Evidence map›Paper›PMID 36169200›Full record

ArticleJournal of surgical oncology2023

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

Laleh G Melstrom, Xiaoke Zhou, Andreas Kaiser, Kevin Chan, Clayton Lau, Mustafa Raoof, Susanne G Warner, Ali Zhumkhawala, Bertram Yuh, Gagandeep Singh and 2 more

Abstract read
In one paragraph

Article in Journal of surgical oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Laleh G MelstromDepartment of Surgery City of Hope, Division of Surgical Oncology, Duarte, California, USA.ORCID https://orcid.org/0000-0001-6279-7981
Xiaoke ZhouDepartment of Population Sciences, City of Hope, Duarte, California, USA.
Andreas KaiserDepartment of Surgery City of Hope, Division of Colorectal Surgery, Duarte, California, USA.
Kevin ChanDepartment of Surgery City of Hope, Division of Urologic Oncology, Duarte, California, USA.
Clayton LauDepartment of Surgery City of Hope, Division of Urologic Oncology, Duarte, California, USA.
Mustafa RaoofDepartment of Surgery City of Hope, Division of Surgical Oncology, Duarte, California, USA.ORCID http://orcid.org/0000-0003-4710-2226
Susanne G WarnerDepartment of Surgery Mayo Clinic, Rochester, Minnesota, USA.
Ali ZhumkhawalaDepartment of Surgery City of Hope, Division of Urologic Oncology, Duarte, California, USA.
Bertram YuhDepartment of Surgery City of Hope, Division of Urologic Oncology, Duarte, California, USA.
Gagandeep SinghDepartment of Surgery City of Hope, Division of Surgical Oncology, Duarte, California, USA.
Yuman FongDepartment of Surgery City of Hope, Division of Surgical Oncology, Duarte, California, USA.ORCID http://orcid.org/0000-0002-8934-9959
Virginia SunDepartment of Surgery City of Hope, Division of Surgical Oncology, Duarte, California, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe 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.

methodsComplex 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.

resultsTwenty-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 <Grade 3a versus ≥Grade 3a postoperative morbidity was 6062 versus 4166 (p < 0.05). Of those interviewed, 87% (13/15) viewed vital sign devices as helpful in recovery.

conclusionsTelemonitoring is feasible in a general surgical and urologic oncology setting. Future studies will ascertain optimal patient selection, duration, and extent of perioperative monitoring.

Indexed as

Surgical OncologyTelemedicineAftercareFeasibility StudiesHumansMiddle AgedPatient Dischargepatient-generated health datapatient-reported outcomestelemonitoring

Identifiers

PMID36169200
PMCPMC10087541

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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.