{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T02:49:51Z","timestamp":1776048591899,"version":"3.50.1"},"reference-count":17,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T00:00:00Z","timestamp":1773878400000},"content-version":"vor","delay-in-days":77,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Manchester Academic Health Science Centre Inflammation & Repair Domain"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,3,18]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To assess the feasibility, in a clinical setting, of using a smartphone app that allows \u2018tracking\u2019 of SSc-related digital ulcers\/lesions over time and to gauge patient opinion of the app\u2019s benefits, including a newly added lesion feedback function for patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients with SSc with active digital ulcers\/lesions were recruited and assessed twice: on study entry and at the point of lesion healing. Participants photographed their lesions and recorded patient-reported outcome measures (PROMs) with the app twice weekly. The lesion feedback function showed lesion size (measured from the photographs) over time. Ways in which feasibility was assessed included the number of photographs and PROMS recorded via the app, data from patient questionnaires and verbal feedback.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 10 patients were recruited: 9 (90%) female, median age 55\u2009years, median disease duration 12\u2009years. Nine (90%) completed the study. The median duration of study participation per \u2018lesion episode\u2019 was 39\u2009days (range 18\u2013140). A total of 210 images were returned, with a median of 12 (range 4\u201387) per episode, and 99 sets of visual analogue scale\/pain scores were returned, with a median of 7 (range 3\u201324) per episode. On a scale of 1 (very easy\/helpful) to 10 (very difficult\/not helpful), the median score for ease of sending photographs was 1 (range 1\u20133) and for helpfulness of feedback it was 1.5 (range 1\u20138). All patients were keen to use the app again.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The feasibility and benefits of using the smartphone app, including the feedback function, lend support to possible wider use of the app in routine clinical practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/rap\/rkag035","type":"journal-article","created":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T06:08:21Z","timestamp":1773900501000},"source":"Crossref","is-referenced-by-count":0,"title":["Feasibility study of a smartphone app to monitor systemic sclerosis-related digital ulcers\u2014a potential new tool for remote clinical monitoring"],"prefix":"10.1093","volume":"10","author":[{"given":"Paul","family":"New","sequence":"first","affiliation":[{"name":"Centre for Musculoskeletal Research, Division of Musculoskeletal and Dermatological Sciences, The University of Manchester, Manchester Academic Health Science Centre , Manchester,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6245-2721","authenticated-orcid":false,"given":"Graham","family":"Dinsdale","sequence":"additional","affiliation":[{"name":"Rheumatology Department, Salford Royal Hospital, Northern Care Alliance NHS Foundation Trust , Salford,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andy","family":"Vail","sequence":"additional","affiliation":[{"name":"Centre for Biostatistics, The University of Manchester, Manchester Academic Health Science Centre , Manchester,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joanne","family":"Manning","sequence":"additional","affiliation":[{"name":"Rheumatology Department, Salford Royal Hospital, Northern Care Alliance NHS Foundation Trust , 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Care Research Manchester Biomedical Research Centre , Manchester,","place":["UK"]},{"name":"Division of Informatics, Imaging and Data Sciences, The University of Manchester, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chris","family":"Taylor","sequence":"additional","affiliation":[{"name":"School of Engineering and School of Health Sciences, The University of Manchester , Manchester,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Dickinson","sequence":"additional","affiliation":[{"name":"Photon Science Institute, The University of Manchester , Manchester,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4941-7926","authenticated-orcid":false,"given":"Ariane L","family":"Herrick","sequence":"additional","affiliation":[{"name":"Centre for Musculoskeletal Research, Division of Musculoskeletal and Dermatological Sciences, The University of 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