Evidence map›Paper›PMID 38100170›Full record

ArticleJMIR formative research2023

Patient and Provider Experiences With a Digital App to Improve Compliance With Enhanced Recovery After Surgery (ERAS) Protocols: Mixed Methods Evaluation of a Canadian Experience.

Sanjay Beesoon, Ashley Drobot, Melissa Smokeyday, Al-Bakir Ali, Zoe Collins, Colin Reynolds, Sandra Berzins, Alison Gibson, Gregg Nelson

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in JMIR formative research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Observational
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  6. Review
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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

9 authors.

Sanjay BeesoonSurgery Strategic Clinical Network, Alberta Health Services, Edmonton, AB, Canada.ORCID https://orcid.org/0000-0003-3546-8554
Ashley DrobotHealth Systems Knowledge and Evaluation, Alberta Health Services, Edmonton, AB, Canada.ORCID https://orcid.org/0009-0008-4370-9067
Melissa SmokeydaySurgery Strategic Clinical Network, Alberta Health Services, Edmonton, AB, Canada.ORCID https://orcid.org/0009-0003-1295-870X
Al-Bakir AliHealth Systems Knowledge and Evaluation, Alberta Health Services, Edmonton, AB, Canada.ORCID https://orcid.org/0009-0007-2905-7683
Zoe CollinsHealth Systems Knowledge and Evaluation, Alberta Health Services, Edmonton, AB, Canada.ORCID https://orcid.org/0009-0008-2483-5308
Colin ReynoldsHealth Systems Knowledge and Evaluation, Alberta Health Services, Edmonton, AB, Canada.ORCID https://orcid.org/0009-0000-7589-0958
Sandra BerzinsSurgery Strategic Clinical Network, Alberta Health Services, Edmonton, AB, Canada.ORCID https://orcid.org/0000-0002-4627-1717
Alison GibsonOkanagan College, Community Engagement and Careers, Okanagan, BC, Canada.ORCID https://orcid.org/0000-0001-9035-8863
Gregg NelsonDepartment of Obstetrics & Gynecology, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.ORCID https://orcid.org/0000-0002-8177-1098

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOf all the care provided in health care systems, major surgical interventions are the costliest and can carry significant risks. Enhanced Recovery After Surgery (ERAS) is a bundle of interventions that help improve patient outcomes and experience along their surgical journey. However, given that patients can be overwhelmed by the multiple tasks that they are expected to follow, a digital application, the ERAS app, was developed to help improve the implementation of ERAS.

objectiveThe objective of this work was to conduct a thorough assessment of patient and provider experiences using the ERAS app.

methodsPatients undergoing colorectal or gynecological oncology surgery at 2 different hospitals in the province of Alberta, Canada, were invited to use the ERAS app and report on their experiences using it. Likewise, care providers were recruited to participate in this study to provide feedback on the performance of this app. Data were collected by an online survey and using qualitative interviews with participants. NVivo was used to analyze qualitative interview data, while quantitative data were analyzed using Excel and SPSS.

resultsOverall, patients found the app to be helpful in preparation for and recovery after surgery. Patients reported having access to reliable unbiased information regarding their surgery, and the app provided them with clarity of actions needed along their surgical journey and enhanced the self-management of their care. Clinicians found that the ERAS app was easy to navigate, was simple for older adults, and has the potential to decrease unnecessary visits and phone calls to care providers. Overall, this proof-of-concept study on the use of a digital health app to accompany patients during their health care journey has shown positive results.

conclusionsThis is an important finding considering the massive investment and interest in promoting digital health in health care systems around the world.

Indexed as

appapplicationcarecolorectal surgerycost-effectivedigital healthevaluationgynecologic oncologyimplementationpatient experienceprovider satisfactionrecoverysurgery

Identifiers

PMID38100170
PMCPMC10757223

What OpenQuestion holds

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LicenceCC BY
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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.