Diagnosis of Chemotherapy-induced Peripheral Neurotoxicity: A Scoping Review
Cerrone et al.
The finding, in our words
Patient-reported questionnaires remain the most frequently used tools for chemotherapy-induced peripheral neuropathy, while wearable sensors and digital technologies are emerging but suffer from considerable heterogeneity in design and validation. The review concludes that standardised and validated diagnostic tools are urgently needed for routine clinical practice.
A paraphrase to the Library’s standard, never the abstract. The source is one link away and is always the authority.
Wearable-derived digital biomarkers have been accepted by regulatory agencies as endpoints in clinical trials for Duchenne muscular dystrophy, showing their potential to support decentralised diagnostics through patient-centric monitoring. This matters because it enables more sensitive and continuous assessment of disease progression outside clinical settings.
Ma et al., Neurology and therapy (paywalled) · source ↗
Wearable biochemical monitoring requires a complete measurement chain that integrates quality-controlled biofluid sampling, sensor fusion and metadata capture to convert raw sensor outputs into clinically valid digital biomarkers.
Merck describes a digitally enabled, patient-centric trial initiative that combines outpatient PK/PD sampling with digital biomarkers and smart dosing technologies to improve exposure-response understanding and reduce patient burden, while acknowledging adoption challenges.
Dockendorf et al., Clinical and translational science · source ↗
This review establishes that microsampling across blood, saliva, urine and stool matrices offers validated workflows and regulatory recognition for human biomonitoring comparable to conventional methods. It finds that these decentralised approaches enhance participant acceptability and enable screening in remote or low-resource settings.
This narrative review finds that saliva is best suited to repeated neuroendocrine and metabolic measurements during exercise, sweat is most mature for electrolyte and sweat-rate monitoring with wearable compatibility, and exhaled breath offers access to volatile metabolism but remains instrumentally demanding. Each matrix requires matching to a defined clinical or exercise question with matrix-specific validation before translational use.