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Published on: August 1, 2019
Patient Engagement With an Electronic Patient-Reported Outcomes Tool Evaluating Hospital Discharge Readiness After
Jennifer R Cracchiolo1, Richard S Matulewicz2, Norma E Farrow3
1Head and Neck Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY.
JCO Oncology Practice
|July 1, 2026
Summary
The Goals to Discharge (G2D) electronic patient-reported outcomes (ePRO) tool improved communication and reduced prolonged hospital stays for cancer surgery patients. This digital tool aids discharge planning and recovery.
Area of Science:
- Oncology
- Health Informatics
- Surgical Recovery
Background:
- Cancer surgery patients have complex recovery and discharge needs.
- Effective discharge planning is crucial for optimizing patient outcomes.
- Existing tools may not fully address multidisciplinary recovery requirements.
Purpose of the Study:
- To develop and assess the adoption of an electronic patient-reported outcomes (ePRO) tool, Goals to Discharge (G2D).
- To improve discharge planning and recovery for patients undergoing colorectal and thoracic cancer surgeries.
- To analyze factors influencing G2D tool adoption and its impact on patient outcomes.
Main Methods:
- A mixed-methods approach was used, integrating patient, clinician, and stakeholder feedback.
- Survey items were selected based on Enhanced Recovery After Surgery pathways.
- The G2D tool was administered to hospitalized patients from postoperative day 1 until discharge.
Main Results:
- The G2D tool achieved a 31% adoption rate among 3,878 patients.
- Patient age, ASA score, language, and recovery room stay influenced adoption.
- G2D respondents showed a 3.7% reduced risk of prolonged length of stay (LOS).
Conclusions:
- The G2D ePRO tool enhanced patient-clinician communication, aiding discharge planning and recovery.
- Patients using the G2D tool experienced significantly shorter hospital stays.
- Further research is needed to refine digital discharge tools and optimize recovery preparation strategies.
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