Telemed J E Health - Developing screening services for colorectal cancer on Android smartphones.


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TRODUCTION: Colorectal cancer (CRC) is an important health problem in Western countries and also in Asia. It is the third leading cause of cancer deaths in both men and women in Taiwan. According to the well-known adenoma-to-carcinoma sequence, the majority of CRC develops from colorectal adenomatous polyps. This concept provides the rationale for screening and prevention of CRC. Removal of colorectal adenoma could reduce the mortality and incidence of CRC. Mobile phones are now playing an ever more crucial role in people's daily lives. The latest generation of smartphones is increasingly viewed as hand-held computers rather than as phones, because of their powerful on-board computing capability, capacious memories, large screens, and open operating systems that encourage development of applications (apps).SUBJECTS AND METHODS: If we can detect the potential CRC patients early and offer them appropriate treatments and services, this would not only promote the quality of life, but also reduce the possible serious complications and medical costs. In this study, an intelligent CRC screening app on Android? (Google?, Mountain View, CA) smartphones has been developed based on a data mining approach using decision tree algorithms. For comparison, the stepwise backward multivariate logistic regression model and the fecal occult blood test were also used.RESULTS: Compared with the stepwise backward multivariate logistic regression model and the fecal occult blood test, the proposed app system not only provides an easy and efficient way to quickly detect high-risk groups of potential CRC patients, but also brings more information about CRC to customer-oriented services.CONCLUSIONS: We developed and implemented an app system on Android platforms for ubiquitous healthcare services for CRC screening. It can assist people in achieving early screening, diagnosis, and treatment purposes, prevent the occurrence of complications, and thus reach the goal of preventive medicine.

Resumo Limpo

troduct colorect cancer crc import health problem western countri also asia third lead caus cancer death men women taiwan accord wellknown adenomatocarcinoma sequenc major crc develop colorect adenomat polyp concept provid rational screen prevent crc remov colorect adenoma reduc mortal incid crc mobil phone now play ever crucial role peopl daili live latest generat smartphon increas view handheld comput rather phone power onboard comput capabl capaci memori larg screen open oper system encourag develop applic appssubject method can detect potenti crc patient earli offer appropri treatment servic promot qualiti life also reduc possibl serious complic medic cost studi intellig crc screen app android googl mountain view ca smartphon develop base data mine approach use decis tree algorithm comparison stepwis backward multivari logist regress model fecal occult blood test also usedresult compar stepwis backward multivari logist regress model fecal occult blood test propos app system provid easi effici way quick detect highrisk group potenti crc patient also bring inform crc customerori servicesconclus develop implement app system android platform ubiquit healthcar servic crc screen can assist peopl achiev earli screen diagnosi treatment purpos prevent occurr complic thus reach goal prevent medicin

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