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SYSTEMATIC REVIEW article
Front. Public Health
Sec. Digital Public Health
Volume 13 - 2025 | doi: 10.3389/fpubh.2025.1484568
This article is part of the Research Topic Telehealth and Remote Monitoring Solutions: Advancing Accessible and Effective Healthcare Delivery View all 5 articles
Effectiveness of Internet of Things(IoT)-Based Interventions in Cancer Patients: A Meta-Analysis of Randomized Controlled Trials
Provisionally accepted- First Affiliated Hospital, Zhejiang Chinese Medical University, Hangzhou, China
Purpose To systematically synthesize the evidence on the effectiveness of Internet of Things(IoT)-Based Interventions in Cancer Patients on MVPA,BMI,HRQOL, fatigue, pain, sleep quality in cancer patients.Method A meta-analysis were conducted according to the PRISMA guideline in PubMed, Web of Science, EMBASE, the Cochrane Library, CINAHL and Scopus for studies of randomized controlled trials reporting Internet of Things(IoT)-Based Interventions in Cancer Patients from Jan 1st 2014 to July 11st, 2024. Two reviewers independently assessed risk-of-bias using Cochrane Risk-of-Bias version 2 and extracted the data. Subgroup analysis was conducted to identify the source of heterogeneity. Sensitivity analysis was performed by using the leave-one-out method.Results A total of 16 studies were included in our review, comprising a total of 1008 participants. The results showed IoT-based intervention can improve patients' MVPA (SMD(standard mean difference)=0.32, 95%CI -0.12 to 0.52, P=0.001) and pain(SMD=-0.35, 95%CI -0.58 to -0.13, P=0.002).The results showed that for assessment time points ≥24 weeks, IoT-based interventions improved the BMI of cancer patients(SMD=0.56, 95%CI 0.19 to 0.92, P=0.0003) and improved MVPA levels of cancer patients when the assessment time points ＞ 12 weeks. (SMD=0.48, 95%CI 0.20 to 0.75, P=0.0006). In the sensitivity analysis, it was found that the results for pain were unstable, indicating that further research is needed in the future.IoT-based intervention in cancer patients is an emerging topic .However, due to the limited numbers of included studies, the long-term effect of IoT-based intervention still needed to be validated.Registration Details:PROSPERO(DOI: CRD42024573394). Clinical trial number: not applicable. Key words： Internet of things, cancer, Meta-analysis, Randomized Controlled Trials，wearable device the 删除[lin hang]:
Keywords: Cancer, Internet of things, Randomized Clinical Trial, Meta - analysis, Wearable Device
Received: 29 Aug 2024; Accepted: 11 Feb 2025.
Copyright: © 2025 Hang, lu and zhang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
zhongjie lu, First Affiliated Hospital, Zhejiang Chinese Medical University, Hangzhou, China
jieping zhang, First Affiliated Hospital, Zhejiang Chinese Medical University, Hangzhou, China
Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.