Patient experience and satisfaction after same-day discharge radical prostatectomy using a personalized, digital...

Area of Science:

• Urology
• Digital Health
• Surgical Innovation

Background:

• Same-day discharge (SDD) after robot-assisted radical prostatectomy (RARP) is increasingly common.
• Optimizing patient experience and recovery is crucial for successful SDD programs.
• Digital health tools offer potential for personalized pre- and post-operative care.

Purpose of the Study:

• To evaluate patient experience and satisfaction with a personalized digital program implemented before and after SDD RARP.
• To assess the impact of the digital program on key recovery metrics.

Main Methods:

• Prospective, pre/post-interventional study involving patients undergoing SDD RARP.
• Patients used the Betty. Care platform with a radical prostatectomy module for coaching.
• Primary endpoint: patient satisfaction at 6 weeks; secondary endpoints: hospital stay, readmissions, complications, unplanned visits, and remote monitoring data.

Main Results:

• The digital tool improved 90-day rates for unplanned visits (2.2%), readmissions (2.2%), and complications (8.7%).
• Mean patient satisfaction score increased from 8.0 to 9.6 out of 10.
• High urinary continence rate (91.3%) at 6 weeks; median pain duration of 2 days.

Conclusions:

• Personalized digital programs integrating prehabilitation, education, rehabilitation, and remote monitoring enhance patient experience and satisfaction.
• These digital tools can support and promote early discharge after major surgeries like RARP.
• The Betty Coaching program shows promise in improving outcomes and patient-reported measures post-RARP.