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Patient-centered Weight Tracking as an Early Cancer Detection Strategy

Journal of Cancer Prevention 2020년 25권 3호 p.181 ~ 188
Hue Jonathan J., Markt Sarah C., Rao Goutham, Winter Jordan M.,
소속 상세정보
 ( Hue Jonathan J. ) - University Hospitals Cleveland Medical Center Department of Surgery
 ( Markt Sarah C. ) - Case Western Reserve University School of Medicine Department of Population and Quantitative Health Sciences
 ( Rao Goutham ) - University Hospitals Cleveland Medical Center Department of Family Medicine
 ( Winter Jordan M. ) - University Hospitals Cleveland Medical Center Department of Surgery

Abstract


Early detection is a valued strategy to decrease cancer mortality rates; however, new strategies are needed. Unintentional weight loss (UWL) is experienced by patients across the cancer spectrum, but often goes unnoticed. Patient-centered weight tracking may be a useful early detection marker. Fifty patients were enrolled in a prospective patient-centered weight tracking trial. Patients received a scale and monetary compensation to participate. A reminder to measure and record weight was texted to participants for 26 consecutive weeks. Most patients were black (86.0%) and female (68.0%). The median age was 47 years (range: 22-84 years). Many participants had Medicaid (42.0%) and the median household income by home zip code was $31,046. After 26 weeks, 90% of patients had recorded at least one weight. Among all patients, 73.7% of all possible weights were recorded and the median response rate per patient was 92.3% (24 of 26 weights). There was no difference in the response rates during the first and second halves of the study (77.7% vs. 69.7%, P = 0.53). The range of weight change over the study period was 16.1% loss to 25.0% gain, with 56% of patients maintaining stable weight. Seven patients (14.0%) lost more than 5% weight and 11 patients (22.0%) gained over 5%. Of the seven patients with weight loss, two (4.0% of the cohort) were determined to have UWL. Patient-centered weight tracking is feasible and inexpensive, and has potential as an early detector of UWL. Further studies are needed to apply this strategy to detect underlying malignancies.

키워드

Body weight; Weight loss; Early detection of cancer; Technology

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