Digital Structured Assessment in Older Patients With Acute Leukemia: Clinical Impact
Clinical Impact and Feasibility of the Digital Implementation of a Structured Assessment in Patients ≥65 Years With Acute Leukemia: A Prospective Pilot Study
1 other identifier
interventional
20
1 country
1
Brief Summary
This pilot study evaluates the feasibility and preliminary clinical impact of digitally implementing a structured assessment in adults aged ≥65 years with acute leukemia receiving ambulatory follow-up care. Participants will complete validated quality-of-life and clinical questionnaires remotely through the institutional digital platform (MiAsturSalud/SESPA). The study examines adherence, usability, caregiver support needs, changes in quality of life, and variations in healthcare resource utilization after digitalization of the assessment process.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Mar 2026
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 1, 2026
CompletedFirst Submitted
Initial submission to the registry
May 13, 2026
CompletedFirst Posted
Study publicly available on registry
May 19, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 31, 2028
May 19, 2026
March 1, 2026
1.2 years
May 13, 2026
May 13, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Feasibility of Digital Implementation
Proportion of participants completing ≥80% of the digital assessment battery after the baseline visit.
Within 7 days after baseline.
Secondary Outcomes (3)
Caregiver Support Requirement
Within 7 days after baseline.
Dropout Rate
From baseline to 3-6 months.
Time Required for Digital Completion
Within 7 days after baseline.
Study Arms (1)
Digital Structure Assessment Pathway
EXPERIMENTALInterventions
Integration of a structured set of validated clinical and patient-reported outcome questionnaires into the MiAsturSalud/SESPA digital platform for remote completion by older adults with acute leukemia. After a brief baseline visit, patients receive instructions and complete the EORTC QLQ-C30, FACT-Leu, and related measures at home within 48-72 hours, with a second digital assessment at 3-6 months. The system automatically records adherence, completion time, and caregiver support needs. All data are incorporated into routine clinical workflows. DSAI does not modify treatment or include automated alerts; its purpose is to evaluate feasibility, usability, and preliminary clinical impact of digitalizing structured assessments in real-world hematology practice.
Eligibility Criteria
You may qualify if:
- Age ≥65 years.
- Confirmed diagnosis of acute leukemia.
- Active ambulatory follow-up in the Hematology Service.
- Ability to complete questionnaires independently or with caregiver support.
- Access to a compatible digital device (patient or caregiver).
- Signed informed consent.
You may not qualify if:
- Severe cognitive impairment preventing participation (per clinical judgment and baseline screening).
- Terminal clinical condition with limited life expectancy.
- Non-resolvable technical impossibility of digital access.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Hospital Universitario Central de Asturias (HUCA)
Oviedo, Principality of Asturias, 33011, Spain
Related Publications (5)
Woods JD, Klepin HD. Geriatric Assessment in Acute Myeloid Leukemia. Acta Haematol. 2024;147(2):219-228. doi: 10.1159/000535500. Epub 2023 Nov 30.
PMID: 38035561BACKGROUNDFranzoi MA, Ferreira AR, Lemaire A, Rodriguez J, Grosjean J, Ribeiro JM, Polastro L, Grellety T, Artignan X, Le Du K, Pagliuca M, Nouhaud E, Autheman M, Andre F, Basch E, Metzger O, Ferte C, Di Palma M, Scotte F, Vaz-Luis I. Implementation of a remote symptom monitoring pathway in oncology care: analysis of real-world experience across 33 cancer centres in France and Belgium. Lancet Reg Health Eur. 2024 Jul 31;44:101005. doi: 10.1016/j.lanepe.2024.101005. eCollection 2024 Sep.
PMID: 39444707BACKGROUNDAanes SG, Wiig S, Nieder C, Haukland EC. Implementing digital patient-reported outcomes in routine cancer care: barriers and facilitators. ESMO Real World Data Digit Oncol. 2024 Oct 23;6:100088. doi: 10.1016/j.esmorw.2024.100088. eCollection 2024 Dec.
PMID: 41646091BACKGROUNDPeipert JD, Efficace F, Pierson R, Loefgren C, Cella D, He J. Patient-reported outcomes predict overall survival in older patients with acute myeloid leukemia. J Geriatr Oncol. 2022 Sep;13(7):935-939. doi: 10.1016/j.jgo.2021.09.007. Epub 2021 Sep 11.
PMID: 34521609BACKGROUNDBasch E, Rocque G, Mody G, Mullangi S, Patt D. Tenets for Implementing Electronic Patient-Reported Outcomes for Remote Symptom Monitoring During Cancer Treatment. JCO Clin Cancer Inform. 2023 Feb;7:e2200187. doi: 10.1200/CCI.22.00187.
PMID: 36857630BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- PhD
Study Record Dates
First Submitted
May 13, 2026
First Posted
May 19, 2026
Study Start
March 1, 2026
Primary Completion (Estimated)
May 1, 2027
Study Completion (Estimated)
December 31, 2028
Last Updated
May 19, 2026
Record last verified: 2026-03
Data Sharing
- IPD Sharing
- Will not share
Individual participant data collected in this study will not be made publicly available due to the small sample size and the potential risk of participant identification. De-identified data underlying the results reported in future publications may be made available from the corresponding author upon reasonable request, subject to approval by the institutional ethics committee and in accordance with applicable data protection regulations.