Patient Engagement and Cost Savings Achieved by Automated Telemonitoring Systems Designed to Prevent and Identify Surgical Site Infections After Joint Replacement

Yahanda, Alexander T.; Marino, Nikolas; Barron, John; Concepcion, Angela; John, Theresa St; Lu, Keyin; Chermside‐Scabbo, Christopher J; Aladegbami, Bola; Ross, Will; Clohisy, John C.; Kirby, John P.

doi:10.1089/tmj.2017.0325

Cited by 12 publications

(15 citation statements)

References 17 publications

(19 reference statements)

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“…Correspondingly, this is apparent in the final pool of 11 articles, with 45% (n=5) published in 2018 and 36% (n=4) published in 2019. Three articles were published in the journal Telemedicine and e-Health [ 32 - 34 ], representing the interface between health and informatics. The remaining eight articles were published in various health-related journals.…”

Section: Resultsmentioning

confidence: 99%

“…For 7 of the 11 (64%) studies, the message blocks’ primary outcome was the monitoring of the postsurgical pain level of the investigated patients. However, 3 of the 11 (27%) studies focused primarily on adherence to the treatment [ 34 , 35 , 41 ], and 1 (9%) study focused on the satisfaction level of the patients [ 39 ]. Further secondary results included drug intake, patient satisfaction, or the number of alert messages, among others.…”

Section: Resultsmentioning

confidence: 99%

“…In total, 9 of the 11 (81%) studies measured current pain levels, either as a primary or as a secondary outcome. For this purpose, 8 of these studies used a pain scale from 0 to 10, and one used a scale from 0 to 9 [ 34 ]. Response 0 always reflects little or no pain, and 9 or 10 indicates the most severe pain.…”

Section: Resultsmentioning

confidence: 99%

“…Patients were reminded when they missed answering questions for several days [ 36 ], and one intervention provided three daily reminders regarding medication intake [ 35 ]. Alerts were triggered whenever various thresholds or schedules were exceeded, or when communication with the system occurred at an unscheduled time [ 32 , 34 , 37 , 38 ]. Once alerted, health care professionals organized the appropriate actions, initially by contacting the patients directly.…”

Section: Resultsmentioning

confidence: 99%

“…This support function is desirable for effective pain management [ 44 ]. Three of the 11 (27%) interventions even preoperatively communicated with patients [ 34 , 39 ] or their legal guardians [ 41 ]. This preoperative communication via SMS yields equally positive results as postoperative pain management; various studies confirmed this conclusion.…”

Section: Discussionmentioning

confidence: 99%

See 4 more Smart Citations

Efficacy of Short Message Service Text Messaging Interventions for Postoperative Pain Management: Systematic Review

Buck¹,

Keweloh²,

Bouras³

et al. 2021

JMIR Mhealth Uhealth

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Background Addiction to opiates and synthetic opioids poses a major threat to public health worldwide, with pharmaceutical opioids prescribed to manage pain constituting the main problem. To counteract this threat, suitable pain management strategies should be implemented in health care. Monitoring pain management seems to be feasible using telemedicine with a certain degree of resource intensity and digitization. As a communication channel for this type of monitoring, SMS appears to be a valid alternative. Objective The aim of this systematic literature review was to (1) provide information on the state of research regarding postoperative pain management via SMS, (2) establish a basic understanding of SMS-based pain management, and (3) provide insight into the feasibility of these management strategies. The research question was as follows: Is postoperative pain management feasible and effective utilizing SMS? Methods A systematic literature review was performed mainly following the PRISMA guidelines and another guide on performing a systematic literature review for information systems–related research. A search string was developed based on the objectives and research question, and eight databases were searched. Results The initial search resulted in 2083 records, which could be narrowed down by applying various exclusion criteria. Thereby, 11 articles were identified as relevant, which were accordingly analyzed and evaluated by full-text screening. In all articles, pain management interventions were performed using SMS communication between health care professionals and patients or their legal guardians. A prospective approach was predominantly chosen as the study design (91%) with the leading research objective of determining the intervention’s feasibility (73%). The primary reason for sending SMS messages was to monitor patients (64%). Overall, the use of SMS improved adherence, acceptance, and satisfaction regarding postoperative pain management. With an average response rate of approximately 89.5% (SD 3.8%), the reliability of SMS as a communication and monitoring tool was further emphasized. This response rate is significantly higher than that for email interventions (66.63%, P<.001). Conclusions This study provides a comprehensive picture of the current status on postoperative pain management by SMS. Communication via SMS was beneficial in all interventions, even preoperative. Six SMS interventions could be certified by the respective institutional review board and three were Health Insurance Portability and Accountability Act–compliant. Therefore, the results of this study could be leveraged to address the opioid epidemic. Overall, the research question could be confirmed. Future research should extend this systematic literature review regarding preoperative pain management. Based on these findings, a pre- and postoperative communication model should be developed to address the opioid epidemic effectively.

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Section: Resultsmentioning

confidence: 99%