Department of Surgery, Hernia Centre Brabant, Elisabeth-TweeSteden Hospital (ETZ), Hilvarenbeekseweg 60, 5022 GC, Tilburg, The Netherlands.
Department of Surgery, Radboud University Medical Centre, Geert Grooteplein Zuid 10, 6525 GA, Nijmegen, The Netherlands.
Hernia. 2020 Feb;24(1):179-185. doi: 10.1007/s10029-019-02053-0. Epub 2019 Sep 21.
Patient Reported Outcomes have become standard in the evaluation of inguinal hernia repair. However, the chosen outcomes remain heterogeneous and the measurements time-consuming or inadequate. Perioperative measurement of pain and recovery could benefit from the contemporary possibilities that mobile health applications offer.
An application for smartphones and tablets was developed using the twitch crowdsourcing concept, classical questionnaires, experiences from randomised clinical trials, and patients' input.
Dichotomous questions and numeric rating scales, both pre- and post-operative, were implemented in the freely available Q1.6 application. Content, timing and frequencies were adapted to the inguinal hernia patient's daily life and assumed recovery. Certain combinations of answers were set as alert notifications to detect adverse events. Data are displayed on a web-based dashboard enabling real-time monitoring. Legal aspects were examined and taken into account.
The Q1.6 inguinal hernia app is an innovative tool for perioperative monitoring of pain and recovery of inguinal hernia patients. Previous limitations of classical measurements such as a large heterogeneity, retrospective data recording and different forms of bias can be eliminated. The `big data´ generated in this manner might be used for large-scale research to improve inguinal hernia surgery. The Q1.6 platform is not only hernia specific; it is also an innovative tool to measure PROs in any other domain.
患者报告的结果已成为评价腹股沟疝修补术的标准。然而，选择的结果仍然存在异质性，且测量方法耗时或不充分。围手术期疼痛和恢复的测量可以受益于移动健康应用程序提供的现代可能性。
使用抽搐众包概念、经典问卷、随机临床试验经验以及患者的反馈，为智能手机和平板电脑开发了一款应用程序。
在免费的 Q1.6 应用程序中，实现了术前和术后的二分问题和数字评分量表。内容、时间和频率都适应了腹股沟疝患者的日常生活和假定的恢复情况。某些答案组合被设置为警报通知，以检测不良事件。数据显示在基于网络的仪表板上，可实现实时监测。已检查并考虑了法律方面的问题。
Q1.6 腹股沟疝应用程序是一种用于监测腹股沟疝患者围手术期疼痛和恢复的创新工具。先前的经典测量方法存在局限性，如异质性大、回顾性数据记录和不同形式的偏倚等，都可以被消除。以这种方式生成的“大数据”可用于大规模研究，以改进腹股沟疝手术。Q1.6 平台不仅针对疝气，而且是衡量任何其他领域的患者报告结果的创新工具。
