Wearable Health, Fitness Trackers, and the Quantified Self
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The Advent of Wearable Health Technology, Sensors, and the Quantified SelfSteven Tucker, MD, FACP, FAMS Novena Specialist Center
1Part Diseasein 2 minutes
The scope of
-Thomas Goetz
Healthcare is not a science problem, it’s an information problem.
Perc
ent
0
5
10
15
20
25
2010 2020 2030
Population aged 65+
Source: U.S Census Bureau, 2012
13% 17% 21%
Mill
ions
6
9
12
15
18
2015 2020 2025 2030 2035 2040 2045 2050
Population aged 85+
Source: U.S Census Bureau, 2012
Chronic IllnessHeart Disease
Diabetes
Asthma
Cancer
Arthritis Depression
Chronic Illness
84% of health spending > $2 trillion
Source: Robert Woods Johnson Foundation
Perc
ent
0
5
10
15
20
25
1 2 3 4 5
Multiple Chronic Conditions
Source: Robert Woods Johnson Foundation
Common Risk FactorsSmoking
High Blood Pressure
Inactivity
Obesity High Cholesterol
Raised Blood Sugar
Smoking
Source: WHO NCD’s Profiles 2011
Inactivity
Source: WHO NCD’s Profiles 2011
High Blood Pressure
Source: WHO NCD’s Profiles 2011
High Cholesterol
Source: WHO NCD’s Profiles 2011
Raised Blood Sugar
Source: WHO NCD’s Profiles 2011
Obese / Overweight
Source: WHO NCD’s Profiles 2011
$ Bi
llion
0
200
400
600
800
1000
2008 2030
The Rising Cost of Obesity
Source: Almanac of Chronic Disease, 2013
How We Die
How We Die
Source: U.S Census Bureau, 2012
How We Die
Source: U.S Census Bureau, 2012
How We Die
Source: U.S Census Bureau, 2012
How We Die
Source: U.S Census Bureau, 2012
How We Die
Source: U.S Census Bureau, 2012
How We Die
Source: U.S Census Bureau, 2012
How We Die
Source: U.S Census Bureau, 2012
How We Die
Source: U.S Census Bureau, 2012
How We Die
Source: U.S Census Bureau, 2012
How We Die
Source: U.S Census Bureau, 2012
Other 29%
Diabetes 10%
Mental Health 11%
Neuro 13%
Cancer 18%
CVD 19%
CVDCancerNeuroMental HealthDiabetesOther
Singapore Burden of Diseases Study 2007
Singapore Burden of Disease
2Part Trackingin 3 minutes
The rise of
-Lord Kelvin
If you cannot measure it, you cannot improve it.
Data
Data is routinely collected to fine tune performance.
Tracking69% of adults track a health indicator
for themselves or others.
34% of individuals who track use non-tech methods such as journals.
21% of people who track use at least one form of tech such as apps or devices.
Source: Susannah Fox, Pew Internet & American Life Report, January 2013
Tracking46% say this activity has changed their
overall approach to maintaining their health or another persons health
40% of trackers say it has led them to ask a doctor new questions or to get a 2nd opinion.
34% say it has affected a decision about how to treat an illness or condition.
Source: Susannah Fox, Pew Internet & American Life Report, January 2013
TrackingFormal tracking was more influential when it came to health decisions than informal tracking. !
People with chronic conditions are more likely to track.
Source: Susannah Fox, Pew Internet & American Life Report, January 2013
Quantified Self is an international collaboration of users and makers of self-tracking tools.
Quantified Self is an international collaboration of users and makers of self-tracking tools.
The aim is to help people get meaning out of their personal data.
Why Now?
Why Now?
Why Now?
Why Now?
Why Now?
QS Personalizes
By collecting your own personal information you know it is appropriate to you as an individual.
QS is Peer-to-Peer
People turn to friends & family for support and advice when they have a health problem.
Peer-to-Peer is the Future
- "I don’t know, but I can find out" - "I know, and I want to share my knowledge" Source: The Pew Research Center's
Internet & American Life Project
3Part ToolsPersonal Health
in 4 minutes
-Arthur C. Clarke
Any sufficiently advanced technology is indistinguishable from magic.
5 Megapixels 4000 pictures2 day battery Always on
Photographic Memory
Continuous Glucose Monitoring
TICTRAC
Wearable Computing Shipments (Millions)
2013 2014 2015Wearable Cameras 6.64 13.61 15.81
Smart Glasses 0.01 8 9%
Smart Watches 1.23 74 85%
Healthcare 13.45 22.59 34.25
Fitness Trackers 32.46 42.64 57.42
3D Motion Trackers N/A 0.87 2.00
Smart Clothing 0.03 0.72 1.24
TOTALS 53.90 90.00 164.20
ABI Research World Market Forecast 2013-2019
Personal Tools
DNA Screen
Data is Cheap
Data is Cheap
Digital Health as a Google Map
Exposome
Genome
Epigenetics
Microbiome
Patient Data
Individual Patient
Signs & Symptoms
4Part My ViewWhat is
in 1 minute
Dea
ths
0
100000
200000
300000
400000
500000
Prostate Breast Diabetes Med Errors Med Errors Med Errors
IOM 1999
OIG 2010
JPS 2013
Every time researchers estimate how often a medical mistake contributes to a hospital patient’s death, the numbers come out worse.
Source: ProPublica, September, 2013Source: Journal of Patient Safety, September, 2013
Technology may replace up to 80% of what doctors do.
- Vinod Khosla
Precision MedicineYou would no more take a drug without knowing the relevant data from your genome, than you would get a blood transfusion without knowing your blood type.
-Esther Dyson Former journalist and Wall Street technology analyst, leading
angel investor, entrepreneur, philanthropist, and commentator focused on breakthrough innovation in healthcare
Health as ArithmeticApps +
Tracking = Genome +
Exposome + Microbiome + Metabolome =
Behavior
Biology
Behavior + Biology = Health
Ageing + Chronic Disease + Activity Tracking +
Social Networking + Peer-to-Peer Health +
Healthcare Transformation =
Additive Forces
Digitalization of Biology and Medicine Transforms Healthcare
This is a revolution that will transform medicine even more than digitalization transformed information technologies and communications.
Digitizing of medicine will lead to dramatically lower healthcare costs and better outcomes.
Digital medicine is nearly here. It is starting now.
Is there an app for that?
Dr. WatsonMachines as personal assistants to doctors, using big data to aid in physician decision making. Reads 200M papers in 3 seconds. Monitors real-time data and articles as published. Digests patient EHR’s, genomics, clinical data, peer-reviewed publications, other data.
Dr. Siri
4PartMy 2nd View
What is
in 1 minute
Sensors as Tattoos
Flying Cars
June 2007
29
Disruptive Technology
6.2007 6.2009 4.2011 9.2012 10.2013
The App Economy
40 billion apps downloaded
Smartphone Growth
The amount of data is growing
Exab
ytes
0
10000
20000
30000
40000
2005 2008 2010 2012 2015 2020
130 422 1227 2720
7910
35000
as fast as the world population40 TIMES
During 2008, the number of things connected to the Internet exceeded the number of people on earth.
By 2020 therewill be 50 billion.
20032015
2010
These things are not justsmartphones and tablets.
Source: Cisco
?
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