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Cited by 27Mobile Health and mHealth ApplicationsTelemedicine and Telehealth ImplementationTechnology Use by Older Adults

Patients' perspective on digital technologies in advanced genitourinary cancers

Rodler, Severin, Buchner, Alexander, Stief, Christian G., Heinemann, Volker, Staehler, Michael, Casuscelli, Jozefina·2021·Clinical Genitourinary Cancer
DOI 10.1016/j.clgc.2020.03.018
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Abstract

Introduction Digital technologies allow for the remote monitoring of cancer patients and thereby close an important care gap. Despite a variety of upcoming digital health-tech solutions, there is little knowledge on uro-oncologic patients' perception of digital technologies in clinical care and cancer trials.Patients and methods A questionnaire was developed to evaluate patients' current use, preferences, and expectations of digital health technology. Patients receiving systemic treatment for urothelial, prostate, and renal-cell carcinoma were included during outpatient visits.Results Ninety-seven patients undergoing systemic therapy for metastatic renal-cell, urothelial, or prostate cancer were included in the final analysis. Internet, smartphone, and wearable user rates were significantly higher in younger patients (100% user rate in age group 40-49 years vs. 38% in age group 80-89 years). Patients were more likely to use wearables in clinical trials when they received the generated data (2.9/5) than when they did not (2.3/5, P < .0001). Interest in activity data (3.7/5) was higher than sleeping data (2.7/5, P < .0001), but desire for sleeping data increases with advancement of treatment lines (3.9, P = .008). Patients prefer a digital follow-up every 2.6 days; younger patients and those receiving advanced therapy lines prefer less frequent follow-up (respectively, every 3.3 days, P = .050, and every 4.0 days, P = .0001). Patients allow a maximum of an average of 2.2 minutes daily for digital follow-up.Conclusion We observed high engagement in digital technologies and interest in the data generated by digital devices. However, for the development of future health care applications, aspects such as patient age, gender, and therapy line need to be considered in uro-oncologic patients.

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  • One study suggests older and younger uro-oncology patients have similar interest in remote monitoring, and older patients were more willing to engage in trials.

    “one study of patients with uro-oncological cancer suggests similar interest in remote patient monitoring with digital technologies between older and younger patients, with older patients even reporting to be willing to engage with digital technologies as part of trials more frequently than younger patients.152”

    From Digital health and telehealth in cancer care: A scoping review of reviews (2023) · cites this paper as [152]

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Authors
Rodler, S., Buchner, A., Stief, C. G., Heinemann, V., Staehler, M., & Casuscelli, J.
Affiliations
Ludwig-Maximilians-Universität München (DE)
Corresponding author
Rodler, Severin
ORCID
Venue
Clinical Genitourinary Cancer
Publisher
Elsevier BV
Published
2021-02
Volume
19
Issue
1
Pages
76-82.e6
ISSN
1558-7673 (ISSN-L)
DOI
10.1016/j.clgc.2020.03.018
OpenAlex
W3016061670
Cited by
27
References
43
Citations by year
2026: 4 · 2025: 5 · 2024: 4 · 2023: 6 · 2021: 3 · 2020: 5
FWCI
3.65
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Clinical Genitourinary Cancer (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
  • Social Sciences › Demography › Technology Use by Older Adults
Keywords
digital health technologies, patient preferences, remote monitoring, urothelial carcinoma, prostate cancer, renal cell carcinoma, wearable devices, smartphone use, digital follow-up, clinical trials, patient engagement, age differences, treatment lines
MeSH terms
Smartphone, Digital Technology, Adult, Aged, 80 and over, Humans, Male, Middle Aged, Neoplasms, Urogenital Neoplasms, Telemedicine

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