Abstract
BackgroundThe COVID-19 pandemic has raised unprecedented challenges in the management of patients with cancer and has increased the demands for digital health tools that, for example, could facilitate remote monitoring of patients. Based on this, the Gruppo Italiano Malattie Ematologiche dell’Adulto (GIMEMA) has recently developed a digital health tool dedicated to patients with hematologic malignancies: the GIMEMA-ALLIANCE platform.ObjectiveThe main objectives of this web-based platform are to generate relevant data to better understand quality of life, symptoms, and medication adherence during the COVID-19 pandemic and postpandemic era; to develop a prospective real-life registry on outcomes of patients with hematologic cancer, with or without a diagnosis of COVID-19; and to facilitate patient-centered care in routine practice.MethodsThe platform consists of physician- and patient-secure portals and enables electronic patient-reported outcome (ePRO) assessments with real-time graphical presentation to physicians of individual patient symptoms and quality-of-life outcomes. Automated alerts are sent to treating hematologists based on the following predetermined criteria: presence of clinically important problems and symptoms, problems with adherence to therapy, and risk of COVID-19 diagnosis. The platform also allows physicians to set up video consultations. Clinical information regarding disease and treatment as well as clinical and survival outcomes are also prospectively collected.ResultsRecruitment of participants started in December 2020. As of April 2021, a total of 116 patients have been enrolled in this study. Use of this platform may help to improve patient-physician communication and help hematologists in the early recognition of clinically important problems and symptoms of their patients. More than 20 community and university-based hospitals have currently agreed to participate. In addition to patient-reported outcome data, the prospective collection of disease- and treatment-related information, as well as data on possible COVID-19 diagnosis and COVID-19 vaccination, will allow the development of a large database to also identify subgroups of patients at risk of poor outcomes.ConclusionsData generated via this platform will help to answer clinically relevant questions for patients with hematologic malignancies during the COVID-19 pandemic and postpandemic era. The use of the GIMEMA-ALLIANCE platform in routine practice may also contribute to enhancing patient-centered care.Trial RegistrationClinicalTrials.gov NCT04581187; https://clinicaltrials.gov/ct2/show/NCT04581187International Registered Report Identifier (IRRID)PRR1-10.2196/25271
Highlights
IntroductionBackgroundThe COVID-19 pandemic has recently transformed health care delivery all over the world by remarkably increasing the complexity of clinical decision making in oncology [1].Approaches to obviate the need for physical meeting between patients and health care providers (ie, telephone calls, communication by mail, and mobile phone apps) are more frequently preferred to limit the risk of virus spread among uninfected patients [2]
BackgroundThe COVID-19 pandemic has recently transformed health care delivery all over the world by remarkably increasing the complexity of clinical decision making in oncology [1].Approaches to obviate the need for physical meeting between patients and health care providers are more frequently preferred to limit the risk of virus spread among uninfected patients [2]
Data generated via this platform will help to answer clinically relevant questions for patients with hematologic malignancies during the COVID-19 pandemic and postpandemic era
Summary
BackgroundThe COVID-19 pandemic has recently transformed health care delivery all over the world by remarkably increasing the complexity of clinical decision making in oncology [1].Approaches to obviate the need for physical meeting between patients and health care providers (ie, telephone calls, communication by mail, and mobile phone apps) are more frequently preferred to limit the risk of virus spread among uninfected patients [2]. The COVID-19 pandemic has recently transformed health care delivery all over the world by remarkably increasing the complexity of clinical decision making in oncology [1]. Empirical data indicate that patients’ anxiety related to the COVID-19 pandemic may be associated with the risk of underestimating important symptoms of hematologic malignancies, thereby delaying diagnosis and appropriate treatment [6]. The COVID-19 pandemic has raised unprecedented challenges in the management of patients with cancer and has increased the demands for digital health tools that, for example, could facilitate remote monitoring of patients. The Gruppo Italiano Malattie Ematologiche dell’Adulto (GIMEMA) has recently developed a digital health tool dedicated to patients with hematologic malignancies: the GIMEMA-ALLIANCE platform
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