The use of wearable technology in studies in older adults with cancer: a systematic review
Open accessAbstract
Background: Despite the increasing integration of wearable technology in oncology, its application in the care of older adults, representing most patients with cancer, is poorly defined. Objective: This systematic review aimed to summarize the current use of wearables in studies in older adults with cancer. Methods: This systematic review was conducted following the PRISMA guidelines. A systematic search was conducted in PubMed, Embase, Emcare, Web of Science, and Cochrane Library on May 1, 2024. Studies involving wearable devices and patients aged ≥60 years diagnosed with cancer were included. Outcomes reported were study characteristics, wearable outcomes, feasibility and adherence. The mixed method appraisal tool was used to assess the quality of included studies. Results: A total of 31 publications were included, comprising 1298 older patients. Of these, 12 were pilot/feasibility studies, 12 were observational studies, 6 were randomized controlled trials, and 1 was a cross-sectional study. Most studies used wearable data to measure recovery (19 studies, 61%). Physical activity was the most studied wearable outcome (27 studies, 87%). Adherence to the wearable device was documented in 11 of the 31 studies (35%), with adherence ranging from 74% to 100%. Conclusions: Our systematic review found wearables were mostly used to measure physical activity, with the most common primary aim of measuring recovery. Most studies reported high adherence, although definitions of adherence were diverse. Our results highlight the need for more and larger studies on wearable technology in older cancer patients, the use of standardized reporting frameworks, and increased participation in research in low- and middle-income countries.
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- Authors
- Duin, J. J., Baltussen, J. C., Albalak, G., van Dam van Isselt, E. F., Portielje, J. E. A., Mooijaart, S. P., Soto-Perez-de-Celis, E., & van den Bos, F.
- Affiliations
- Leiden University Medical Center (NL)
- LUMC Center for Medicine for Older People, Leiden University Medical Center , 2300 RC Leiden ,
- Department of Geriatrics, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán , 14080 Mexico City ,
- Department of Internal Medicine, Section of Geriatrics and Gerontology, Leiden University Medical Center , 2300 RC Leiden ,
- Corresponding author
- Duin, Jan J
- ORCID
- Venue
- The Oncologist
- Publisher
- Oxford University Press (OUP)
- Published
- 2024-11-20
- Volume
- 30
- Issue
- 8
- ISSN
- 1083-7159 (ISSN-L)
- 1549-490X
- PMC
- PMC12395252
- OpenAlex
- W4404558488
- Cited by
- 11
- References
- 46
- Citations by year
- 2026: 8 · 2025: 3
- FWCI
- 0.99
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- The Oncologist (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Leiden Repository (Leiden University) (submittedVersion, cc-by-nc)
- Funders
- Universiteit Leiden
- Leids Universitair Medisch Centrum
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
- Social Sciences › Demography › Technology Use by Older Adults
- Keywords
- wearable devices, older adults, cancer, physical activity, recovery, feasibility, research participation, low- and middle-income countries
- MeSH terms
- Wearable Electronic Devices, Aged, Female, Humans, Male, Middle Aged, Neoplasms, Exercise
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