Evidence map›Paper›PMID 39774469›Full record

ArticleAnnals of surgery2025

Remote Symptom Monitoring in Thoracic Surgery Patients After Discharge.

Marisa Sewell, Thomas Boerner, Caitlin Harrington, Meier Hsu, Kay See Tan, Rebecca A Carr, Susan Jones, Daniel Zocco, Prasad S Adusumilli, Manjit S Bains and 11 more

Abstract read
In one paragraph

Article in Annals of surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

21 authors.

Marisa SewellDepartment of Surgery, Thoracic Service, Memorial Sloan Kettering Cancer Center, New York, NY.
Thomas BoernerDepartment of Surgery, Thoracic Service, Memorial Sloan Kettering Cancer Center, New York, NY.
Caitlin HarringtonDepartment of Surgery, Thoracic Service, Memorial Sloan Kettering Cancer Center, New York, NY.
Meier HsuDepartment of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY.
Kay See TanDepartment of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY.
Rebecca A CarrDepartment of Surgery, Thoracic Service, Memorial Sloan Kettering Cancer Center, New York, NY.
Susan JonesDepartment of Surgery, Thoracic Service, Memorial Sloan Kettering Cancer Center, New York, NY.
Daniel ZoccoDepartment of Surgery, Thoracic Service, Memorial Sloan Kettering Cancer Center, New York, NY.
Prasad S AdusumilliDepartment of Surgery, Thoracic Service, Memorial Sloan Kettering Cancer Center, New York, NY.
Manjit S BainsDepartment of Surgery, Thoracic Service, Memorial Sloan Kettering Cancer Center, New York, NY.
Matthew J BottDepartment of Surgery, Thoracic Service, Memorial Sloan Kettering Cancer Center, New York, NY.
Robert J DowneyDepartment of Surgery, Thoracic Service, Memorial Sloan Kettering Cancer Center, New York, NY.
James HuangDepartment of Surgery, Thoracic Service, Memorial Sloan Kettering Cancer Center, New York, NY.
James M IsbellDepartment of Surgery, Thoracic Service, Memorial Sloan Kettering Cancer Center, New York, NY.
Bernard J ParkDepartment of Surgery, Thoracic Service, Memorial Sloan Kettering Cancer Center, New York, NY.
Gaetano RoccoDepartment of Surgery, Thoracic Service, Memorial Sloan Kettering Cancer Center, New York, NY.
Valerie W RuschDepartment of Surgery, Thoracic Service, Memorial Sloan Kettering Cancer Center, New York, NY.
Smita SihagDepartment of Surgery, Thoracic Service, Memorial Sloan Kettering Cancer Center, New York, NY.
David R JonesDepartment of Surgery, Thoracic Service, Memorial Sloan Kettering Cancer Center, New York, NY.
Jennifer CracchioloDepartment of Surgery, Otolaryngology Service, Memorial Sloan Kettering Cancer Center, New York, NY.
Daniela MolenaDepartment of Surgery, Thoracic Service, Memorial Sloan Kettering Cancer Center, New York, NY.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748NIH HHS P30 CA008748
6 · The paper itself

Abstract

objectiveTo evaluate an electronic platform for remote symptom monitoring to enhance postdischarge care in thoracic surgery using patient reporting of symptoms.

backgroundOwing to the increased use of enhanced recovery after surgery protocols, patients are spending a larger portion of their postoperative course at home. For patients undergoing complex operations, this represents an opportunity for early identification of abnormal symptoms at home before deterioration.

methodsAn online symptom-tracking platform for thoracic surgery patients was created on the basis of opinions from stakeholders and a review of the literature. Starting in February 2021, patients were educated about the symptom tracker in preoperative clinics. After discharge, patients received a series of electronic surveys covering 23 symptom domains assessed using a Likert Scale for severity. Moderate symptoms prompted a "yellow alert," and severe symptoms prompted a "red alert," both notifying the nursing team and prompting appropriate action. Patients were considered responders if they completed at least 1 survey.

resultsIn total, 1997 patients were enrolled; 76% (n = 1520) were responders. Responders were younger, more likely to be White, less likely to have medical comorbidities, and less likely to be readmitted [odds ratio: 0.53 (95% CI: 0.37-0.76); P < 0.001]. Responders who were readmitted had a higher percentage of red alerts (47% vs 24%; P < 0.001) and yellow alerts (74% vs 61%; P = 0.016) compared with responders who were not readmitted.

conclusionsElectronic reporting adds an additional mechanism of communication between the patient and the clinical team, with the potential to lower the odds of readmission.

Indexed as

Patient DischargePostoperative ComplicationsSymptom AssessmentThoracic Surgical ProceduresAgedFemaleHumansMaleMiddle AgedMonitoring, Physiologicelectronic surveyslung cancerpatient-reported outcomessymptom trackingthoracic surgery

Identifiers

PMID39774469
PMCPMC12614090

What OpenQuestion holds

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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.