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Netmedi Oy / @kaikuhealth / @laurisippola
Confidential / Netmedi Oy
2013
First clinical research project with HUCH
1
in the Nordics
10k
patients
Agenda
1. Kaiku Health
2. Patient reported outcomes
3. Future of data driven care
K L I N I K A A R A U
K L I N I K Z Ü R I C HK L I N I K M Ä N N E D O R F
K L I N I K L A U S A N N E
S O M E O F O U R
R E F E R E N C E S
Kaiku is a web-platform that automates symptom follow-up and
data capture during and after cancer treatment.
The patient stays connected – anywhere, anytime, any device.
Patient reports structured feedback
on adverse events and quality of life.
Kaiku can give information
to the patient.
Kaiku alerts automatically the
medical staff according to the
pre-programed parameters.
95% 75% x10
Positive impact on
treatment experience by
patients
Reduction in calls Real-world data
Data from 2015
0
20000
40000
60000
80000
100000
120000
140000
160000
180000
0
500
1000
1500
2000
2500
3000
3500
4000
2013-Q1
2013-Q2
2013-Q3
2013-Q4
2014-Q1
2014-Q2
2014-Q3
2014-Q4
2015-Q1
2015-Q2
2015-Q3
2015-Q4
Numberofpatients
Patients Data points
3460 patients
11% average
monthly growth
167 110 data points
356 % growth during
in 12 months
Numberofdatapoints
15 25+ 89%
Centers Adverse event follow-up
templates for different
cancer and therapy
combinations
Patient compliance
(registered / invited)
Agenda
1. Kaiku Health
2. Patient reported outcomes
3. Future of data driven care
Why is data about patient’s experience
significant for better healthcare?
Patient-reported outcomes (PRO)
= PRO is any report of the status of a patient's health
condition that comes directly from the patient, without
interpretation of the patient's response by a clinician or
anyone else. (US-FDA)
Why are PROs important?
"After all, only the patient himself is aware of his
wellbeing and can report on possible warning signs,
while the doctor can use these reports to evaluate the
progress of the disease and treatments on the basis of
their medical expertise."
Confidential / Netmedi Oy
Basch et al: Symptom Monitoring With Patient-Reported Outcomes
During Routine Cancer Treatment: A Randomized
Controlled Trial. Clin Oncol 34:557-565, 2016
Web-based symptom reporting with automated clinician e-mail alerts resulted in
better quality of life, fewer emergency room visits and longer duration of
treatment as well as better quality-adjusted survival for patients. (N = 766)
Agenda
1. Kaiku Health
2. Patient reported outcomes
3. Future of data driven care
Patient is connected with Kaiku®
Health.
Kaiku® Health captures
specific symptom and
quality of life data.
Kaiku® Health automatically
gives routine instructions to
frequently asked questions.
Kaiku® Health filters the
patients.
Kaiku® Health notifies the
medical staff according to pre-
defined
parameters.
Kaiku® creates analytics:
• Individual patient
• Populations
• Clinical trial support
Case 1: Monitoring outcomes of immunotherapy
and complex combinations
Prevent
Anticipate
Detect
Treat
Monitor
Source: Annals of Oncology: 559-574, 2016
Case 2: Forecasting risk
25%
Risk of recurrence
Improve
quality of
life
Monitor Forecast
Future:
Enabling data-driven care and personalized
care.
Kaiku is the patient’s individual guide through cancer treatment and
recovery, and a real-time dashboard that allows the caregiver to
improve outcome-driven care.
Confidential / Netmedi Oy
Thank you.
Confidential / Netmedi Oy
Lauri Sippola
CEO and Co-founder
+358 40 744 7481
lauri.sippola@netmedi.fi
@laurisippola
www.kaikuhealth.com

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Kaiku - Patient-reported outcomes and the future of data-driven cancer care. Lauri Sippola, NETMEDI.

  • 1. Netmedi Oy / @kaikuhealth / @laurisippola
  • 2. Confidential / Netmedi Oy 2013 First clinical research project with HUCH 1 in the Nordics 10k patients
  • 3. Agenda 1. Kaiku Health 2. Patient reported outcomes 3. Future of data driven care
  • 4. K L I N I K A A R A U K L I N I K Z Ü R I C HK L I N I K M Ä N N E D O R F K L I N I K L A U S A N N E S O M E O F O U R R E F E R E N C E S
  • 5. Kaiku is a web-platform that automates symptom follow-up and data capture during and after cancer treatment. The patient stays connected – anywhere, anytime, any device.
  • 6. Patient reports structured feedback on adverse events and quality of life.
  • 7. Kaiku can give information to the patient. Kaiku alerts automatically the medical staff according to the pre-programed parameters.
  • 8. 95% 75% x10 Positive impact on treatment experience by patients Reduction in calls Real-world data
  • 9. Data from 2015 0 20000 40000 60000 80000 100000 120000 140000 160000 180000 0 500 1000 1500 2000 2500 3000 3500 4000 2013-Q1 2013-Q2 2013-Q3 2013-Q4 2014-Q1 2014-Q2 2014-Q3 2014-Q4 2015-Q1 2015-Q2 2015-Q3 2015-Q4 Numberofpatients Patients Data points 3460 patients 11% average monthly growth 167 110 data points 356 % growth during in 12 months Numberofdatapoints 15 25+ 89% Centers Adverse event follow-up templates for different cancer and therapy combinations Patient compliance (registered / invited)
  • 10. Agenda 1. Kaiku Health 2. Patient reported outcomes 3. Future of data driven care
  • 11. Why is data about patient’s experience significant for better healthcare? Patient-reported outcomes (PRO) = PRO is any report of the status of a patient's health condition that comes directly from the patient, without interpretation of the patient's response by a clinician or anyone else. (US-FDA)
  • 12. Why are PROs important? "After all, only the patient himself is aware of his wellbeing and can report on possible warning signs, while the doctor can use these reports to evaluate the progress of the disease and treatments on the basis of their medical expertise." Confidential / Netmedi Oy
  • 13. Basch et al: Symptom Monitoring With Patient-Reported Outcomes During Routine Cancer Treatment: A Randomized Controlled Trial. Clin Oncol 34:557-565, 2016 Web-based symptom reporting with automated clinician e-mail alerts resulted in better quality of life, fewer emergency room visits and longer duration of treatment as well as better quality-adjusted survival for patients. (N = 766)
  • 14. Agenda 1. Kaiku Health 2. Patient reported outcomes 3. Future of data driven care
  • 15. Patient is connected with Kaiku® Health. Kaiku® Health captures specific symptom and quality of life data. Kaiku® Health automatically gives routine instructions to frequently asked questions. Kaiku® Health filters the patients. Kaiku® Health notifies the medical staff according to pre- defined parameters. Kaiku® creates analytics: • Individual patient • Populations • Clinical trial support
  • 16. Case 1: Monitoring outcomes of immunotherapy and complex combinations Prevent Anticipate Detect Treat Monitor Source: Annals of Oncology: 559-574, 2016
  • 17. Case 2: Forecasting risk 25% Risk of recurrence
  • 19. Enabling data-driven care and personalized care. Kaiku is the patient’s individual guide through cancer treatment and recovery, and a real-time dashboard that allows the caregiver to improve outcome-driven care. Confidential / Netmedi Oy
  • 20. Thank you. Confidential / Netmedi Oy Lauri Sippola CEO and Co-founder +358 40 744 7481 lauri.sippola@netmedi.fi @laurisippola www.kaikuhealth.com

Editor's Notes

  1. Combine the figures 15 paying customer clinics
  2. So how do we measure the patient’s subjective experience of the care? The key word here is patient-reported outcomes. US-FDA defines PRO as ”any …” Why are PROs important? Many aspects of the patient’s experience of the care are subjective, they cannot be directly measured. Studies show that the interpretation of patient’s account interpreted by a clinician is systematically lower than how the patient would rate themselves. Next, let’s take a look at how outcome follow-up works today and see how well patient-driven follow-up is realized.