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Cited by 12Telemedicine and Telehealth ImplementationTechnology Use by Older AdultsFrailty in Older Adults

Effectiveness of a digital telemonitoring platform for cancer care of older patients: The ConnectElderlyPatientToDoctor study

Rivière, Clémentine, Brureau, Laurent, Parnot, Charles, Becherirat, Selma, Duverger, Claire, Picchi, Hugo, Le Roy, Audrey, Vuagnat, Perrine +3 more·2023·International Journal of Cancer
DOI 10.1002/ijc.34196
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Abstract

While telemedicine has been shown to improve the quality of care for cancer patients, it remains underused for older patients (OP), partly due to the assumption that OPs are unabled or unwilling to use digital tools. However, more than 50% of new cancers are diagnosed in people over 70. The ConnectElderlyPatientToDocto r study aimed to evaluate the OP compliance with the use of the digital telemonitoring platform Cureety in oncology. All cancer patients followed at the Military Hospital Bégin were eligible for the study. Patients were invited to respond to a symptomatology questionnaire personalized to their pathology and treatment. An algorithm evaluated the health status of the patient based on the reported adverse events. The population was divided into two groups, OP and younger patients (YP), based on a cut‐off at 70 years. The primary endpoint was to assess the compliance of OPs with the use of the digital oncology platform Cureety, compared to YP. From July 2020 to September 2021, a total of 117 patients were included in our study. We found that 66% of the patients were compliant, with no difference between the two groups (71.2% of YP, 61.7% of OP, P = .29). In OPs, progression free survival (PFS) ratio at 6‐months was 64.6% in the tolerant patients vs 23.4% in the nontolerant patients (HR = 0.1980, 95% CI = 0.04431‐0.8845, P = .0339). The median PFS was 23.3 months in the tolerant group vs 3.3 months in the nontolerant group (P = .0339). The data of overall survival are immature. OPs had a clear benefit from using this platform, similar to what was observed for YP. Patients felt less isolated and felt that they benefited from personalized care with early ambulatory medical care of adverse events. We also found that the health indicators collected with the platform in the first month of treatment are predictive of the progression of the disease. This solution makes it possible to streamline and improve the care pathway of OP.

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Authors
Rivière, C., Brureau, L., Parnot, C., Becherirat, S., Duverger, C., Picchi, H., Le Roy, A., Vuagnat, P., Schernberg, A., Vanquaethem, H., & Helissey, C.
Affiliations
  • Hôpital d'Instruction des Armées Bégin (FR)
  • Inserm (FR)
  • Cureety Dinan France
  • Department of Medical Oncology Military Hospital Begin Saint‐Mandé France
  • Department of Internal Medicine Military Hospital Begin Saint‐Mandé France
  • Clinical Research Unit Military Hospital Begin Saint‐Mandé France
ORCID
Venue
International Journal of Cancer
Publisher
Wiley
Published
2022-07-09
Volume
152
Issue
3
Pages
504-510
ISSN
  • 0020-7136 (ISSN-L)
  • 1097-0215
DOI
10.1002/ijc.34196
OpenAlex
W4283736134
Cited by
12
References
15
Citations by year
2026: 3 · 2025: 3 · 2024: 3 · 2023: 3
FWCI
1.99
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • International Journal of Cancer (publishedVersion)
  • PubMed (publishedVersion)
  • HAL (submittedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
  • Social Sciences › Demography › Technology Use by Older Adults
  • Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
Keywords
elderly cancer patients, telemedicine, medication adherence, adverse event reporting, symptom monitoring, progression-free survival, overall survival, individualized care, social isolation, outpatient care, military hospitals
MeSH terms
Humans, Neoplasms, Telemedicine

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