Using a mobile application for real-time collection of patient reported outcomes in hepatopancreatobiliary surgery within an ERAS® pathway
| Autor: | Lacey King, Emily Bhattacharya, Lee M. Ocuin, Dionisios Vrochides, Erin H. Baker, Kendra Tezber, John B. Martinie, David A. Iannitti, Renna Berry, Allyson Cochran, Denice Koo, Jarrett Hunt, R.C. Pickens |
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| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Nutrition and Dietetics business.industry Nausea Endocrinology Diabetes and Metabolism medicine.medical_treatment Pancreaticoduodenectomy Surgery Patient satisfaction Quality of life (healthcare) Health care Perioperative care medicine Mobile technology medicine.symptom Distal pancreatectomy business |
| Zdroj: | Clinical Nutrition ESPEN. 31:111-112 |
| ISSN: | 2405-4577 |
| Popis: | Patient-reported outcomes (PROs) are essential for patient-centered health care. This pilot study implemented a mobile application customized to an hepatopancreatobiliary Enhanced Recovery After Surgery (ERAS®) program-a novel environment-for real-time collection of PROs, including ERAS® pathway compliance. Patients undergoing hepatectomy, distal pancreatectomy, or pancreaticoduodenectomy through the ERAS® program were prospectively enrolled over 10 months. The application provided education and questionnaires before surgery through 30 days postdischarge. Thresholds were set for initial adoption of the application (75%), PRO response rate (50%), and patient satisfaction (75%). Daily postdischarge health checks integrated customized responses to guide out-of-hospital care. Of 165 enrolled patients, 122 met inclusion criteria. Application adoption was 93 per cent (114/122) and in-hospital engagement remained high at 88 per cent (107/122). Patients completed 62 per cent of PRO on quality of life, postoperative pain, nausea, opioid consumption, and compliance to ERAS® pathway items, including ambulation and breathing exercises. During postcharge tracking, 12 patients reported that the application prevented a phone call to the hospital and three patients reported prevention of an emergency room visit. PRO collection through this mobile device created an integrated platform for comprehensive perioperative care, patient-initiated outcome tracking with automatic reporting, and real-time feedback for process change. Improving proactive outpatient management of complex patients through mobile technology could help restructure health-care delivery and improve resource utilization for all patients. |
| Databáze: | OpenAIRE |
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