000			04152nam a22006017a 4500
008			240807s20242024 xxu||||| |||| 00| 0 eng d
022			_a0303-8467
024			_aS0303-8467(24)00233-6 [pii]
040			_aOvid MEDLINE(R)
099			_a38820944
245			_aSingle-center pilot study of remote therapeutic monitoring in patients with operative spinal pathologies.
251			_aClinical Neurology & Neurosurgery. 242:108346, 2024 07.
252			_aClin Neurol Neurosurg. 242:108346, 2024 07.
253			_aClinical neurology and neurosurgery
260			_c2024
260			_fFY2024
260			_p2024 07
265			_sppublish
265			_tMEDLINE
266			_d2024-08-07
266			_z2024/05/31 18:11
520			_aCONCLUSIONS: RTM offers continuous and objective data collection, presenting a potential solution to the limitations of intermittent clinical assessments and self-reported outcomes. The study demonstrated a moderate correlation between changes in activity levels and changes in PROs, suggesting that RTM data could serve as a surrogate for PROs. Participants ' high compliance and satisfaction with RTM underscore its feasibility and potential clinical utility. This study lays the groundwork for larger future investigations into the clinical benefits and broader application of RTM in spine care. Copyright © 2024 Elsevier B.V. All rights reserved.
520			_aMETHODS: A single-center pilot study involving 21 participants with operative spinal pathologies was conducted at an academic hospital. Participants were provided Bluetooth-enabled Fitbit Inspire 2 activity trackers and asked to wear them daily for 100 days. The Healthcare Recovery Solutions (HRS) mobile application facilitated remote administration of the PROMIS - Physical Function Short Form 6b PROs questionnaire at days 1, 30, and 90. Linear regression, Students' paired T tests, and one-way ANOVA were used to analyze collected data.
520			_aOBJECTIVES: Spine pathology affects a significant portion of the population, leading to neck and back pain, impacting quality of life, and potentially requiring surgical intervention. Current pre- and postoperative monitoring methods rely on patient reported outcome (PRO) measures and lack continuous objective data on patients' recoveries. Remote therapeutic monitoring (RTM) using wearable devices offers a promising solution to bridge this gap, providing real-time physical function data. This study aims to assess the feasibility and correlation between changes in physical function and daily activity levels using RTM for individuals with operative spinal pathologies.
520			_aRESULTS: Average compliance with RTM was found to be 82.4% compared to only 48% for PROMs. Changes in daily steps were moderately positively correlated with changes in PROs at both 30 and 90 days. Participant satisfaction with RTM was high, and responses indicated greater satisfaction with RTM compared to PROMs.
546			_aEnglish
650			_a*Spinal Diseases
650			_aAdult
650			_aAged
650			_aFeasibility Studies
650			_aFemale
650			_aHumans
650			_aMale
650			_aMiddle Aged
650			_aPatient Compliance
650			_aPatient Reported Outcome Measures
650			_aPatient Satisfaction
650			_aPilot Projects
650			_aSpinal Diseases/su [Surgery]
650			_aWearable Electronic Devices
650			_zAutomated
651			_aMedStar Institute for Innovation
656			_aMedStar Georgetown University Hospital/MedStar Washington Hospital Center
656			_aNeurosurgery Residency
657			_aJournal Article
700			_aBrennan, David _bMI2
700			_aCobourn, Kelsey _bMGUH _cNeurosurgery Residency _dMD
700			_aGrady, Clare _bMGUH _cNeurosurgery Residency _dMD
700			_aPivazyan, Gnel _bMGUH _cNeurosurgery Residency _dMD
790			_aBalu A, Gensler R, Liu J, Grady C, Brennan D, Cobourn K, Pivazyan G, Deshmukh V
856			_uhttps://dx.doi.org/10.1016/j.clineuro.2024.108346 _zhttps://dx.doi.org/10.1016/j.clineuro.2024.108346
942			_cART _dArticle
999			_c14581 _d14581