{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T22:28:52Z","timestamp":1793399332911,"version":"4.5.0"},"reference-count":17,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2021,10,21]],"date-time":"2021-10-21T00:00:00Z","timestamp":1634774400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Centre for Aging + Brain Health Innovation","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Current Oncology"],"abstract":"<jats:p>The lack of timely symptom reporting remains a barrier to effective symptom management and comfort for patients with cancer-related palliative care needs. Poor symptom management at home can lead to unwanted outcomes, such as emergency department visits and death in hospital. We developed and evaluated RELIEF, a remote symptom self-reporting app for community patients with palliative care needs. A pilot feasibility study was conducted at a large, community hospital in Ontario, Canada. Patients self-reported their symptoms each morning using validated clinical symptom measures and RELIEF would alert for worsening or severe symptoms. RELIEF alerts were monitored by palliative care nurses who would then contact patients to determine if appropriate clinical intervention could be initiated to avoid unnecessary emergency department visits. A total of 20 patients were recruited to use RELIEF for two months. Patients completed 80% of daily self-report assessments; 133 alerts were trigged, half of which required clinical intervention. No patient visited the emergency department for symptom management during the study. Clinical staff estimated five emergency department visits were avoided because of RELIEF\u2014saving an estimated cost of over CAD 60,000. RELIEF is a feasible and acceptable method for the remote monitoring of patients with palliative care needs through regular symptom self-reporting.<\/jats:p>","DOI":"10.3390\/curroncol28060363","type":"journal-article","created":{"date-parts":[[2021,10,21]],"date-time":"2021-10-21T14:37:48Z","timestamp":1634827068000},"page":"4273-4280","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":36,"title":["RELIEF: A Digital Health Tool for the Remote Self-Reporting of Symptoms in Patients with Cancer to Address Palliative Care Needs and Minimize Emergency Department Visits"],"prefix":"10.3390","volume":"28","author":[{"given":"Ravi","family":"Bhargava","sequence":"first","affiliation":[{"name":"Pharmaceutical & Healthcare Management and Innovation, Department of Biomedical and Molecular Sciences, Queen\u2019s University, Kingston, ON K7L 3N6, Canada"},{"name":"Global Institute of Psychosocial, Palliative and End-of-Life Care, University of Toronto, Toronto, ON M5S 1A4, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bonnie","family":"Keating","sequence":"additional","affiliation":[{"name":"Division of Supportive and Palliative Care, William Osler Health System, Brampton, ON L6R 3J7, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarina R.","family":"Isenberg","sequence":"additional","affiliation":[{"name":"Bruy\u00e8re Research Institute, Ottawa, ON K1N 5C8, Canada"},{"name":"Department of Medicine, University of Ottawa, Ottawa, ON K1H 8L6, Canada"},{"name":"Institute of Health Policy, Management & Evaluation, University of Toronto, Toronto, ON M5S 1A4, Canada"},{"name":"Department of Family & Community Medicine, University of Toronto, Toronto, ON M5S 1A4, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saranjah","family":"Subramaniam","sequence":"additional","affiliation":[{"name":"Humber River Hospital, Toronto, ON M3M 0B2, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pete","family":"Wegier","sequence":"additional","affiliation":[{"name":"Institute of Health Policy, Management & Evaluation, University of Toronto, Toronto, ON M5S 1A4, Canada"},{"name":"Department of Family & Community Medicine, University of Toronto, Toronto, ON M5S 1A4, Canada"},{"name":"Humber River Hospital, Toronto, ON M3M 0B2, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0406-9692","authenticated-orcid":false,"given":"Martin","family":"Chasen","sequence":"additional","affiliation":[{"name":"Global Institute of Psychosocial, Palliative and End-of-Life Care, University of Toronto, Toronto, ON M5S 1A4, Canada"},{"name":"Division of Supportive and Palliative Care, William Osler Health System, Brampton, ON L6R 3J7, Canada"},{"name":"Bruy\u00e8re Research Institute, Ottawa, ON K1N 5C8, Canada"},{"name":"Department of Family & Community Medicine, University of Toronto, Toronto, ON M5S 1A4, Canada"},{"name":"Department of Medicine, University of Toronto, Toronto, ON M5S 1A4, Canada"},{"name":"Department of Family Medicine, McMaster University, Hamilton, ON L8S 4L7, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,10,21]]},"reference":[{"key":"ref_1","unstructured":"World Health Organization (2021, October 20). 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Available online: https:\/\/www.dialogue.co\/canadian-attitudes-on-healthcare-and-telemedicine."}],"container-title":["Current Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1718-7729\/28\/6\/363\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T07:20:01Z","timestamp":1760167201000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1718-7729\/28\/6\/363"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10,21]]},"references-count":17,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2021,12]]}},"alternative-id":["curroncol28060363"],"URL":"https:\/\/doi.org\/10.3390\/curroncol28060363","relation":{},"ISSN":["1718-7729"],"issn-type":[{"value":"1718-7729","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,10,21]]}}}