Digital Self-Management of Symptoms and Quality of Life for Patients With Advanced Cancer: A Randomized
By
Wing-Lok Chan
Inda Sung Soong
Mei-Ying Lim
Winnie Wing-Yan Tin
Steven Wai-Kwan Siu
Jeffrey Ng
Carmen Leung
Alex Leung
Yin-Ling Tai
Ching-Mei Lam
Li-Yu Hou
Raymond Lo
Victor Ho-Fun Lee
Kwok-Keung Yuen
Dora Kwong
Rina Hui
June 1, 2026
Clinical Scorecard: Utilizing Digital Tools for Symptom Management and Enhancing Quality of Life in Patients with Advanced Cancer: A Randomized Study
At a Glance
Category Detail
Condition Key Mechanisms Digital symptom-monitoring interventions integrating routine IPOS-based symptom reporting and nurse-led follow-up. Target Population Care Setting
Key Highlights
Patients with advanced cancer experience significant symptom burden affecting HRQOL. The Integrated Palliative Outcome Scale (IPOS) captures multidimensional symptom burden. The study evaluated an app-facilitated intervention alongside usual palliative care. Primary outcome measured was change in HRQOL using the EQ-5D-5L utility score. Secondary outcomes included self-efficacy, ED visits, and unplanned hospitalizations. Guideline-Based Recommendations
Diagnosis
Assess eligibility based on cancer type, treatment history, and symptom presence. Management
Implement app-facilitated symptom monitoring and nurse-led follow-up for severe symptoms. Monitoring & Follow-up
Conduct regular assessments of HRQOL, self-efficacy, and symptom burden. Risks
Monitor for potential exacerbation of symptoms and acute care utilization. Patient & Prescribing Data
Patients aged 18 years or older with advanced solid malignant neoplasms.
Participants received standard outpatient palliative care with access to educational materials and symptom management guidance through the app.
Clinical Best Practices
Utilize the IPOS for comprehensive symptom assessment. Encourage caregiver involvement in symptom reporting and management. Ensure timely nurse follow-up for alerts generated by the app. Related Resources & Content
