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Abstract
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Introduction: Endometriosis occurs in 6-10% of reproductive-aged women and is present in 78-81% of women with chronic pelvic pain. Many patients with endometriosis experience significant delays in diagnosis. Mobile applications, websites, and support groups can help patients track and understand symptoms. Widespread use of these resources highlights the need for objective assessment of these mobile applications.
Methods: Endometriosis apps were identified from the apple app store, google play, and an internet search. Apps that were inaccurate, non-English language, or duplicates were excluded. The APPLICATIONS scoring system, a standardized validated tool, was used to assess the remaining apps for comprehensive medical information, accessibility, and ease of access. The apps were scored by three evaluators. Rater agreement was evaluated with the intra-class correlation coefficient.
Results: 19 applications were identified. Cross-validation of these applications was performed using the Google search engine. Seven apps were excluded (36.8%). The remaining 12 (63%) applications were scored by three evaluators. Intra-class correlation coefficient (ICC) for assessing inter-rater reliability of total scores was 0.94 (95% CI: 0.85, 0.98 indicating good reliability). Only two of the apps scored above 10, Flutter, an iOS-only patient-directed app by Flutter Health Inc, scored 14.67 points and Endo App, an android only physician-directed app by ESHRE scored 13 points.
Conclusion/Implications: Only 12 endometriosis-related applications were found to be relevant. There is a lack of useful patient and physician-directed apps for the management of endometriosis. There is abundant potential for the development of mobile resources to aid in the diagnosis and treatment of endometriosis.
Methods: Endometriosis apps were identified from the apple app store, google play, and an internet search. Apps that were inaccurate, non-English language, or duplicates were excluded. The APPLICATIONS scoring system, a standardized validated tool, was used to assess the remaining apps for comprehensive medical information, accessibility, and ease of access. The apps were scored by three evaluators. Rater agreement was evaluated with the intra-class correlation coefficient.
Results: 19 applications were identified. Cross-validation of these applications was performed using the Google search engine. Seven apps were excluded (36.8%). The remaining 12 (63%) applications were scored by three evaluators. Intra-class correlation coefficient (ICC) for assessing inter-rater reliability of total scores was 0.94 (95% CI: 0.85, 0.98 indicating good reliability). Only two of the apps scored above 10, Flutter, an iOS-only patient-directed app by Flutter Health Inc, scored 14.67 points and Endo App, an android only physician-directed app by ESHRE scored 13 points.
Conclusion/Implications: Only 12 endometriosis-related applications were found to be relevant. There is a lack of useful patient and physician-directed apps for the management of endometriosis. There is abundant potential for the development of mobile resources to aid in the diagnosis and treatment of endometriosis.
Introduction: Endometriosis occurs in 6-10% of reproductive-aged women and is present in 78-81% of women with chronic pelvic pain. Many patients with endometriosis experience significant delays in diagnosis. Mobile applications, websites, and support groups can help patients track and understand symptoms. Widespread use of these resources highlights the need for objective assessment of these mobile applications.
Methods: Endometriosis apps were identified from the apple app store, google play, and an internet search. Apps that were inaccurate, non-English language, or duplicates were excluded. The APPLICATIONS scoring system, a standardized validated tool, was used to assess the remaining apps for comprehensive medical information, accessibility, and ease of access. The apps were scored by three evaluators. Rater agreement was evaluated with the intra-class correlation coefficient.
Results: 19 applications were identified. Cross-validation of these applications was performed using the Google search engine. Seven apps were excluded (36.8%). The remaining 12 (63%) applications were scored by three evaluators. Intra-class correlation coefficient (ICC) for assessing inter-rater reliability of total scores was 0.94 (95% CI: 0.85, 0.98 indicating good reliability). Only two of the apps scored above 10, Flutter, an iOS-only patient-directed app by Flutter Health Inc, scored 14.67 points and Endo App, an android only physician-directed app by ESHRE scored 13 points.
Conclusion/Implications: Only 12 endometriosis-related applications were found to be relevant. There is a lack of useful patient and physician-directed apps for the management of endometriosis. There is abundant potential for the development of mobile resources to aid in the diagnosis and treatment of endometriosis.
Methods: Endometriosis apps were identified from the apple app store, google play, and an internet search. Apps that were inaccurate, non-English language, or duplicates were excluded. The APPLICATIONS scoring system, a standardized validated tool, was used to assess the remaining apps for comprehensive medical information, accessibility, and ease of access. The apps were scored by three evaluators. Rater agreement was evaluated with the intra-class correlation coefficient.
Results: 19 applications were identified. Cross-validation of these applications was performed using the Google search engine. Seven apps were excluded (36.8%). The remaining 12 (63%) applications were scored by three evaluators. Intra-class correlation coefficient (ICC) for assessing inter-rater reliability of total scores was 0.94 (95% CI: 0.85, 0.98 indicating good reliability). Only two of the apps scored above 10, Flutter, an iOS-only patient-directed app by Flutter Health Inc, scored 14.67 points and Endo App, an android only physician-directed app by ESHRE scored 13 points.
Conclusion/Implications: Only 12 endometriosis-related applications were found to be relevant. There is a lack of useful patient and physician-directed apps for the management of endometriosis. There is abundant potential for the development of mobile resources to aid in the diagnosis and treatment of endometriosis.
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