Trial reportBMJ open2018
Effectiveness of an internet-based perioperative care programme to enhance postoperative recovery in gynaecological patients: cluster controlled trial with randomised stepped-wedge implementation.
Trial report in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05221866 (Efficiency And Quality In Post-Surgical Pain Therapy After Discharge), which is not on this map. Cited by 22 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Efficiency And Quality In Post-Surgical Pain Therapy After Discharge
Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Process evaluation of an integrated personalized eHealth programme after total and unicompartmental knee arthroplasty-Results of the multicenter ACTIVE randomized controlled trial.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Trial
- Continued stepped care model improves early-stage self-report quality of life and knee function after total knee arthroplasty.Technology and health care : official journal of the European Society for Engineering and Medicine · 2024Trial
- Comparison of statistical models for estimating intervention effects based on time-to-recurrent-event in stepped wedge cluster randomized trial using open cohort design.BMC medical research methodology · 2022Trial
- Trial
- Recovery Patterns: Longitudinal Cluster Analysis of Physical Function Following Abdominal Surgery.Annals of surgery · 2026Article
- Platform-Based Patient-Clinician Digital Health Interventions for Care Transitions: Scoping Review.Journal of medical Internet research · 2024Article
- The development of multidisciplinary convalescence recommendations after childbirth: a modified Delphi study.AJOG global reports · 2024Article
- Early Hospital Discharge on Day Two Post-Robotic Lobectomy with Telehealth Home Monitoring.Journal of clinical medicine · 2024Article
- A systematic review of the impacts of remote patient monitoring (RPM) interventions on safety, adherence, quality-of-life and cost-related outcomes.NPJ digital medicine · 2024Review
- Patient-reported symptoms after minimally invasive hysterectomy and association with postoperative complications.Gynecologic oncology · 2023Article
- Implementing Wearable Sensors for Clinical Application at a Surgical Ward: Points to Consider before Starting.Sensors (Basel, Switzerland) · 2023Article
- Cancer survivors and adverse work outcomes: associated factors and supportive interventions.British medical bulletin · 2023Review
- Article
- (Cost-)effectiveness of a personalized multidisciplinary eHealth intervention for knee arthroplasty patients to enhance return to activities of daily life, work and sports - rationale and protocol of the multicentre ACTIVE randomized controlled trial.BMC musculoskeletal disorders · 2023Article
- Early Hospital Discharge on Day Two Post Robotic Lobectomy with Telehealth Home Monitoring: A Pilot Study.Cancers · 2023Article
- Recommendations for the Design and Delivery of Transitions-Focused Digital Health Interventions: Rapid Review.JMIR aging · 2022Review
- Patients' and providers' perspectives on e-health applications designed for self-care in association with surgery - a scoping review.BMC health services research · 2022Article
- Article
- eHealth interventions to facilitate work participation: a scoping review.JBI evidence synthesis · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo evaluate the implementation and effectiveness of an internet-based perioperative care programme for patients following gynaecological surgery for benign disease.
designStepped-wedge cluster randomised controlled trial.
settingSecondary care, nine hospitals in the Netherlands, 2011-2014.
participants433 employed women aged 18-65 years scheduled for hysterectomy and/or laparoscopic adnexal surgery.
interventionsAn internet-based care programme was sequentially rolled out using a multifaceted implementation strategy. Depending on the implementation phase of their hospital, patients were allocated to usual care (n=206) or the care programme (n=227). The care programme included an e-health intervention equipping patients with tailored personalised convalescence advice.
main outcome measuresThe primary outcome was duration until full sustainable return to work (RTW). The degree of implementation of the care programme was evaluated at the level of the patient, healthcare provider and organisation by indicators measuring internet-based actions by patients and providers.
resultsMedian time until RTW was 49 days (IQR 27-76) in the intervention group and 62 days (42-85) in the control group. A piecewise Cox model was fitted to take into account non-proportionality of hazards. In the first 85 days after surgery, patients receiving the intervention returned to work faster than patients in the control group (HR 2.66, 95% CI 1.88 to 3.77), but this effect was reversed in the small group of patients that did not reach RTW within this period (0.28, 0.17 to 0.46). Indicators showed that the implementation of the care programme was most successful at the level of the patient (82.8%) and professional (81.7%).
conclusionsImplementation of an internet-based care programme has a large potential to lead to accelerated recovery and improved RTW rates following different types of gynaecological surgeries. TRIAL REGISTRATION NUMBER: NTR2933; Results.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.