Colorectal smartphone apps: opportunities and risks.
OBJECTIVE
The increased utilization of smartphones within the clinical environment together with connected applications (apps) provides opportunity for doctors, including coloproctologists, to integrate such technology into clinical practice. However, the reliability of unregulated medical apps has recently been called into question. Here, we review contemporary medical apps specifically themed towards colorectal diseases and assess levels of medical professional involvement in their design and content.


METHODS
The most popular smartphone app stores (iPhone, Android, Blackberry, Nokia, Windows and Samsung) were searched for colorectal disease themed apps, using the disease terms colorectal cancer, Crohn's disease, ulcerative colitis, diverticulitis, haemorrhoids, anal fissure, bowel incontinence and irritable bowel syndrome.


RESULTS
A total of 68 individual colorectal themed apps were identified, amongst which there were five duplicates. Only 29% of colorectal apps had had customer satisfaction ratings and 32% had named medical professional involvement in their development or content.


CONCLUSIONS
The benefits of apps are offset by lack of colorectal specification. There is little medical professional involvement in their design. Increased regulation is required to improve accountability of app content.
Department of Clinical and Surgical Sciences (Surgery), School of Clinical Sciences and Community Health, University of Edinburgh, Edinburgh, UK.
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O'Neill
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Brady
D040421:Cell Phone; D034201:Computers, Handheld; D059026:Diagnostic Self Evaluation; D006801:Humans; D020407:Internet / Q000592:standards; D007410:Intestinal Diseases / Q000175:diagnosis; D010353:Patient Education as Topic / Q000592:standards; D012984:Software / Q000592:standards*