The weakest link: the inter‑cycle gap in oncology
The Problem
Real world references
Three core references supporting the problem.
Ambulatory toxicity peak & inter‑visit gap
“Chemotherapy is associated with a significant risk of toxicity, which often peaks between ambulatory visits to the cancer centre.”»
Krzyzanowska, et.al.
Ambulatory Toxicity Management (AToM) Pilot Study, Supportive Care in Cancer (2019)
Unplanned ED visits and admissions in cancer
«Studies consistently show high rates of unplanned emergency department visits and hospital admissions among cancer patients during treatment, driven by uncontrolled symptoms and treatment‑related complications».
Nasser, J. et.al.
Unplanned Emergency Department Visits within 30-Days of Mastectomy and Breast Recostruction (2019)
Limitations of current early warning scores & value of continuous monitoring
“Currently used tools for early recognition of clinical deterioration have high sensitivity, but low specificity and are based on infrequent measurements… A wearable, multi‑parameter real‑time warning score allowed early detection of high‑risk deterioration more than 40 hours before it occurred.”
Eisenkraft,A. et.al.
MPRT‑WS real‑time detection tool, Critical Care (2023)
