ArticleHernia : the journal of hernias and abdominal wall surgery2023
Clinical feasibility of the Q1.6 Inguinal Hernia application: a prospective cohort study.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Readiness for implementation of novel digital health interventions for postoperative monitoring: a systematic review and clinical innovation network analysis.The Lancet. Digital health · 2023Pooled it
- Validating the Q1.6 Inguinal Hernia application using prospective data from a randomised clinical trial.Hernia : the journal of hernias and abdominal wall surgery · 2024Trial
- A Systematic Review of Smartphone Applications That Address Patient Care in the Peri-Operative Period.Healthcare (Basel, Switzerland) · 2025Review
- Identifying postoperative complications after inguinal hernia repair with a smartphone application: a comparative cohort study.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Patient self-reported pain and nausea via smartphone following day care surgery, first year results: An observational cohort study.PLOS digital health · 2024Article
- Feasibility of a smartphone application for inguinal hernia care: a prospective pilot study.Updates in surgery · 2023Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposePatient-reported outcomes (PROs) are essential to evaluate inguinal hernia surgery. There is a need for digital and disease-specific PRO measurement. Current measuring instruments (PROMs) have several disadvantages, for example, fixed measuring moments with a chance of recall bias. The Q1.6 Inguinal Hernia application has been developed to overcome these challenges. This pilot study reports the first clinical feasibility results.
methodsAll surgically treated inguinal hernia patients were eligible for inclusion. The application uses "twitch crowdsourcing"; after unlocking a smartphone or tablet, a single short question is asked. This can easily be repeated multiple times a day/week/month. Questions from validated questionnaires were implemented. The adaptive question engine generates an individualised set of questions. Alerts are generated when a complication is suspected.
resultsA total of 229 patients were given over 50.000 questions of which 92% were answered. Pre- and postoperative patient characteristics and their reported clinical outcomes confirmed a standard inguinal hernia population. Compliance with the application was 91.7% after 14 days, 69.0% after 3 months and 28.8% after one year. After months 3, 6 and 11, respectively, 3.0%, 4.4% and 4.5% of patients reported inguinal pain or discomfort (NRS ≥ 4). Patients were highly satisfied (92.8% preferred the app over standard care).
conclusionsThis smartphone application shows promising results for clinical practice. It might allow for continuous digital patient-reported outcome measurement using non-intrusive, concise questions. Remote monitoring may become standard postoperative care after (inguinal hernia) surgery. The current application will be further improved and evaluated for cost-effectiveness, safety and validity.
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