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Randomized Controlled Trial-Perioperative Telemonitoring of Patient-Generated Health Data in Gastrointestinal
Kelly M Mahuron1, Patricia Esslin, Virginia Sun
1Department of Surgery, City of Hope National Medical Center, Duarte, CA.
Annals of Surgery
|April 11, 2025
Summary
Perioperative telemonitoring with nursing triage is feasible and acceptable for gastrointestinal surgery patients. This intervention improved patient-reported outcomes, suggesting enhanced postoperative recovery.
Area of Science:
- Surgical Oncology
- Digital Health
- Patient Outcomes
Background:
- Increasing demand for outpatient recovery in complex gastrointestinal oncologic surgery.
- Need to improve quality of life and functional recovery post-surgery.
- Telemonitoring proposed to meet these recovery expectations.
Purpose of the Study:
- To assess the feasibility and impact of perioperative telemonitoring with nursing triage.
- To evaluate its effect on surgical outcomes and patient recovery.
Main Methods:
- Prospective randomized controlled trial (October 2021-August 2023).
- Gastrointestinal oncologic surgery patients randomized to telemonitoring or usual care.
- Assessed patient-generated health data (PGHD) and electronic patient-reported outcomes (ePROs).
Main Results:
- 129 participants randomized; 12% attrition; no differences in feasibility or acceptability.
- Similar postoperative complication and readmission rates between groups.
- Telemonitoring arm showed significantly lower symptom interference and severity scores (MDASI).
Conclusions:
- Perioperative telemonitoring is feasible and acceptable for surgical patients.
- Nursing triage intervention may enhance postoperative recovery.
- Improved ePROs suggest a benefit for patient-reported recovery.
