Wallace Shannon L, Mehta Shailja, Farag Sara, Kelley Robert S, Chen Katherine T
From the Department of Gynecology and Obstetrics, Division of Urogynecology, Stanford University Hospital, Palo Alto, CA.
Department of Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, NY.
Female Pelvic Med Reconstr Surg. 2019 Nov/Dec;25(6):439-442. doi: 10.1097/SPV.0000000000000580.
Thousands of medical applications (apps) are available for mobile devices. Finding accurate, health care provider-centered apps may be time consuming and frustrating for urogynecologists. The objective of this study was to identify and evaluate urogynecology (urogyn) apps using a modified APPLICATIONS scoring system.
Urogyn apps were identified from the Apple iTunes and Google Play Stores using the following 10 MeSH terms: urogynecology, incontinence, prolapse, urinary tract infection, pelvic surgery, fecal incontinence, defecation disorder, voiding disorder, urethral diverticulum, and fistula. Patient-centered and inaccurate apps were excluded. The remaining apps were evaluated with a modified APPLICATIONS scoring system, which included both objective and subjective criteria to determine each app's ability to aid in clinical decision making and to provide informational data. Objective rating components were price, paid subscription, literature referenced, in-app purchases, Internet connectivity, advertisements, text search field, interplatform compatibility and incorporated images, figures, videos, and special features. Subjective rating components were ease of navigation and presentation.
Our search yielded 133 and 235 apps in the Apple iTunes and Google Play Stores, respectively. Only 8 apps (4 of which were in both stores) were determined to be accurate and useful; these were evaluated using the modified APPLICATIONS scoring system. The top-rated app was Practical Urology.
Few accurate clinical decision-making and informational apps exist for urogynecologists. Apps varied by comprehensiveness and quality. This study highlights the importance of systematically reviewing and rating medical apps. It also emphasizes the need for developing accurate apps for urogynecologists that improve health care provider performance and patient outcomes.
移动设备上有数千种医疗应用程序(应用)可供使用。对于妇科泌尿医生来说,找到准确的、以医疗服务提供者为中心的应用可能既耗时又令人沮丧。本研究的目的是使用改良的APPLICATIONS评分系统来识别和评估妇科泌尿学(urogyn)应用。
使用以下10个医学主题词(MeSH)从苹果iTunes和谷歌Play商店中识别urogyn应用:妇科泌尿学、尿失禁、盆腔器官脱垂、尿路感染、盆腔手术、大便失禁、排便障碍、排尿障碍、尿道憩室和瘘管。排除以患者为中心和不准确的应用。其余应用使用改良的APPLICATIONS评分系统进行评估,该系统包括客观和主观标准,以确定每个应用在辅助临床决策和提供信息数据方面的能力。客观评分组件包括价格、付费订阅、参考文献、应用内购买、互联网连接、广告、文本搜索字段、跨平台兼容性以及所包含的图像、图表、视频和特殊功能。主观评分组件包括导航和展示的便捷性。
我们的搜索在苹果iTunes和谷歌Play商店中分别产生了133个和235个应用。只有8个应用(其中4个在两个商店中都有)被确定为准确且有用;这些应用使用改良的APPLICATIONS评分系统进行了评估。评分最高的应用是《实用泌尿学》。
妇科泌尿医生可用的准确临床决策和信息应用很少。应用在全面性和质量方面各不相同。本研究强调了系统审查和评估医疗应用的重要性。它还强调了为妇科泌尿医生开发准确应用以提高医疗服务提供者绩效和患者治疗效果的必要性。