Sviluppo ed applicazione di strumenti di telemedicina all’interno del percorso delle pazienti con tumore mammario in fase precoce: dalla diagnosi al follow-up

Titolo Rivista MECOSAN
Autori/Curatori Antonella Ferro, Luigi Maria Preti, Claudio Eccher, Rosa Maimone
Anno di pubblicazione 2024 Fascicolo 2023/127
Lingua Italiano Numero pagine 24 P. 43-66 Dimensione file 0 KB
DOI 10.3280/mesa2023-127oa17874
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In oncologia e in particolare nella cura del tumore mammario, il ricorso alla telemedicina si è dimostrato essere una via sicura ed efficace per migliorare la qualità della vita e dell’assistenza per i pazienti. L’emergenza Covid-19 e l’esigenza di ridurre gli accessi ai presidi ospedalieri hanno rappresentato un momento di accelerazione nel disegno e nell’utilizzo di strumenti di telemedicina.L’uso della telemedicina può trovare ampia applicazione nell’assistenza alle pazienti affette da tumore mammario che, grazie alla cronicizzazione della malattia, hanno un bisogno continuo di assistenza e di disponibilità di informazioni chiare e accessibili.L’efficacia degli interventi di telemedicina può essere migliorata attraverso i processi partecipativi di co-design che coinvolgano gli utenti finali e gli stakeholder in tutti gli aspetti dello sviluppo dell’intervento. Questo contributo riporta un’esperienza di co-design partecipato finalizzato allo sviluppo di un’applicazione mobile per le pazienti affette da tumore mammario all’interno della Rete Senologica dell’APSS di Trento.

Parole chiave:; Telemedicina; mHealth; Tumore mammario; Rete senologica; Co-design; Participatory design

  1. Aapro M., Bossi P., Dasari A., Fallowfield L., Gascón P., Geller M., ... & Porzig S. (2020). Digital health for optimal supportive care in oncology: benefits, limits, and future perspectives. Supportive care in cancer, 28: 4589-4612. DOI: 10.1007/s00520-020-05539-1
  2. Abernethy A. et al. (2022). The Promise of Digital Health: Then, Now, and the Future. Discussion paper, 2022, Published online June 27. DOI: 10.31478/202206e
  3. Abrahams H.J., Gielissen M.F., Donders R.R., Goedendorp M.M., van der Wouw A.J., Verhagen C.A., & Knoop H. (2017). The efficacy of internetbased cognitive behavioral therapy for severely fatigued survivors of breast cancer compared with care as usual: a randomized controlled trial. Cancer, 123(19): 3825-3834. DOI: 10.1002/cncr.30815
  4. Abrahams H.J.G., Gielissen M.F.M., Donders R.R.T., Goedendorp M.M., van der Wouw A.J., Verhagen C.A.H.H.V.M., & Knoop H. (2017). The efficacy of Internet-based cognitive behavioral therapy for severely fatigued survivors of breast cancer compared with care as usual: A randomized controlled trial. Cancer, 123: 3825-3834. DOI: 10.1002/cncr.30815
  5. Al‐Shamsi H.O., Alhazzani W., Alhuraiji A., Coomes E.A., Chemaly R.F., Almuhanna M., ... & Xie C. (2020). A practical approach to the management of cancer patients during the novel coronavirus disease 2019 (COVID‐19) pandemic: an international collaborative group. The oncologist, 25(6): e936-e945. DOI: 10.1634/theoncologist.2020-0213
  6. Ames S.L., Wolffsohn J.S., & Mcbrien N.A. (2005). The development of a symptom questionnaire for assessing virtual reality viewing using a head-mounted display. Optometry and Vision Science, 82(3): 168-176. DOI: 10.1097/01.OPX.0000156307.95086.6
  7. Attai D.J., Cowher M.S., Al-Hamadani M., Schoger J.M., Staley A.C., & Landercasper J. (2015). Twitter social media is an effective tool for breast cancer patient education and support: patient-reported outcomes by survey. Journal of medical Internet research, 17(7): e188. DOI: 10.2196/jmir.4721
  8. Barello S., Triberti S., Graffigna G., Libreri C., Serino S., Hibbard J.H. et al. (2016). eHealth for Patient Engagement: a systematic review. Front Psychol, 6, 2013. DOI: 10.3389/fpsyg.2015.02013
  9. Boyd H., McKernon S., Mullen B., & Old A. (2012). Improving healthcare through the use of co-design. New Zealand Madical Journal, 125(1357): 76-87.
  10. Brandsen T., Steen T., & Verschuere B. (2018). Co-creation and co-production in public services: Urgent issues in practice and research. In: Co-production and co-creation, 3-8. New York: Routledge.
  11. Bødker S., Dindler C., Iversen O.S., & Smith R.C. (2022). Can You Define Participatory Design for Me?. In: Participatory Design, 1-4. Cham: Springer International Publishing.
  12. Chauhan V., Galwankar S., Arquilla B., Garg M., Di Somma S., El-Menyar A., ... & Stawicki S.P. (2020). Novel coronavirus (COVID-19): Leveraging telemedicine to optimize care while minimizing exposures and viral transmission. Journal of emergencies, trauma, and shock, 13(1), 20. DOI: 10.4103/JETS.JETS_32_20
  13. Chelf J.H., Agre P., Axelrod A., Cheney L., Cole D.D., Conrad K., ... & Weaver C. (2001). Cancer-related patient education: an overview of the last decade of evaluation and research. Oncology nursing forum, 28(7): 1139-1147.
  14. Chen Y.Y., Guan B.S., Li Z.K, & Li X.Y. (2018). Effect of telehealth intervention on breast cancer patients’ quality of life and psychological outcomes: A meta-analysis. J. Telemed. Telecare, 24: 157-167.
  15. Chirico A., Maiorano P., Indovina P., Milanese C., Giordano G.G., Alivernini F., ... & Giordano A. (2020). Virtual reality and music therapy as distraction interventions to alleviate anxiety and improve mood states in breast cancer patients during chemotherapy. Journal of cellular physiology, 235(6): 5353-5362. DOI: 10.1002/jcp.29422
  16. Chung I.Y., Jung M., Park Y.R., Cho D., Chung H., Min Y.H., Park H.J., Lee M., Lee S.B., Chung S. et al. (2020). Exercise promotion and distress reduction using a mobile app-based community in breast cancer survivors. Front. Oncol., 9, 1505.
  17. Colakoglu S., Johnson A., Mureau M.A., Douglass S., Kaoutzanis C., Chong T.W., ... & Cohen J.B. (2021). Telehealth: Could it be an avenue to microvascular breast reconstruction for patients with geographical barriers?. Journal of reconstructive microsurgery, 37(07): 597-601. DOI: 10.1055/s-0041-1723821
  18. Cruz F.O.A.M., Vilela R.A., Ferreira E.B., Melo N.S., & Dos Reis P.E.D. (2019). Evidence on the use of mobile apps during the treatment of breast cancer: systematic review. JMIR mHealth and uHealth, 7(8), e13245. DOI: 10.2196/13245
  19. de Ligt K.M., van Egdom L.S., Koppert L.B., Siesling S., & van Til J.A. (2019). Opportunities for personalised follow‐up care among patients with breast cancer: A scoping review to identify preference‐sensitive decisions. European journal of cancer care, 28(3), e13092. DOI: 10.1111/ecc.13092
  20. de Rezende L.F., Francisco V.E., & Franco R.L. (2021). Telerehabilitation for patients with breast cancer through the COVID-19 pandemic. Breast cancer research and treatment, 185(1): 257-259. DOI: 10.1007/s10549-020-05926-6
  21. Doyle C., Lennox L., & Bell D. (2013). A systematic review of evidence on the links between patient experience and clinical safety and effectiveness. BMJ open, 3(1): e001570. DOI: 10.1136/bmjopen-2012-001570
  22. Dragoni M., Eccher C., Ferro A., Bailoni T., Maimone R., Zorzi A., ... & Ghidini C. (2023). Supporting patients and clinicians during the breast cancer care path with AI: The Arianna solution. Artificial Intelligence in Medicine, 102514. DOI: 10.1016/j.artmed.2023.102514
  23. Eccher C., Gios L., Zanutto A., Bizzarri G., Conforti D., & Forti S. (2020). TreC platform. An integrated and evolving care model for patients’ empowerment and data repository. Journal of Biomedical Informatics, 102, 103359. DOI: 10.1016/j.jbi.2019.103359
  24. Eyles H., Jull A., Dobson R., Firestone R., Whittaker R., Te Morenga L., ... & Mhurchu C.N. (2016). Co-design of mHealth delivered interventions: a systematic review to assess key methods and processes. Current Nutrition Reports, 5: 160-167. DOI: 10.1007/s13668-016-0165-7
  25. Falcicchio C., Di Lallo D., Fabi A., Bonucci A., Perrone M., Pace A., ... & Pugliese P. (2021). Use of rehabilitation pathways in women with breast cancer in the first 12 months of the disease: a retrospective study. BMC cancer, 21: 1-8. DOI: 10.1186/s12885-021-07927-0
  26. Ferro A., Cristofolini P., Garcia‐Etienne C.A., Caffo O., Pellegrini M., Fantò C., ... & Guarrera G.M. (2021). Learning from organisational changes in the management of breast cancer patients during the COVID‐19 pandemic: Preparing for a second wave at a breast unit in northern Italy. The International Journal of Health Planning and Management, 36(4): 1030-1037. DOI: 10.1002/hpm.3181
  27. Galiano‐Castillo N., Cantarero‐Villanueva I., Fernández‐Lao C., Ariza‐García A., Díaz‐Rodríguez L., Del‐Moral‐Ávila R., & Arroyo‐Morales M. (2016). Telehealth system: A randomized controlled trial evaluating the impact of an internet‐based exercise intervention on quality of life, pain, muscle strength, and fatigue in breast cancer survivors. Cancer, 122(20): 3166-3174. DOI: 10.1002/cncr.30172
  28. Gallagher J., Parle M., & Cairns D. (2002). Appraisal and psychological distress six months after diagnosis of breast cancer. Br. J. Health Psychol., 7: 365-376.
  29. Galligioni E., Berloffa F., Caffo O. et al. (2009). Development and daily use of an electronic oncological patient record for the total management of cancer patients: 7 years’ experience. Ann Oncol., 20: 349-352.
  30. Gambalunga F., Iacorossi L., Notarnicola I., Serra V., Piredda M., & De Marinis M.G. (2021). Mobile health in adherence to oral anticancer drugs: a scoping review. CIN: Computers, Informatics, Nursing, 39(1): 17-23. DOI: 10.1097/CIN.0000000000000643
  31. Gehrke A., Lee S.S., Hilton K., Ganster B., Trupp R., McCullough C., ... & Feuerstein M. (2018). Development of the Cancer Survivor Profile-Breast Cancer (CSPro-BC) app: patient and nurse perspectives on a new navigation tool. Journal of Cancer Survivorship, 12: 291-305. DOI: 10.1007/s11764-017-0668-2
  32. Green T., Bonner A., Teleni L., Bradford N., Purtell L., Douglas C., ... & Chan R.J. (2020). Use and reporting of experience-based codesign studies in the healthcare setting: a systematic review. BMJ quality & safety, 29(1): 64-76. DOI: 10.1136/bmjqs-2019-009570
  33. Hazin R., & Qaddoumi I. (2010). Teleoncology: Current and future applications for improving cancer care globally. Lancet Oncol., 11: 204-210.
  34. Im E.O., Ji X., Kim S., Chee E., Bao T., Mao J.J. et al. (2019). Challenges in a technology based cancer pain management program among Asian American breast cancer survivors. Comput Inform Nurs, 37(5): 243e9. DOI: 10.1097/cin.0000000000000503
  35. Jiménez-Rodríguez D., Santillán García A., Montoro Robles J., Rodríguez Salvador M.D.M., Muñoz Ronda F.J., & Arrogante O. (2020). Increase in video consultations during the COVID-19 pandemic: healthcare professionals’ perceptions about their implementation and adequate management. International journal of environmental research and public health, 17(14), 5112. DOI: 10.3390/ijerph17145112
  36. Kesson E.M., Allardice G.M., George W.D., Burns H.J., & Morrison D.S. (2012). Effects of multidisciplinary team working on breast cancer survival: retrospective, comparative, interventional cohort study of 13 722 women. Bmj, 344. DOI: 10.1136/bmj.e2718
  37. Mano M.P., Ponti A., Angiolini C., Cataliotti L., Datta G., Giordano L., Panizza P., Pietribiasi F., Taffurelli M., Rovea P., Santini D., Tomatis M., & Rosselli Del Turco M. (2013). Indicatori di qualità per la cura del carcinoma mammario nelle Breast Unit in Italia: una proposta congiunta GISMa-Senonetwork. -- Tratto da: https://www.senonetwork.it/it/documenti/raccomandazioni%2dsenonetwork/1-3967-1-.
  38. Mendes-Santos C., Nunes F., Weinderpass E., Santana R., & Andersson G. (2022). Development and Evaluation of the Usefulness, Usability, and Feasibility of iNNOV Breast Cancer: Mixed Methods Study. JMIR Cancer, Jan-Mar, 8(1): e33550.
  39. Mendes-Santos C., Weiderpass E., Santana R., & Andersson G. (2019). A guided internet-delivered individually-tailored ACT-influenced cognitive behavioural intervention to improve psychosocial outcomes in breast cancer survivors (iNNOVBC): study protocol. Internet Interventions, 17, 100236. DOI: 10.1016/j.invent.2019.01.004
  40. Merz V., Ferro A., Piras E.M., Zanutto A., Caffo O., & Messina C. (2020). Electronic Medical Record-Assisted Telephone Follow-Up of Breast Cancer Survivors During the COVID-19 Pandemic: A Single Institution Experience. JCO Oncol Pract, 17: e44-e52. © by American Society of Clinical Oncology.
  41. Mobasheri M.H., Johnston M., King D., Leff D., Thiruchelvam P., & Darzi A. (2014). Smartphone breast applications – What’s the evidence?. The Breast, 23(5): 683-689. DOI: 10.1016/j.breast.2014.07.006
  42. Myers J.S., Cook-Wiens G., Baynes R., Jo M.Y., Bailey C., Krigel S., ... & Asher A. (2020). Emerging from the haze: a multicenter, controlled pilot study of a multidimensional, psychoeducation-based cognitive rehabilitation intervention for breast cancer survivors delivered with telehealth conferencing. Archives of physical medicine and rehabilitation, 101(6): 948-959. DOI: 10.1016/j.apmr.2020.01.021
  43. Narayanan S., Lopez G., Powers-James C., Fellman B. M., Chunduru A., Li Y., ... & Cohen L. (2021). Integrative oncology consultations delivered via telehealth in 2020 and in-person in 2019: paradigm shift during the COVID-19 world pandemic. Integrative cancer therapies, 20. DOI: 10.1177/1534735421999101
  44. Noble N., Mackenzie L., Carey M., Proietto A., Sanson-Fisher R., Walker G., & Silcock J. (2019). Cross-sectional survey to inform the development of a telehealth support model: a feasibility study for women undergoing breast cancer surgery. Pilot and Feasibility Studies, 5(1): 1-7. DOI: 10.1186/s40814-019-0426-5
  45. Noorbergen T.J., Adam M.T., Roxburgh M., & Teubner T. (2021). Co-design in mHealth systems development: insights from a systematic literature review. AIS Transactions on Human-Computer Interaction, 13(2): 175-205. DOI: 10.17705/1thci.00147
  46. Nouri S., Khoong E.C., Lyles C.R., & Karliner L. (2020). Addressing equity in telemedicine for chronic disease management during the Covid-19 pandemic. NEJM Catalyst Innovations in Care Delivery, 1(3): 1-13.
  47. Palumbo R. (2016). Contextualizing co-production of health care: a systematic literature review. International Journal of Public Sector Management, 29(1): 72-90. DOI: 10.1108/IJPSM-07-2015-0125
  48. Pangarsa E.A. (2023). The effect of multidisciplinary team on survival rates of women with breast cancer: a systematic review and meta-analysis. Annals of Medicine & Surgery, 85: 2940-2948.
  49. Programma Nazionale Esiti (2023). -- Tratto da: https://pne.agenas.it/home.
  50. Sanders E.B.N., & Stappers P.J. (2014). Probes, toolkits and prototypes: three approaches to making in codesigning. CoDesign, 10(1): 5-14. DOI: 10.1080/15710882.2014.888183
  51. Shi N., Wong A.K.C., Wong F.K.Y., & Sha L. (2023). Mobile Health Application-Based Interventions to Improve Self-management of Chemotherapy-Related Symptoms Among People with Breast Cancer Who Are Undergoing Chemotherapy: A Systematic Review. The Oncologist, 28: e175-e182.
  52. Singleton A.C., Raeside R., Partridge S.R., Hyun K.K., Tat-Ko J., Sum S.C.M., ... & Redfern J. (2022). Supporting women’s health outcomes after breast cancer treatment comparing a text message intervention to usual care: the EMPOWER-SMS randomised clinical trial. Journal of Cancer Survivorship, 1-13. DOI: 10.1007/s11764-022-01209-9
  53. Sirintrapun S.J., & Lopez A.M. (2018). Telemedicine in cancer care. American Society of Clinical Oncology Educational Book, 38: 540-545. DOI: 10.1200/EDBK_200141
  54. Uhm K.E., Yoo J.S., Chung S.H., Lee J.D., Lee I., Kim J.I. et al. (2017). Effects of exercise intervention in breast cancer patients:is mobile health (mHealth) with pedometer more effective than conventional program using brochure?. Breast Canc Res Treat, 161(3): 443e52. DOI: 10.1007/s10549-016-4065-8
  55. Voorberg W.H., Bekkers V.J., & Tummers L.G. (2015). A systematic review of co-creation and co-production: Embarking on the social innovation journey. Public management review, 17(9): 1333-1357. DOI: 10.1080/14719037.2014.930505
  56. WHO Global Observatory for eHealth World Health Organization (2011). MHealth: New Horizons for Health through Mobile Technologies. [Internet] [cited 2019 Sep 22]. -- Available from: http://www.who.int/goe/publications/goe_mhealth_web.pd.
  57. Williams S.A. (2004). The effect of education in managing side effects in women receiving chemotherapy for treatment of breast cancer. Number 1/2004, 31(1): E16-E23. DOI: 10.1188/04.ONF.E16-E23

Antonella Ferro, Luigi Maria Preti, Claudio Eccher, Rosa Maimone, Sviluppo ed applicazione di strumenti di telemedicina all’interno del percorso delle pazienti con tumore mammario in fase precoce: dalla diagnosi al follow-up in "MECOSAN" 127/2023, pp 43-66, DOI: 10.3280/mesa2023-127oa17874