Evidence map›Paper›PMID 36418065›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie

Can a mobile app technology reduce emergency department visits and readmissions after lung resection? A prospective cohort study.

Fabrizio Minervini, Jenelle Taylor, Waël C Hanna, John Agzarian, Kristen Hughes, Patrice Pinkney, Yessica Lopez-Hernandez, Michal Coret, Laura Schneider, Christian Finley and 3 more

Open access · diamondAbstract read
In one paragraph

Article in Canadian journal of surgery. Journal canadien de chirurgie. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 13% of its field
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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Observational
  5. Article
  6. How safe is it to discharge home patients with a chest tube in place? A narrative review of the literature.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2025
    Review
  7. Article
  8. Article
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

13 authors at 2 institutions in 2 countries.

Fabrizio Minervini *From the Department of Thoracic Surgery, Cantonal Hospital of Lucerne, Lucerne, Switzerland (Minervini); and the Division of Thoracic Surgery, Department of Surgery, McMaster University and St. Joseph's Healthcare, Hamilton, Ont. (Taylor, Hanna, Agzarian, Hughes, Pinkney, Lopez-Hernandez, Coret, Schneider, Finley, Rushton, Tran, Shargall).
Jenelle Taylor *From the Department of Thoracic Surgery, Cantonal Hospital of Lucerne, Lucerne, Switzerland (Minervini); and the Division of Thoracic Surgery, Department of Surgery, McMaster University and St. Joseph's Healthcare, Hamilton, Ont. (Taylor, Hanna, Agzarian, Hughes, Pinkney, Lopez-Hernandez, Coret, Schneider, Finley, Rushton, Tran, Shargall).
Waël C HannaFrom the Department of Thoracic Surgery, Cantonal Hospital of Lucerne, Lucerne, Switzerland (Minervini); and the Division of Thoracic Surgery, Department of Surgery, McMaster University and St. Joseph's Healthcare, Hamilton, Ont. (Taylor, Hanna, Agzarian, Hughes, Pinkney, Lopez-Hernandez, Coret, Schneider, Finley, Rushton, Tran, Shargall).
John AgzarianFrom the Department of Thoracic Surgery, Cantonal Hospital of Lucerne, Lucerne, Switzerland (Minervini); and the Division of Thoracic Surgery, Department of Surgery, McMaster University and St. Joseph's Healthcare, Hamilton, Ont. (Taylor, Hanna, Agzarian, Hughes, Pinkney, Lopez-Hernandez, Coret, Schneider, Finley, Rushton, Tran, Shargall).
Kristen HughesFrom the Department of Thoracic Surgery, Cantonal Hospital of Lucerne, Lucerne, Switzerland (Minervini); and the Division of Thoracic Surgery, Department of Surgery, McMaster University and St. Joseph's Healthcare, Hamilton, Ont. (Taylor, Hanna, Agzarian, Hughes, Pinkney, Lopez-Hernandez, Coret, Schneider, Finley, Rushton, Tran, Shargall).
Patrice PinkneyFrom the Department of Thoracic Surgery, Cantonal Hospital of Lucerne, Lucerne, Switzerland (Minervini); and the Division of Thoracic Surgery, Department of Surgery, McMaster University and St. Joseph's Healthcare, Hamilton, Ont. (Taylor, Hanna, Agzarian, Hughes, Pinkney, Lopez-Hernandez, Coret, Schneider, Finley, Rushton, Tran, Shargall).
Yessica Lopez-HernandezFrom the Department of Thoracic Surgery, Cantonal Hospital of Lucerne, Lucerne, Switzerland (Minervini); and the Division of Thoracic Surgery, Department of Surgery, McMaster University and St. Joseph's Healthcare, Hamilton, Ont. (Taylor, Hanna, Agzarian, Hughes, Pinkney, Lopez-Hernandez, Coret, Schneider, Finley, Rushton, Tran, Shargall).
Michal CoretFrom the Department of Thoracic Surgery, Cantonal Hospital of Lucerne, Lucerne, Switzerland (Minervini); and the Division of Thoracic Surgery, Department of Surgery, McMaster University and St. Joseph's Healthcare, Hamilton, Ont. (Taylor, Hanna, Agzarian, Hughes, Pinkney, Lopez-Hernandez, Coret, Schneider, Finley, Rushton, Tran, Shargall).
Laura SchneiderFrom the Department of Thoracic Surgery, Cantonal Hospital of Lucerne, Lucerne, Switzerland (Minervini); and the Division of Thoracic Surgery, Department of Surgery, McMaster University and St. Joseph's Healthcare, Hamilton, Ont. (Taylor, Hanna, Agzarian, Hughes, Pinkney, Lopez-Hernandez, Coret, Schneider, Finley, Rushton, Tran, Shargall).
Christian FinleyFrom the Department of Thoracic Surgery, Cantonal Hospital of Lucerne, Lucerne, Switzerland (Minervini); and the Division of Thoracic Surgery, Department of Surgery, McMaster University and St. Joseph's Healthcare, Hamilton, Ont. (Taylor, Hanna, Agzarian, Hughes, Pinkney, Lopez-Hernandez, Coret, Schneider, Finley, Rushton, Tran, Shargall).
Jacob RushtonFrom the Department of Thoracic Surgery, Cantonal Hospital of Lucerne, Lucerne, Switzerland (Minervini); and the Division of Thoracic Surgery, Department of Surgery, McMaster University and St. Joseph's Healthcare, Hamilton, Ont. (Taylor, Hanna, Agzarian, Hughes, Pinkney, Lopez-Hernandez, Coret, Schneider, Finley, Rushton, Tran, Shargall).
Anna TranFrom the Department of Thoracic Surgery, Cantonal Hospital of Lucerne, Lucerne, Switzerland (Minervini); and the Division of Thoracic Surgery, Department of Surgery, McMaster University and St. Joseph's Healthcare, Hamilton, Ont. (Taylor, Hanna, Agzarian, Hughes, Pinkney, Lopez-Hernandez, Coret, Schneider, Finley, Rushton, Tran, Shargall).
Yaron ShargallFrom the Department of Thoracic Surgery, Cantonal Hospital of Lucerne, Lucerne, Switzerland (Minervini); and the Division of Thoracic Surgery, Department of Surgery, McMaster University and St. Joseph's Healthcare, Hamilton, Ont. (Taylor, Hanna, Agzarian, Hughes, Pinkney, Lopez-Hernandez, Coret, Schneider, Finley, Rushton, Tran, Shargall) shargal@mcmaster.ca.
University of Lucerne · CHSt. Joseph’s Healthcare Hamilton · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEmergency department (ED) visits and readmissions after thoracic surgery are a major health care problem. We hypothesized that the addition of a novel post-discharge mobile app specific to thoracic surgery to an existing home care program would reduce ED visits and readmissions compared to a home care program alone.

methodsWe conducted a prospective cohort study of patients undergoing major lung resection for malignant disease between November 2016 and May 2018. Patients received either home care alone (control group) or home care plus a patient-input mobile app (intervention group). Primary outcomes were 30-day readmission and ED visit rates. Secondary outcomes included reasons for ED visits and readmissions, perioperative complications, 30-day mortality, anxiety (assessed with the Generalized Anxiety Disorder-7 Scale [GAD-7]) and app-related adverse events. We compared outcomes between the 2 groups, analyzing the data on an intention-to-treat basis.

resultsDespite the greater number of open surgery and anatomic resections in the intervention cohort, patients in that group were less likely than those in the control group to visit the ED within 30 days of discharge (24.0% v. 38.8%,

conclusionThe addition of a mobile app to a home care program after thoracic surgery was associated with a reduced frequency of ED visits, in spite of the higher proportions of thoracotomies and anatomic resections in the app cohort. More studies are needed to evaluate the full effect of this new, emerging technology.

Indexed as

Mobile ApplicationsPatient ReadmissionAftercareCohort StudiesEmergency Service, HospitalHumansLungPatient DischargeProspective StudiesTechnology

Identifiers

PMID36418065
PMCPMC9710860
OpenAlexW4309878630

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.