Emerging Insight in the Use of an Active Post Discharge Surveillance Program in Spine Surgery: A Retrospective Pilot Study

Glinski, Alexander von; Ishak, Basem; Elia, Christopher; Goodmanson, Ryan; Pierre, Clifford; Norvell, Daniel C; Ansari, Darius; Brune, Polly; Oskouian, Rod J.

doi:10.1016/j.wneu.2020.03.185

Cited by 7 publications

(13 citation statements)

References 21 publications

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“…One of the fears regarding the utilization of mHealth is that elderly patients would not engage with the technology. A pilot study by von Glinski et al has demonstrated that as long as patients own and use a smartphone, mHealth apps are well-received by elective spinal surgery patients regardless of age, gender, or procedure invasiveness (5). This is promising and encourages the future development of more apps tailored to surgical patients.…”

Section: Future Directionsmentioning

confidence: 99%

“…However, effective pathways for communication may be difficult and may result in patients making unplanned and potentially unnecessary visits to their general practitioner or local emergency department. They may also take up more resources in terms of time spent on screening phone calls and emails by administrative staff (5). The use of smartphone technology provides secure methods to link patients directly with care providers to streamline the patient experience and optimize the use of limited resources.…”

Section: Introductionmentioning

confidence: 99%

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mHealth Apps for Enhanced Management of Spinal Surgery Patients: A Review

et al. 2020

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mHealth (mobile health) refers to mobile technologies that aid medical and public health practices. As of February 2019, 81% of Americans own a smartphone, and mHealth applications (apps) have become increasingly common with more than 400,000 mHealth applications currently available. Advancements in mobile technology now allow us to provide personalized up-to-date information, track personal health data, remind and engage patients, and communicate in a cost-effective way. There are new opportunities for healthcare providers to integrate mHealth into clinical practice. We discuss the current scientific evidence, and research into mHealth technology.

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Section: Future Directionsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mHealth Apps for Enhanced Management of Spinal Surgery Patients: A Review

et al. 2020

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“…Results of individual studies are shown in Table 2. The literature on telehealth in surgery has confirmed that telehealth approaches are popular with patients, [7,11,12,18,26,[28][29][30][31]37] reduce costs and time required for patients to travel and attend to their healthcare [2,10,11,20] and is clinically safe [7-9, 16, 23, 27, 29-31] for the studied applications. Prior to the COVID-19 pandemic, five review studies were spread across different surgical specialties and focussed largely on outpatient assessment of new patients or replacing routine postoperative review in narrowly defined subsets of patients, selected for their suitability for remote assessment.…”

Section: Resultsmentioning

confidence: 99%

“…Notably, the elderly utilised the telehealth media more competently and more frequently than anticipated. [13,14,17,18,37] Concerns about privacy and confidentiality can be managed with appropriate policies and protocols. [7,9,11,14,23] Additional study of the value of remote education and inter-professional consultation [8,10] can be readily extrapolated to other specialties.…”

Section: Resultsmentioning

confidence: 99%

The Transmogrification of Surgical Telehealth: a PRISMA Review

Taylor

Lloyd

Olley

2022

APJHM

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Telehealth has been used to care for patients at a distance in specific clinical and demographic situations, but the demand for physical isolation during the COVID-19 pandemic has expanded its application to the broader community. This systematic literature review, of very recent publications, elucidates the new ways telehealth has been implemented, confirms it’s acceptability, accessibility and safety by collating reviews, trial and cohort studies from peer reviewed journals meeting defined risk of bias criteria. Five literature reviews, three qualitative studies and 22 quantitative studies were included, which confirmed that telehealth is a safe medium for delivery of surgical health care, is accessible and efficient for the majority of patients and clinicians across the age and socioeconomic spectrum. It is time and resource efficient for providers and recipients and improves the delivery of patient-centred care. Many providers have published innovative solutions to the difficulties of telehealth, such as conducting a physical examination or technological limitations at the remote site. Health care can now be delivered directly to the home or the workplace. Routine in-person postoperative review of patients should be replaced by patient-led telehealth unless there is a specific reason for face-to-face review. Assessment and management of new cases could be managed more efficiently if a carefully planned digital referral process is developed and adopted.

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“…Indeed, there is expanding evidence for the role of mHealth in postoperative monitoring after spine surgery, 17,46,47 and there are increasingly available commercial applications intended to aid post-discharge patient surveillance. [48][49][50] Particularly notable, one study used a mobile 18 & Linkage with EHR/registry data 19 application to aid postoperative monitoring for over 1,600 enhanced recovery after surgery patients. More generally, mHealth used in spine surgery has shown success in collecting patient-reported outcome measures, 51 decreasing surgical cancellations, 52 monitoring postoperative recovery, 17,46 and guiding postoperative rehabilitation.…”

Section: Mobile Datamentioning

confidence: 99%

Translating Data Analytics Into Improved Spine Surgery Outcomes: A Roadmap for Biomedical Informatics Research in 2021

Greenberg

Otun

Ghogawala

et al. 2021

Global Spine Journal

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Study Design: Narrative review. Objectives: There is growing interest in the use of biomedical informatics and data analytics tools in spine surgery. Yet despite the rapid growth in research on these topics, few analytic tools have been implemented in routine spine practice. The purpose of this review is to provide a health information technology (HIT) roadmap to help translate data assets and analytics tools into measurable advances in spine surgical care. Methods: We conducted a narrative review of PubMed and Google Scholar to identify publications discussing data assets, analytical approaches, and implementation strategies relevant to spine surgery practice. Results: A variety of data assets are available for spine research, ranging from commonly used datasets, such as administrative billing data, to emerging resources, such as mobile health and biobanks. Both regression and machine learning techniques are valuable for analyzing these assets, and researchers should recognize the particular strengths and weaknesses of each approach. Few studies have focused on the implementation of HIT, and a variety of methods exist to help translate analytic tools into clinically useful interventions. Finally, a number of HIT-related challenges must be recognized and addressed, including stakeholder acceptance, regulatory oversight, and ethical considerations. Conclusions: Biomedical informatics has the potential to support the development of new HIT that can improve spine surgery quality and outcomes. By understanding the development life-cycle that includes identifying an appropriate data asset, selecting an analytic approach, and leveraging an effective implementation strategy, spine researchers can translate this potential into measurable advances in patient care.

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Emerging Insight in the Use of an Active Post Discharge Surveillance Program in Spine Surgery: A Retrospective Pilot Study

Cited by 7 publications

References 21 publications

mHealth Apps for Enhanced Management of Spinal Surgery Patients: A Review

mHealth Apps for Enhanced Management of Spinal Surgery Patients: A Review

The Transmogrification of Surgical Telehealth: a PRISMA Review

Translating Data Analytics Into Improved Spine Surgery Outcomes: A Roadmap for Biomedical Informatics Research in 2021

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