AUA 2018: Wearable Fitness Trackers for Measurement of Behavioral Patterns Among Patients Undergoing Radical Cystectomy: A Pilot Study Assessing Feasibility and Utility
Patients wore either a FitBit or Alta HR fitness tracker for up to 3 weeks preoperatively, throughout their admission, and up to 3 weeks postoperatively. These devices measured daily steps, calories burned, minutes sedentary, minutes active, time slept each day, and more.
The research team compared age (<80 years old vs. >80 years old), diversion type (non-continent vs. continent), and clinical outcomes (delayed return of bowel function (>POD2), prolonged length of stay (>6 days), and discharge disposition (home vs. SNF). After exploratory analysis, they found statistical significance between the age stratifications for longest preoperative sleep cycle, preoperative daily calories sorted by prolonged LOS, and correlation between inpatient daily steps and daily calories with discharge disposition.
In conclusion, Burg and team discovered that perioperative activity level may predict the length of stay after surgery and discharge disposition. Additionally, they found that the use of WFT to objectively measure patient activity and sleep is feasible in their patient population. In response to a question from the audience regarding older patients and how they are typically wary of technology, Burg noted that, interestingly, the more elderly patients appeared to be more willing to participate in the study, while younger patients questioned how their location data would be used and cited privacy concerns.
Presented by: Madeleine L. Burg
Authors: Shane M. Pearce, Daniel E. Zainfeld, Saum Ghodoussipour, Ankeet Shah, Anne K. Schuckman, Hooman Djaladat, Siamak Daneshmand, Los Angeles, CA
Author Affiliation: The University of Southern California, Institute of Urology
Written by: Vinay Cooper, Department of Urology, University of California-Irvine medical writer for UroToday.com at the 2018 AUA Annual Meeting - May 18 - 21, 2018 – San Francisco, CA USA