The Open Nursing Journal




ISSN: 1874-4346 ― Volume 13, 2019
REVIEW ARTICLE

m-Health in the Surgical Context: Prospecting, Review and Analysis of Mobile Applications



Alvaro F. L. de Sousa1, 2, *, Lucas L. Bim2, Guilherme Schneider2, Paula R. de Souza Hermann2, Denise de Andrade2, Inês Fronteira2
1 Universidade de São Paulo, Ribeirão Preto College of Nursing, Ribeirão Preto, São Paulo, Brazil
2 Universidade NOVA de Lisboa, Institute of Hygiene and Tropical Medicine, Lisboa, Portugal

Abstract

Background

m-Health initiatives can show an opportunity to improve the identification, prevention and management of certain diseases. Most health-care applications aims at chronic noncommunicable diseases care, and it is necessary to seek evidence from applications intended for surgical patient care, either before, during or after hospitalization.

Objective:

The Study Aims to identify and analyze, from the literature review and prospecting, applications for smartphones developed to assist the surgical patient.

Methods:

A descriptive-exploratory study developed in two sequential phases. The first one corresponded to an integrative review of the literature in the databases PubMed, Web of Knowledge, Europe PMC database and Cumulative Index to Nursing and Allied Health Literature database. The second phase corresponded to an exploration of applications in the European Patent Office, United States Patent and Trademark Office (USPTO), Free Patents Online, Canadian Intellectual Property Office and World Intellectual Property Organization. In both phases, we do not restrict the results by year of publication/registration or language. At each stage, the selected studies/patents were analyzed and pre-selected, according to the inclusion and exclusion criteria, by reading their titles and abstracts. Subsequently, we analyzed those with the potential of participation in the study, evaluating the answer to the research question, as well as the type of research, objectives, sample, method, outcomes, results and conclusion. Finally, the articles/patents record found were read in full.

Results

In the databases, 14 studies that presented some application for smartphone aimed at the surgical patient were selected. Most of them were in PubMed (64.3%), published in English (100%). Regarding origin, 28.6% of the texts are from the United States of America, 14.3 from Sweden and 14.3 from Canada. On the other hand, in patent databases, 10 registries were selected, 60% in the USPTO patent base, hosted in hybrid systems (iPhone and Android) and developed in the last 5 years (2014-1018) (80%). In general, there is a series of applications aimed at surgical patients, such as targets and/or users, mainly focused on the exchange of text and image messages but concentrated on assisting the physician/health team in the preparation of the patient during the procedure or post discharge. It is necessary to invest in the creation of technologies that aim to monitor these patients, especially in post discharge.

Conclusion

The characteristics of applications indicate a strong hospital centered tendency in relation to its purpose, having the surgeon as the main user and the surgical patient as the main target. The applications are still focused on optimizing diagnostics or functions, and no initiatives are identified to monitor the patient in a non-hospital environment.

Keywords: m-Health, Surgical, Surgical complications, Mobile applications, Smart Phones, Management.


Article Information


Identifiers and Pagination:

Year: 2019
Volume: 13
First Page: 18
Last Page: 27
Publisher Id: TONURSJ-13-18
DOI: 10.2174/1874434601913010018

Article History:

Received Date: 12/12/2018
Revision Received Date: 03/01/2019
Acceptance Date: 10/01/2019
Electronic publication date: 31/01/2019
Collection year: 2019

Article Metrics:

CrossRef Citations:
0

Total Statistics:

Full-Text HTML Views: 623
Abstract HTML Views: 555
PDF Downloads: 361
ePub Downloads: 225
Total Views/Downloads: 1764

Unique Statistics:

Full-Text HTML Views: 399
Abstract HTML Views: 342
PDF Downloads: 182
ePub Downloads: 139
Total Views/Downloads: 1062
Geographical View

© 2019 de Sousa et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: (https://creativecommons.org/licenses/by/4.0/legalcode). This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


* Address correspondence to this author at Av. dos Bandeirantes, 3900, 14040-902, Ribeirão Preto, São Paulo, Brazil; E-mails: alvarosousa@usp.br and sousa.alvaromd@gmail.com




1. INTRODUCTION

In recent years, emerging information and mass communication technologies to improve or enable population health, commonly referred to as e-Health, have become commonplace and popular. The high potential for innovation and propagation of these technologies regarding the promotion and prevention of health in a remote way, mainly related to health education in hard-to-reach populations offers a unique opportunity for patients who need continuous monitoring, such as the surgical patient [1Olsen MR, Casado-Lumbreras C, Colomo-Palacios R. ADHD in eHealth-A systematic literature review. Procedia Comput Sci 2016; 100: 207-14.[http://dx.doi.org/10.1016/j.procs.2016.09.142] ].

Recently, such initiatives have gained a powerful ally in this process: smartphones and all their mobile technological input, giving rise to the M-health phenomenon (mobile health). The popularization of smartphones represented a technological revolution of greater impact by being associated with the internet and social networks. These “smart phones” have enough technology to establish information flow including the exchange of audio messages, text and high-resolution photographic files [1Olsen MR, Casado-Lumbreras C, Colomo-Palacios R. ADHD in eHealth-A systematic literature review. Procedia Comput Sci 2016; 100: 207-14.[http://dx.doi.org/10.1016/j.procs.2016.09.142] -3Klasnja P, Pratt W. Healthcare in the pocket: mapping the space of mobile-phone health interventions. J Biomed Inform 2012; 45(1): 184-98.[http://dx.doi.org/10.1016/j.jbi.2011.08.017] [PMID: 219 25288] ]. By basing most of its tasks on applications (apps) with attractive, intuitive and user-friendly interfaces, visual and auditory features, as well as being able to be downloaded on a variety of platforms, smartphones are increasingly gaining space in the health system users/patients.

Initially, applications for M-health purposes performed the function of professional support, mainly related to the aid of diagnostics, therapeutic approaches and prescriptions of medicines using specific sensors for such purposes. Gradually, this function has been overcome, and the new applications developed are directed to health monitoring, reducing the distance between the patient and the healthcare team [4Wallace S, Clark M, White J. ‘It’s on my iPhone’: attitudes to the use of mobile computing devices in medical education, a mixed-methods study. BMJ Open 2012; 2(4): e001099.[http://dx.doi.org/10.1136/bmjopen-2012-001099] [PMID: 229 23627] ].

However, a recent study [5Iwaya LH, Gomes MAL, Simplício MA, et al. Mobile health in emerging countries: a survey of research initiatives in Brazil. Int J Med Inform 2013; 82(5): 283-98.[http://dx.doi.org/10.1016/j.ijmedinf.2013.01.003] [PMID: 234 10658] ] shows that most health-care applications developed are focused on chronic noncommunicable diseases (CNCD), especially in Brazil, and it is necessary to seek evidence of applications aimed at surgical patient care, whether before, during or after hospitalization.

Thus, this study aims to identify and analyze, from the literature review and prospection, applications for smart phones developed to assist the surgical patient.

2. METHOD

2.1. Type of Study

This is a descriptive-exploratory study [6Mesquita AC, Zamarioli CM, Carvalho EC. The use of robots in nursing care practices: an exploratory-descriptive study. Online braz j nurs 2016; 15(3): 404-13.], conducted in two sequential phases: integrative literature review and application exploration.

Integrative Review (IR) is an important resource of evidence-based practice and provides systematic techniques to summarize the past of given literature, providing a comprehensive understanding of a given phenomenon [7Fineout-Overholt E, Williamson KM, Gallagher-Ford L, Melnyk BM, Stillwell SB. Following the evidence: planning for sustainable change. Am J Nurs 2011; 111(1): 54-60.[http://dx.doi.org/10.1097/01.NAJ.0000393062.83761.c0] [PMID: 21191 236] ]. On the other hand, studies on technology prospecting refer to activities of technology determination focused on technological changes in functional capacity, or on time and meaning of an innovation. This type of study aims at incorporating information into the technology management process, and thus to predict possible future states of the technology or conditions that affect its contribution to established goals [8Santos MM, Coelho GM, Santos DM, Filho LF. Prospecção de tecnologias de futuro: métodos, técnicas e abordagens. Parcerias estratégicas 2010; 19(12): 189-230.].

Therefore, prospecting studies are useful for presenting the current state-of-the-art of a certain technological area, and for generating information about its trajectory, future and market trends, as well as the perception of weaknesses in certain areas [9Coelho GM. La société de la connaissance et les systèmes d’information stratégique comme appui à la prise de décision: proposition pour l’enseignement de l’Intelligence Compétitive au Brésil 2001 330 f Tese (Doutorado) 2001.]. Thus, they portray what is being recently done and point out the gaps that still have to be fulfilled. Nowadays, these studies constitute fundamental components to increase the capacity of anticipation and to stimulate the organization of innovation systems, transcending the business scope, for the academic environment.

In order to identify information or mass communication /e-Health technologies aimed at surgical patient care, we initially performed an integrative review of the literature (IR) [7Fineout-Overholt E, Williamson KM, Gallagher-Ford L, Melnyk BM, Stillwell SB. Following the evidence: planning for sustainable change. Am J Nurs 2011; 111(1): 54-60.[http://dx.doi.org/10.1097/01.NAJ.0000393062.83761.c0] [PMID: 21191 236] ], followed by a search for patents and software registration (technological prospecting) [8Santos MM, Coelho GM, Santos DM, Filho LF. Prospecção de tecnologias de futuro: métodos, técnicas e abordagens. Parcerias estratégicas 2010; 19(12): 189-230.], according to the protocol presented below:

2.1.1. Step 1: Integrative Review

The elaboration of this stage included: definition of the research object; establishment of inclusion and exclusion criteria for sample selection; definition of the information to be extracted from the selected articles; analysis and discussion of results [7Fineout-Overholt E, Williamson KM, Gallagher-Ford L, Melnyk BM, Stillwell SB. Following the evidence: planning for sustainable change. Am J Nurs 2011; 111(1): 54-60.[http://dx.doi.org/10.1097/01.NAJ.0000393062.83761.c0] [PMID: 21191 236] ].

Thus, according to the adopted framework [7Fineout-Overholt E, Williamson KM, Gallagher-Ford L, Melnyk BM, Stillwell SB. Following the evidence: planning for sustainable change. Am J Nurs 2011; 111(1): 54-60.[http://dx.doi.org/10.1097/01.NAJ.0000393062.83761.c0] [PMID: 21191 236] ], we defined the mobile applications for smartphones developed to assist the surgical patient as a research object. We then used MeSh descriptors to search the PubMed databases through the PubMed portal of the National Library of Medicine, Web of Knowledge (WoK) and Europe PMC, and, through the combination of descriptors and keywords, the Cumulative Index to Nursing and Allied Health Literature (CINAHL).

The defined inclusion criteria were: primary studies [7Fineout-Overholt E, Williamson KM, Gallagher-Ford L, Melnyk BM, Stillwell SB. Following the evidence: planning for sustainable change. Am J Nurs 2011; 111(1): 54-60.[http://dx.doi.org/10.1097/01.NAJ.0000393062.83761.c0] [PMID: 21191 236] ], with full-text available, published until December 2016, in any language. Chapters of books, doctoral theses, master’s dissertations and technical reports were excluded from the initial search. The research was conducted from February 1st to the 15th, 2017 and was carried out simultaneously by two researchers with expertise in the subject and method.

We used the descriptors: Surgical; Patients; and Mobile Phone applications. The keywords and descriptors belonging to the same category were separated by “OR” and between them by “AND”. The terms used during the survey were classified by the database:

2.1.1.1. PubMed, Web of Science e Europe PMC (Mesh descriptors)

Surgical procedures, operative OR surgical AND procedures AND operative OR operative surgical procedures OR surgical AND patients OR patients AND cell phones OR cell AND phones OR cell phones OR mobile AND phone OR mobile phone AND applications.

2.1.1.2. CINAHL (CINAHL titles)

Mobile Applications AND Patient OR Surgical OR Surgical Patients.

The analysis for selection of the studies was carried out in three phases, namely:

  1. In the first phase, the selected studies in the databases were analyzed and pre-selected according to the inclusion and exclusion criteria, by reading their titles and abstracts. If the article did not have an abstract or it did not allow the exclusion or inclusion of the article, the full article was read. We obtained 36 studies from PubMed, 04 from CINAHL, 33 from Europe PMC and 10 from the Web of Science, totaling 83 studies.
  2. In the second phase, the studies were analyzed regarding the potential of inclusion in the study, evaluating the answer to the question of research, as well as its type, objectives, sample, method, outcomes, results and conclusion, resulting in 18 studies.
  3. The third phase consisted of the complete reading of the 18 studies, aiming to collect data specific to the study objectives, which resulted in 14 studies selected for the research (Fig. 1). This step was performed by two researchers. Meetings were held for discussion and consensus among resear- chers about the inclusion or exclusion of each study in the research.

2.1.2. Step 2: Technology Prospecting

This stage of the study was carried out after identifying the countries that had the greatest production in the subject (results of the integrative review), to define which patent bases could be included. Thus, we carried out systematized and simultaneous searches in the main world patent bases, namely: European Patent Office (Espacenet), United States Patent and Trademark Office (USPTO), Free Patents Online (FPO), Canadian Intellec- tual Property Office (CIPO), and World Intellectual Property Organization (WIPO), using the keywords “Application” AND “Surgical Patient.”

Fig. (1)
Flowchart for selection of studies retrieved from databases.


Notes: European Patent Office (Espacenet), United States Patent and Trademark Office (USPTO), Free Patents Online (FPO), Canadian Intellectual Property Office (CIPO), and World Intellectual Property Organization (WIPO).

Fig. (2)
Flowchart of search in the selected patent bases.


The flowchart for search is described in Fig. (2).

2.2. Classification of Mobile Applications

We ranked the selected apps according to the classification of the main e-Health initiatives of the World Health Organization [10mHealth: New horizons for health through mobile technologies: second global survey on eHealth 2011. Available from: http://www.who.int/goe/publications/goe_mhealth_web.pdf]:

  1. Call centers in medical care;
  2. Free emergency telephone services;
  3. Emergency applications for public health;
  4. Mobile telemedicine services;
  5. Phone reminders;
  6. Community mobilization for health promotion;
  7. Treatment compliance initiatives;
  8. Patient Records Systems;
  9. Systems of initiatives for information;
  10. Applications for patient monitoring;
  11. Mobile devices for health research;
  12. Surveillance system;
  13. Awareness systems;
  14. Decision support systems.

2.3. Data Analysis

The data were qualitatively analyzed by the researchers and presented in Tables 1 and 2 and in Figs. (1 and 2). The primary studies selected in the databases were analyzed for their main objective. The application presented in each study was evaluated for the name, characteristics and functions, availability for the main systems (iOS, Android and Windows Phone), country where it was developed, target population and user.

On the other hand, patent registrations were analyzed descriptively according to the information retrieved from the patent bases. We registered project title, name of the proposed application, origin where it was retrieved, publication number, year of registration and main characteristics.

2.4. Ethical Aspects

This research exempted the evaluation by an ethics committee because it did not involve human beings, according to the dispositions in the national ordinances 466/12 and 510/16.

3. RESULT

In the review stage of the literature, 14 primary studies were included, didactically ordered and identified from A1 to A14. All studies (100%) were in English, with a concentration in the year 2015 (42.8%), in the PubMed database (71.4%), developed in the United States of America (28.6%). The applications developed were hosted on hybrid systems (IPhone and Android). In general, there are a series of applications aimed at surgical patients, as targets and/or users, mainly focused on the exchange of text and image messages but concentrated on assisting the physician/health team in the preparation of the patient during the procedure or post discharge.

Table 1
Distribution of studies regarding title, year of publication, database, main purpose, name of the application developed, characteristics of the application, hosted platform, classification, country, target and users.


Table 2
Distribution of selected patents according to title, base, publication number, year and objective.


Most applications identified were centered on hospital care [11De Silva L, Diamantidis CJ, Prakash D, Zuckerman M, Weir MR, Weir MR. Usability of mobile technology to screen for drug-drug interactions in kidney transplant patients. Am J Nephrol 2014; 40(2): 97-104.[http://dx.doi.org/10.1159/000364910] [PMID: 25059 671] -14Gustavell T, Sundberg K, Frank C, et al. Symptoms and self-care following pancreaticoduodenectomy: Perspectives from patients and healthcare professionals - Foundation for an interactive ICT application. Eur J Oncol Nurs 2017; 26: 36-41.[http://dx.doi.org/10.1016/j.ejon.2016.12.002] [PMID: 28069 150] , 16Lorenzo-Zúñiga V, Moreno de Vega V, Marín I, Barberá M, Boix J. Improving the quality of colonoscopy bowel preparation using a smart phone application: a randomized trial. Dig Endosc 2015; 27(5): 590-5.[http://dx.doi.org/10.1111/den.12467] [PMID: 25708 251] , 18Tarakji KG, Wazni OM, Callahan T, et al. Using a novel wireless system for monitoring patients after the atrial fibrillation ablation procedure: the iTransmit study. Heart Rhythm 2015; 12(3): 554-9.[http://dx.doi.org/10.1016/j.hrthm.2014.11.015] [PMID: 254 60854] -24Parvizi D, Giretzlehner M, Dirnberger J, et al. The use of telemedicine in burn care: development of a mobile system for TBSA documentation and remote assessment. Ann Burns Fire Disasters 2014; 27(2): 94-100.[PMID: 26170 783] ]. Also, regarding functions, the predominant applications were focused on “Mobile Telemedicine Services” [10mHealth: New horizons for health through mobile technologies: second global survey on eHealth 2011. Available from: http://www.who.int/goe/publications/goe_mhealth_web.pdf] and “Applications for patient monitoring” [10mHealth: New horizons for health through mobile technologies: second global survey on eHealth 2011. Available from: http://www.who.int/goe/publications/goe_mhealth_web.pdf].

Then, based on the finding that the main applications were developed in Europe and the United States of America, a systematized search was made on the chosen patent bases, as described in Fig. (2). Selected patents/application log were analyzed for title, base, publication number, year and objective. We identified 09 patents, predominant in the USPTO base, developed between 2012 and 2013 aiming to provide better patient care during surgery or hospitalization (Chart 02). This analysis showed that applications in development are still focused on patient care in the hospital, with the surgeon as the protagonist.

4. DISCUSSION

Our study is a pioneer in combining bibliographical strategies (integrative review) and bibliometric (technological prospecting) to identify mobile applications for assistance to the surgical patient. The mapping of the main mobile applications (apps) aimed at assisting surgical patients showed that there are initiatives. However, they are focused on the exchange of text and image messages between the medical team or on improving the care provided to the patient by the health team. The health mobility technologies (m-Health), benefitted by the advancement of smartphones, are presented as viable and important innovative solutions for health management of the population, however when their applicability is restricted to the hospital, professionals and institutions are underutilizing its potential.

Most applications identified were centered on hospital care [11De Silva L, Diamantidis CJ, Prakash D, Zuckerman M, Weir MR, Weir MR. Usability of mobile technology to screen for drug-drug interactions in kidney transplant patients. Am J Nephrol 2014; 40(2): 97-104.[http://dx.doi.org/10.1159/000364910] [PMID: 25059 671] -14Gustavell T, Sundberg K, Frank C, et al. Symptoms and self-care following pancreaticoduodenectomy: Perspectives from patients and healthcare professionals - Foundation for an interactive ICT application. Eur J Oncol Nurs 2017; 26: 36-41.[http://dx.doi.org/10.1016/j.ejon.2016.12.002] [PMID: 28069 150] , 16Lorenzo-Zúñiga V, Moreno de Vega V, Marín I, Barberá M, Boix J. Improving the quality of colonoscopy bowel preparation using a smart phone application: a randomized trial. Dig Endosc 2015; 27(5): 590-5.[http://dx.doi.org/10.1111/den.12467] [PMID: 25708 251] , 18Tarakji KG, Wazni OM, Callahan T, et al. Using a novel wireless system for monitoring patients after the atrial fibrillation ablation procedure: the iTransmit study. Heart Rhythm 2015; 12(3): 554-9.[http://dx.doi.org/10.1016/j.hrthm.2014.11.015] [PMID: 254 60854] -24Parvizi D, Giretzlehner M, Dirnberger J, et al. The use of telemedicine in burn care: development of a mobile system for TBSA documentation and remote assessment. Ann Burns Fire Disasters 2014; 27(2): 94-100.[PMID: 26170 783] ]. Considering the specificities of the surgical patient, the establishment of more precise criteria to assist in the surgical approach contributes to the good development and reestablishment of the patient in relation to the surgery (A1,3,6,10,12). In addition, the existence of such technologies is an essential investment in improving communication between the health professionals, the patient and the family/ caregiver, reducing anxiety and other negative feelings, as well as having great value in the decision-making process, and educational aspects in health.

Also, when regarding functions, the predominant applications were focused on “Mobile Telemedicine Services” [10mHealth: New horizons for health through mobile technologies: second global survey on eHealth 2011. Available from: http://www.who.int/goe/publications/goe_mhealth_web.pdf] and “Applications for patient monitoring” [10mHealth: New horizons for health through mobile technologies: second global survey on eHealth 2011. Available from: http://www.who.int/goe/publications/goe_mhealth_web.pdf]. The first one corresponds to the use of functions common to mobile devices in health situations, such as communication between health professionals for consultation, help in diagnosis doubts, among others. It is useful in situations where there is a shortage of human resources and although preponderant in the literature, it is considered outdated by the range of resources currently available [5Iwaya LH, Gomes MAL, Simplício MA, et al. Mobile health in emerging countries: a survey of research initiatives in Brazil. Int J Med Inform 2013; 82(5): 283-98.[http://dx.doi.org/10.1016/j.ijmedinf.2013.01.003] [PMID: 234 10658] , 10mHealth: New horizons for health through mobile technologies: second global survey on eHealth 2011. Available from: http://www.who.int/goe/publications/goe_mhealth_web.pdf].

On the other hand, applications for patient monitoring correspond to the use of technology to manage, monitor and treat a patient with some disease at a distance. It is especially used in chronic diseases such as diabetes, and in this case the exchange of necessary and important information can reduce the need for visits to health institutions and inform teams about emergency care [5Iwaya LH, Gomes MAL, Simplício MA, et al. Mobile health in emerging countries: a survey of research initiatives in Brazil. Int J Med Inform 2013; 82(5): 283-98.[http://dx.doi.org/10.1016/j.ijmedinf.2013.01.003] [PMID: 234 10658] , 10mHealth: New horizons for health through mobile technologies: second global survey on eHealth 2011. Available from: http://www.who.int/goe/publications/goe_mhealth_web.pdf, 25Fu H, McMahon SK, Gross CR, Adam TJ, Wyman JF. Usability and clinical efficacy of diabetes mobile applications for adults with type 2 diabetes: A systematic review. Diabetes Res Clin Pract 2017; 131: 70-81.[http://dx.doi.org/10.1016/j.diabres.2017.06.016] [PMID: 286 92830] , 26Wu Y, Yao X, Vespasiani G, et al. Mobile App-Based Interventions to Support Diabetes Self-Management: A Systematic Review of Randomized Controlled Trials to Identify Functions Associated with Glycemic Efficacy. JMIR Mhealth Uhealth 2017; 5(3): e35.[http://dx.doi.org/10.2196/mhealth.6522] [PMID: 28292 740] ].

Although monitoring is provided remotely, the applications for this purpose, in general, were restricted to the monitoring of patients in the hospital itself [27Peng W, Yuan S, Holtz BE. Exploring the Challenges and Opportunities of Health Mobile Apps for Individuals with Type 2 Diabetes Living in Rural Communities. Telemed J E Health 2016; 22(9): 733-8.[http://dx.doi.org/10.1089/tmj.2015.0180] [PMID: 26982 017] , 28Portz JD, Vehovec A, Dolansky MA, Levin JB, Bull S, Boxer R. The Development and Acceptability of a Mobile Application for Tracking Symptoms of Heart Failure Among Older Adults. Telemed J E Health 2018; 24(2): 161-5.[http://dx.doi.org/10.1089/tmj.2017.0036] [PMID: 28696 832] ]. However, due to mobility characteristics, the use of remote applications is promising, but little explored, especially in post-hospital discharge. Furthermore, the analysis of the patent database results shows that the applications in development are still focused on patient care in the hospital, with the surgeon as the protagonist.

Regarding Brazil, applications aimed at patient monitoring appear to be predominantly focused on a specific type of chronic disease, cardiac conditions, one of the most serious and severe health problems in the world, with no registry of apps aimed at surgical patient [5Iwaya LH, Gomes MAL, Simplício MA, et al. Mobile health in emerging countries: a survey of research initiatives in Brazil. Int J Med Inform 2013; 82(5): 283-98.[http://dx.doi.org/10.1016/j.ijmedinf.2013.01.003] [PMID: 234 10658] ].

We believe that the use of m-Health may present a fundamental tool to improve surgical patient care at home, in order to identify early signs and symptoms of possible post-discharge complications. It must be considered that the management of this monitoring involves the health team, with an important role of the nurse. The training of this professional qualifies him/her to identify health-disease situations, subsidizing the prescription and implementation of concrete health actions in the promotion, prevention, recovery and rehabilitation in individual, family and community health, based on the systematization of his/her assistance [29Maijala V, Tossavainen K, Turunen H. Health promotion practices delivered by primary health care nurses: Elements for success in Finland. Appl Nurs Res 2016; 30: 45-51.[http://dx.doi.org/10.1016/j.apnr.2015.11.002] [PMID: 27091 252] ].

Combining the results of studies involving the creation of technologies (Integrative Revision) with proposals still under development (technological prospecting) allows to identify gaps, to draw new initiatives and to complement the existing ones. Thus, our results contribute to bring the activities of human health even closer to initiatives of technology and innovation in health.

CONCLUSION

There is a range of mobile applications aimed at surgical patient care. The characteristics of these applications indicate a strong hospital-centered tendency regarding its purpose, having the surgeon as the main user and the surgical patient as the main target. The applications are still focused on optimizing diagnostics or functions, and no initiatives are identified to monitor the patient in a non-hospital environment.

CONSENT FOR PUBLICATION

Not applicable.

CONFLICT OF INTEREST

The authors declare no conflict of interest, financial or otherwise.

ACKNOWLEDGEMENTS

Declared none.

REFERENCES

[1] Olsen MR, Casado-Lumbreras C, Colomo-Palacios R. ADHD in eHealth-A systematic literature review. Procedia Comput Sci 2016; 100: 207-14.[http://dx.doi.org/10.1016/j.procs.2016.09.142]
[2] Malvey DM, Slovensky DJ. Global mHealth policy arena: status check and future directions. mHealth 2017; 3: 41.[http://dx.doi.org/10.21037/mhealth.2017.09.03] [PMID: 291 84893]
[3] Klasnja P, Pratt W. Healthcare in the pocket: mapping the space of mobile-phone health interventions. J Biomed Inform 2012; 45(1): 184-98.[http://dx.doi.org/10.1016/j.jbi.2011.08.017] [PMID: 219 25288]
[4] Wallace S, Clark M, White J. ‘It’s on my iPhone’: attitudes to the use of mobile computing devices in medical education, a mixed-methods study. BMJ Open 2012; 2(4): e001099.[http://dx.doi.org/10.1136/bmjopen-2012-001099] [PMID: 229 23627]
[5] Iwaya LH, Gomes MAL, Simplício MA, et al. Mobile health in emerging countries: a survey of research initiatives in Brazil. Int J Med Inform 2013; 82(5): 283-98.[http://dx.doi.org/10.1016/j.ijmedinf.2013.01.003] [PMID: 234 10658]
[6] Mesquita AC, Zamarioli CM, Carvalho EC. The use of robots in nursing care practices: an exploratory-descriptive study. Online braz j nurs 2016; 15(3): 404-13.
[7] Fineout-Overholt E, Williamson KM, Gallagher-Ford L, Melnyk BM, Stillwell SB. Following the evidence: planning for sustainable change. Am J Nurs 2011; 111(1): 54-60.[http://dx.doi.org/10.1097/01.NAJ.0000393062.83761.c0] [PMID: 21191 236]
[8] Santos MM, Coelho GM, Santos DM, Filho LF. Prospecção de tecnologias de futuro: métodos, técnicas e abordagens. Parcerias estratégicas 2010; 19(12): 189-230.
[9] Coelho GM. La société de la connaissance et les systèmes d’information stratégique comme appui à la prise de décision: proposition pour l’enseignement de l’Intelligence Compétitive au Brésil 2001 330 f Tese (Doutorado) 2001.
[10] mHealth: New horizons for health through mobile technologies: second global survey on eHealth 2011. Available from: http://www.who.int/goe/publications/goe_mhealth_web.pdf
[11] De Silva L, Diamantidis CJ, Prakash D, Zuckerman M, Weir MR, Weir MR. Usability of mobile technology to screen for drug-drug interactions in kidney transplant patients. Am J Nephrol 2014; 40(2): 97-104.[http://dx.doi.org/10.1159/000364910] [PMID: 25059 671]
[12] Ferretti A, Valeo L, Mazza D, et al. Smartphone versus knee ligament arthrometer when size does not matter. Int Orthop 2014; 38(10): 2197-9.[http://dx.doi.org/10.1007/s00264-014-2492-x] [PMID: 25005 461]
[13] Eftekhar B. A smartphone app to assist scalp localization of superficial supratentorial lesions. World Neurosurg 2016; 85: 359-63.[http://dx.doi.org/10.1016/j.wneu.2015.09.091] [PMID: 26455 767]
[14] Gustavell T, Sundberg K, Frank C, et al. Symptoms and self-care following pancreaticoduodenectomy: Perspectives from patients and healthcare professionals - Foundation for an interactive ICT application. Eur J Oncol Nurs 2017; 26: 36-41.[http://dx.doi.org/10.1016/j.ejon.2016.12.002] [PMID: 28069 150]
[15] Hwang H. Electronic wound monitoring after ambulatory breast cancer surgery: Improving patient care and satisfaction using a smart phone app. BCMJ 2016; 58(8): 448-53. Epub
[16] Lorenzo-Zúñiga V, Moreno de Vega V, Marín I, Barberá M, Boix J. Improving the quality of colonoscopy bowel preparation using a smart phone application: a randomized trial. Dig Endosc 2015; 27(5): 590-5.[http://dx.doi.org/10.1111/den.12467] [PMID: 25708 251]
[17] Mundi MS, Lorentz PA, Grothe K, Kellogg TA, Collazo-Clavell ML. Feasibility of Smartphone-Based Education Modules and Ecological Momentary Assessment/Intervention in Pre-bariatric Surgery Patients. Obes Surg 2015; 25(10): 1875-81.[http://dx.doi.org/10.1007/s11695-015-1617-7] [PMID: 25702 141]
[18] Tarakji KG, Wazni OM, Callahan T, et al. Using a novel wireless system for monitoring patients after the atrial fibrillation ablation procedure: the iTransmit study. Heart Rhythm 2015; 12(3): 554-9.[http://dx.doi.org/10.1016/j.hrthm.2014.11.015] [PMID: 254 60854]
[19] Thomale UW. Intracranial ventricular catheter placement with a smartphone assisted instrument. Methods Mol Biol 2015; 1256: 405-17.[http://dx.doi.org/10.1007/978-1-4939-2172-0_27] [PMID: 25626 554]
[20] Zhang MW, Ho RC, Hawa R, Sockalingam S. Pilot implementation and user preferences of a Bariatric After-care application. Technol Health Care 2015; 23(6): 729-36.[http://dx.doi.org/10.3233/THC-151025] [PMID: 26409 513]
[21] Zhang MW, Ho RC, Cassin SE, Hawa R, Sockalingam S. Online and smartphone based cognitive behavioral therapy for bariatric surgery patients: Initial pilot study. Technol Health Care 2015; 23(6): 737-44.[http://dx.doi.org/10.3233/THC-151026] [PMID: 26409 514]
[22] Stomberg MW, Platon B, Widén A, Wallner I, Karlsson O. Health information: what can mobile phone assessments add? Perspect Health Inf Manag 2012; 9(Fall): 1-10.[PMID: 23209 453]
[23] Pfaeffli L, Maddison R, Jiang Y, Dalleck L, Löf M. Measuring physical activity in a cardiac rehabilitation population using a smartphone-based questionnaire. J Med Internet Res 2013;22; 15(3): e61.
[24] Parvizi D, Giretzlehner M, Dirnberger J, et al. The use of telemedicine in burn care: development of a mobile system for TBSA documentation and remote assessment. Ann Burns Fire Disasters 2014; 27(2): 94-100.[PMID: 26170 783]
[25] Fu H, McMahon SK, Gross CR, Adam TJ, Wyman JF. Usability and clinical efficacy of diabetes mobile applications for adults with type 2 diabetes: A systematic review. Diabetes Res Clin Pract 2017; 131: 70-81.[http://dx.doi.org/10.1016/j.diabres.2017.06.016] [PMID: 286 92830]
[26] Wu Y, Yao X, Vespasiani G, et al. Mobile App-Based Interventions to Support Diabetes Self-Management: A Systematic Review of Randomized Controlled Trials to Identify Functions Associated with Glycemic Efficacy. JMIR Mhealth Uhealth 2017; 5(3): e35.[http://dx.doi.org/10.2196/mhealth.6522] [PMID: 28292 740]
[27] Peng W, Yuan S, Holtz BE. Exploring the Challenges and Opportunities of Health Mobile Apps for Individuals with Type 2 Diabetes Living in Rural Communities. Telemed J E Health 2016; 22(9): 733-8.[http://dx.doi.org/10.1089/tmj.2015.0180] [PMID: 26982 017]
[28] Portz JD, Vehovec A, Dolansky MA, Levin JB, Bull S, Boxer R. The Development and Acceptability of a Mobile Application for Tracking Symptoms of Heart Failure Among Older Adults. Telemed J E Health 2018; 24(2): 161-5.[http://dx.doi.org/10.1089/tmj.2017.0036] [PMID: 28696 832]
[29] Maijala V, Tossavainen K, Turunen H. Health promotion practices delivered by primary health care nurses: Elements for success in Finland. Appl Nurs Res 2016; 30: 45-51.[http://dx.doi.org/10.1016/j.apnr.2015.11.002] [PMID: 27091 252]

Endorsements



"Open access will revolutionize 21st century knowledge work and accelerate the diffusion of ideas and evidence that support just in time learning and the evolution of thinking in a number of disciplines."


Daniel Pesut
(Indiana University School of Nursing, USA)

"It is important that students and researchers from all over the world can have easy access to relevant, high-standard and timely scientific information. This is exactly what Open Access Journals provide and this is the reason why I support this endeavor."


Jacques Descotes
(Centre Antipoison-Centre de Pharmacovigilance, France)

"Publishing research articles is the key for future scientific progress. Open Access publishing is therefore of utmost importance for wider dissemination of information, and will help serving the best interest of the scientific community."


Patrice Talaga
(UCB S.A., Belgium)

"Open access journals are a novel concept in the medical literature. They offer accessible information to a wide variety of individuals, including physicians, medical students, clinical investigators, and the general public. They are an outstanding source of medical and scientific information."


Jeffrey M. Weinberg
(St. Luke's-Roosevelt Hospital Center, USA)

"Open access journals are extremely useful for graduate students, investigators and all other interested persons to read important scientific articles and subscribe scientific journals. Indeed, the research articles span a wide range of area and of high quality. This is specially a must for researchers belonging to institutions with limited library facility and funding to subscribe scientific journals."


Debomoy K. Lahiri
(Indiana University School of Medicine, USA)

"Open access journals represent a major break-through in publishing. They provide easy access to the latest research on a wide variety of issues. Relevant and timely articles are made available in a fraction of the time taken by more conventional publishers. Articles are of uniformly high quality and written by the world's leading authorities."


Robert Looney
(Naval Postgraduate School, USA)

"Open access journals have transformed the way scientific data is published and disseminated: particularly, whilst ensuring a high quality standard and transparency in the editorial process, they have increased the access to the scientific literature by those researchers that have limited library support or that are working on small budgets."


Richard Reithinger
(Westat, USA)

"Not only do open access journals greatly improve the access to high quality information for scientists in the developing world, it also provides extra exposure for our papers."


J. Ferwerda
(University of Oxford, UK)

"Open Access 'Chemistry' Journals allow the dissemination of knowledge at your finger tips without paying for the scientific content."


Sean L. Kitson
(Almac Sciences, Northern Ireland)

"In principle, all scientific journals should have open access, as should be science itself. Open access journals are very helpful for students, researchers and the general public including people from institutions which do not have library or cannot afford to subscribe scientific journals. The articles are high standard and cover a wide area."


Hubert Wolterbeek
(Delft University of Technology, The Netherlands)

"The widest possible diffusion of information is critical for the advancement of science. In this perspective, open access journals are instrumental in fostering researches and achievements."


Alessandro Laviano
(Sapienza - University of Rome, Italy)

"Open access journals are very useful for all scientists as they can have quick information in the different fields of science."


Philippe Hernigou
(Paris University, France)

"There are many scientists who can not afford the rather expensive subscriptions to scientific journals. Open access journals offer a good alternative for free access to good quality scientific information."


Fidel Toldrá
(Instituto de Agroquimica y Tecnologia de Alimentos, Spain)

"Open access journals have become a fundamental tool for students, researchers, patients and the general public. Many people from institutions which do not have library or cannot afford to subscribe scientific journals benefit of them on a daily basis. The articles are among the best and cover most scientific areas."


M. Bendandi
(University Clinic of Navarre, Spain)

"These journals provide researchers with a platform for rapid, open access scientific communication. The articles are of high quality and broad scope."


Peter Chiba
(University of Vienna, Austria)

"Open access journals are probably one of the most important contributions to promote and diffuse science worldwide."


Jaime Sampaio
(University of Trás-os-Montes e Alto Douro, Portugal)

"Open access journals make up a new and rather revolutionary way to scientific publication. This option opens several quite interesting possibilities to disseminate openly and freely new knowledge and even to facilitate interpersonal communication among scientists."


Eduardo A. Castro
(INIFTA, Argentina)

"Open access journals are freely available online throughout the world, for you to read, download, copy, distribute, and use. The articles published in the open access journals are high quality and cover a wide range of fields."


Kenji Hashimoto
(Chiba University, Japan)

"Open Access journals offer an innovative and efficient way of publication for academics and professionals in a wide range of disciplines. The papers published are of high quality after rigorous peer review and they are Indexed in: major international databases. I read Open Access journals to keep abreast of the recent development in my field of study."


Daniel Shek
(Chinese University of Hong Kong, Hong Kong)

"It is a modern trend for publishers to establish open access journals. Researchers, faculty members, and students will be greatly benefited by the new journals of Bentham Science Publishers Ltd. in this category."


Jih Ru Hwu
(National Central University, Taiwan)


Browse Contents



Webmaster Contact: info@benthamopen.net
Copyright © 2019 Bentham Open