Article
Details
Citation
McLean KA, Knight SR, Diehl TM, Varghese C, Ng N, Potter MA, Zafar SN, Bouamrane M & Harrison EM (2023) Readiness for implementation of novel digital health interventions for postoperative monitoring: a systematic review and clinical innovation network analysis. The Lancet Digital Health, 5 (5), pp. e295-e315. https://www.thelancet.com/journals/landig/article/PIIS2589-7500(23)00026-2/fulltext#articleInformation; https://doi.org/10.1016/s2589-7500%2823%2900026-2
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.
Keywords
Mobile Health; Telehealth; Digital Postoperative Monitoring; Innovation Analysis; Systematic Review
Journal
The Lancet Digital Health: Volume 5, Issue 5
Status | Published |
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Funders | Medical Research Council and Royal College of Surgeons of Edinburgh |
Publication date | 31/05/2023 |
Publication date online | 01/05/2023 |
Date accepted by journal | 03/04/2023 |
URL | http://hdl.handle.net/1893/36160 |
Publisher | Elsevier BV |
Publisher URL | https://www.thelancet.com/…ticleInformation |
ISSN | 2589-7500 |
People (1)
Professor Matt-Mouley Bouamrane
Professor in Health/Social Informatics, Computing Science