Remote patient monitoring following full endoscopic spine surgery: feasibility and patient satisfaction
Tobias Prasse
Tobias PrasseDepartment of Neurological Surgery, University of Washington, Seattle, Washington; Department of Orthopedics and Trauma Surgery, Faculty of Medicine, University Hospital Cologne, University of Cologne, Germany
The utilization of telemedicine in healthcare has increased dramatically during the recent COVID-19 pandemic. This study aimed to investigate the feasibility to perform remote patient monitoring after full endoscopic spine surgery via a smartphone application that also allows communication with patients.
开云体育世界杯赔率
智能手机应用程序(SPINEhealthie)设计ned at the University of Washington and used to collect patient-reported outcome measures (PROMs) and to provide chat communication between patients and their care team. A total of 71 patients were included in the study and prospectively followed for 3 months postoperatively. Patient demographic characteristics, compliance with surveys, and frequency of chat utilization were recorded. The ease of use, the participants’ experiences with the app interface design, and the usefulness of the app were assessed by using the mHealth App Usability Questionnaire (MAUQ).
RESULTS
Of all eligible patients, 71/78 (91.0%) agreed to participate. Of these, 60 (85%) patients provided at least 1 postoperative PROM. There was good coverage of the immediate postoperative period with 45 (63.4%) patients providing ≥ 5 PROMs within the 1st week after surgery. The authors observed a 33.2% increase in patient compliance in postoperative PROMs and a 45.7% increase in chat function utilization between the first and last of the three enrollment periods of the study, during which continuous updates were made to improve the app’s functionality. Sixty-two (87.3%) patients responded to the user satisfaction survey after using the app for at least 40 days. The MAUQ results revealed excellent rates of satisfaction for ease of use (78.6% of the maximum score), app interface design (71.4%), and usefulness (71.4%), resulting in a total mean MAUQ score of 110 (74.8%). Communication with the doctor (38 votes) was found to be the top feature of the app. Additionally, physical therapy instructions (33 votes) and imaging review (29 votes) were the top two features that patients would like to see in future app versions. Lastly, the authors have presented a case example of a 68-year-old man who used the app for postoperative monitoring and communication after undergoing a two-level lumbar endoscopic unilateral laminotomy for bilateral decompression.
CONCLUSIONS
Postoperative remote patient monitoring and communication after full endoscopic surgery is feasible using the SPINEhealthie app. Importantly, patients were willing to share their medical information using a mobile device, and they were eager to use it postoperatively as a supplementary tool.
CorrespondenceChristoph P. Hofstetter: University of Washington, Seattle, WA.chh9045@uw.edu.
INCLUDE WHEN CITINGPublished online April 14, 2023; DOI: 10.3171/2023.2.SPINE23136.
DisclosuresPrasse博士是由沃尔特Benjamin Programme of the German Research Foundation (Deutsche Forschungsgemeinschaft, DFG). Dr. Hofstetter reported grants from the Raisbeck family foundation, funding from Washington State, funding from the Craig H. Neilson Foundation, personal fees from AO Spine, personal fees from joimax, personal fees from Globus, personal fees from Innovasis, and grants from the Department of Defense during the conduct of the study.
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