“As more people begin to use wearables, the question of whether the data they are collecting could be useful arises. Our study shows there is value in having our patients collect their own health data during their everyday lives, and that we can use this data to then monitor and predict their health status,” added Ms. Friesner.
Next steps for the investigators include a more rigorous validation of the algorithm on the NRGF-001 trial (NCT04878952) led by Dr. Ohri, which will randomize patients undergoing CRT for lung cancer to treatment with or without daily step count monitoring. Physicians of patients on the step count arm will receive output from the model throughout the treatment process.
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The researchers are also planning other studies to examine additional metrics collected by wearable devices, such as heart rate, and their utility in the clinic.
“Wearable devices and patient-generated health data are still relatively new phenomena, and we're still learning how they can be useful. What other information can we obtain from the many sensors in our lives? How can these metrics complement each other and work with other types of data, like electronic health record data? Different datapoints might work for better for different patients,” said Ms. Friesner.
Following the widespread adoption of telemedicine and remote care over the past several years, the need for remote monitoring via patient devices may also increase. Clinics and policymakers should keep access to these devices in mind as they grow in popularity, said Dr. Hong.
“One of the challenges when working with real-world wearable data are the economic and racial disparities that impact who owns devices that can capture this type of data. I think it’s important to develop tools that are useful for the clinic but also that are accessible to a wider range of patients.”
ABOUT ASTRO
The American Society for Radiation Oncology (ASTRO) is the largest radiation oncology society in the world, with nearly 10,000 members who are physicians, nurses, biologists, physicists, radiation therapists, dosimetrists and other health care professionals who specialize in treating patients with radiation therapies.
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