Colorectal Surgery
Conditions
Brief summary
The purpose of this study is to evaluate whether patient-centered educational material delivered before and immediately after surgery can help improve outcomes for patients undergoing colorectal surgery.
Detailed description
To analyze the impact of implementation of patient-centered educational material delivered the SeamlessMD® mobile application on perioperative Enhanced Recovery After Surgery (ERAS) metric completion rates among patients undergoing elective colorectal surgery. This is a non-interventional, prospective feasibility study. The planned study period will encompass adult patients (\>18 years) scheduled to undergo an elective colorectal surgery procedure at CMC-Main during the six-month period of December 2020 to May 2021. Patients enrolling in SeamlessMD will be prompted by the mobile app to electronically complete a validated quality-of-life assessment, the Quality of Recovery (QoR-15) evaluation, five days prior to surgery, three days postoperatively, and 30 days postoperatively.
Interventions
BEHAVIORALSeamlessMD® Mobile Application
Mobile cloud-based applications (apps), such as SeamlessMD®, are readily accessible on smart phones and offer an innovative strategy to encourage and track patient adherence to recommended ERAS components pre- and postoperatively.
Sponsors
Atrium Health Levine Cancer Institute
Wake Forest University Health Sciences
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adult patients (\>18 years old) * Scheduled to undergo an elective colorectal surgery procedure (for benign or malignant colon or rectal pathology) at CMC-Main by one of the 5 participating colorectal surgeons (Davis, Hill, Kasten, Salo, Squires) * Ability to provide informed consent
Exclusion criteria
* Emergent, non-elective colorectal procedures * Non-English speaking
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Perioperative ERAS metric completion rate | 30 Days Following Hospital Discharge | Completion rate for perioperative ERAS metrics |
| Postoperative hospital length of stay | 30 Days Following Hospital Discharge | Postoperative hospital length of stay |
| Postoperative complications | 30 Days Following Hospital Discharge | Occurrence of postoperative complications within 30 days, classified as Clavien-Dindo Grade I-V |
| 30-day readmission | 30 Days Following Hospital Discharge | Readmission to any hospital facility as inpatient within 30 days of surgery |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative Opioid Consumption | 30 Days Following Hospital Discharge | Postoperative opioid consumption in morphine equivalent daily doses (MEDDs) as extracted from the medical administration record (MAR) for the inpatient hospitalization period |
Countries
United States
Outcome results
None listed