Effects of Patient-Reported Outcome Tracking and Health Information Provision via Remote Patient Monitoring Software on Patient Outcomes in Oncology Care: A Systematic Review and Meta-Analysis

Abstract

<h3>Objectives</h3><p>The authors sought to 1) review the literature on the remote care model that uses <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/remote-patient-monitoring" title="Learn more about remote patient monitoring from ScienceDirect's AI-generated Topic Pages">remote patient monitoring</a> software (RPMS) as key mechanisms in <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/oncology" title="Learn more about oncology from ScienceDirect's AI-generated Topic Pages">oncology</a> care for symptom tracking and health information provision and (2) compare the remote care model to standard care in terms of health-related <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/quality-of-life" title="Learn more about quality of life from ScienceDirect's AI-generated Topic Pages">quality of life</a>, symptom burden, <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/health-care-management" title="Learn more about health management from ScienceDirect's AI-generated Topic Pages">health management</a> self-efficacy, anxiety, and depression.</p><h3>Data Sources</h3><p>The search was conducted on March 23, 2022, in the <a href="https://www.sciencedirect.com/topics/nursing-and-health-professions/cochrane-library" title="Learn more about Cochrane Library from ScienceDirect's AI-generated Topic Pages">Cochrane Library</a>, MEDLINE/PubMed, <a href="https://www.sciencedirect.com/topics/nursing-and-health-professions/psycinfo" title="Learn more about PsycINFO from ScienceDirect's AI-generated Topic Pages">PsycINFO</a>, and <a href="https://www.sciencedirect.com/topics/nursing-and-health-professions/cinahl" title="Learn more about CINAHL databases from ScienceDirect's AI-generated Topic Pages">CINAHL databases</a>.</p><h3>Results</h3><p>The primary strategies for applying digital technology in remote care models are patient-reported outcomes (PRO) tracking and health information delivery. Common PRO measurements applied in the RPMS include <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/quality-of-life" title="Learn more about quality of life from ScienceDirect's AI-generated Topic Pages">quality of life</a>, symptom burden, self-efficacy, anxiety, and depression. Nine <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/randomized-controlled-trial" title="Learn more about randomized controlled trials from ScienceDirect's AI-generated Topic Pages">randomized controlled trials</a> testing seven RPMS interventions were examined. Compared to standard care, <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/remote-patient-monitoring" title="Learn more about remote patient monitoring from ScienceDirect's AI-generated Topic Pages">remote patient monitoring</a> via RPMS was related to greater quality of life and lower physical symptom burden during cancer therapy. The RPMS incorporated into routine clinical care with nurses providing <a href="https://www.sciencedirect.com/topics/nursing-and-health-professions/remote-sensing" title="Learn more about remote monitoring from ScienceDirect's AI-generated Topic Pages">remote monitoring</a> performed better on PRO than that not integrated.</p><h3>Conclusion</h3><p>The RPMS-based remote care model improves patient outcomes during cancer treatment, and it is not inferior to standard care until the RPMS function is more integrated with existing clinical care.</p><h3>Implications for Nursing Practice</h3><p>Nurses are well-positioned to engage patients in self-care skills via RPMS and can play a vital role in integrating such a model of remote patient care into routine care practices.</p>