Patient Compliance to a Perioperative Digital Platform for Pre- and Rehabilitation Programs, Outcomes Reporting, and Remote Monitoring After Surgery: A Pilot Study
Background: Electronic health can help improve perioperative outcomes and overcome organizational constraints related to human resources and health care-related costs. In this initial report, we assess patient compliance with a digital platform including pre- and rehabilitation programs, checklists,...
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| Format: | Article |
| Language: | English |
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Mary Ann Liebert
2024-04-01
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| Series: | Telemedicine Reports |
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| Online Access: | https://www.liebertpub.com/doi/10.1089/tmr.2024.0012 |
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| author | Daniele d’Agate Bogdan Buhas Rawad Abou-Zahr Razvan-George Rahota Nhan Kien Nguyen Christophe Almeras Jean-Baptiste Beauval Guillaume Ploussard |
| author_facet | Daniele d’Agate Bogdan Buhas Rawad Abou-Zahr Razvan-George Rahota Nhan Kien Nguyen Christophe Almeras Jean-Baptiste Beauval Guillaume Ploussard |
| author_sort | Daniele d’Agate |
| collection | DOAJ |
| description | Background: Electronic health can help improve perioperative outcomes and overcome organizational constraints related to human resources and health care-related costs. In this initial report, we assess patient compliance with a digital platform including pre- and rehabilitation programs, checklists, electronic patient-reported outcomes (ePROs), and remote monitoring after surgery. Materials and Methods: Twenty-four patients undergoing major uro-oncological surgery were prospectively included and followed from the surgical decision time point to the 3-month follow-up visit by Betty.care app. The primary end-point was patient compliance with the digital tool materials, grouped into four domains: safety, education, ePRO collection, and remote monitoring. Results and Limitations: The mean age was 62 years. The mean hospital stay was 1.8 days (50% of outpatient surgeries). Four complications occurred (16.7%), including one emergency readmission. The compliance of patients for fulfilling or reading all safety, education, and ePRO questionnaires was 79.2%, 76.5%, and 86.2%, respectively. The activation of real-time notifications as predefined by Betty.care detected half of the complications. All the generated alerts were related to a confirmed postoperative grade 2 or 3 complication. The mean duration of daily remote monitoring was 18.5 days after discharge. Satisfaction with their perioperative pathway was scored 8.4 out of 10 by patients. Conclusions: In conclusion, the implementation of a mobile app that provides a holistic approach to the perioperative period, integrating prehabilitation, rehabilitation, ePRO collection, checklists, and remote monitoring is feasible in clinical practice with good patient compliance. These preliminary findings suggest that the Betty.care digital platform could improve outcomes, facilitate recovery, and secure at-home discharge. |
| format | Article |
| id | doaj-art-c259bce697e54c209750bdb4dabe1571 |
| institution | OA Journals |
| issn | 2692-4366 |
| language | English |
| publishDate | 2024-04-01 |
| publisher | Mary Ann Liebert |
| record_format | Article |
| series | Telemedicine Reports |
| spelling | doaj-art-c259bce697e54c209750bdb4dabe15712025-08-20T02:31:31ZengMary Ann LiebertTelemedicine Reports2692-43662024-04-015111412210.1089/tmr.2024.0012Patient Compliance to a Perioperative Digital Platform for Pre- and Rehabilitation Programs, Outcomes Reporting, and Remote Monitoring After Surgery: A Pilot StudyDaniele d’Agate0Bogdan Buhas1Rawad Abou-Zahr2Razvan-George Rahota3Nhan Kien Nguyen4Christophe Almeras5Jean-Baptiste Beauval6Guillaume Ploussard7Urology Department, La Croix du Sud Hospital, Quint Fonsegrives, France.Urology Department, La Croix du Sud Hospital, Quint Fonsegrives, France.Urology Department, La Croix du Sud Hospital, Quint Fonsegrives, France.Urology Department, La Croix du Sud Hospital, Quint Fonsegrives, France.Urology Department, Clinique l’Occitanie, Muret, France.Urology Department, La Croix du Sud Hospital, Quint Fonsegrives, France.Urology Department, La Croix du Sud Hospital, Quint Fonsegrives, France.Urology Department, La Croix du Sud Hospital, Quint Fonsegrives, France.Background: Electronic health can help improve perioperative outcomes and overcome organizational constraints related to human resources and health care-related costs. In this initial report, we assess patient compliance with a digital platform including pre- and rehabilitation programs, checklists, electronic patient-reported outcomes (ePROs), and remote monitoring after surgery. Materials and Methods: Twenty-four patients undergoing major uro-oncological surgery were prospectively included and followed from the surgical decision time point to the 3-month follow-up visit by Betty.care app. The primary end-point was patient compliance with the digital tool materials, grouped into four domains: safety, education, ePRO collection, and remote monitoring. Results and Limitations: The mean age was 62 years. The mean hospital stay was 1.8 days (50% of outpatient surgeries). Four complications occurred (16.7%), including one emergency readmission. The compliance of patients for fulfilling or reading all safety, education, and ePRO questionnaires was 79.2%, 76.5%, and 86.2%, respectively. The activation of real-time notifications as predefined by Betty.care detected half of the complications. All the generated alerts were related to a confirmed postoperative grade 2 or 3 complication. The mean duration of daily remote monitoring was 18.5 days after discharge. Satisfaction with their perioperative pathway was scored 8.4 out of 10 by patients. Conclusions: In conclusion, the implementation of a mobile app that provides a holistic approach to the perioperative period, integrating prehabilitation, rehabilitation, ePRO collection, checklists, and remote monitoring is feasible in clinical practice with good patient compliance. These preliminary findings suggest that the Betty.care digital platform could improve outcomes, facilitate recovery, and secure at-home discharge.https://www.liebertpub.com/doi/10.1089/tmr.2024.0012eHealthprehabilitationremote monitoringsurgery |
| spellingShingle | Daniele d’Agate Bogdan Buhas Rawad Abou-Zahr Razvan-George Rahota Nhan Kien Nguyen Christophe Almeras Jean-Baptiste Beauval Guillaume Ploussard Patient Compliance to a Perioperative Digital Platform for Pre- and Rehabilitation Programs, Outcomes Reporting, and Remote Monitoring After Surgery: A Pilot Study Telemedicine Reports eHealth prehabilitation remote monitoring surgery |
| title | Patient Compliance to a Perioperative Digital Platform for Pre- and Rehabilitation Programs, Outcomes Reporting, and Remote Monitoring After Surgery: A Pilot Study |
| title_full | Patient Compliance to a Perioperative Digital Platform for Pre- and Rehabilitation Programs, Outcomes Reporting, and Remote Monitoring After Surgery: A Pilot Study |
| title_fullStr | Patient Compliance to a Perioperative Digital Platform for Pre- and Rehabilitation Programs, Outcomes Reporting, and Remote Monitoring After Surgery: A Pilot Study |
| title_full_unstemmed | Patient Compliance to a Perioperative Digital Platform for Pre- and Rehabilitation Programs, Outcomes Reporting, and Remote Monitoring After Surgery: A Pilot Study |
| title_short | Patient Compliance to a Perioperative Digital Platform for Pre- and Rehabilitation Programs, Outcomes Reporting, and Remote Monitoring After Surgery: A Pilot Study |
| title_sort | patient compliance to a perioperative digital platform for pre and rehabilitation programs outcomes reporting and remote monitoring after surgery a pilot study |
| topic | eHealth prehabilitation remote monitoring surgery |
| url | https://www.liebertpub.com/doi/10.1089/tmr.2024.0012 |
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