While there is enthusiasm for wearables and smartphone technologies in evaluating clinical outcomes among clinicians, less is known about the willingness of patients who have osteoarthritis (OA) to consent for remote outcome monitoring. We developed an Institutional Review Board-approved questionnaire to assess patient perceptions of remote monitoring technologies in a high-volume orthopaedic clinical center. Fifty total knee arthroplasty (TKA) patients (56% female; mean age: 61 years, range: 23–89) and fifty nonoperative OA knee patients (54% female; mean age: 58 years, range: 25–89) routinely consulted in the clinic as part of their OA treatment and consented to participate in the study. Patient perceptions were compared using Pearson's chi-square analyses with a significance threshold of p < 0.05. We found that TKA patients were more receptive to the use of smartphone apps (84 vs. 60%, p = 0.008) and wearable sensors (80 vs. 48%, p < 0.001) and learning to use custom wearables (72 vs. 38%, p = 0.002) than nonoperative OA knee patients as part of their treatment. Likewise, the majority of TKA patients were willing to use the global positioning system in their postoperative technology (54 vs. 18%, p < 0.001), especially if they were only active during certain circumstances (62 vs. 24%, p < 0.001). TKA patients also expressed willingness to have their body movement (68%), balance (70%), sleep (76%), and cardiac output (80%) tracked using remote technologies. Overall, we found that TKA patients were highly receptive to using wearable technology in their treatments, whereas nonoperative OA knee patients were generally unreceptive. Our study challenges the concept that current wearable technology approaches will be generally effective as a tool to remotely monitor all patients across the OA severity landscape.

尽管临床医生对可穿戴设备和智能手机技术评估临床结果抱有热情，但人们对骨关节炎 (OA) 患者同意远程结果监测的意愿知之甚少。我们开发了一份经机构审查委员会批准的调查问卷，以评估患者对大容量骨科临床中心远程监测技术的看法。50 名全膝关节置换术 (TKA) 患者（56% 为女性；平均年龄：61 岁，范围：23–89）和 50 名非手术 OA 膝关节患者（54% 女性；平均年龄：58 岁，范围：25–89）定期会诊作为 OA 治疗的一部分，他在诊所接受了治疗，并同意参加这项研究。使用 Pearson 卡方分析比较患者的认知，显着性阈值为p  < 0.05。我们发现，TKA 患者更愿意使用智能手机应用程序（84% vs. 60%，p  = 0.008）和可穿戴传感器（80% vs. 48%，p  < 0.001）并学习使用定制可穿戴设备（72% vs. 38） %, p  = 0.002) 比非手术 OA 膝关节患者作为治疗的一部分。同样，大多数 TKA 患者愿意在术后技术中使用全球定位系统（54% vs. 18%，p  < 0.001），特别是如果他们仅在某些情况下活动（62% vs. 24%，p  < 0.001 ） ）。TKA 患者还表示愿意使用远程技术跟踪他们的身体运动（68%）、平衡（70%）、睡眠（76%）和心输出量（80%）。总体而言，我们发现 TKA 患者非常愿意在治疗中使用可穿戴技术，而非手术 OA 膝关节患者普遍不接受。我们的研究挑战了这样一种观念，即当前的可穿戴技术方法将普遍有效地作为远程监测 OA 严重程度的所有患者的工具。