Accepted for/Published in: JMIR Cancer
Date Submitted: Aug 29, 2022
Open Peer Review Period: Aug 29, 2022 - Oct 24, 2022
Date Accepted: Oct 31, 2022
(closed for review but you can still tweet)
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Remote Monitoring of Colorectal Cancer Survivors Using a Smartphone and IoT Based Device: A pilot study
ABSTRACT
Background:
Surgery patients due to colorectal cancers face many postoperative problems. These problems include the risk of relapse, side effects, and long-term complications.
Objective:
This study sought to design and develop a remote monitoring system as a technological solution for post-discharge care of these patients.
Methods:
This research was conducted in three main steps: system features extraction, system design, and evaluation. After feature extraction from a systematic review, the necessary features were defined by 18 clinical experts in Iran. The architecture of the system was designed; then, the system models were drawn using the unified modeling language, and details of software system implementation were identified. To design the hardware, different modules were evaluated, and suitable modules were selected. Finally, it was evaluated through the system usability analysis after mobile-based system development.
Results:
Twenty-one mandatory features in five main categories were defined and validated. The software was developed by ASP.Net core backend, Microsoft SQL Server Database, and Ionic frontend for three main users, including physicians, patients, and the system manager. The most highlighted system function was Patient information registration, Periodic monitoring of health parameters, Education, Reminders, Patient evaluations. The system was implemented with up-to-date technologies using hardware design, Esp8266 as the IoT module. The temperature sensors and heart rate sensors were placed on the board. In evaluating the software system from the perspective of usability, the system received an average score of 3.8 out of 5 by four evaluators.
Conclusions:
Sensor-based telemonitoring systems for cancer patients after surgery is a solution that can make the process easy, on time, and feasible both for patients and caregivers. More research about the developed system implementation in clinic settings and hospitals is required to understand the probable barriers and limitations.
Citation
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Copyright
© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.