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Feasibility of perioperative remote monitoring of patient-generated health data in complex surgical oncology.


ABSTRACT:

Background

The feasibility of remote perioperative telemonitoring of patient-generated physiologic health data and patient-reported outcomes in a high risk complex general and urologic oncology surgery population is evaluated.

Methods

Complex general surgical/urologic oncology patients wore a pedometer, completed ePROs (electronic patient-reported outcome surveys) and record their vitals (weight, pulse, pulse oximetry, blood pressure, and temperature) via a telehealth app platform. Feasibility (% adherence) was assessed as the primary outcome measure.

Results

Twenty-one patients with a median age 58 (32-82) years were included. The readmission rate was 33% and the incidence of ≥Grade 3a morbidity was 24%. Adherence to vital sign and ePRO measurements was 95% before surgery, 91% at discharge, and 82%, 68%, and 64% at postdischarge d2, 7, 14, and 30, respectively. There was significant worsening of mobility, self-care and usual daily activity at postdischarge d2 compared to preoperative baseline (p < 0.05). Median daily preoperative steps taken by patients with ConclusionsTelemonitoring is feasible in a general surgical and urologic oncology setting. Future studies will ascertain optimal patient selection, duration, and extent of perioperative monitoring.

SUBMITTER: Melstrom LG 

PROVIDER: S-EPMC10087541 | biostudies-literature | 2023 Jan

REPOSITORIES: biostudies-literature

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Publications

Feasibility of perioperative remote monitoring of patient-generated health data in complex surgical oncology.

Melstrom Laleh G LG   Zhou Xiaoke X   Kaiser Andreas A   Chan Kevin K   Lau Clayton C   Raoof Mustafa M   Warner Susanne G SG   Zhumkhawala Ali A   Yuh Bertram B   Singh Gagandeep G   Fong Yuman Y   Sun Virginia V  

Journal of surgical oncology 20220928 1


<h4>Background</h4>The feasibility of remote perioperative telemonitoring of patient-generated physiologic health data and patient-reported outcomes in a high risk complex general and urologic oncology surgery population is evaluated.<h4>Methods</h4>Complex general surgical/urologic oncology patients wore a pedometer, completed ePROs (electronic patient-reported outcome surveys) and record their vitals (weight, pulse, pulse oximetry, blood pressure, and temperature) via a telehealth app platform  ...[more]

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