Evidence map›Paper›PMID 37100544›Full record

SynthesisThe Lancet. Digital health2023

Readiness for implementation of novel digital health interventions for postoperative monitoring: a systematic review and clinical innovation network analysis.

Kenneth A McLean, Stephen R Knight, Thomas M Diehl, Chris Varghese, Nathan Ng, Mark A Potter, Syed Nabeel Zafar, Matt-Mouley Bouamrane, Ewen M Harrison

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in The Lancet. Digital health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
15.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Pooled it
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  5. Article
  6. Beyond one-time PROMs: high-frequency single-item mobile ePROM tracking of postoperative recovery in spine surgery-a prospective feasibility study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 3 countries.

Kenneth A McLeanCentre for Medical Informatics, Usher Institute, University of Edinburgh, Edinburgh, UK.
Stephen R KnightCentre for Medical Informatics, Usher Institute, University of Edinburgh, Edinburgh, UK.
Thomas M DiehlDepartment of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Chris VargheseDepartment of Surgery, University of Auckland, Auckland, New Zealand.
Nathan NgCentre for Medical Informatics, Usher Institute, University of Edinburgh, Edinburgh, UK.
Mark A PotterColorectal Unit, Western General Hospital, Edinburgh, UK.
Syed Nabeel ZafarDepartment of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Matt-Mouley BouamraneCentre for Medical Informatics, Usher Institute, University of Edinburgh, Edinburgh, UK.
Ewen M HarrisonCentre for Medical Informatics, Usher Institute, University of Edinburgh, Edinburgh, UK. Electronic address: ewen.harrison@ed.ac.uk.
University of Edinburgh · GBUniversity of Wisconsin–Madison · USUniversity of Auckland · NZWestern General Hospital · GB

Funding

Partnership for Global Health Research Training Program (Renewal)-Supplement for OBSSR, NCI, NCI-AIDS and NIDCDD43TW010543 · FIC · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Wafaie W Fawzi, DAVIDSON HOWES HAMER · 2017 to 2026
$12.1M
UW Surgical Oncology Research Training Program (UW-SORT)T32CA090217 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI Muhammed Murtaza, Heather B Neuman · 2001 to 2026
$8.3M
FIC NIH HHS D43 TW010543Medical Research Council MC_PC_19035Medical Research Council MRC/CIC8/81NCI NIH HHS T32 CA090217
6 · The paper itself

Abstract

An increasing number of digital health interventions (DHIs) for remote postoperative monitoring have been developed and evaluated. This systematic review identifies DHIs for postoperative monitoring and evaluates their readiness for implementation into routine health care. Studies were defined according to idea, development, exploration, assessment, and long-term follow-up (IDEAL) stages of innovation. A novel clinical innovation network analysis used coauthorship and citations to examine collaboration and progression within the field. 126 DHIs were identified, with 101 (80%) being early stage innovations (IDEAL stage 1 and 2a). None of the DHIs identified had large-scale routine implementation. There is little evidence of collaboration, and there are clear omissions in the evaluation of feasibility, accessibility, and the health-care impact. Use of DHIs for postoperative monitoring remains at an early stage of innovation, with promising but generally low-quality supporting evidence. Comprehensive evaluation within high-quality, large-scale trials and real-world data are required to definitively establish readiness for routine implementation.

Indexed as

Postoperative CareTelemedicineHumans

Identifiers

PMID37100544
PMCPMC12352790
OpenAlexW4366818754

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.