Mobile devices and wearable technology for measuring patient outcomes after surgery: a systematic review

Abstract Complications following surgery are common and frequently occur the following discharge. Mobile and wearable digital health interventions (DHI) provide an opportunity to monitor and support patients during their postoperative recovery. Lack of high-quality evidence is often cited as a barri...

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Autores principales:	Stephen R. Knight, Nathan Ng, Athanasios Tsanas, Kenneth Mclean, Claudia Pagliari, Ewen M. Harrison
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Computer applications to medicine. Medical informatics R858-859.7
Acceso en línea:	https://doaj.org/article/dd37c629c76749f6b549fb7a45cdc9fe
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spelling	oai:doaj.org-article:dd37c629c76749f6b549fb7a45cdc9fe2021-11-14T12:08:57ZMobile devices and wearable technology for measuring patient outcomes after surgery: a systematic review10.1038/s41746-021-00525-12398-6352https://doaj.org/article/dd37c629c76749f6b549fb7a45cdc9fe2021-11-01T00:00:00Zhttps://doi.org/10.1038/s41746-021-00525-1https://doaj.org/toc/2398-6352Abstract Complications following surgery are common and frequently occur the following discharge. Mobile and wearable digital health interventions (DHI) provide an opportunity to monitor and support patients during their postoperative recovery. Lack of high-quality evidence is often cited as a barrier to DHI implementation. This review captures and appraises the current use, evidence base and reporting quality of mobile and wearable DHI following surgery. Keyword searches were performed within Embase, Cochrane Library, Web of Science and WHO Global Index Medicus databases, together with clinical trial registries and Google scholar. Studies involving patients undergoing any surgery requiring skin incision where postoperative outcomes were measured using a DHI following hospital discharge were included, with DHI defined as mobile and wireless technologies for health to improve health system efficiency and health outcomes. Methodological reporting quality was determined using the validated mobile health evidence reporting and assessment (mERA) guidelines. Bias was assessed using the Cochrane Collaboration tool for randomised studies or MINORS depending on study type. Overall, 6969 articles were screened, with 44 articles included. The majority (n = 34) described small prospective study designs, with a high risk of bias demonstrated. Reporting standards were suboptimal across all domains, particularly in relation to data security, prior patient engagement and cost analysis. Despite the potential of DHI to improve postoperative patient care, current progress is severely restricted by limitations in methodological reporting. There is an urgent need to improve reporting for DHI following surgery to identify patient benefit, promote reproducibility and encourage sustainability.Stephen R. KnightNathan NgAthanasios TsanasKenneth McleanClaudia PagliariEwen M. HarrisonNature PortfolioarticleComputer applications to medicine. Medical informaticsR858-859.7ENnpj Digital Medicine, Vol 4, Iss 1, Pp 1-14 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Computer applications to medicine. Medical informatics R858-859.7
spellingShingle	Computer applications to medicine. Medical informatics R858-859.7 Stephen R. Knight Nathan Ng Athanasios Tsanas Kenneth Mclean Claudia Pagliari Ewen M. Harrison Mobile devices and wearable technology for measuring patient outcomes after surgery: a systematic review
description	Abstract Complications following surgery are common and frequently occur the following discharge. Mobile and wearable digital health interventions (DHI) provide an opportunity to monitor and support patients during their postoperative recovery. Lack of high-quality evidence is often cited as a barrier to DHI implementation. This review captures and appraises the current use, evidence base and reporting quality of mobile and wearable DHI following surgery. Keyword searches were performed within Embase, Cochrane Library, Web of Science and WHO Global Index Medicus databases, together with clinical trial registries and Google scholar. Studies involving patients undergoing any surgery requiring skin incision where postoperative outcomes were measured using a DHI following hospital discharge were included, with DHI defined as mobile and wireless technologies for health to improve health system efficiency and health outcomes. Methodological reporting quality was determined using the validated mobile health evidence reporting and assessment (mERA) guidelines. Bias was assessed using the Cochrane Collaboration tool for randomised studies or MINORS depending on study type. Overall, 6969 articles were screened, with 44 articles included. The majority (n = 34) described small prospective study designs, with a high risk of bias demonstrated. Reporting standards were suboptimal across all domains, particularly in relation to data security, prior patient engagement and cost analysis. Despite the potential of DHI to improve postoperative patient care, current progress is severely restricted by limitations in methodological reporting. There is an urgent need to improve reporting for DHI following surgery to identify patient benefit, promote reproducibility and encourage sustainability.
format	article
author	Stephen R. Knight Nathan Ng Athanasios Tsanas Kenneth Mclean Claudia Pagliari Ewen M. Harrison
author_facet	Stephen R. Knight Nathan Ng Athanasios Tsanas Kenneth Mclean Claudia Pagliari Ewen M. Harrison
author_sort	Stephen R. Knight
title	Mobile devices and wearable technology for measuring patient outcomes after surgery: a systematic review
title_short	Mobile devices and wearable technology for measuring patient outcomes after surgery: a systematic review
title_full	Mobile devices and wearable technology for measuring patient outcomes after surgery: a systematic review
title_fullStr	Mobile devices and wearable technology for measuring patient outcomes after surgery: a systematic review
title_full_unstemmed	Mobile devices and wearable technology for measuring patient outcomes after surgery: a systematic review
title_sort	mobile devices and wearable technology for measuring patient outcomes after surgery: a systematic review
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/dd37c629c76749f6b549fb7a45cdc9fe
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Mobile devices and wearable technology for measuring patient outcomes after surgery: a systematic review

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