DIGITAL TOOLS FOR MONITORING AND ASSESSING CHEMOTHERAPY-INDUCED PERIPHERAL NEUROPATHY: IMPLICATIONS FOR NURSING PRACTICE - A SCOPING REVIEW


Eroğlu İ., Kutlutürkan S.

CA21125 INE-CSC COST Action Conference The Next Chapter: Impowering Individiuals, Families, And Society for Cancer Survivorship & Supportive Care, Coimbra, Portekiz, 25 - 26 Mayıs 2026, (Yayınlanmadı)

  • Yayın Türü: Bildiri / Yayınlanmadı
  • Basıldığı Şehir: Coimbra
  • Basıldığı Ülke: Portekiz
  • Ankara Üniversitesi Adresli: Evet

Özet

Background: Chemotherapy-induced peripheral neuropathy (CIPN) is a common and dose-limiting adverse effect of neurotoxic chemotherapy agents. Clinical monitoring remains limited due to time constraints, lack of resources, underreporting, and the subjective nature of assessments. Emerging digital health solutions—including mobile health applications, wearable sensors, and electronic patient-reported outcome systems—offer new opportunities for continuous, objective, and patient-centered symptom monitoring. In oncology nursing, implementing these systems plays a critical role in interpreting CIPN-related data and improving symptom management.

Aim: This scoping review aimed to identify digital technologies developed between 2019 and 2025 for the monitoring and assessment of CIPN and to examine their applicability in nursing practice.

Methods: A systematic search was conducted in the Web of Science, PubMed, and Scopus databases for studies published between 2019 and 2025. Inclusion criteria comprised studies utilizing digital methods for measuring or monitoring CIPN symptoms with relevance to nursing practice. Data were categorized according to study design, sample characteristics, technology type, and the role of nurses.

Key Messages / Findings: Literature highlights that mobile health applications (e.g., NeuroDetect, Neuropathy Tracker), wearable sensors (accelerometer-based systems measuring parameters such as balance, gait, and manual dexterity), and ePRO systems have emerged as key tools for the early detection and management of CIPN. Most studies reported that nurse-led use of these technologies facilitated objective and real-time symptom tracking, leading to reductions in symptom severity and duration, and improvements in self-care competence. However, some decision-support systems demonstrated limited effectiveness due to low user engagement and insufficient integration into clinical workflows.

Conclusion: Integrating digital tools into oncology nursing practice is essential for the comprehensive and data-driven management of CIPN. Future priorities include conducting broader studies across all neurotoxic agents, developing theory-based and user-centered digital systems, enhancing nurses’ digital literacy, and establishing international guidelines for digital monitoring.