Association of a Remote Patient Monitoring (RPM) Program With Reduced Hospitalizations in Cancer patients With COVID-19

被引:15
|
作者
Pritchett, Joshua C. [1 ,2 ]
Borah, Bijan J. [3 ]
Desai, Aakash P. [1 ,2 ]
Xie, Zhuoer [1 ,2 ]
Saliba, Antoine N. [1 ,2 ]
Leventakos, Konstantinos [2 ,3 ]
Coffey, Jordan D. [4 ]
Pearson, Kristina K. [4 ]
Speicher, Leigh L. [5 ]
Orenstein, Robert [6 ]
Virk, Abinash [7 ]
Ganesh, Ravindra [8 ]
Paludo, Jonas [1 ]
Halfdanarson, Thorvardur R. [2 ]
Haddad, Tufia C. [2 ,4 ]
机构
[1] Mayo Clin, Div Hematol, Rochester, MN 55905 USA
[2] Mayo Clin, Div Med Oncol, Rochester, MN 55905 USA
[3] Mayo Clin, Kern Ctr Sci Healthcare Delivery, Rochester, MN 55905 USA
[4] Mayo Clin, Ctr Connected Care, Rochester, MN 55905 USA
[5] Mayo Clin, Div Gen Internal Med, Jacksonville, FL 32224 USA
[6] Mayo Clin, Div Infect Dis, Phoenix, AZ USA
[7] Mayo Clin, Div Infect Dis, Rochester, MN 55905 USA
[8] Mayo Clin, Div Gen Internal Med, Rochester, MN 55905 USA
关键词
PROPENSITY-SCORE METHODS; PERFORMANCE; DISEASE; RISK;
D O I
10.1200/OP.21.00307
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
PURPOSE The goal of this study was to assess the impact of an interdisciplinary remote patient monitoring (RPM) program on clinical outcomes and acute care utilization in cancer patients with COVID-19. METHOD This is a cross-sectional analysis following a prospective observational study performed at Mayo Clinic Cancer Center. Adult patients receiving cancer-directed therapy or in recent remission on active surveillance with polymerase chain reaction-confirmed SARS-CoV-2 infection between March 18 and July 31, 2020, were included. RPM was composed of in-home technology to assess symptoms and physiologic data with centralized nursing and physician oversight. RESULT During the study timeframe, 224 patients with cancer were diagnosed with COVID-19. Of the 187 patients (83%) initially managed in the outpatient setting, those who did not receive RPM were significantly more likely to experience hospitalization than those receiving RPM. Following balancing of patient characteristics by inverse propensity score weighting, rates of hospitalization for RPM and non-RPM patients were 2.8% and 13%, respectively, implying that the use of RPM was associated with a 78% relative risk reduction in hospital admission rate (95% CI, 54 to 102; P = .002). Furthermore, when hospitalized, these patients experienced a shorter length of stay and fewer prolonged hospitalizations, intensive care unit admissions, and deaths, although these trends did not reach statistical significance. CONCLUSION The use of RPM and a centralized virtual care team was associated with a reduction in hospital admission rate and lower overall acute care resource utilization among cancer patients with COVID-19. (C) 2021 by American Society of Clinical Oncology
引用
收藏
页码:569 / +
页数:11
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