N-of-1 medicine
Singapore Medical Journal,
Год журнала:
2024,
Номер
65(3), С. 167 - 175
Опубликована: Март 1, 2024
Abstract
The
fields
of
precision
and
personalised
medicine
have
led
to
promising
advances
in
tailoring
treatment
individual
patients.
Examples
include
genome/molecular
alteration-guided
drug
selection,
single-patient
gene
therapy
design
synergy-based
combination
development,
these
approaches
can
yield
substantially
diverse
recommendations.
Therefore,
it
is
important
define
each
domain
delineate
their
commonalities
differences
an
effort
develop
novel
clinical
trial
designs,
streamline
workflow
rethink
regulatory
considerations,
create
value
healthcare
economics
assessments,
other
factors.
These
segments
are
essential
recognise
the
diversity
within
domains
accelerate
respective
workflows
towards
practice-changing
healthcare.
To
emphasise
points,
this
article
elaborates
on
concept
digital
health
medicine-enabled
N-of-1
medicine,
which
individualises
regimen
dosing
using
a
patient’s
own
data.
We
will
conclude
with
recommendations
for
consideration
when
developing
based
emerging
digital-based
platforms.
Язык: Английский
Prescription Digital Therapeutics: An Emerging Treatment Option for Negative Symptoms in Schizophrenia
Biological Psychiatry,
Год журнала:
2024,
Номер
unknown
Опубликована: Июль 1, 2024
Язык: Английский
Personalized dose selection for the first Waldenström macroglobulinemia patient on the PRECISE CURATE.AI trial
npj Digital Medicine,
Год журнала:
2024,
Номер
7(1)
Опубликована: Авг. 27, 2024
Abstract
The
digital
revolution
in
healthcare,
amplified
by
the
COVID-19
pandemic
and
artificial
intelligence
(AI)
advances,
has
led
to
a
surge
development
of
technologies.
However,
integrating
health
solutions,
especially
AI-based
ones,
rare
diseases
like
Waldenström
macroglobulinemia
(WM)
remains
challenging
due
limited
data,
among
other
factors.
CURATE.AI,
clinical
decision
support
system,
offers
an
alternative
big
data
approaches
calibrating
individual
treatment
profiles
based
on
that
individual’s
alone.
We
present
case
study
from
PRECISE
CURATE.AI
trial
with
WM
patient,
where,
over
two
years,
provided
dynamic
Ibrutinib
dose
recommendations
clinicians
(users)
aimed
at
achieving
optimal
IgM
levels.
An
80-year-old
male
newly
diagnosed
requiring
anemia
was
recruited
for
CURATE.AI-based
dosing
Bruton
tyrosine
kinase
inhibitor
Ibrutinib.
primary
secondary
outcome
measures
were
focused
scientific
logistical
feasibility.
Preliminary
results
underscore
platform’s
potential
enhancing
user
patient
engagement,
addition
efficacy.
Based
two-year-long
enrollment
into
CURATE.AI-augmented
treatment,
this
showcases
how
AI-enabled
tools
can
management
diseases,
emphasizing
integration
AI
enhance
personalized
therapy.
Язык: Английский
Assessment of priorities, quality, and inclusivity of digital therapeutics trials in China
npj Digital Medicine,
Год журнала:
2025,
Номер
8(1)
Опубликована: Фев. 4, 2025
Abstract
Digital
therapeutics
(DTx)
are
software-driven
solutions
for
prevention,
treatment,
and
management
of
medical
conditions.
Despite
a
pro-DTx
momentum
in
China,
global
DTx
trial
assessments
overlooked
the
country.
We
identified
756
trials
China
analyzed
their
characteristics
quality
parameters.
Over
70%
were
funded
by
governments,
hospitals,
universities,
with
tertiary
hospitals
eastern
leading
most
trials.
44.8%
used
automated
DTx,
39.2%
DTx-guided.
Most
focused
on
(52.5%)
treatment
(38.1%),
few
prevention
(9.4%).
Mental,
behavioral,
or
neurodevelopmental
disorders
represented
condition
category
focus.
Recent
declines
median
sample
size,
duration,
mean
number
sites
noted.
Only
18%
at
low
overall
risk
bias.
While
recognizing
rapid
development
we
call
better
design
methodological
rigor,
prioritization
preventive
primary
care,
wider
scope,
higher
inclusivity.
Язык: Английский
A group concept mapping study of stakeholder perspectives on digital therapeutics economic value drivers
npj Digital Medicine,
Год журнала:
2025,
Номер
8(1)
Опубликована: Апрель 10, 2025
Язык: Английский
Adoption of Digital Therapeutics in Europe
Therapeutics and Clinical Risk Management,
Год журнала:
2024,
Номер
Volume 20, С. 939 - 954
Опубликована: Дек. 1, 2024
Digital
therapeutics
(DTx)
are
an
emerging
medical
therapy
comprising
evidence-based
interventions
that
regulatory
approved
for
patient
use,
or
under
development,
a
variety
of
conditions,
including
hypertension,
cancer,
substance
use
disorders
and
mental
disorders.
DTx
have
significant
potential
to
reduce
the
overall
burden
on
healthcare
systems
offer
economic
benefits.
There
is
currently
no
specific
legal
regulation
in
EU.
Although
European
countries
similar
approaches
digital
health
solutions,
adoption
varies
across
continent.
The
aim
this
narrative
review
discuss
levels
Europe,
explore
possible
strategies
improve
adoption,
with
goal
higher
rates
more
consistent
article
discusses
reimbursement
landscape
Europe;
validation
requirements
DTx,
importance
co-design
ecosystem-centric
approach
development
DTx.
Also
considered
drivers
prescription
practices
as
well
perspectives
these
therapeutics.
explores
factors
may
contribute
low
lack
harmonisation
reimbursement;
sociodemographic
factors;
status;
ethical
concerns;
challenges
surrounding
AI;
knowledge
awareness
among
professionals
(HCPs)
patients,
data
standards
interoperability.
Efforts
access
Europe
described.
Finally,
framework
improved
uptake
proposed.
Язык: Английский
Smartphone Apps for Parents of Preterm Infants from NICU to Home: A Quality, Evidence-Based Content and Data Protection Assessment
R. Coquoz,
Camille Pellaton,
Leo Bettelini
и другие.
Lecture notes in business information processing,
Год журнала:
2024,
Номер
unknown, С. 209 - 224
Опубликована: Янв. 1, 2024
Язык: Английский
Using Digital Health Technology to Prevent and Treat Diabetes
Diabetes Technology & Therapeutics,
Год журнала:
2024,
Номер
26(S1), С. S - 107
Опубликована: Март 1, 2024
Язык: Английский
REHABS: An Innovative and User-Friendly Device for Rehabilitation
Bioengineering,
Год журнала:
2023,
Номер
11(1), С. 5 - 5
Опубликована: Дек. 21, 2023
Rehabilitation
is
a
complex
set
of
interventions
involving
the
assessment,
management,
and
treatment
injuries.
It
aims
to
support
facilitate
an
individual’s
recovery
process
by
restoring
physiological
function,
e.g.,
limb
movement,
compromised
physical
impairments,
injuries
or
diseases
condition
as
close
normal
possible.
Innovative
devices
solutions
make
rehabilitation
patients
easier
during
their
daily
activities.
Devices
physicians
physiotherapists
in
monitoring
measuring
patients’
improvements
rehabilitation.
In
this
context,
we
report
design
implementation
low-cost
system,
which
programmable
device
designed
tele-rehabilitation
upper
limbs.
The
proposed
system
includes
mechanism
acquire
analyze
data
signals
related
processes.
Язык: Английский