Nurse navigators’ telemonitoring for cancer patients with COVID-19: a French case study

Marie Ferrua, Delphine Mathivon, Adeline Duflot-Boukobza, May Abbas, Cécile Charles, Amandine Barrais, Jennifer Legendre, Christine Mendes, Magali Pons, Mansouria Merad, Etienne Minvielle, Olivier Mir, Florian Scotté

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Purpose: The Gustave Roussy Cancer Institute implemented a patient-reported outcome platform (CAPRI-COVID) for cancer patients with coronavirus disease 2019 (COVID-19) to quarantine patients at home while ensuring monitoring of COVID-related symptoms and securing the care pathway. In this study, we described the CAPRI-COVID intervention, evaluated its use, and presented results of the tracking indicators with a focus on the nurse navigators’ (NNs) activities and the experience of patients. Methods: Data of 130 cancer patients with COVID-19 diagnosed from March 23 to June 5, 2020, were collected. Six COVID-related symptoms were monitored daily, either by the patient via the CAPRI mobile application (CAPRI App) or by NNs via telemonitoring. In the cases of worsening or new-onset symptoms, an automated alert was sent to the platform, and NNs could immediately consult an emergency physician for future course of action. Results: All 130 patients (median age: 59 years; 59.2% female) were monitored during the study period. There were no deaths or admissions to the intensive care unit attributable to COVID-19; 7.8% of patients were hospitalized (excluding scheduled hospitalization), and 17.1% were admitted to the emergency department at least once during the monitoring period. NNs carried out 1412 regular monitoring calls (average of 10.9 calls per patient), while 55% of the patients downloaded the CAPRI App. Conclusions: Most patients monitored with CAPRI-COVID were quarantined during the first wave of the pandemic. In addition to the CAPRI App, which helped limit phone calls, NNs played an essential role in patient management.

Original languageEnglish
Pages (from-to)4485-4492
Number of pages8
JournalSupportive Care in Cancer
Volume29
Issue number8
DOIs
StatePublished - Aug 2021
Externally publishedYes

Keywords

  • COVID-19
  • Cancer
  • Nurse navigators
  • Remote monitoring
  • Telehealth

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