Chemotherapy side-effect management using mobile phones.
Colorectal cancer is a major health problem in developed countries, accounting for a significant proportion of deaths in the population. Advances in chemotherapy treatment have led to therapy being delivered in the home-setting, which presents challenges in ensuring that treatment-related side-effects are detected and reported to clinical staff in an appropriate time-frame. A telemedicine system has been developed using a mobile-phone platform to allow patients to complete symptom diaries which trigger alerts paged to their nurse in the event of severe side-effects. Six patients used this system for two cycles of oral chemotherapy. Two cases of moderate symptoms deteriorating to more severe conditions were observed, and individual self-care and treatment advice were presented to these patients.
Larsen
Mark E
ME
Institute of Biomedical Engineering, Department of Engineering Science, University of Oxford, OX3 7DQ, UK.
Rowntree
Joanna
J
Young
Annie M
AM
Pearson
Sarah
S
Smith
Justine
J
Gibson
Oliver J
OJ
Weaver
Andrew
A
Tarassenko
Lionel
L
D016907:Adverse Drug Reaction Reporting Systems / Q000458:organization & administration*; D000368:Aged; D000069287:Capecitabine; D040421:Cell Phone; D003110:Colonic Neoplasms / Q000150:complications / Q000188:drug therapy*; D003841:Deoxycytidine / Q000009:adverse effects / Q000031:analogs & derivatives* / Q000627:therapeutic use; D004360:Drug Therapy, Computer-Assisted / Q000379:methods*; D004739:England; D005260:Female; D005472:Fluorouracil / Q000009:adverse effects / Q000031:analogs & derivatives* / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged; D019114:Remote Consultation / Q000379:methods*
D003841:Deoxycytidine; D000069287:Capecitabine; D005472:Fluorouracil