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Substitution of Usual Perioperative Care by eHealth to Enhance Postoperative Recovery in Patients Undergoing General Surgical or Gynecological Procedures: Study Protocol of a Randomized Controlled Trial.
van der Meij, Eva; Huirne, Judith Af; Bouwsma, Esther Va; van Dongen, Johanna M; Terwee, Caroline B; van de Ven, Peter M; den Bakker, Chantal M; van der Meij, Suzan; van Baal, W Marchien; Leclercq, Wouter Kg; Geomini, Peggy Maj; Consten, Esther Cj; Schraffordt Koops, Steven E; van Kesteren, Paul Jm; Stockmann, Hein Bac; Ten Cate, A Dorien; Davids, Paul Hp; Scholten, Petrus C; van den Heuvel, Baukje; Schaafsma, Frederieke G; Meijerink, Wilhelmus Jhj; Bonjer, H Jaap; Anema, Johannes R.
Afiliación
  • van der Meij E; EMGO+ Institute for Health and Care Research, Department of Public and Occupational Health, VU University Medical Center, Amsterdam, Netherlands.
  • Huirne JA; Department of Obstetrics and Gynaecology, VU University Medical Center, Amsterdam, Netherlands.
  • Bouwsma EV; EMGO+ Institute for Health and Care Research, Department of Public and Occupational Health, VU University Medical Center, Amsterdam, Netherlands.
  • van Dongen JM; Department of Obstetrics and Gynaecology, VU University Medical Center, Amsterdam, Netherlands.
  • Terwee CB; EMGO+ Institute for Health and Care Research, Department of Public and Occupational Health, VU University Medical Center, Amsterdam, Netherlands.
  • van de Ven PM; Department of Obstetrics and Gynaecology, VU University Medical Center, Amsterdam, Netherlands.
  • den Bakker CM; Department of Obstetrics and Gynaecology, Onze Lieve Vrouwe Gasthuis, Lokatie Oost, Amsterdam, Netherlands.
  • van der Meij S; EMGO+ Institute for Health and Care Research, Department of Health Sciences, Vrije Universiteit, Faculty of Earth and Life Sciences, Amsterdam, Netherlands.
  • van Baal WM; EMGO+ Institute for Health and Care Research, Department of Epidemiology and Biostatistics, VU University Medical Center, Amsterdam, Netherlands.
  • Leclercq WK; EMGO+ Institute for Health and Care Research, Department of Epidemiology and Biostatistics, VU University Medical Center, Amsterdam, Netherlands.
  • Geomini PM; EMGO+ Institute for Health and Care Research, Department of Public and Occupational Health, VU University Medical Center, Amsterdam, Netherlands.
  • Consten EC; Department of Surgery, VU University Medical Center, Amsterdam, Netherlands.
  • Schraffordt Koops SE; Department of Surgery, Flevo Ziekenhuis, Almere, Netherlands.
  • van Kesteren PJ; Department of Obstetrics and Gynaecology, Flevo Ziekenhuis, Almere, Netherlands.
  • Stockmann HB; Department of Surgery, Maxima Medisch Centrum, Veldhoven, Netherlands.
  • Ten Cate AD; Department of Obstetrics and Gynaecology, Maxima Medisch Centrum, Veldhoven, Netherlands.
  • Davids PH; Department of Surgery, Meander Medisch Centrum, Amersfoort, Netherlands.
  • Scholten PC; Department of Obstetrics and Gynaecology, Meander Medisch Centrum, Amersfoort, Netherlands.
  • van den Heuvel B; Department of Obstetrics and Gynaecology, Onze Lieve Vrouwe Gasthuis, Lokatie Oost, Amsterdam, Netherlands.
  • Schaafsma FG; Department of Surgery, Spaarne Gasthuis, Haarlem, Netherlands.
  • Meijerink WJ; Department of Obstetrics and Gynaecology, Spaarne Gasthuis, Haarlem, Netherlands.
  • Bonjer HJ; Department of Surgery, Diakonessenhuis, Utrecht, Netherlands.
  • Anema JR; Department of Obstetrics and Gynaecology, Diakonessenhuis, Utrecht, Netherlands.
JMIR Res Protoc ; 5(4): e245, 2016 Dec 21.
Article en En | MEDLINE | ID: mdl-28003177
BACKGROUND: Due to the strong reduction in the length of hospital stays in the last decade, the period of in-hospital postoperative care is limited. After discharge from the hospital, guidance and monitoring on recovery and resumption of (work) activities are usually not provided. As a consequence, return to normal activities and work after surgery is hampered, leading to a lower quality of life and higher costs due to productivity loss and increased health care consumption. OBJECTIVE: With this study we aim to evaluate whether an eHealth care program can improve perioperative health care in patients undergoing commonly applied abdominal surgical procedures, leading to accelerated recovery and to a reduction in costs in comparison to usual care. METHODS: This is a multicenter randomized, single-blinded, controlled trial. At least 308 patients between 18 and 75 years old who are on the waiting list for a laparoscopic cholecystectomy, inguinal hernia surgery, or laparoscopic adnexal surgery for a benign indication will be included. Patients will be randomized to an intervention or control group. The intervention group will have access to an innovative, perioperative eHealth care program. This intervention program consists of a website, mobile phone app, and activity tracker. It aims to improve patient self-management and empowerment by providing guidance to patients in the weeks before and after surgery. The control group will receive usual care and will have access to a nonintervention (standard) website consisting of the digital information brochure about the surgical procedure being performed. Patients are asked to complete questionnaires at 5 moments during the first 6 months after surgery. The primary outcome measure is time to return to normal activities based on a patient-specific set of 8 activities selected from the Patient-Reported Outcomes Measurement Information System (PROMIS) physical functioning item bank version 1.2. Secondary outcomes include social participation, self-rated health, duration of return to work, physical activity, length of recovery, pain intensity, and patient satisfaction. In addition, an economic evaluation alongside this randomized controlled trial will be performed from the societal and health care perspective. All statistical analyses will be conducted according to the intention-to-treat principle. RESULTS: The enrollment of patients started in September 2015. The follow-up period will be completed in February 2017. Data cleaning and analyses have not begun as of the time this article was submitted. CONCLUSIONS: We hypothesize that patients receiving the intervention program will resume their normal activities sooner than patients in the control group and costs will be lower. CLINICALTRIAL: Netherlands Trial Registry NTC4699; http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=4699 (Archived by WebCite at http://www.webcitation.org/6mcCBZmwy).
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Clinical_trials / Guideline Aspecto: Patient_preference Idioma: En Revista: JMIR Res Protoc Año: 2016 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Canadá

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Clinical_trials / Guideline Aspecto: Patient_preference Idioma: En Revista: JMIR Res Protoc Año: 2016 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Canadá