Tracking steps in oncology: the time is now.

Tracking steps in oncology: the time is now.
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DOI:
10.2147/cmar.s148710
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发表时间:
2018
影响因子:
3.3
通讯作者:
Champ C
Champ C
中科院分区:
医学4区
文献类型:
--
作者:
Purswani JM;Ohri N;Champ C

文献摘要

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准确评估患者的健康状况是癌症患者的检查、治疗和随访的关键组成部分。临床医生(例如,体能状态,毒性等级)和患者(例如,生活质量)的评估在当前实践中发挥着关键作用,但具有明显的局限性。技术进步现在提供了一个机会,以跟踪一类新的客观措施的病人的活动,如每日步数。在这里,我们描述了最近的努力,将这项技术纳入肿瘤学领域。我们使用MEDLINE电子数据库进行了结构化文献检索,以识别截至2016年2月已发表的跟踪癌症患者步数的观察性研究和结合计步器的癌症幸存者运动计划试验。数据表明,身体活动的信息可能会取代现有的规模评估癌症患者的功能能力。客观活动监测有望彻底改变医疗保健提供者在诊断时、治疗期间和生存环境中评估癌症患者的方式。
Accurate evaluation of patients’ health status is a key component of the workup, treatment, and follow-up of cancer patients. Assessments by clinicians (eg, performance status, toxicity grade) and patients (eg, quality of life) play a critical role in current practice but have significant limitations. Technological advances now provide an opportunity to track a new class of objective measures of patient activity, such as daily step counts. Here, we describe recent efforts to incorporate this technology into the field of oncology. We conducted a structured literature search using MEDLINE electronic database to identify published observational studies of tracking steps in cancer patients and trials of exercise programs for cancer survivors incorporating pedometers until February 2016. Data indicate that physical activity information may supplant existing scales for the assessment of cancer patients’ functional capacity. Objective activity monitoring is poised to revolutionize the way health care providers assess cancer patients at the time of diagnosis, during treatment, and in the survivorship setting.