Non-invasive wearable devices in paediatric cancer care: Advancing personalized medicine, addressing challenges and shaping the future

EJC paediatric oncology Pub Date : 2025-06-01 Epub Date: 2025-02-19 DOI:10.1016/j.ejcped.2025.100220
Christa Koenig , Roland A. Ammann , Eva Brack
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Abstract

Wearable devices (WDs) are capable of collecting large volumes of objective and clinically relevant patient data that is not yet routinely captured. This ability to collect continuous, real-time data offers a unique opportunity to gather health information in new and insightful ways. In paediatric oncology, advancement in treatment have led to significant improvements in survival rates. However, aggressive therapies often result in a range of distressing side effects, which can severely impact quality of life, and even can become life-threatening themselves. Supportive care plays a crucial role in mitigating these symptoms, aiming to prevent and manage side effects. Patient-reported outcomes should be used to guide initiation and choice of supportive care treatment whenever possible. In this context, continuous monitoring of vital signs, physical activity and other health parameters using WDs could add individual, patient specific information regarding a patient’s current condition. In this article we discuss the requirements of non-invasive WDs for their use in paediatric oncology, give an overview on possible areas of application in children with cancer and discusses challenges that must be addressed. Also we identify key research gaps and speculate on future perspectives.
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儿童癌症治疗中的非侵入性可穿戴设备:推进个性化医疗,应对挑战并塑造未来
可穿戴设备(wd)能够收集大量客观和临床相关的患者数据,这些数据尚未被常规捕获。这种收集连续、实时数据的能力为以新的、有洞察力的方式收集健康信息提供了独特的机会。在儿科肿瘤学,治疗的进步导致生存率显著提高。然而,积极的治疗往往会导致一系列令人痛苦的副作用,这可能严重影响生活质量,甚至可能危及生命。支持性护理在减轻这些症状方面起着至关重要的作用,旨在预防和管理副作用。只要可能,患者报告的结果应用于指导支持性护理治疗的开始和选择。在这种情况下,使用WDs对生命体征、身体活动和其他健康参数进行持续监测,可以增加有关患者当前状况的个人、患者特定信息。在本文中,我们讨论了非侵入性WDs在儿科肿瘤学中的应用要求,概述了在儿童癌症中的可能应用领域,并讨论了必须解决的挑战。此外,我们确定了关键的研究差距,并推测未来的前景。
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