Follow-up, Mobile Health, Post Operative Recovery, Thoracic Surgery
Conditions
Keywords
Electronic Follow-up, Thoracic Surgery
Brief summary
The aim of the study is to evaluate whether a digital follow-up program can improve postoperative pain management and quality of life in patients during the first 28 days after discharge home following thoracic surgery, compared to standard follow-up care.
Detailed description
Thoracic surgery is essential for treating conditions such as thoracic malignancies, trauma, and chronic pulmonary diseases. While often life-saving, recovery after thoracic surgery can be challenging. Enhanced Recovery After Surgery (ERAS) programs have improved outcomes across surgical fields, but their impact on postoperative quality of life (QoL) in thoracic surgery is under-researched. QoL post-surgery involves factors such as pain, physical and respiratory function, psychological well-being, and return to daily life. Effective communication between patients and their physicians post-discharge is crucial for early detection and management of complications. Studies in other surgical areas (e.g., colorectal and cardiac surgery) have shown that mobile apps for follow-up can reduce emergency visits, readmissions, and improve patient experience. However, similar evidence is scarce in thoracic surgery. Existing studies suggest electronic patient-reported outcome (ePRO) systems could help monitor symptoms and improve care, but further research is needed. Despite promising results in other specialties, there is limited evidence on the use of digital tools to monitor and support recovery after thoracic surgery. Given the importance of pain management, QoL, and preventing complications, the researchers aim to explore whether a digital follow-up program could offer measurable benefits for patients recovering at home. The study aims to develop and evaluate a digital follow-up program for patients in the first 28 days after discharge home from thoracic surgery. The primary objective is to assess whether active, digital patient-physician communication can improve postoperative pain outcomes, compared to standard follow-up care.
Interventions
OTHERdigital outpatient follow-up
In addition to routine outpatient follow-up visits on day 14 and 28 post-operative, digital follow-up by questionnaire on their health status and general well-being are provided. Possibility to request an interaction with a doctor from our department at any time during the 28 days following discharge
OTHERstandard follow-up
routine outpatient follow-up visits on day 14 and 28 post-operative
Sponsors
University Hospital, Basel, Switzerland
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients who have signed an informed consent form and underwent a surgery performed at the Thoracic Surgery Department of the University Hospital Basel * Age ≥ 18 years at the time of informed consent * First participation in the Study * Patient operated under general anesthesia * Patients who are in possession of a smart phone or personal computer and have an e-mail account and are able to answer a digital questionnaire. Or an immediate caretaker in the same household owns a smartphone or personal computer and is familiar with the use * Patients who understand verbal and written German or French * Patients discharged at home after surgery * Hospital stay \> 3 nights after surgery
Exclusion criteria
* Patients under preoperative opioid/cortisone therapy * Patients who are unable to follow the procedure of the study, e. g. read or understand German or French, psychological disorders, dementia, etc. * Enrolment of the investigator, his/her family members, employees and other dependent person * Patients with polytrauma or who underwent mediastinoscopy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Subjective pain perception | 4 weeks after discharge home | Impact on the subjective pain perception is assessed by the numeric rating scale (NRS). Scale ranges from 0-10 while 10 indicates more pain |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| General well-being | 4 weeks after discharge home | General well-being is assessed by the numeric rating scale (NRS). Scale ranges from 0-10 while 10 indicates better outcome |
| Post-Discharge documentation of analgesic use | During the 4 weeks after discharge home | Assessment of any analgesics admitted after discharge home |
| Emergency consultations | During the 4 weeks after discharge home | Number of emergency consultations within 4 weeks after discharge home |
| Readmissions | During the 4 weeks after discharge home | — |
| postoperative complications | During the 4 weeks after discharge home | postoperative complications after hospital discharge home according to the Clavien-Dindo Classification of surgical complications |
Countries
Switzerland
Contacts
Primary ContactZeljko Djakovic, MD
Outcome results
None listed