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N/A N=255 Randomized Supportive Care

Improving Spine Surgical Care With Real-Time Objective Patient Tracking Using the Apple Watch

Spine Disease · Spine Degeneration · Spinal Stenosis · Surgery · Spine Fusion

Enrolled (actual)
255
Serious AEs
0.0%
Results posted
Dec 2025
Primary outcome: Primary: Correlation Between Objective Patient Measures (Steps, Distance Travelled, From Apple Watch) and Patient-Reported Outcome Measures (SF-36, EQ-5D, PROMIS, NDI, ODI) — 0.160804476; 0.170547163; 0.03133065; -0.287227624 correlation coefficient — p=0.26801155

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Apple Watch and App (Device)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Stanford University
Primary completion
Nov 2024

Outcome Measures

OutcomeResultp-value
PRIMARY
Correlation Between Objective Patient Measures (Steps, Distance Travelled, From Apple Watch) and Patient-Reported Outcome Measures (SF-36, EQ-5D, PROMIS, NDI, ODI)
0.093993286; 0.144224016; -0.094520314; 0.055377523; -0.257180828; 0.058395557 0.52394318
PRIMARY
Correlation Between Objective Patient Measures (Steps, Distance Travelled, From Apple Watch) and Patient-Reported Outcome Measures (SF-36, EQ-5D, PROMIS, NDI, ODI)
0.093993286; 0.144224016; -0.094520314; 0.055377523; -0.257180828; 0.058395557 0.52394318
PRIMARY
Correlation Between Objective Patient Measures (Steps, Distance Travelled, From Apple Watch) and Patient-Reported Outcome Measures (SF-36, EQ-5D, PROMIS, NDI, ODI)
0.093993286; 0.144224016; -0.094520314; 0.055377523; -0.257180828; 0.058395557 0.52394318
PRIMARY
Correlation Between Objective Patient Measures (Steps, Distance Travelled, From Apple Watch) and Patient-Reported Outcome Measures (SF-36, EQ-5D, PROMIS, NDI, ODI)
0.093993286; 0.144224016; -0.094520314; 0.055377523; -0.257180828; 0.058395557 0.52394318
PRIMARY
Correlation Between Objective Patient Measures (Steps, Distance Travelled, From Apple Watch) and Patient-Reported Outcome Measures (SF-36, EQ-5D, PROMIS, NDI, ODI)
0.093993286; 0.144224016; -0.094520314; 0.055377523; -0.257180828; 0.058395557 0.52394318
PRIMARY
Change in Objective Outcome Measures: Number of Steps After Surgery
-1166.04; 764.68; 1212.10; 1068.73
PRIMARY
Change in Objective Outcome Measures: Distance Traveled (Meters) After Surgery
-792.29; 591.27; 915.26; 858.99
PRIMARY
Patient Compliance With Wearing Apple Watch - Wear Time
14.15
PRIMARY
Patient Compliance With Wearing Apple Watch - Wear Time
14.15
PRIMARY
Patient Compliance With Wearing Apple Watch - Wear Time
14.15
PRIMARY
Patient Compliance With Wearing Apple Watch - Wear Time
14.15
PRIMARY
Patient Compliance With Wearing Apple Watch - Wear Time
14.15
PRIMARY
Patient Satisfaction With Their Spine Care
52; 33; 22; 17; 4; 13
PRIMARY
Patient Satisfaction With Their Spine Care
52; 33; 22; 17; 4; 13
PRIMARY
Patient Satisfaction With Their Spine Care
52; 33; 22; 17; 4; 13
PRIMARY
Patient Satisfaction With Their Spine Care
52; 33; 22; 17; 4; 13

Summary

One of the primary goals of spine surgery is to reduce pain and increase mobility to improve patients' quality of life. Currently, there is no established method for surgeons to objectively track their patients' mobilization postoperatively. This study is the first prospective trial utilizing the Apple Watch to objectively track patients before and after elective spine surgery. The investigators hypothesize that the ability of patients to track their own activity and discuss with their surgeon objective mobilization goals will not only help patients achieve empowerment in their own care but also improve their overall satisfaction and self-reported outcomes after spine surgery.

Eligibility Criteria

Inclusion Criteria

  • English-speaking.
  • Undergoing elective spine surgery by attending physicians at Stanford University.
  • Own iPhone

Exclusion Criteria

  • Patients with spine trauma, tumors, or infection.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04379921). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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