Oncocare System: uma ferramenta para auxiliar o gerenciamento assistencial da neutropenia em pacientes oncológicos

Abstract

Introduction: Neutropenia, especially in its febrile form (NF), represents a serious and frequent complication in cancer patients, associated with high morbidity and mortality. It affects up to 80% of patients with hematological malignancies and generates serious complications in up to 30% of cases. Fever may be the only clinical sign present, requiring immediate empirical antibiotic diagnosis and treatment. Institutional strategies based on international guidelines and the incorporation of Information and Communication Technologies (ICT) have been fundamental in promoting rapid, safe, and standardized procedures, favoring early diagnosis and reducing mortality. Objective: o develop and describe the OncoCare System, composed of a prototype clinical surveillance software and a multidisciplinary care guide, to support the care management of febrile neutropenia in cancer patients hospitalized at the University Hospital of Sergipe, based on scientific evidence on strategies, challenges, and the use of technologies in the management of this condition. Methodology: his is characterized as a technological production study, aiming to develop a software prototype using the Scrum agile methodology. The research was structured in main stages: (i) prior art search, (ii) conducting an integrative literature review, (iii) developing the Oncocare system prototype, and (iv) creating a care guide for febrile neutropenia. Results: The integrative review identified challenges and opportunities in the use of information technologies for the management of NF, highlighting the need for tools that support risk stratification and clinical decision-making. Based on this evidence, the OncoCare System was developed, a software prototype created in partnership with the Computer Science Department of UFS, aimed at monitoring, alerting, and following up on cancer patients. In addition, a Febrile Neutropenia Care Guide was developed for the multidisciplinary team. Conclusions: The study achieved its purpose of integrating scientific fundamentals and technological innovation. The OncoCare System was developed based on real demands of the University Hospital of Sergipe, with the potential to improve safety, standardize procedures, and expedite clinical decisions. It was completed and registered with the INPI (Brazilian National Institute of Industrial Property) under number BR512024001695- 3. The Care Guide complements the tool, especially in educational contexts.