with drill down if symptom present; daily reporting | Email or FAX | No/No | Embedded in alert | Automated | No |
Health Buddy®20 | James Graham Brown Cancer Center University of Louisville, Louisville, KY, USA | Electrical device that attaches to land-line phone | 3-5 questions per day related to 29 symptoms | No | Tailored/No | No | Green light on device | Clinician could access day after symptom reporting and follow-up with patient |
Home telehealth Program37 | Veteran's Administration Medical Center Gainesville, FL USA | Electrical device that attaches to land-line phone | 5 symptoms; daily | Computer system | Tailored/No | Not reported | Not reported | Clinician could not access; follow-up in response to alert |
NOTE: CTCAE= Common Terminology Criteria for Adverse Events