Evidence map›Paper›PMID 39708092›Full record

ArticleArchives of orthopaedic and trauma surgery2024

Stepping up recovery: integrating patient reported outcome measures and wearable technology for 90-day rehabilitation following total hip arthroplasty.

Nickelas Huffman, Ignacio Pasqualini, Shujaa T Khan, Alison K Klika, John P McLaughlin, Carlos A Higuera-Rueda, Matthew E Deren, Nicolas S Piuzzi

Registry-linked trialAbstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Archives of orthopaedic and trauma surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03737149 (A Prospective Multicenter Longitudinal Cohort Study of the Mymobility Platform), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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.

NCT03737149 nacompletednot on this map

A Prospective Multicenter Longitudinal Cohort Study of the Mymobility Platform

TypeinterventionalSponsorZimmer BiometRan2018 to 2025Enrolled6,559ConditionsOsteoarthritis, Knee, Osteoarthritis, HipArmsmymobility with Apple Watch
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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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

8 authors.

Nickelas HuffmanDepartment of Orthopedic Surgery, Cleveland Clinic Foundation, Cleveland, OH, 44195, USA.
Ignacio PasqualiniDepartment of Orthopedic Surgery, Cleveland Clinic Foundation, Cleveland, OH, 44195, USA.
Shujaa T KhanDepartment of Orthopedic Surgery, Cleveland Clinic Foundation, Cleveland, OH, 44195, USA.
Alison K KlikaDepartment of Orthopedic Surgery, Cleveland Clinic Foundation, Cleveland, OH, 44195, USA.
John P McLaughlinDepartment of Orthopedic Surgery, Cleveland Clinic Foundation, Cleveland, OH, 44195, USA.
Carlos A Higuera-RuedaLevitetz Department of Orthopaedic Surgery, Cleveland Clinic Florida, Weston, FL, 33331, USA.
Matthew E DerenDepartment of Orthopedic Surgery, Cleveland Clinic Foundation, Cleveland, OH, 44195, USA.
Nicolas S PiuzziDepartment of Orthopedic Surgery, Cleveland Clinic Foundation, Cleveland, OH, 44195, USA. piuzzin@ccf.org.ORCID http://orcid.org/0000-0003-3007-7538

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThere is conflicting data in the literature regarding the clinical utility of wearable devices. This study examined the association between patient reported outcome measures (PROMs) and step and stair flight counts obtained from wearable devices in postoperative total hip arthroplasty (THA) patients.

methodsData was collected from a multicenter prospective longitudinal cohort study from October 2018 to February 2022. A smartphone-based platform with smartwatch was utilized for collection of daily step and stair flight counts. Subjects (N = 1644) completed the Hip disability and Osteoarthritis Outcome Score for Joint Replacement (HOOS JR) and numerical rating scale (NRS) pain scores preoperatively and at 1 and 3 months postoperatively. Patients who reported living in a multi-level home (N = 931) were included in analysis of stair flight counts. Pearson correlation coefficients were calculated to determine correlations between step and stair flight counts with NRS pain and HOOS JR scores.

resultsStep counts demonstrated a weak negative correlation to NRS pain scores at preoperative (r = - 0.15, p < 0.0001), 1-month (r = - 0.15, p < 0.0001), and 3-months follow-up (r = - 0.06, p = 0.05). Step counts demonstrated a weak positive correlation with HOOS JR scores at preoperative (r = 0.16, p < 0.0001), 1-month (r = 0.15, p < 0.0001), and 3-months (r = 0.13, p < 0.0001). Stair flight counts demonstrated a weak negative correlation with NRS pain preoperatively (r = - 0.19, p < 0.0001) and at 1-month (r = - 0.11, p = 0.003). Stair flight counts positively correlated with HOOS JR scores at preoperative (r = 0.24, p < 0.0001), 1-month (r = 0.15, p < 0.0001), and 3-months (r = 0.09, p = 0.02).

conclusionThe utilization of wearable technology can enhance the evaluation of patient outcomes after THA, primarily due to the observed correlation between data collected from wearables and PROMs. Our study highlights the importance of the use of objective data, in addition to subjective patient reported data, when analyzing postoperative patient progress, which propels forward the field of postoperative THA patient care.

Indexed as

Arthroplasty, Replacement, HipPatient Reported Outcome MeasuresWearable Electronic DevicesAgedFemaleHumansLongitudinal StudiesMaleMiddle AgedOsteoarthritis, HipPain MeasurementProspective StudiesRecovery of FunctionSmartphonePatient reported outcome measures (PROMs)Step countTotal hip arthroplasty (THA)Wearable activity monitors (WAMs)

Identifiers

PMID39708092

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Registered trials

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.