1Department of Community Medicine and Behavioural Sciences, Faculty of Medicine, Kuwait University, P.O. Box 24923, Safat 13110,, Jabriya, Kuwait. ali.buabbas@hsc.edu.kw.
2Department of Surgery, Faculty of Medicine, Kuwait University, Jabriya, Kuwait.
3Department of Urology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
4Health Sciences Center, Faculty of Dentistry, Kuwait University, Jabriya, Kuwait.
5Kuwait Institute for Medical Specializations, Yousif Al Roumi Street, Kuwait City, Kuwait.
6Department of Pediatrics, Mubarak Al Kabeer Hospital, Jabriya, Kuwait.
Background: With the magnitude and severity of the COVID-19 pandemic, the usual face-to-face consultation within a clinical setting is no longer feasible. Thus, this led to the need for alternate means to provide adequate patient care for surgical patients. This is where the role of smartphones comes into play, in which it is thus of paramount importance. This research study aimed to assess the usefulness of smartphones in surgical practice during COVID-19 pandemic.
Methods: This cross-sectional study is based on a questionnaire distributed among surgeons in different levels of practice working at Kuwait governmental hospitals during the COVID-19 pandemic. The questionnaire was developed via Google Docs to collect data for the current study.
Results: Out of 600 surgeons, 180 have responded to the questionnaire, giving a response rate of 30%. Of these, 42.8%, 85.5%, and 58.9% were aged between 35 and 44 years, were male, and Kuwaiti nationals, respectively. Almost all of the respondents (99.5%) were using smartphones for hospital-related work. The most common uses of the smartphones involved texting (70%), and viewing or taking images and videos using built-in cameras (60%) either in the emergency department, outpatient clinics, wards, or operating rooms. The majority of the respondents (88%) rated the use of smartphones in practice as important.
Conclusion: This study revealed that using smartphones in surgical practice was prevalent among the respondent surgeons in Kuwait during the pandemic. The majority of them considered using smartphones in practice to be important, due to its benefits in facilitating doctor-doctor and patient-doctor communication, reviewing the literature, and making clinical decisions. Guidelines are required for proper and legal use of smartphone devices in medical practice. Accordingly, recommendations are suggested.
Chao GF, Li KY, Zhu Z, McCullough J, Thompson M, Claflin J, Fliegner M, Steppe E, Ryan A, Ellimoottil C. Use of telehealth by surgical specialties during the COVID-19 pandemic. JAMA Surg. 2021;26:e210979. doi: 10.1001/jamasurg.2021.0979. - DOI - PMC - PubMed
Gupta A, Chennatt JJ, Singla T, et al. The surgeon and the smartphone—is the association really smart? Hellenic J Surg. 2020;92:177–181. doi: 10.1007/s13126-020-0571-6. - DOI - PMC - PubMed
Hakim AA, Kellish AS, Atabek U, Spitz FR, Hong YK. Implications for the use of telehealth in surgical patients during the COVID-19 pandemic. Am J Surg. 2020;220(1):48–49. doi: 10.1016/j.amjsurg.2020.04.026. - DOI - PMC - PubMed
Salibian A, Scholz T. Smartphones in surgery. J Healthc Eng. 2011;2(4):473–486. doi: 10.1260/2040-2295.2.4.473. - DOI
Kulendran M, Lim M, Laws G, Chow A, Nehme J, Darzi A, et al. Surgical smartphone applications across different platforms: their evolution, uses, and users. Surg Innov. 2014;21(4):427–440. doi: 10.1177/1553350614525670. - DOI - PubMed
Patel RK, Sayers AE, Patrick NL, Hughes K, Armitage J, Hunter IA. A UK perspective on smartphone use amongst doctors within the surgical profession. Ann Med Surg (Lond) 2015;4(2):107–112. doi: 10.1016/j.amsu.2015.03.004. - DOI - PMC - PubMed
Iyengar K, Upadhyaya GK, Vaishya R, Jain V. COVID-19 and applications of smartphone technology in the current pandemic. Diabetes Metab Syndr. 2020;14(5):733–737. doi: 10.1016/j.dsx.2020.05.033. - DOI - PMC - PubMed
Buabbas AJ, Sharma P, Al-Abdulrazaq A, Shehab H. Smartphone use by government dermatology practitioners in Kuwait: a self-reported questionnaire based cross-sectional study. BMC Med Inform Decis Mak. 2019;19:1–11. doi: 10.1186/s12911-019-0883-z. - DOI - PMC - PubMed
Bowling A. Research methods in health. Investigating health and health services. London: Open University Press; 3rd edition (March 1, 2009). ISBN-10: 0335233643
Attri JP, Khetarpal R, Chatrath V, Kaur J. Concerns about usage of smartphones in operating room and critical care scenario. Saudi J Anaesth. 2016;10(1):87–94. doi: 10.4103/1658-354X.169483. - DOI - PMC - PubMed
Jamal A, Temsah MH, Khan SA, Al-Eyadhy A, Koppel C, Chiang MF. Mobile phone use among medical residents: a cross-sectional multicenter survey in Saudi Arabia. JMIR Mhealth Uhealth. 2016;4(2):e6. doi: 10.2196/mhealth.4904. - DOI - PMC - PubMed
Payne KFB, Wharrad H, Watts K. Smartphone and medical related app use among medical students and junior doctors in the United Kingdom (UK): a regional survey. BMC Med Inform Dec Mak. 2012;12:121. doi: 10.1186/1472-6947-12-121. - DOI - PMC - PubMed
Mosa AS, Yoo I, Sheets L. A systematic review of healthcare applications for smartphones. BMC Med Inform Decis Mak. 2012;12:67. doi: 10.1186/1472-6947-12-67. - DOI - PMC - PubMed
Hanson M, Pitt D. Informed consent for surgery: risk discussion and documentation. Can J Surg. 2017;60(1):69–70. doi: 10.1503/cjs.004816. - DOI - PMC - PubMed
McLean R, Jury C, Bazeos A, Lewis SM. Application of camera phones in telehaematology. J Telemed Telecare. 2009;15(7):339–343. doi: 10.1258/jtt.2009.090114. - DOI - PubMed
Chung P, Yu T, Scheinfeld N. Using cellphones for teledermatology, a preliminary study. Dermatol Online J. 2007;13(3):2. doi: 10.5070/D31C0116KJ. - DOI - PubMed
Shokrollahi K, Sayed M, Dickson W, Potokar T. Mobile phones for the assessment of burns: we have the technology. Emerg Med J. 2007;24(11):753–755. doi: 10.1136/emj.2007.046730. - DOI - PMC - PubMed
Scherer J, Keller F, Pape HC, et al. Would patients undergo postoperative follow-up by using a smartphone application? BMC Surg. 2020;20:229. doi: 10.1186/s12893-020-00889-3. - DOI - PMC - PubMed
Mobasheri MH, Johnston M, Syed UM, King D, Darzi A. The uses of smartphones and tablet devices in surgery: a systematic review of the literature. Surgery. 2015;158(5):1352–1371. doi: 10.1016/j.surg.2015.03.029. - DOI - PubMed
Martinez-Ramos C, Cerdan MT, Lopez RS. Mobile phone-based telemedicine system for the home follow-up of patients undergoing ambulatory surgery. Telemed J E Health. 2009;15(6):531–537. doi: 10.1089/tmj.2009.0003. - DOI - PubMed
Prgomet M, Georgiou A, Westbrook JI. The impact of mobile handheld technology on hospital physicians' work practices and patient care: a systematic review. J Am Med Inform Assoc. 2009;16(6):792–801. doi: 10.1197/jamia.M3215. - DOI - PMC - PubMed
Ammenwerth E, Buchauer A, Bludau B, Haux R. Mobile information and communication tools in the hospital. Int J Med Inform. 2000;57(1):21–40. doi: 10.1016/S1386-5056(99)00056-8. - DOI - PubMed
Haller G, Haller DM, Courvoisier DS, Lovis C. Handheld versus laptop computers for electronic data collection in clinical research: a crossover randomized trial. J Am Med Inform Assoc. 2009;16(5):651–659. doi: 10.1197/jamia.M3041. - DOI - PMC - PubMed
Gill PS, Kamath A, Gill TS. Distraction: an assessment of smartphone usage in health care work settings. Risk Manag Healthc Policy. 2012;5:105–114. doi: 10.2147/RMHP.S34813. - DOI - PMC - PubMed