Remote monitoring of adult cancer patients undergoing chemotherapy: scoping review
Abstract
Objective: to map scientific evidence on the remote monitoring of adult cancer patients undergoing chemotherapy. Method: Scoping review, carried out in February 2025 in the National Library of Medicine, Web of Science, Cumulative Index to Nursing and Allied Health Literature, EMBASE, and the Virtual Health Library Portal data sources. Randomized or non-randomized clinical trials that used remote monitoring during chemotherapy treatment were selected. Results: 2611 publications were found; six studies made up the sample after removing duplicates and applying the inclusion criteria. The objective of the studies was related to evaluation/testing (of the efficacy and feasibility of remote monitoring). The results differed concerning the average number of emergency room visits/hospitalization / supportive care. The means used for remote monitoring were apps, phone calls, text messages, and a system that worked from a phone call. Conclusion: Remote monitoring of adult cancer patients undergoing chemotherapy has the potential to positively impact the period between chemotherapy cycles, helping patients and healthcare teams.
Downloads
References
Mendonça RR, Salvador DLVF, Mata TCF da, Nakasima PAM, Derenzo N, Covre ER, et al. Information and communication technologies: the perspective of the urgency and emergency mobile care service professionals. Cogitare Enfermagem. 2022. 27:1-18. DOI: http://dx.doi.org/10.5380/ce.v27i0.81985.
Aapro M, Bossi P, Dasari A, Fallowfield L, Gascón P, Geller M, et al. Digital health for optimal supportive care in oncology: benefits, limits, and future perspectives. Supportive Care In Cancer. 2020. 28(10):4589-4612. DOI: http://dx.doi.org/10.1007/s00520-020-05539-1.
Multinational Association Of Supportive Care In Cancer. What is Supportive Care in Cancer? [Internet] 2024. [acesso em: 18 jun. 2024]; Available from: https://mascc.org/
Wahidi R, Mintz R, Agabalogun T, Mayer L, Badiyan S, Spraker MB. Remote Symptom Monitoring of Patients with Cancer Undergoing Radiation Therapy. Cureus. 2022. 9(14):1-8. DOI: http://dx.doi.org/10.7759/cureus.29734.
Temporão JG, Santini LA, Santos ATC dos, Fernandes FMB, Zoss WP. Current and future challenges of the use of precision medicine in cancer diagnosis and treatment in Brazil. Cadernos de Saúde Pública. 2024; 10(35):1-14. DOI: https://doi.org/10.1590/0102-311XPT006122.
Oliveira JL, Pacheco PQC, Souza SR. Sinais/sintomas de emergência na perspectiva dos pacientes em quimioterapia ambulatorial. Cienc Cuid Saude. 2020.19:e46652. DOI: 10.4025/cienccuidsaude.v19i0.46652
Soares BKP, Carvalho LES de, Souza TA de, Silva JA da. Impacts of information and communication technologies as a permanent health education strategy for nursing professionals. Revista Ciência Plural. 2022. 2(8):1-18. DOI: https://doi.org/10.21680/2446-7286.2022v8n2ID24770.
Aromataris E, Lockwood C, Porritt K, Pilla B, Jordan Z, editors. JBI Manual for Evidence Synthesis. JBI; 2024. Available from: https://synthesismanual.jbi.global. DOI: https://doi.org/10.46658/JBIMES-24-01
Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D, et al. PRISMA Extension for Scoping Reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med. 2018.169(7):467-73. DOI: https://doi.org/10.7326/m18-0850
Maguire R, Mccann L, Kotronoulas G, Kearney N, Ream E, Armes J, et al. Real time remote symptom monitoring during chemotherapy for cancer: european multicentre randomised controlled trial. (esmart). BMJ. 2021. 374(1647). DOI: http://dx.doi.org/10.1136/bmj.n1647.
Manz CR, Schriver E, Ferrell WJ, Williamson J, Wakim J, Khan N, Kopinsky M, Balachandran M, Chen J, Patel MS, Takvorian SU, Shulman LN, Bekelman JE, Barnett IJ, Parikh RB. Association of Remote Patient-Reported Outcomes and Step Counts With Hospitalization or Death Among Patients With Advanced Cancer Undergoing Chemotherapy: Secondary Analysis of the PROStep Randomized Trial. J Med Internet Res. 2024.17;26:e51059. DOI: 10.2196/51059.
Kearney, N., McCann, L., Norrie, J. et al. Evaluation of a mobile phone-based, advanced symptom management system (ASyMS©) in the management of chemotherapy-related toxicity. Support Care Cancer. 2009. 17, 437–444. DOI: https://doi.org/10.1007/s00520-008-0515-0
Krzyzanowska MK, Julian JA, Gu C-S, Powis M, LI Q, Enright K, et al. Remote, proactive, telephone based management of toxicity in outpatients during adjuvant or neoadjuvant chemotherapy for early stage breast cancer: pragmatic, cluster randomised trial. BMJ. 2021. 375:1-10. DOI: http://dx.doi.org/10.1136/bmj-2021-066588.
Basch E, Stover AM, Schrag D, Chung A, Jansen J, Henson S, et al. Clinical Utility and User Perceptions of a Digital System for Electronic Patient-Reported Symptom Monitoring During Routine Cancer Care: findings from the pro-tect trial. Jco Clinical Cancer Informatics. 2020. 4:947-57. DOI: http://dx.doi.org/10.1200/cci.20.00081.
Mooney KH, Beck SL, Friedman RH, Farzanfar R, Wong B. Automated monitoring of symptoms during ambulatory chemotherapy and oncology providers’ use of the information: a randomized controlled clinical trial. Supportive Care In Cancer. 2014. 22(9):2343-50. DOI: http://dx.doi.org/10.1007/s00520-014-2216-1.
Marengo LL, Kozyreff AM, Moraes F da S, Maricato LIG, Barberato-Filho S. Mobile technologies in healthcare: reflections on development, application, legal aspects, and ethics. Revista Panamericana de Salud Pública. 2022. 46:1. DOI: http://dx.doi.org/10.26633/rpsp.2022.37
Celupi IC, Lima GS, Rossi E, Wazlavick RS, Dalmarco EM. Uma análise sobre o desenvolvimento de tecnologias digitais em saúde para o enfrentamento da COVID-19 no Brasil e no mundo. Cadernos de Saúde Pública. 2021. 37(4):1-12. DOI: 10.1590/0102-311X00243220
Oliveira CS, Heck RM, Pereira GM, Galarça AMSS, Mendieta MC, Lima ARA, Dias NS. Tecnologias da informação e comunicação utilizadas por enfermeiros da atenção primária na pandemia de covid-19. Cienc Cuid Saude. 2023.22 DOI: 10.4025/ciencuidsaude.v22i0.65820
Instituto Nacional de Câncer (INCA). Estimativa 2023: incidência de câncer no Brasil [Internet]. 2023. [cited 2024 Mar. 8]. Disponível em: https://www.gov.br/inca/pt-br/assuntos/cancer/o-que-e-cancer.
Bernardo LD. Older people and new technologies: challenges for devising solutions to promote digital inclusion. Revista Brasileira de Geriatria e Gerontologia. 2022. 25(4):1-2. DOI: https://doi.org/10.1590/1981-22562022025.230142.pt.
Instituto Brasileiro de Geografia e Estatística (IGBE). Analfabetismo cai em 2017, mas segue acima da meta para 2015 [Internet]. 2018 [cited 2024 Mar. 8]. Disponível em: https://agenciadenoticias.ibge.gov.br/agencianoticias/2012-agenciadenoticias/noticias/21255analfabetismocaiem2017massegueacimadametapara2015#:~:text=Analfabetismo%20cai%20em%202017%2C%20mas%20segue%20acima%20da%20meta%20para%202015,Editoria%3A%20Estat%C3%ADsticas%20Sociais&text=A%20taxa%20de%20analfabetismo%20da,Nacional%20de%20Educa%C3%A7%C3%A3o%20(PNE).
Ferreira DP, Gomes Junior SC dos S. Mobile applications developed for children and adolescents experiencing chronic health conditions: an integrative review. Interface - Comunicação, Saúde, Educação. 2021. 25:1-17. DOI: http://dx.doi.org/10.1590/interface.200648.
Amadeu, CV, Silva JL, Pina, MCN. Inclusão digital e suas relações com o empoderamento, a qualidade de vida e o bem-estar. Atheleia. 2022. 55(1):1-17; DOI: https://doi.org/10.29327/226091.55.1-11
Zhu J, Ebert L, Liu X, Wei D, Chan SW-C. Mobile Breast Cancer e-Support Program for Chinese Women With Breast Cancer Undergoing Chemotherapy (Part 2): multicenter randomized controlled trial. Jmir Mhealth And Uhealth. 2018. 6(4):1-14. DOI: http://dx.doi.org/10.2196/mhealth.9438.
Alghamdi, NS. Alghamdi, SM. The Role of Digital Technology in Curbing COVID-19. International Journal of Environmental and Public Health. 2022.19(14):8287. DOI: https://doi.org/10.3390/ijerph19148287
Copyright (c) 2025 Ciência, Cuidado e Saúde

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
















