The DOI matches its Crossref record; 19 of the 19 references it cites were found in a registry or an index.
Outpatient virtual clinical encounters after complex surgery for cancer: a prospective pilot study of “TeleDischarge”
Open accessAbstract
Background Outpatient clinical encounters are used to promote recovery after complex surgical procedures for cancer. These care episodes are resource intensive. Virtual clinical encounters (VCEs) can now be conducted using widely available videoconferencing technologies. However, whether these technologies may be used to monitor postoperative recovery is unknown.Methods In this pilot study, we provided care using a comprehensive "TeleDischarge" protocol to 15 patients after pancreatectomy. In addition to routine follow-up, all patients participated in two scheduled and an unlimited number of unscheduled VCEs using mobile hardware and secure videoconferencing software. We evaluated feasibility, patient satisfaction, postoperative adverse events, and health care human resource utilization.Results The median age of enrolled patients was 63 y (range, 52-83 y) and 93% underwent pancreatoduodenectomy. Twenty-eight scheduled VCEs (93%) were completed successfully, and only one unscheduled VCE was requested. Twelve patients (80%) felt their postoperative care was enhanced by VCEs and 14 (93%) felt that VCEs should be a regular part of postoperative care. Minor interventions in four patients (27%) were performed on the basis of clinical data gathered during a VCE. On a per patient basis, the TeleDischarge pathway was estimated to take 36 min longer and to have a direct labor cost $39 greater than the standard pathway.Conclusions Secure VCEs can be conducted using widely available hardware and software solutions. Although cancer patients support the introduction of mobile technology into postoperative care, further studies are needed to identify ways in which such technology can be used most effectively and efficiently to reduce barriers to recovery.
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Patient satisfaction was measured with the validated Patient Satisfaction Questionnaire-18 (PSQ-18).
“The primary outcome was patient satisfaction as measured by Patient Satisfaction Questionnaire – 18 (PSQ-18).”
From Video Virtual Clinical Encounters Versus Office Visits for Postoperative Care After Pelvic Organ Prolapse Surgery: A Randomized Clinical Trial (2021) · cites this paper as [16]
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Metadata
- Authors
- Katz, M. H. G., Slack, R., Bruno, M., McMillan, J., Fleming, J. B., Lee, J. E., Bednarski, B., Papadopoulos, J., & Matin, S. F.
- Affiliations
- The University of Texas MD Anderson Cancer Center (US)
- Corresponding author
- Katz, Matthew H.G.
- Venue
- Journal of Surgical Research
- Publisher
- Elsevier BV
- Published
- 2016-05
- Volume
- 202
- Issue
- 1
- Pages
- 196-203
- ISSN
- 0022-4804 (ISSN-L)
- OpenAlex
- W2275604456
- Cited by
- 27
- References
- 19
- Citations by year
- 2025: 3 · 2024: 5 · 2023: 3 · 2022: 4 · 2021: 2 · 2020: 1 · 2019: 2 · 2018: 5 · 2017: 2
- FWCI
- 2.97
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Surgical Research (publishedVersion)
- PubMed (publishedVersion)
- Funders
- AT&T Foundation
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Medicine › Surgery › Enhanced Recovery After Surgery
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- videoconferencing, postoperative care, cancer surgery, pancreatic resection, pancreaticoduodenectomy, postoperative recovery monitoring, mobile health technology, patient satisfaction, healthcare resource utilization, telemedicine
- MeSH terms
- Aged, Aged, 80 and over, Feasibility Studies, Female, Follow-Up Studies, Humans, Male, Middle Aged, Pancreatectomy, Pancreatic Neoplasms, Patient Discharge, Pilot Projects, Postoperative Care, Prospective Studies, Pancreaticoduodenectomy, Patient Satisfaction, Telemedicine, Neuroendocrine Tumors, Carcinoma, Pancreatic Ductal, Videoconferencing
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