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Related Experiment Video

Updated: Aug 24, 2025

Evaluation of Patients' Posture and Gait Profile After Lumbar Fusion Surgery by Video Rasterstereography and Treadmill Gait Analysis
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Outcomes With a Mobile Digital Health Platform for Patients Undergoing Spine Surgery: Retrospective Analysis.

Vishal Venkatraman1, Elayna P Kirsch1, Emily Luo1

  • 1Department of Neurosurgery, Duke University Medical Center, Durham, NC, United States.

JMIR Perioperative Medicine
|October 26, 2022
PubMed
Summary

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Digital health platform ManageMySurgery (MMS) use correlated with fewer 90-day postsurgical ER visits and complications in spine surgery patients. Further trials are needed to confirm if MMS can improve patient outcomes.

Area of Science:

  • Digital Health
  • Surgical Outcomes
  • Health Informatics

Background:

  • Digital health solutions can improve chronic illness management but require validation in surgical populations.
  • The ManageMySurgery (MMS) platform is validated for spine surgery, offering patient education and outcome surveys.
  • Few digital health tools have been rigorously assessed for surgical patient care.

Purpose of the Study:

  • To compare 90-day emergency room (ER) visits, readmissions, and complication rates between spine surgery patients using MMS and those receiving standard care.
  • To evaluate the impact of a digital health platform on acute outcomes following spine surgery.

Main Methods:

  • A prospective study involving 1015 patients undergoing spine surgery at a US academic hospital.
  • Patients were divided into two groups: MMS users (n=679) and non-users (n=336), receiving standard perioperative care.
Keywords:
digital healthmHealthmobile appmobile applicationmobile healthpostoperativerecoveryspine surgerysurgerysurgical outcomes

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  • Logistic regression models analyzed 90-day outcomes, including ER visits, readmissions, and complications, comparing MMS users to non-users.

    • Main Results:

    • MMS users showed lower 90-day readmission rates (8.1% vs. 8.9%), mild complications (8.3% vs. 9.5%), and severe complications (9.7% vs. 12.8%) compared to non-users.
    • MMS users also had a lower 90-day ER visit rate (9.1% vs. 13.4%).
    • Adjusted analysis indicated a trend towards fewer ER visits for MMS users (OR 0.68, P=.06).

    Conclusions:

    • This study suggests a correlation between the use of the ManageMySurgery digital health platform and improved acute outcomes in spine surgery patients.
    • MMS use was associated with reduced 90-day ER visits and complications.
    • A future randomized controlled trial is warranted to establish causality and the efficacy of MMS as an intervention.