Analysis of Secure Apps for Daily Clinical Use by German Orthopedic Surgeons: Searching for the "Needle in a Haystack"

Dittrich, F; Beck, Sascha; Harren, Anna Katharina; Reinecke, Felix; Serong, Sebastian; Jung, Jochen; Back, David Alexander; Wolf, Milan; Landgraeber, Stefan

doi:10.2196/17085

Cited by 9 publications

(3 citation statements)

References 27 publications

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“…This study demonstrated the feasibility of using a mobile app to monitor the recovery status of patients with drains and to assist patients and caregivers in detecting abnormalities in a timely manner. Remote apps could support self-care and allow close follow-up [32][33][34]. We also identified an unexpected reduction in the rates of hospital return and readmission in the SurgCare group (6.4%) compared with the conventional group (25.9%) (P=.02).…”

Section: Discussionmentioning

confidence: 81%

An Image-Based Mobile Health App for Postdrainage Monitoring: Usability Study (Preprint)

Liao¹,

Wu²,

Cheng³

et al. 2020

Preprint

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BACKGROUND The application of mobile health (mHealth) platforms to monitor recovery in the postdischarge period has increased in recent years. Despite widespread enthusiasm for mHealth, few studies have evaluated the usability and user experience of mHealth in patients with surgical drainage. OBJECTIVE Our objectives were to (1) develop an image-based smartphone app, SurgCare, for postdrainage monitoring and (2) determine the feasibility and clinical value of the use of SurgCare by patients with drainage. METHODS We enrolled 80 patients with biliary or peritoneal drainage in this study. A total of 50 patients were assigned to the SurgCare group, who recorded drainage monitoring data with the smartphone app; and 30 patients who manually recorded the data were assigned to the conventional group. The patients continued to record data until drain removal. The primary aim was to validate feasibility for the user, which was defined as the proportion of patients using each element of the system. Moreover, the secondary aim was to evaluate the association of compliance with SurgCare and the occurrence of unexpected events. RESULTS The average submission duration was 14.98 days, and the overall daily submission rate was 84.2%. The average system usability scale was 83.7 (SD 3.5). This system met the definition of “definitely feasible” in 34 patients, “possibly feasible” in 10 patients, and “not feasible” in 3 patients. We found that the occurrence rates of complications in the SurgCare group and the conventional group were 6% and 26%, respectively, with statistically significant differences <i>P</i>=.03. The rate of unexpected hospital return was lower in the SurgCare group (6%) than in the conventional groups (26%) (<i>P</i>=.03). CONCLUSIONS Patients can learn to use a smartphone app for postdischarge drainage monitoring with high levels of user satisfaction. We also identified a high degree of compliance with app-based drainage-recording design features, which is an aspect of mHealth that can improve surgical care.

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Section: Discussionmentioning

confidence: 81%

An Image-Based Mobile Health App for Postdrainage Monitoring: Usability Study (Preprint)

Liao¹,

Wu²,

Cheng³

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…This study demonstrated the feasibility of using a mobile app to monitor the recovery status of patients with drains and to assist patients and caregivers in detecting abnormalities in a timely manner. Remote apps could support self-care and allow close follow-up [ 32 - 34 ]. We also identified an unexpected reduction in the rates of hospital return and readmission in the SurgCare group (6.4%) compared with the conventional group (25.9%) ( P =.02).…”

Section: Discussionmentioning

confidence: 99%

An Image-Based Mobile Health App for Postdrainage Monitoring: Usability Study

Liao

Cheng

et al. 2020

J Med Internet Res

View full text Add to dashboard Cite

Background The application of mobile health (mHealth) platforms to monitor recovery in the postdischarge period has increased in recent years. Despite widespread enthusiasm for mHealth, few studies have evaluated the usability and user experience of mHealth in patients with surgical drainage. Objective Our objectives were to (1) develop an image-based smartphone app, SurgCare, for postdrainage monitoring and (2) determine the feasibility and clinical value of the use of SurgCare by patients with drainage. Methods We enrolled 80 patients with biliary or peritoneal drainage in this study. A total of 50 patients were assigned to the SurgCare group, who recorded drainage monitoring data with the smartphone app; and 30 patients who manually recorded the data were assigned to the conventional group. The patients continued to record data until drain removal. The primary aim was to validate feasibility for the user, which was defined as the proportion of patients using each element of the system. Moreover, the secondary aim was to evaluate the association of compliance with SurgCare and the occurrence of unexpected events. Results The average submission duration was 14.98 days, and the overall daily submission rate was 84.2%. The average system usability scale was 83.7 (SD 3.5). This system met the definition of “definitely feasible” in 34 patients, “possibly feasible” in 10 patients, and “not feasible” in 3 patients. We found that the occurrence rates of complications in the SurgCare group and the conventional group were 6% and 26%, respectively, with statistically significant differences P=.03. The rate of unexpected hospital return was lower in the SurgCare group (6%) than in the conventional groups (26%) (P=.03). Conclusions Patients can learn to use a smartphone app for postdischarge drainage monitoring with high levels of user satisfaction. We also identified a high degree of compliance with app-based drainage-recording design features, which is an aspect of mHealth that can improve surgical care.

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“…Eine der größten Herausforderungen für deutsche Ärzte in O und U stellt bereits die Suche nach der passenden App dar. Die Unübersichtlichkeit und Dynamik der App Stores lässt die Suche nach der passenden App wie die Suche nach der "Stecknadel im Heuhaufen" erscheinen [14]. Lösungsansätze können die stetig ansteigende Zahl von App-Store-basierten Reviews kommerziell erhältlicher Apps darstellen, die sich kritisch mit den derzeit verfügbaren Apps auseinandersetzen sowie inhaltliche und methodische Ansätze für die persönliche App-Suche liefern [17].…”

Section: Sinnvolle Anwendungenunclassified

Digitalisierung in Orthopädie und Unfallchirurgie: Stand 2020 in Klinik und Praxis

et al. 2020

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Analysis of Secure Apps for Daily Clinical Use by German Orthopedic Surgeons: Searching for the "Needle in a Haystack"

Cited by 9 publications

References 27 publications

An Image-Based Mobile Health App for Postdrainage Monitoring: Usability Study (Preprint)

An Image-Based Mobile Health App for Postdrainage Monitoring: Usability Study (Preprint)

An Image-Based Mobile Health App for Postdrainage Monitoring: Usability Study

Digitalisierung in Orthopädie und Unfallchirurgie: Stand 2020 in Klinik und Praxis

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